Urology. Appointment and consultation with a urologist Why is it important to see a urologist on time?

A urologist is a doctor whose competence includes the prevention, diagnosis and treatment of diseases of the genitourinary system in men and the urinary system in women. Consultation with a urologist is necessary in case of diseases of the urethra, bladder, ureters and kidneys (as a rule, a urologist deals with surgical treatment of kidney diseases, conservative treatment is the responsibility of a nephrologist; however, these specialties are often combined).

The Family Doctor network of clinics provides assistance to patients in need of urologist consultation, diagnosis and treatment of urinary organ diseases. Timely consultation with a doctor allows you to identify diseases in the early stages of development, carry out treatment and thereby prevent the development of complications. You can make an appointment with a urologist in your personal account or through the call center.

Emergency urological care for renal colic, the appearance of blood in the urine (hematuria), prolonged absence of the urge to urinate, acute urinary retention or the inability to urinate with a full bladder is provided at the Family Doctor Hospital Center.

Why is it important to contact a urologist on time?

Diseases of the urinary organs do not always have clear clinical manifestations. A slight pain when urinating, the appearance of foreign impurities in the urine, periodic heaviness in the side often go unnoticed or push patients to attempt self-treatment, which increases the risk of complications and the disease becoming chronic.

Kidney problems affect the condition of the entire body and the functioning of internal organs. Dry and gray skin, unmotivated weakness, headaches and dizziness, difficult-to-correct hypertension, impaired vision and hearing may be the result of kidney damage. Chronic diseases of the genitourinary system in men often cause decreased potency and infertility. Therefore, you should not be surprised if your therapist suddenly refers you to a urologist without obvious urological symptoms.

Diseases treated by a urologist

You need to make an appointment with a urologist if you have:

urolithiasis: stones in the kidneys, ureters, bladder and urethra; Inflammatory kidney diseases (pyelonephritis, glomerulonephritis) due to the presence of stones;

tumors and cysts of the urinary organs;

urinary incontinence (enuresis) in women and men;

neurogenic bladder, or frequent urination with the release of small amounts of urine in the absence of inflammation;

diseases of the bladder: acute and chronic cystitis, stenosis of the bladder neck, tumors, diverticula;

urethritis acute and chronic;

male diseases: prostatitis, prostate adenoma, erectile dysfunction, etc.

The equipment of the Family Doctor network of clinics makes it possible to diagnose diseases of the urinary system in the early stages of their development, when treatment is most effective.

When should you make an appointment with a urologist?

Symptoms of urological diseases are extremely numerous, we will list only the main ones:

lower back pain: sharp, dull, jerking, stabbing, squeezing, localized in the kidney area or spreading down the ureter;

swelling of the whole body, morning swelling under the eyes;

cutting pain when urinating and discomfort after it;

frequent urge to urinate, passing a small amount of urine;

the appearance of solid particles and other impurities in the urine;

urinary incontinence with a strong urge to urinate, laughing, sneezing, coughing;

urinary retention and prolonged absence of the urge to urinate;

inability to urinate when there is a urge to urinate.

You need to see a urologist if you notice one or more of the listed symptoms.

Also, regular preventive examinations by a urologist are recommended for all men over 45 years of age (due to the high risk of developing prostate adenoma and prostate cancer).

Diagnosis of urological diseases

Diagnosis of urological diseases begins at the initial appointment with a urologist and includes taking an anamnesis, analyzing the patient’s complaints, palpation and percussion of the kidney area, taking smears of the urethra for subsequent bacterioscopic and bacteriological analysis.

Laboratory diagnosis of diseases of the urinary organs includes general and biochemical blood tests, general and.

To detect urinary tract infections, bacteriological examination of urine, ELISA and PCR diagnostics are used.

Instrumental diagnostic methods may include:

On an outpatient basis, urologists at the Family Doctor clinics perform foreskin plastering for aesthetic or aesthetic purposes.

If complex surgical interventions are necessary, patients, after examination and preparation, are sent to the Hospital Center, equipped with modern diagnostic and treatment equipment.

Surgical interventions are performed for the following urological diseases:

• in the case of neoplasms of the urinary and reproductive system of a malignant or benign nature, they are removed, including.

  in case of anomalies in the development of the genitourinary system in men and the urinary organs in women.

In addition, the Family Doctor hospital center provides emergency urological care.

Don't put off visiting your doctor! Consultation with a urologist is the first step towards normalizing the situation and restoring your quality of life.

