Written by Shahrzad Jafari Jozani
Last Updated: 1/16/2025

Urology Or Nephrology?

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Urology Or Nephrology?

The fields of nephrology and urology share some overlap because they can both involve the kidneys. If you need a doctor specializing only in kidneys, you should make an appointment with a nephrologist. Nephrology is a subspecialty, of internal medicine rather than urology. This means nephrologists aren’t surgeons. Urologists, on the other hand, are surgeons. While nephrologists focus on diseases and conditions that affect the kidney more directly, a urologist focuses on diseases and conditions that can affect the male and female urinary tract.

What is Urology?

In ancient Egypt and Greece, doctors would frequently examine urine’s color, odor, and texture, while looking for bubbles, blood, and other signs of disease. Nowadays, an entire field of medicine -Urology- focuses on the health of the urinary system. Urology focuses on diseases of the male and female urinary tract (kidneys, ureters, bladder, and urethra). Also, deals with the male organs that can make babies (penis, testes, scrotum, prostate, etc).

Urology Or Nephrology?

What conditions do urologists treat?

Urologists treat a wide variety of conditions that affect the urinary system and male reproductive system. In men, urologists treat:

  • Cancers of the bladder, kidneys, penis, testicles, and adrenal and prostate glands

  • Prostate gland enlargement

  • Erectile dysfunction, or trouble getting or keeping an erection

  • Infertility

  • Interstitial cystitis also called painful bladder syndrome

  • Kidney diseases

  • Kidney stones

  • Prostatitis is inflammation of the prostate gland

  • Urinary tract infections (UTIs)

  • Varicoceles, or enlarged veins in the scrotum

In women, urologists treat:

  • Bladder prolapse, or the dropping of the bladder into the vagina

  • Cancers of the bladder, kidneys, and adrenal glands

  • Interstitial cystitis

  • Kidney stones

  • Overactive bladder

  • UTIs

  • Urinary incontinence

In children, urologists treat:

  • Bed-wetting

  • Blockages and other problems with the urinary tract structure

  • Undescended testicles

When should you visit a Urologist?

Having any of these symptoms suggests you have a problem in the urinary tract:

  • Blood in your urine

  • A frequent or urgent need to urinate

  • Pain in your lower back, pelvis, or sides

  • Pain or burning during urination

  • Trouble urinating

  • Urine leakage

  • Weak urine flow, dribbling

You should also see a urologist if you’re a man and you’re experiencing these symptoms:

  • A decreased sexual desire

  • A lump in the testicle

  • Trouble getting or keeping an erection

What is a Nephrologist?

Nephrologists specialize in conditions that affect the kidneys. Nowadays, kidney disease ranks as the 12th leading cause of death globally. Kidney disease can develop from existing health issues like diabetes, obesity, heart disease, and high blood pressure. It can also cause high blood pressure and heart disease to develop, even if you didn't have these conditions before. Your nephrologist can help you overcome low-functioning kidneys. If caught and treated early, your kidney damage may even be reversible.

What do Nephrologists do?

Nephrologists are medical professionals who diagnose, treat, and manage acute and chronic kidney problems and diseases. They can also help you with associated issues such as high blood pressure, fluid retention, and electrolyte and mineral imbalances.

Urology Or Nephrology?

Why should you visit a Nephrologist?

Since most people get a referral from another primary care doctor to go to a nephrologist seeing a nephrologist means that you have kidney-related symptoms from an unknown cause or that you have health issues only a renal specialist knows how to treat.

What conditions do Nephrologists treat?

Nephrologists can work with you to help diagnose and treat the following conditions:

  • Blood or protein in the urine

  • Chronic kidney disease

  • Kidney stones, although a urologist may also treat this

  • Kidney infections

  • Kidney swelling due to glomerulonephritis or interstitial nephritis

  • Kidney cancer

  • Polycystic kidney disease

  • Hemolytic uremic syndrome

  • Renal artery stenosis

  • Nephrotic syndrome

  • End-stage kidney disease

  • Kidney failure, both acute and chronic

A nephrologist can also be involved when other factors cause kidney disease or dysfunction, including:

  • High blood pressure

  • Diabetes

  • Heart disease

  • Autoimmune conditions, such as lupus

  • Medications

Conclusion

In conclusion, both urology and nephrology are crucial fields in medicine that focus on the health of the urinary system. Urologists specialize in diseases and conditions that affect the urinary tract in both men and women, as well as the male reproductive system. They perform surgical procedures and treat conditions such as urinary tract infections, kidney stones, and prostate issues. On the other hand, nephrologists specialize in diseases and conditions that affect the kidneys. They manage non-surgical conditions such as chronic kidney disease, polycystic kidney disease, and acute renal failure. While there is overlap in their areas of focus, the choice between seeing a urologist or a nephrologist will depend on the specific condition and needs of the patient. It’s always important to consult with a healthcare provider for appropriate guidance.

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FAQs

Urology and nephrology are both medical specialties that deal with the urinary system. However, urologists focus on the surgical aspects of the urinary tract and male reproductive system, while nephrologists specialize in kidney care and treating diseases of the kidneys medically.

You should see a urologist if you have symptoms such as blood in your urine, frequent or painful urination, or other urinary problems. Men should also see a urologist for issues related to the prostate, testes, and other parts of the male reproductive system.

You should see a nephrologist if you have symptoms of kidney disease such as swelling in your hands and feet, high blood pressure, or if you’ve been diagnosed with conditions that can affect the kidneys like diabetes or heart disease.

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