Urology

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Urology, a medical discipline also known as genitourinary surgery, is centered on the treatment of conditions affecting the male and female urinary tract and the male reproductive system. The Greek root words "oûron" and "-logia" mean "urine" and "study of," respectively, highlighting the field's focus. Urologists treat organs including the kidneys, adrenal glands, ureters, urinary bladder, urethra, and male reproductive structures such as testes, epididymis, vas deferens, seminal vesicles, prostate, and penis.

Relationship Between the Urinary and Reproductive Tracts

Given the close physiological relationship between the urinary and reproductive systems, disorders in one often influence the other. Consequently, urology encompasses a wide spectrum of genitourinary disorders. It combines the management of medical conditions, like urinary tract infections and benign prostatic hyperplasia, with the surgical treatment of conditions like bladder cancer, prostate cancer, kidney stones, congenital abnormalities, traumatic injury, and stress incontinence.

Technological Advances in Urology

Historically, urology has been a forerunner in integrating cutting-edge surgical technology into medical practice. Urologists are adept in minimally invasive techniques, utilizing real-time ultrasound guidance, fiber-optic endoscopic equipment, and various lasers to treat a multitude of benign and malignant conditions. Notably, urologists have been pioneers in the adoption of robotics in laparoscopic surgery.

Interdisciplinary Nature of Urology

Urology often intersects with other medical specialties, including oncology, nephrology, gynaecology, andrology, pediatric surgery, colorectal surgery, gastroenterology, and endocrinology. This collaborative approach ensures comprehensive patient care.

Career Path in Urology

Urology is among the most competitive medical specialties, attracting a small but highly motivated percentage of U.S. medical school graduates each year. Aspiring urologists must complete a rigorous post-graduate surgical training regimen, which includes a minimum of five years of residency. This training involves a 12-month stint in general surgery, 36 months in clinical urology, and the remaining 12 months in general surgery, urology, or other clinical disciplines relevant to urology. Some urologists elect to further specialize by pursuing fellowships in sub-disciplines, which can last from 12 to 36 months.

Subdisciplines of Urology

Given the complexity and breadth of urology, it can be further divided into several sub-disciplines. In larger academic and university hospitals, urologists often focus on a particular sub-discipline to provide specialized patient care and contribute to clinical research.

Urology-associated issues

• Benign prostatic hyperplasia
• Bladder stones
• Bladder cancer
• Cystitis
• Development of the urinary and reproductive organs
• Epididymitis
• Erectile dysfunction
• Interstitial cystitis
• Kidney transplant
• Kidney cancer
• Medical specialty
• Kidney stone
• Prostatitis
• Prostate cancer
• Retrograde pyelogram
• Retrograde ureteral
• Testicular cancer
• Urolithiasis
• Vasectomy
• Vasectomy reversal

Common procedures and tests

Common urologic tests and procedures include:

• Kidney Ureter and Bladder X-ray
• Kidney ultrasound
• 24-Hour urine collection
• Antegrade pyelogram
• Intravenous pyelogram
• Kidney biopsy
• Renal angiogram
• Cystography
• Cystometry
• Kidney scan
• Semen analysis (Seminogram)
• Digital rectal examination (DRE) (for prostrate)
• Prostate specific antigen (PSA) test

List of Urologists (USA)

• Alabama
• Alaska
• Arizona
• Arkansas
• California
• Colorado
• Connecticut
• Delaware
• Florida
• Georgia
• Hawaii
• Idaho
• Illinois
• Indiana
• Iowa
• Kansas
• Kentucky
• Louisiana
• Maine
• Maryland
• Massachusetts
• Michigan
• Minnesota
• Mississippi
• Missouri
• Montana
• Nebraska
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• New York
• North Carolina
• North Dakota
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• Rhode Island
• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Vermont
• Virginia
• Washington
• West Virginia
• Wisconsin
• Wyoming

US territories

• American Samoa
• Guam
• Northern Mariana Islands
• Puerto Rico
• U.S. Virgin Islands
• District of Columbia

Also see

• Glossary of urology

External links

• European Association of Urology (EAU)
• American Urological Association (AUA)
• American Board of Urology (ABU)
• Urologists.com (US only)
• Society for Basic Urologic Research (SBUR)
• Center for Reconstructive Urology