About the service Our prices Our doctors

Most of us have a vague idea of ​​what a urologist does and what is included in his area of ​​expertise. Most often, our knowledge of the work of these specialists is limited to a definition in the style of “something on the male side.” In fact, this is very far from the truth, since a doctor of this specialization helps not only the stronger sex, but also women, as well as children, regardless of their gender and age.

Area of ​​specialization of a urologist

Urology is a branch of practical medicine whose tasks include studying the causes and mechanisms of development of diseases of the urinary organs. Specialists in the field of urology set goals not only to identify and treat pathologies, but also to develop effective methods for diagnosing and preventing diseases.

From the above it is clear that this is a fairly broad field of medicine, and due to its specificity and individual characteristics of patients, it is divided into several important areas, these are:

• andrology, focused on the diagnosis and treatment of male genital organs;
• geriatric urology, aimed at studying age-related physiological changes in the functioning of the genitourinary system;
• Urogynecology is a women's specialty whose tasks include the treatment of gynecological and urological diseases of the genital organs and urethra;
• oncourology, which specializes in research into the characteristics and nature of malignant neoplasms and the development of methods for their treatment;

Urologists deal with disorders of the urinary and reproductive systems in patients of both sexes, diseases of the kidneys and adrenal glands, and pathologies of the pelvic organs. To summarize, we can make a list of the main diseases, the treatment of which is within the competence of a urologist:

• decreased erectile function;
• prostatitis and prostate adenoma;
• urethritis;
• cystitis;
• herpes and other sexually transmitted infectious diseases.

It so happens that women who experience pain, pain during urination and other unpleasant symptoms in the genital area seek advice from a gynecologist. But if you pay close attention to your health and discard the stereotype that a urologist is an exclusively male doctor, then you should turn to him for help. If you suddenly encounter the symptoms described, consult a urologist for advice. The doctor will help you forget about urethritis and cystitis forever.

When is it necessary to make an appointment with a urologist?

Ideally, you should visit a urologist at least once a year. Regular examinations and consultations with a specialist will allow you to timely identify pathology and cope with the disease at an early stage. But there are a number of indications for which consultation with a urologist is mandatory. An urgent appointment is required for the following symptoms:

• in case of pain when urinating;
• with a constant feeling of bladder fullness;
• with urinary incontinence;
• when blood appears in the urine;
• when there is an increased urge to urinate.

There are a number of other symptoms that require you to schedule a consultation and examination with a urologist. For women it is:

• frequent vaginal discharge accompanied by unpleasant sensations;
• painful sensations in the appendage area and during sexual intercourse.

For men:

• decreased potency and erectile dysfunction;
• uncontrolled ejaculation;
• constant pain in the lower back and discomfort in the groin;
• nagging pain in the testicles;
• urinary retention;
• changes in the color and smell of semen;
• discomfort during ejaculation.

A visit to the doctor begins with taking an anamnesis. The doctor’s task is to interview the patient to determine the general state of health and collect information about previous diseases. The doctor should be informed about the frequency of urination and provide information about the medications taken.

After this, the doctor examines the patient, including palpation of the lower abdomen and kidney area, examination of the prostate gland and scrotum in men, and determination of the condition of the urethra and vaginal mucosa in women. The condition of the skin is also assessed and body temperature is measured.

To make an accurate diagnosis, the doctor prescribes additional examinations and gives a referral for tests. The picture of the disease can be determined after receiving the results of a general blood test, urinalysis, and analysis of a smear from the vagina or urethra. If necessary, the doctor prescribes an ultrasound examination of the kidneys and bladder, and if infertility is suspected, a spermogram.

Effective treatment of urological diseases in the "Clinic of Modern Medicine"

LLC "Clinic of Modern Medicine" specializes in restoring the reproductive function of the female and male body. Our services include diagnosis and treatment of urological diseases. We have everything necessary to conduct examinations and identify pathologies. The clinic cooperates with the best Moscow laboratories. Each study is carried out using the latest techniques, which significantly expands the possibilities of making a correct diagnosis and allows you to select the most effective treatment.

Whatever problem you come to our clinic with, we guarantee an individual approach to each patient. You will find a comfortable environment, reasonable prices, attentive attitude from the staff and qualified assistance from experienced specialists.

To make an appointment with a urologist, contact the clinic representatives at the telephone number provided. Registration is also done online on the clinic’s website. Consultants will tell you in detail about the features of visiting a urologist and the prices for services.

