October 3, 2023

What is a urologist-surgeon? What They Do, Procedures, and More

Written by
Edward Calleja
General Urology
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The field of urology is a subspecialty within medical science that primarily focuses on the diseases and conditions affecting the urinary tract and the male reproductive system. Urologists or urological surgeons, are experts trained to diagnose and treat many problems in these areas. They are proficient in surgical specialities and well-versed in traditional and minimally invasive techniques.

Differences Between Urology and Nephrology

Urology and nephrology are related fields, both dealing with kidney conditions. While nephrologists focus on treating kidney diseases through medicine, urologists treat a broader spectrum of issues involving the urinary system and male reproductive organs. Unlike nephrologists, urologists perform surgery and treat problems like urinary tract issues, kidney stones, and bladder tumours.

What Urologic Disorders Do Urologists Treat?

Urologists treat many conditions involving the urinary tract and the male reproductive system. These range from common urinary problems, such as frequent urination, to severe urological conditions like prostate cancer and bladder tumours. Enlarged prostate, male infertility, and kidney stones are conditions that urologists diagnose and treat.

Common Urological Problems

The most common urological problem is urinary tract infection (UTI), which occurs frequently in both genders but is more prevalent in females. Other common issues include kidney stones and enlarged prostate in men.

Severe Urological Problems

Severe urological problems that urologists treat may include bladder cancer, prostate cancers, congenital abnormalities in children (pediatric urology), and complex reconstructions in females and reconstructive urology.

What is the Most Common Urology Surgery?

The most common urology surgery is the removal of kidney stones, often done through minimally invasive techniques. Urological surgeons also commonly perform surgeries for enlarged prostates, typically through transurethral resection or open surgery. Keyhole techniques are also frequently employed.

Reasons You Might See a Urologist

Primary care doctors often provide hospital referrals to urologists for symptoms related to the urinary tract or male reproductive system. You may also see a urologist for conditions such as frequent urination, pelvic organ prolapse in women, and problems with urine flow.

How to Become a Urologist Surgeon?

Becoming a urologist surgeon requires a comprehensive educational background, starting with medical school. Successful completion of a medical degree is followed by a residency program in urology, which often includes exposure to surgical specialities like urologic oncology and reconstructive urology. Special certifications like the American Board of Urology or the American Urological Association can further authenticate your credentials.

In the UK, after medical school, you need to pass your MRCS, and then get a training post in urology to sit for the FRCS Urology.

Each country will have their particular system.

Becoming a Urologist

A urologist usually completes their basic medical degree followed by a residency in urology. The residency program incorporates a variety of experiences, from treating kidney conditions to reconstructive surgery.

Career Prospects - urological surgical specialties

A career in urology can take you to university hospitals or private practices, offering specializations like pediatric urology, female urology, and reconstructive urology. Advanced specializations can include Consultant Urology Robotic Surgeon and Consultant Urologist Specialising in Female and Reconstructive Urology.

Consultant Urology Robotic Surgeon

A Consultant Urology Robotic Surgeon specializes in minimally invasive techniques, particularly robotic surgery. One of the most famous surgery is robotic prostatectomy. This subfield is on the cutting edge of urology, offering less invasive options for complex surgeries.

Consultant Urologist Specialising in Female and Reconstructive Urology

Consultant Urologists in this field specialise in treating urological problems, specifically in females, including pelvic organ prolapse, and focusing on reconstructive surgery.

Others

Indeed, the field of urology is diverse and constantly evolving, allowing for a wide array of subspecialties that cater to specific issues and populations. For example, some urologists focus on urinary voiding issues, dealing with disorders like urinary incontinence and overactive bladder. As another significant subspecialty, pediatric urology tackles congenital issues and urinary problems in children, such as vesicoureteral reflux or hypospadias.

The emergence of gender-affirming surgeries has also led to a subspecialty dedicated to gender reassignment procedures. These urologists are trained in surgeries that help transgender individuals align their physical characteristics with their gender identity, including techniques like vaginoplasty and phalloplasty.

Andrologists are urologists who specialize in male infertility and sexual health, addressing issues related to the vas deferens, erectile dysfunction, including impotence. This complements the work of urologists in urologic oncology, which concentrates on various urologic cancers like prostate cancer, bladder cancer, testicular cancer, penile cancer, and kidney cancer.

In summary, the multitude of subspecialties within urology ensures that specialised care is available for a comprehensive range of urological conditions and needs, making it a multifaceted and continually advancing medical field.

What Does a Locum Consultant Urologist Mean?

A locum consultant urologist is a urologist who temporarily fills in for another urologist. These professionals may work in various settings, from university hospitals to private practices.

Reflection

Urology is a multifaceted field that specializes in treating issues affecting the urinary system and the male reproductive organs. Whether you're dealing with frequent urinary problems or severe conditions like penile cancer, a urologist is the specialized medical professional for your urologic health.

They are extensively trained in medicine and surgery, ensuring comprehensive treatment options for patients.