What to expect from a male urology exam?

The urologist may want to check blood counts, kidney function, or test PSA (prostate-specific antigen) or testosterone levels. Your urologist may order imaging studies. This can include sonography of the kidneys, the bladder, and/or the prostate; or an imaging scan to visualize specific organs.

pbmchealth.org - 7 things men can expect during a urologist office visit

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Prostate cancer does not have to be life threatening, especially when detected early. Peconic Bay Medical Center’s team of board certified Urologists include experts in highly effective minimally invasive and robotic-assisted surgical techniques. Learn more

Your urologist office visit experience

If you're a man who hasn't made his first urologist office visit, you may wonder what to expect. First, it's helpful to understand who urologists are. They are physicians who specialize in the genitourinary tract—the kidneys, urinary bladder, adrenal glands, urethra and male reproductive organs—and male fertility. Urologists are also trained in the surgical and medical treatment of diseases that affect these organs. Here are the typical things you can expect during an appointment with a urologist: A urologist will request you to provide a urine specimen, so don't go to the office with an empty bladder. Many urological conditions may prevent you from being able to hold urine in. So when you arrive, inform the office staff that you are ready to provide a specimen. Each urologist office visit starts with assorted paper work. This may include questionnaires to help assess how severe your ailment is. On the questionnaires, you to “rate” things like lower urinary tract symptoms, incontinence and/or sexual health. You may also complete a “voiding diary” to documents times and amounts of urination if (and when) you experience incontinence. You will enter an exam room and a staff member will record your detailed medical history. It will focus on your genitourinary system and what your underlying problem is and also involve a complete review of all body systems. Disease of other systems can help diagnose urologic problems. Be prepared to provide a complete list of all your medications, including over-the-counter drugs, vitamins and supplements that you take. If you think you may not recall the names of everything you take, bring all your medications with you. The urologist will perform a physical exam. The will concentrate on the genitourinary system and evaluate other systems as well. The physician will perform a genital exam plus a digital rectal exam to assess the prostate. After the examination, the urologist will discuss a treatment plan for you to determine what is happening. This will usually involve additional tests, either during this visit or, more commonly, at a later visit. The urologist may want to check blood counts, kidney function, or test PSA (prostate-specific antigen) or testosterone levels. Your urologist may order imaging studies. This can include sonography of the kidneys, the bladder, and/or the prostate; or an imaging scan to visualize specific organs. The urologist may recommend an ambulatory, office-based procedure. It may be cystoscopy, a minimally invasive procedure that examines the bladder and urethra; urodynamics, which assesses bladder functionality for patients who have incontinence; and/or a biopsy. A focused, detailed urologist office visit will allow the doctor to determine learn the correct course of action to treat your symptoms.

This article originally appeared in Northwell Health's Newsroom

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How do they prep you for a cystoscopy?

There is no “prep” required. There is no need to come in with a full bladder. We will ask you to empty the bladder prior to the procedure. You may eat before your visit.

brighamandwomens.org - Cystoscopy Patient Instructions - Brigham and Women's Hospital

Cystoscopy Instructions (pdf)

What is Cystoscopy?

Your doctor has recommended that you have a cystoscopy. This is a procedure that involves using an instrument called a cystoscope to look at the lining of the bladder (the area where the urine is stored), the opening of the ureters (the tubes that connect the kidney to the bladder), and the urethra (the tube that runs from the bladder to the outside of the body). The cystoscope is a thin instrument about the thickness of a pencil and is similar to a catheter. It has a lens at the end so the inside of the bladder can be seen. It is usually attached to a television screen, so both you and your doctor will be able to see the inside of the bladder. The procedure is usually performed in the office. It does not require any anesthesia and lasts for approximately 5 minutes. While the cystoscope is being inserted you may feel mild discomfort for a few seconds. Once the cystoscope is in the bladder most of the discomfort should subside.

Why is Cystoscopy Necessary?

The cystoscopy procedure is ordered for a variety of reasons. These can include blood in the urine, frequent urinary tract infections, recurrent urinary incontinence, urinary frequency, painful urination, urinary retention (unable to empty completely), or problems from previous urinary tract surgery.

Preparation for Cystoscopy

There is no “prep” required. There is no need to come in with a full bladder. We will ask you to empty the bladder prior to the procedure. You may eat before your visit. Please take your regularly scheduled medications for the day, with the exception of aspirin or aspirin-based medications.

If you have any questions, please call the office at (617) 732-4838.

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