Why this problem still exists, we still do not know. Often our urologist hears the same basic theme - a man has an obvious urological problem, it is not solved or seems serious...
So, what problems should definitely be examined by a urologist? There are many, but here are a few examples of signs or symptoms that you should definitely consult a urologist - and this is not negotiable!
1. Any aspect of male infertility. A small percentage of male infertility is due to testicular cancer. Primary care physicians often overlook this issue and skip it altogether when referring to an IVF fertility doctor.
2. Blood in the urine. Hematuria, whether visible (extensive hematuria) or only under a microscope (microscopic hematuria), is not normal and can be an early sign of bladder or kidney cancer. Treatment is basic, including urine tests, an X-ray such as a CT scan, and a look inside the bladder using fiber optics (cystoscopy). Waiting to see if the blood will go is unwise. Once is enough to see a urologist.
3. Increased PSA levels or changes in PSA. PSA remains one of the most sensitive indicators of prostate cancer among all tests in medicine. Any increase is a cause for concern, so it must be evaluated. And if PSA levels start to rise, even if still within "normal" levels, the change may indicate cancer. Therefore, any change in significance should also be evaluated.
4. Abnormal appearance of the prostate gland. Any abnormalities - hardness, small nodules or bumps - may be caused by prostate cancer and should therefore be seen by a urologist. Similarly, it is necessary to see any changes made compared to previous examinations. This is why it is so important that all men between the ages of 40 and 45 have an annual check-up, ideally with the same doctor. As with all potentially serious problems, the cure rate is high when detected early.
5. Any kidney abnormality detected on the X-ray.
6. Testicular masses or persistent pain. Due to rare cases of testicular cancer, any testicular mass, hardness or nodules should be seen by a urologist. This also includes men with testicular pain that does not go away within a week or two. If detected in time, testicular cancer is one of the most curable cancers in men.