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How To Prepare For Your Urology Appointment

Want to know what to expect at your first urology appointment? Read below for an overview.

Many people see their primary care physician to receive treatment for their incontinence. This can be a great option for most – after all, you likely have a history with your primary care doc and are comfortable with them – something that can be a huge help when discussing something as intimate as incontinence. And, these doctors are great at narrowing down the type of incontinence you may have and providing you with some first-line treatment options.

However, if you’re looking for additional help, or not seeing improvements in your symptoms with a primary care doctor, you may wish to see a urologist. Your doctor may even recommend one to you if your case is severe or complicated.

Let’s start with some basics.

WHAT IS A UROLOGIST?

Urologists are specialists who treat anything related to the urinary tract, male reproductive system, or male fertility issues. Urologists are also trained in treating diseases or conditions that affect these organs. Urologists can provide medical or even surgical treatment to patients.

WHAT KINDS OF CONDITIONS DOES A UROLOGIST TREAT?

The urinary tract and male reproductive systems are complex, meaning that several conditions would fall under a urologist’s realm. Some of the conditions urologists treat are:

DO UROLOGISTS TREAT WOMEN?

While many people think of urologists as treating only men, they also treat women. Urologists specialize in treating conditions that affect the urinary tract including the female urinary tract, as well as males.

Women may look to a urologist for help with conditions such as UTIs, incontinence, overactive bladder, fallen bladder (pelvic organ prolapse), interstitial cystitis (also known as painful bladder syndrome), kidney stones, or cancers affecting the bladder, kidneys, or urethra.

WHEN SHOULD I SEE A UROLOGIST?

Incontinence isn’t the only reason to visit a urologist. If you have any of the problems listed below, it may be time to make a urology appointment:

  • Incontinence or bladder leakage
  • Blood in your urine
  • Feeling an intense urge to urinate frequently
  • Trouble urinating, including a weak stream, or trouble starting urinating
  • Pain in your lower back
  • Painful urination, which may indicate an infection
  • A lump in your testicle (men)
  • Erectile dysfunction (problems with maintaining an erection)
  • Low sexual desire in men

WHAT CAN I EXPECT WHEN I GO TO SEE A UROLOGIST?

At your first urology appointment, your doctor will want to get to know you, your medical history, and the reason for your visit. Be prepared to talk about your incontinence with them or any other issues you might be having. Being upfront with your physician about what you’re experiencing is the best way for them to create an appropriate treatment plan for you.

Sometimes it’s helpful to bring a completed bladder diary to your doctor’s office. A bladder diary is a log that keeps track of any leaks you have, what you were doing at the time of the leaks, and what you have been eating recently. A bladder diary can paint a helpful picture for a doctor of how heavy your leaks are if you experience them at consistent times, and how your diet may affect your leaks. You can download a free one here and complete it before your appointment.

Your appointment will likely start with a urine sample so be sure to come with a full bladder! You’ll also need to fill out some basic paperwork to help the urologist, and his staff, learn a little bit about you and why you’re there. You’ll be asked about various health conditions you have, the reason for your visit, and any medications or supplements you’re taking. Be as thorough as you can in your answers. Your replies will help your doctor get a good picture of your medical history and the symptoms you’re experiencing.

After that, you’ll speak with your urologist. Seeing a new doctor can feel intimidating, and talking about some medical conditions may feel embarrassing to you. Writing down questions you have, or things you’d like to make sure you cover in advance is a good idea so that you don’t forget anything during your appointment. Tell your doctor what you’re experiencing, how long you’ve experienced it, and anything else you think may be relevant to your condition.

Once your doctor has a good idea of your history and concerns, he or she will perform a physical exam. This will be different for both men and women and may differ depending on what your symptoms are.

Men experiencing prostate trouble may need a rectal exam, while women may need a pelvic exam. Your doctor may also do blood tests, imaging scans, PSA tests, or other urological exams to get a better understanding of your condition.

After your physical exam, your doctor will talk with you about your condition, and recommend one or several treatment options. Be sure to bring a notebook to jot down important information you may need later. If you’re presented with various treatment options you may wish to write those down and do your research on the pros and cons before making a treatment decision.

In the end, urologists are specialists who are well-versed in conditions like incontinence. It can be scary to talk about conditions like this with someone new but rest assured, yours is not the first story they have heard. Be open and honest with your urologist, and share your concerns with him or her to ensure you’re making the most of your appointment.

For more tips on talking to your doctor, visit our talking to your doctor guide.

Comments

2 Responses

  1. I have my first urology appointment coming up in Jan. 2025. I have PPMS going on for 30yrs. this August. I am not on any medication. I just take Vitamin D once a day. I am seeing this urologist because I have cloudy urine which has a bad odour. What I am worried about is when she does the physical exam, I don’t want to pee all over the place. I will wear clothes that are easy to take off and put on again. I will also bring extra supplies of everything. I am 77 yrs. old and have not had a physical of my bottom since I was 70. I use a wheel chair when I leave my home and, my husband takes me everywhere I need to be as I gave up driving 2 yrs. ago. I will have a list of questions ready to ask but, I will be very nervous about the whole appt.

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Medicaid is the nation’s public health insurance program designed for individuals and families who may be low-income, elderly, or disabled. The Medicaid program covers more than 1 in 5 Americans, including many with complex and costly needs for care. With over 74 million Americans relying on Medicaid, it is the largest single source of health coverage in the U.S. The program ensures that qualifying individuals can access medically necessary products, including incontinence supplies, urological supplies, and other medical necessities, as well as healthcare and long-term care services.

Urinary incontinence is a prevalent condition that impacts over 25 million people in the U.S., including more than half of all seniors. Managing incontinence can be challenging, especially for those on a limited income, as the cost of incontinence briefs, underpads, and other bladder control supplies can quickly add up.

Fortunately, for many individuals on Medicaid, coverage is available for the medical supplies needed to effectively manage incontinence, provided there is a qualifying medical diagnosis. This coverage ensures that individuals receive the necessary products to maintain their health and quality of life.

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Dr. Syan Podcast OAB

The Ins-and-Outs of OAB

When is that sudden urge to go so bad that you should seek out medical help? How can I tell the difference between a UTI and OAB? How much water should I be drinking every day? Can a woman actually visit a urologist? 

These are some of the important questions that we address with today’s guest, Dr. Raveen Syan. She’s an associate professor of clinical urology at the University of Miami’s Miller School of Medicine and a specialist in a number of women’s pelvic health issues, including the treatment of stress urinary incontinence, pelvic organ prolapse and overactive bladder. 

Bladder Cancer in the News – What You Need to Know

With the recent announcement by Deion Sanders, hall of fame NFL player and current head coach for the University of Colorado Buffaloes, that he is undergoing treatment for bladder cancer, we’ve been seeing a significant increase in interest about the disease. Today’s guest is Dr. Bradley Gill, chief of surgery at Cleveland Clinic Hillcrest and Mentor Hospitals and a board-certified urologist, to help us understand the condition, its causes, treatment options and potential outcomes.