Centres of Excellence -> Urology -> What does it look like and what to expect from an urology exam?

What does it look like and what to expect from an urology exam?

If you're visiting an urologist for the first time, prior to the examination, the urologist will take your medical history. This involves filling out a form with personal information and medical history. At the beginning of the examination, the doctor will ask you about your general health, all your symptoms, their duration and severity, as well as any previous illnesses, surgeries, or medications you may be taking. When answering the urologist's questions, be honest and don't hesitate to ask your own questions.

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After the discussion with the doctor, the physical examination follows, which may include examination and palpation of the abdomen, genitals, and rectum. In men, the urological examination often includes a digital rectal examination. This examination assesses the size and consistency of the prostate to detect any abnormalities or enlargement by inserting a lubricated finger into the rectum. Additionally, an ultrasound of the urinary tract is often performed to diagnose other specific conditions. For a broader, comprehensive understanding of the urinary system's functioning, the urologist may also request a series of blood tests or urine tests.

Subsequently, based on the conversation with the patient and the physical examination, the urologist draws conclusions and, if necessary, refers you for further tests or diagnostics. These may include various laboratory tests, urine cultures, swabs, imaging tests such as ultrasound (US), color doppler (CD), X-rays, magnetic resonance imaging (MRI), computed tomography (CT), cystoscopy, biopsies, etc. These additional tests are performed to assist the urologist in making the most accurate and appropriate diagnosis and in planning timely and adequate treatment.

Once all the necessary tests have been completed and the doctor has gathered all the necessary information, a final diagnosis is made. The urologist will explain their findings, what the diagnosis means for you, and propose a treatment plan. Treatment may involve merely monitoring the existing condition or advising on preventive measures you can take to maintain urogenital health, lifestyle changes, medication prescriptions, consultation with other specialists, and sometimes may involve urological interventions and surgical procedures.

It is important to note that an urological examination, although sometimes uncomfortable, is very safe and conducted with care and respect, with an individual approach to each patient.

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