• Andro-Gyn	1500 rub.
  Andro-Gyn treatment course 1 procedure	1500 rub.
  Course treatment on the Andro-Gyn device 5 procedures	7500 rub.
  Course treatment on the Andro-Gyn device 10 procedures	13000 rub.
  Instillation of the bladder in women (excluding the cost of the drug)	1200 rub.
  Instillation of the bladder in women (including the cost of the drug)	4150 rub.
  Instillation of the bladder in men (excluding the cost of the drug)	1300 rub.
  Instillation of the bladder in men (including the cost of the drug)	4150 rub.
  Instillation of the urethra (excluding the cost of the drug)	1000 rub.
  Bladder catheterization in women	1000 rub.
  Bladder catheterization in men	1000 rub.
  Course treatment prostate massage 10 procedures	10,000 rub.
  Course treatment prostate massage 5 procedures	5000 rub.
  Massage of the pancreas and joint	750 rub.
  Therapeutic prostate massage (1 procedure)	1000 rub.
  Therapeutic massage of seminal vesicles (1 procedure)	650 rub.
  Plastic surgery of the frenulum of the penis	7500 rub.
  STI prevention	4750 rub.
  Radio wave removal of condylomas of the external genitalia, category 1. sl.	1700 rub.
  Radio wave removal of condylomas of the external genitalia, category 2. sl.	2300 rub.
  Radio wave removal of condylomas of the external genitalia, category 3. sl.	3100 rub.
  Removal of a foreign body of the foreskin	6000 rub.
  	350 rub.
  Opening the cyst with coagulation of the capsule 1 unit.	5000 rub.

• Hospital complex (Syphilis AT total, HBs Ag, AT to HCV, AT to HIV 1, 2)	1800 rub.
  Intravenous blood sampling for research	350 rub.
  Collection of material by a doctor for research	350 rub.
  Total PSA (prostate-specific antigen)	800 rub.
  Free PSA (prostate-specific antigen)	730 rub.
  Bladder cancer antigen, UBC (single urine)	1800 rub.
  Cyfra 21-2 (tumor marker)	1200 rub.
  SHBG sex hormone binding globulin (SHBG)	600 rub.
  Luteinizing hormone LH	520 rub.
  Prolactin	520 rub.
  TSH thyroid stimulating hormone	520 rub.
  Testosterone	520 rub.
  Testosterone free	1150 rub.
  Follicle stimulating hormone FSH	520 rub.
  Androfloroskrin 16	3000 rub.
  Androfloroskrin 24	4500 rub.
  HIV type 1 and 2 RNA, Hepatitis B DNA, Hepatitis C RNA (ultrasensitive test)	4000 rub.
  HIV 1, 2 DNA types (ultrasensitive testing) high-quality blood	3400 rub.
  HIV RNA quantitative (blood)	8200 rub.
  PCR - 14 infections (qualitative)	3650 rub.
  PCR - 24 infections (quantitative)	3800 rub.
  PCR - 6 infections (qualitative) Chlamydia, mycoplasma, ureaplasma, gonococcus, trichomonas	1360 rub.
  PCR - 6 infections (quantitative) Chlamydia, mycoplasma, ureaplasma, gonococcus, trichomonas	1500 rub.
  NASBA reaction Mycoplasma genitalium	1800 rub.
  NASBA reaction Trichomonas vaginalis	1800 rub.
  NASBA reaction Chlamydia trachomatis	1800 rub.
  NASBA reaction Neisseria gonorrhea	1800 rub.
  Papillomavirus DNA of high carcinogenic risk (qualitative 16, 18, 31, 33, 35, 39, 45, 52, 59, 58, 68) (scraping/smear)	750 rub.
  Papillomavirus DNA of high carcinogenic risk (typing 16, 18, 31, 33, 35, 39, 45, 52, 56, 58, 59) (scraping/smear)	800 rub.
  Human papillomavirus quantitative with type determination	1260 rub.
  Chlamydia trachomatis DNA (scraping/smear)	260 rub.
  DNA Chl. trachomatis (urine)	330 rub.
  DNA Chl. trachomatis (prostate secretion)	330 rub.
  DNA Chl. trachomatis (saliva)	330 rub.
  Herpes Simplex Virus (HSV) DNA types 1, 2 (urine)	330 rub.
  DNA Herpes Simplex Virus (HSV) types 1, 2 (nasopharynx)	260 rub.
  DNA Herpes Simplex Virus (HSV) types 1, 2 (prostate secretion)	330 rub.
  Herpes Simplex Virus (HSV) DNA types 1, 2 (scraping/smear)	260 rub.
  Herpes Simplex Virus (HSV) DNA types 1, 2 (sperm)	330 rub.
  Herpes Simplex Virus (HSV) 2 DNA (scraping)	260 rub.
  Bacterioscopic diagnosis of urethral discharge	410 rub.
  Study of life expectancy in urine	450 rub.
  Microscopy study of life-sustaining fluid	430 rub.

