A urologist is a specialist who deals with conditions that affect the
bladder and the urinary tract in general. Here we take a look at the
training required of this doctor and the conditions he/she treats. Read.
A urologist is a type of medical doctor who has specialized training and
knowledge in diagnosing and treating problems related to the urinary
tract in both males and females of all ages. He or she is also skilled
at treating sexual dysfunction in both men and women. Due to the fact
that this area of medicine encompasses a variety of clinical conditions,
a urologist must have extensive knowledge of internal medicine,
gynecology, pediatrics and a selection of other specialties. The word
urology comes from a Greek word that means “the study of urine.” Urology
is considered to be a surgical subspecialty. Another name for such a
doctor is a urological surgeon.
Within the field of urology there are a number of specialties that these
doctors can choose to work in. According to the American Urological
Association (AUA) there are eight areas of subspecialty. These include:
-Pediatric urology
-Urologic oncology (tumors)
-Female urology
-Urinary tract stones
-Male infertility
-Neurourology
-Erectile dysfunction (impotence)
-Renal transplantation
In order to become certified by the American Board of Urology the
physician must fulfill both educational requirements as well as specific
examination ones. Those who wish to work in this specialty area of
medicine must first graduate from an approved medical school.
The next step is to complete a urology program that has been given the
stamp of approval by the Accreditation Council for Graduate Medical
Education (ACGME). This program must be for a minimum of five years. Of
those five years one must be devoted to general surgery while three must
be devoted to clinical urology. As well, a minimum of six months must
be spent receiving additional training in urology, general surgery or
another clinical discipline that relates to this area. The final year
that the physician spends in the residency program will see the
individual working as a chief resident or senior urology resident while
under the supervision of an attending physician.
Once the person has finished their graduate education they are then able
to apply for their certification by way of the American Board of
Urology (ABU). Once the application has been approved by the Board the
person then enters the process of certification. During this process it
is necessary to complete and pass a qualifying exam which is Part I
before moving onto Part II which is the subsequent certifying exam.
A urologist may diagnose and treat any number of conditions. He or she
is likely to treat patients of both sexes and of varying ages on a
routine basis. Some of the problems may be unique to young patients and
not so common in adults, and vice versa. A child may be seen for a
neonatal urological condition such as ambiguous genitalia, bladder
exstrophy or cloacal exstrophy (which is common in those born with spina
bifida), as well as testicular torsion. Many parents take their child
to such a urologist for bedwetting problems. This condition is known
medically as enuresis.
Adults can seek help from a urinary specialist for health conditions
ranging from interstitial cystitis to erectile dysfunction to Cushing’s
syndrome or Conn’s syndrome. They can also see a specialist for such
things as penile, prostate or testicular cancer, ureteral stones, kidney
problems such as cystic diseases of the kidneys and renal failure,
vasectomy and premature ejaculation.
This is the physician you need to be referred to if you experience any
bladder problems such as blood in your urine (known medically as
hematuria), bladder fistula, neurogenic bladder or paruresis (which is a
phobia of urinating in public washrooms).
