Feb 24, 2018
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MS2 here trying to learn more about urology as we go through the GI/GU block. Surprisingly, it's one of the specialties that I can't seem to find much information about and we don't have an in the house urology department. What kind of conditions do urologists usually treat?
 

DoctwoB

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The website is pretty dead now but this is a good place to start


The short answer is that Urologists are physicians who specialize in the medical and surgical management of the urinary tract and male genital tract (with the exception of medical management of kidney disease, which goes to nephrologists).

Main areas of focus include cancers of the prostate, kidney, bladder, and testis, stone disease, female urology (mostly stress jncotinence and pelvic organ prolapse) problems of bladder emptying (overactive bladder, urinary retention, recurrent UTIs, etc) and male infertility and sexual health,
 

armybound

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The website is pretty dead now but this is a good place to start


The short answer is that Urologists are physicians who specialize in the medical and surgical management of the urinary tract and male genital tract (with the exception of medical management of kidney disease, which goes to nephrologists).

Main areas of focus include cancers of the prostate, kidney, bladder, and testis, stone disease, female urology (mostly stress jncotinence and pelvic organ prolapse) problems of bladder emptying (overactive bladder, urinary retention, recurrent UTIs, etc) and male infertility and sexual health,
I wish SDN would somehow assimilate urologymatch. We could do so much for their website.

Urology is a nice hidden gem and poorly understood. It's too bad you don't have a home program. Do you have one near your hometown? Most urologists would be happy to have you shadow or meet with you.

You can modify your practice based on what you like to see or want to see, especially if you've done a fellowship. I am a general urologist and will see pretty much any diagnosis, though I may not do all surgeries.

My clinic tomorrow, for example, has a couple of vasectomy evaluations, some elevated PSAs, kidney stones, prostate cancer, bladder cancer, and a woman with voiding complaints/overactive bladder. We'll get a lot of consults for kidney stones, renal masses, problems with urinating (too much or having difficulty), blood in the urine, lumps/bumps/pain in the scrotum, infertility or undesired fertility (vasectomy)... the list goes on and on.

A lot of things can be evaluated in clinic with scopes and biopsies. We are heavy users of radiologic imaging.
 
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NotaCop

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I wish SDN would somehow assimilate urologymatch. We could do so much for their website.

Some other company/org acquired (purchased) UroMatch in the not so distant past and was supposed to revamp/relaunch it but I’ve yet to see or hear anything since the original announcement so I’ve mostly lost hope. I assume they mothballed the idea or something. Who knows. Pretty sad though, it looked like it must’ve been a great resource when it was in its prime.

If you scroll back on their twitter a year or so you’ll see a retweet of the announcement with this news.
 

solitarius

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Urology is a nice hidden gem and poorly understood. It's too bad you don't have a home program. Do you have one near your hometown? Most urologists would be happy to have you shadow or meet with you.
Urology is nice exactly because it is a hidden gem. And because they screen out people who shouldn't be in urology.
 
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mestielest

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MS2 here trying to learn more about urology as we go through the GI/GU block. Surprisingly, it's one of the specialties that I can't seem to find much information about and we don't have an in the house urology department. What kind of conditions do urologists usually treat?
Your options as a urologist:

-Community Urology:
Outpatient: UTIs, chronic cystitis and pelvic pain, OAB syndromes, ureteral stone management, infertility first-step evaluation, urethra dilation
Daily basis surgery: hydroceles, varicoceles, circumcisions, internal urethrotomy, bladder tumor follow-up with cystoscopy, diagnostic cystoscopy
Other surgery: TUR-P, TUR-BT, ureterorenoscopy

-Endourology Specialist:
Community cases (TUR-P and TUR-BT,URS) + complex percutaneous nephrolithotomy and retrograde intrarenal surgery.

-Endourology and Oncology Specialist:
Community cases + laparoscopic renal surgery +robotic prostatectomy and cystectomy + robotic RPLND

-Functional Urologist:
Community cases + incontinence surgery (from TOT to laparoscopic/robotic sacrocolpopexy) + bladder augmentation + sacral implantation

-Andrologist:
Community cases + penile prosthesis implantation + vasectomy and reversal + microsurgical reconstructions + rare but revascularization

-Infertility specialist:
community cases + micro-tese and medical management

-reconstructive urologist
community cases + male-female or f-m surgeries, hypospadias repairs and revision, epispadias repairs

-pediatric urology
orchiopexy, circumcision, UNC, up plasty, bed-wetting and biofeedback therapy, bladder augmentation, epispadias repairs, bladder extrophy repairs,hypospadias repairs and revisions

Maybe I have forgotten some :)
 

DoctwoB

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Your options as a urologist:

-Community Urology:
Outpatient: UTIs, chronic cystitis and pelvic pain, OAB syndromes, ureteral stone management, infertility first-step evaluation, urethra dilation
Daily basis surgery: hydroceles, varicoceles, circumcisions, internal urethrotomy, bladder tumor follow-up with cystoscopy, diagnostic cystoscopy
Other surgery: TUR-P, TUR-BT, ureterorenoscopy

-Endourology Specialist:
Community cases (TUR-P and TUR-BT,URS) + complex percutaneous nephrolithotomy and retrograde intrarenal surgery.

-Endourology and Oncology Specialist:
Community cases + laparoscopic renal surgery +robotic prostatectomy and cystectomy + robotic RPLND

-Functional Urologist:
Community cases + incontinence surgery (from TOT to laparoscopic/robotic sacrocolpopexy) + bladder augmentation + sacral implantation

-Andrologist:
Community cases + penile prosthesis implantation + vasectomy and reversal + microsurgical reconstructions + rare but revascularization

-Infertility specialist:
community cases + micro-tese and medical management

-reconstructive urologist
community cases + male-female or f-m surgeries, hypospadias repairs and revision, epispadias repairs

-pediatric urology
orchiopexy, circumcision, UNC, up plasty, bed-wetting and biofeedback therapy, bladder augmentation, epispadias repairs, bladder extrophy repairs,hypospadias repairs and revisions

Maybe I have forgotten some :)
Good list, I’ll just add that a well trained non specialized urologist can and will do many (but not all) of the things on the specialist lists.
 
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Elessar

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Good list, I’ll just add that a well trained non specialized urologist can and will do many (but not all) of the things on the specialist lists.
Can a well trained general urologist in the community do pediatric cases? (i.e. orchiopexy, circs, hypospadias)
 

DoctwoB

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Yes. Many of the practices I interviewed with do a moderate volume of pediatric cases without dedicated pediatric sub specialists. Most of what they do was more bread and butter peds (hernias, orchiopexies, distal hypos). Most of these practices were all close to a major children’s hospital and would refer complex peds ( Very proximal hypos, dsd, less common congenital issues (e.g epispadias)) to the children’s hospital.
 
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