• examination of the thyroid gland (with regional lymph nodes).,	2000 rub.
  comprehensive study of the kidneys (kidneys, adrenal glands, renal blood flow, blood flow of the main renal arteries).,	2550 rub.
  transrectal ultrasound (prostate gland, seminal vesicles, Doppler examination of the venous collector of the small pelvis).	2600 rub.
  examination of the scrotal organs (with examination of the hemodynamics of the pampiniform plexus).	1800 rub.
  complex urological examination (kidneys, bladder, scrotal organs, transrectal ultrasound, Doppler examination of the pelvic venous collector).	4000 rub.
  comprehensive examination of the abdominal organs (liver, gallbladder, bile ducts, pancreas, spleen).,	2600 rub.

Prices for services depend on:

• complex of examinations;
• range of procedures performed and other factors.

Anyone can make an appointment for a fee with a professional.

Approximate prices are presented on our website.

Each doctor at our center is an experienced professional, has a high level of qualifications and is constantly improving. This allows us to successfully solve even the most complex patient problems.

We pay special attention to the comfort of our clients. Appointments with doctors are made at a convenient time. Every professional is as tactful and competent as possible. We guarantee the confidentiality of the information received.

To make an appointment with a urologist, just call us at the number provided.

A highly specialized doctor who diagnoses, treats and prevents diseases of the genitourinary organs in men and the urinary system in women.

Often, diseases of the genitourinary system develop due to the presence of venereological diseases, so an additional consultation with a venereologist is needed. If you have erectile dysfunction in men, consult an andrologist. For effective treatment of cystitis in women, consultation with a gynecologist is required.

What does a urologist treat?

Not many people know what a urologist treats and what problems can be addressed to him. Male prostatitis ranks first among urological diseases. In addition, the doctor performs therapy for the urinary and urinary system.
An online consultation with a urologist in real time will help solve your problems, including the following:

• if for a long time there is pain in the lower back, perineum, lower abdomen, groin and at the time of urination;
• the desire to urinate too often/rarely;
• urinary incontinence;
• the presence of purulent and bloody impurities in the urine;
• decreased sexual function, inability to reproduce sexual intercourse - for the male half.

Ask a question to a specialist

A paid or free consultation with a doctor on our website will help you obtain reliable information about your problem, as well as detailed recommendations for eliminating it. Take care of your health right now.

At the Federal Scientific and Clinical Center of the Federal Medical and Biological Agency, the cost of seeing a urologist depends on the qualifications of the doctor and the regularity of visits. The consultation is considered repeated within 3 months from the last visit to a specialist, or until the completion of treatment for the nosology. The Federal Scientific and Clinical Center also has comprehensive programs:

• Share only the right experience to identify STDs (sexually transmitted diseases)

COMPREHENSIVE DIAGNOSTICS PROGRAMS

What diseases does a urologist treat?

The competence of a urologist is diseases, including cancer, of the urinary system, retroperitoneal space, and male reproductive (genital) organs.

Pathologies of the urinary system that require an appointment with a urologist include:

• urethritis (inflammation of the urethra) of various etiologies - infectious, traumatic, allergic, autoimmune, endocrine;
• acute and chronic cystitis (painful processes in the bladder) caused by infection, toxic, allergic, thermal, degenerative agent;
• nephritis - changes in the renal glomeruli, pyelocaliceal system, interstitial tissue of the kidneys, developed as a result of infections, diabetes, amyloidosis, intoxication, hypertension, pregnancy complications, thrombosis;
• ureteral obstruction;
• malignant and benign tumors of the kidneys, ureters, bladder, prostate, testicles;
• urolithiasis - the formation of stones in the kidneys, bladder, urethra;
• nephroptosis - prolapse of the kidneys;
• incontinence or urinary retention associated with urological pathology (congenital, acquired anatomical anomalies, age-related changes in the urethral muscles);
• pathological formations of the retroperitoneal space (fibrosis, tumors, abscesses, adrenal cancer).

