It is completely normal to have questions or concerns about urologic health—many people do. Starting the conversation early can lead to better outcomes. This FAQ answers some of the most frequently asked questions in simple, straightforward language to help you feel more informed and at ease.
Urology Basics
- What is urology?
Urology is defined by the American Urological Association and the Urology Care Foundation as “the medical and surgical discipline that provides adult and pediatric care for male and female patients with genitourinary tract and adrenal gland diseases and conditions.” In simple terms, urology is the medical practice focused on the male and female urinary tract (kidneys, ureters, bladder, urethra) and male reproductive organs (penis, testes, scrotum, prostate, etc.).
- What does a urologist do?
Urologists have vast knowledge of internal medicine, pediatrics, gynecology and other parts of health care. There are seven subspecialties within urology: pediatric urology, urologic oncology, renal transplant, male infertility, calculi (urinary tract stones), female urology, and neurourology. Urologists are trained for the diagnosis and treatment of urological concerns, including surgery when necessary.
- Are all urologists surgeons?
While all urologists are trained to perform surgery, some choose to focus on subsidiaries of urology that do not involve surgery. Each of the urologists at Ackerman Urology creates personalized patient treatment plans that may involve minor procedures.
Common Symptoms and Concerns
- When should I see a urologist?
You should see a urologist if you are experiencing persistent problems with your urinary or reproductive systems.
Symptoms to watch for include:
- Blood in the urine
- Frequent urination
- Pain with urination
- Incontinence
- Erectile dysfunction
- Changes in urination
- Pelvic pain
- Kidney stones
- Recurrent urinary tract infections (three or more per year)
- Genital bleeding
- Prostate concerns
If you are experiencing any of these symptoms, please see a urologist as soon as possible.
Men’s Urology
- What is the difference between erectile dysfunction and low testosterone?
Erectile dysfunction is the inability to get and maintain an erection, while low testosterone is a deficiency in the male sex hormone testosterone. These conditions are not mutually exclusive. While low testosterone can cause erectile dysfunction, ED can occur with normal testosterone levels as well.
- What can I do to maintain strong prostate health?
There are several things you can do to maintain a healthy prostate. Make sure you are getting prostate exams as recommended, including PSA testing (blood test that measures prostate-specific antigen levels in the blood, elevated levels may indicate disease). There are also lifestyle adjustments you can make to maintain prostate health including, consistent exercise, eating plenty of fruits and vegetables, especially those rich in antioxidants, consuming omega-3 fatty acids instead of saturated and trans fats, and avoiding smoking.
- How often should I get a Prostate Specific Antigen (PSA) test?
The American Urology Association recommends that men should begin receiving PSA screening at the age of 50, continuing screenings every two to four years. It is important to note that men with African American ancestry or individuals with a family history of prostate cancer should begin these screenings at the age of 40.
- How do I know when to get my testosterone levels checked?
Symptoms of low testosterone include low sex drive, erectile dysfunction, and even fatigue. If you are concerned about your testosterone levels, they can be checked with a simple blood test. Typically, testosterone levels should be between 300 and 1,000 nanograms per deciliter. However, these numbers can be affected by several factors including age, genetics, and medications.
Other Important Questions
- What should I expect at my first urology appointment?
For your first urology appointment, it is common for a urine sample to be collected and a physical exam to be conducted. Men will likely receive a prostate exam, while women will likely receive a pelvic exam. External genitalia will also be examined. You may be sent for a blood test as well (PSA, hormones, etc.).
- How many times a day should I be urinating?
On average, a healthy individual urinates between 6-7 times per day. However, 4-10 times per day can also be considered normal. If you find yourself urinating more than 8 times a day, you may be experiencing overactive bladder (OAB). OAB is a group of bladder symptoms. The three main symptoms include urgency, frequent urination (day and night), and urinary incontinence. OAB is very common, with 30% of older men and 40% of older women experiencing symptoms. If you are experiencing symptoms of OAB, it is recommended that you see a urologist to treat this condition.
- What is the difference between a urologist and a nephrologist?
Nephrologists specialize in kidney health, focusing on diagnosing, treating, and managing kidney conditions and disease. However, nephrologists are not surgeons; they often work with urologists as needed for surgical intervention and kidney transplants.
Ackerman Urology is committed to providing you with the best possible urology care. Your health and comfort matter. It is perfectly normal to have questions or concerns. Whether you’re dealing with a specific symptom or just looking for answers, know that you’re not alone. Feel free to contact us with any additional questions you may have. Ackerman Urology is here to help guide you with compassion, expertise, and support—because taking care of yourself is always worth it.
