Patient information - Columbia Urology 2025

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You may make an appointment or get a referral to a urologist if you have: Trouble urinating (peeing), including getting started or having a strong flow of , pain, cloudy or blood in the .
Reasons you might see a urologist Trouble urinating (peeing), including getting started or having a strong flow of , pain, cloudy or blood in the . Changes in urination, like frequent urination or feeling like you always have to go. Trouble getting or keeping an ion. Infertility.
The most common diagnosis made by urologists is Benign prostatic hyperplasia with lower urinary tract symptoms. This condition (also known as BPH) usually occurs with age and happens when a male patients prostate becomes enlarged.
James McKiernan, MD, is the Chair of the Columbia University Medical Center Department of Urology and the Director of Urologic Oncology.
Physical exam: The urologist will perform a physical exam concentrated on the genitourinary system, and evaluate other systems as well. The physician will perform a genital exam plus a digital exam to assess the prostate.
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You will discuss your symptoms and treatment options with the doctor. You should expect to have some diagnostic tests on the day of your appointment. These tests may include: blood tests, uroflowmetry, flexible cystoscopy, TRUS biopsy or urodynamic studies.

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