Diseases of the genital area for which men make an appointment with a urologist:

• acute, chronic prostatitis (inflammation of the prostate gland);
• benign prostatic hyperplasia;
• orchiepididymitis - inflammation of the testicle and its epididymis;
• balanoposthitis - damage to the skin of the glans penis, the inner part of the foreskin;
• neoplasms of benign or malignant origin of the genital and urinary organs;
• phimosis - narrowing of the foreskin;
• varicocele - pathology of the genital veins;
• hydrocele - accumulation of fluid in the membranes of the testicle;
• disorders of copulative function - disorders of ejaculation, erection;
• hypogonadism - underdevelopment of the testicles due to low hormone levels);
• infections transmitted through sexual contact.

A urologist can deal with a wide range of urogenital diseases, or specialize in a narrow profile:

• andrology (male reproductive system disorders);
• oncourology (malignant tumors);
• urogynecology (urogenital diseases of women);
• neurourology (urinary disorders associated with innervation disorders);
• phthisiourology (tuberculosis of the genitourinary system);
• pediatric or gerontological urology.

The main methods used to treat urological diseases are medications, surgery, and physiotherapy.

When should you make an appointment with a urologist?

Diseases of the genitourinary system often occur in a latent form until the stage of irreversible changes. To identify them in a timely manner, you should make an appointment with a urologist at least once a year, especially for men over 40 years of age.
The inability to conceive within a year is also a reason for both sexual partners to undergo examination, since infertility affects men and women in equal proportions. A urologist or andrologist searches for the cause of impaired male fertility.

Complaints indicating problems of the urinary system can be varied. They refer to local manifestations of pathology or a general reaction of the body.

Local include:

• disturbance of urination (difficulty, frequent, painful, intermittent, etc.);
• pain in the lower back, along the edges of the rectus abdominis muscles, at the level of the navel, suprapubic, groin area, inner thighs, in the perineum, along the urethra. Their intensity varies - acute, dull, cramping, constant, periodic;
• decrease or increase in the amount and daily rhythm of urine (predominance at night);
• change in color, color, transparency of urine, the appearance of sediment.

Nonspecific general symptoms: weakness, nausea, changes in appetite, drowsiness, lethargy, and other signs of intoxication of the body are evidence of a severe dysfunction of excretion.

It is important for men to urgently make an appointment with a urologist for the following complaints:

• frequent unproductive urge to urinate;
• incontinence, urinary retention;
• discharge from the urethra (profuse, mucous, purulent, bloody);
• pain, burning when urinating;
• change in the volume of the genital organs;
• difficulty exposing the head of the penis;
• pain in the groin, scrotum, lower abdomen, during bowel movements;
• itching in the perineum;
• erectile dysfunction, ejaculation, lack of sexual desire;
• gynecomastia (enlarged mammary glands);
• blood in the urine;
• any acute disease or injury to the scrotum and penis.

Also an important component of maintaining the health of the reproductive organs is periodic examination for sexually transmitted, latent sexually transmitted infections.

Urologist services

The list of services offered by a paid urologist at the initial consultation includes diagnosis of the disease and choice of treatment tactics.
To make a diagnosis, the specialist collects anamnesis from the patient’s words and conducts additional studies:

• external examination of the genitourinary organs, anus, suprapubic region, abdomen, lower back;
• superficial and two-handed palpation of the abdomen, kidney area, bladder, projection of the ureters, penis, scrotum, rectal and vaginal examination. The examination is carried out lying on the back, side, standing, knee-elbow position;
• percussion - tapping the boundaries of the kidneys and bladder;
• Auscultation - listening to noises during renal artery stenosis.

This list of diagnostic measures allows you to make a preliminary diagnosis. Laboratory tests may be required to confirm it:

• general blood test, urine test;
• biochemical analysis;
• assessment of daily urine output, protein loss, sediment microscopy, hormone concentrations;
• level of prostate specific antigen in the blood;
• smear from the urethra, vagina for examination for infection, cytology;
• spermogram, etc.

Instrumental methods include:

• endoscopic examination - ureteroscopy, cystoscopy, ureteropyelonephroscopy;
• urodynamic studies - uroflowmetry, cystometry, urethral profilometry;
• biopsy of the kidney, prostate, bladder, testicles, penis;
• X-ray diagnostics (survey, excretory urography, urethrography, cystography, ureteropyelography);
• magnetic resonance imaging (MRI) and computed tomography (CT) with and without contrast;
• angiography - examination of the vessels of the retroperitoneum and pelvis;
• radionuclide methods (static and dynamic nephroscintigraphy, etc.);
• ultrasound examinations of the reproductive and urinary systems;
• catheterization of the bladder for diagnostic or therapeutic purposes;
• dilation of the urethra, etc.

How to find a qualified urologist in Moscow?