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Urology

Keep the stream flowing

Diagnostics in urology identify and investigate disorders that affect the urinary tract and the male reproductive system. These tests include non-invasive screening, detailed imaging studies and invasive procedures. There are many routine tests conducted in urology, which are:
  1. Urinalysis
  • Purpose: To find blood, proteinuria, glucosuria, and urine infection.
  • Procedure: Analysis of urine is performed to check both physical and chemical/microscopic properties.

  1. Urine Culture
  • Purpose: To determine the bacteria that causes Urinary Tract Infection.
  • Procedure: A urine sample is cultured to allow any bacteria present to proliferate and be identified.

  1. Blood Tests
  • Purpose: To assess kidney functions, prostate health, and other urinary/urological conditions.
  • Common Tests:
  • Determining creatinine and Blood Urea Nitrogen: Measures the function of the kidneys.
  • Prostate-Specific Antigen: Determines the presence of prostate cancer.
  • Electrolyte: Evaluates the body’s kidney function and balance.

  1. Imaging Tests
  • Purpose: To visualize the kidneys, bladder, prostate, and testicles.
  • Procedure: Sound waves at a frequency too high to be heard by humans are delivered into the internal areas using a transducer, and the echoes that return are recorded.

  1. CT Scan
  • Purpose: To assess the presence of kidney stones, tumours, or abnormalities within the urinary tract.
  • Procedure: A cross-sectional X-ray imaging procedure is done on the body.

  1. Magnetic Resonance Imaging (MRI)
  • Purpose: To obtain detailed images of the soft tissues of the prostate and the surrounding structures.
  • Procedure: Using a magnetic field and radio waves, detailed images are created and recorded.

  1. Intravenous Pyelogram (IVP)
  • Purpose: To investigate the kidneys, ureters, and bladder.
  • Procedure: It involves injecting a contrast dye through a vein, and X-rays are taken while the dye travels down the urinary tract.

  1. Cystography
  • Purpose: To image the bladder and urethra.
  • Procedure: The bladder is instilled with a contrast dye using a catheter, and X-rays are taken.

  1. Endoscopic Tests
  • Cystoscopy:
  • Purpose: To examine the bladder and urethra.
  • Procedure: A thin, flexible tube with a tiny camera on one end (cystoscope) is inserted through the urethra and into the bladder.

  • Ureteroscopy:
    • Purpose: To check the ureters and kidneys; often performed to remove stones.
    • Procedure: A small scope is passed through the urethra and bladder, then onto the ureters.

  1. Urodynamic Testing
  • Purpose: To evaluate how well the bladder and sphincters are storing and releasing urine.
  • Tests Include:
  • Cystometry: It measures the pressure in the bladder upon filling.
  • Uroflowmetry: A test that determines the flow rate of urine.
  • Post-Void Residual Measurement: To ascertain the leftover volume of urine in the bladder after urination.

  1. Biopsy
  • Purpose: To diagnose cancer of the prostate or any other urological cancers.
  • Procedure: Small tissue samples are taken from the Prostate or any other organ area and sent for microscopic examination.

  1. Tests Designed for the Prostate Gland
  • Digital Rectal Exam (DRE)
  • Purpose: To examine the prostate gland for abnormal features.
  • Procedure: Inserting a finger in the rectum and examining the prostate.

  • Transrectal Ultrasound (TRUS)
  • Purpose: To guide the biopsy or for the evaluation of the size of the prostate.
  • Procedure: Images of the prostate are taken through the rectum with an ultrasound probe.

  1. Renal Scintigraphy (Renal Scan)
  • Purpose: To examine renal function and blood flow.
  • Procedure: An injection of radioactive material is administered, and images of the kidneys are compiled by using a gamma camera.

  1. Percutaneous Nephrolithotomy (PCNL)
  • Purpose: To determine the removal of large stones in either of the kidneys or both.
  • Procedure: A small incision on the back, and the instruments remove the stones.

These tests bear very high importance in diagnosing and managing urological conditions—cancers in either the urinary system or the male reproductive system, problems with the prostate, kidney stones, and urinary tract infections. The kind of tests to be conducted is dependent on the symptoms and conditions that a urologist might suspect.

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