What does urology check for women?

The genitourinary system is an important system of the human body, and genitourinary system examination is of great significance for the diagnosis of genitourinary system diseases. The human urinary and reproductive system is an axial structure. From the bottom to the inside, the female sexual organs, urethra, bladder, and uterus are the posterior axis. Through the glands, it is connected to the uterus, ovaries, appendages, and kidneys. This axial structure is called the "urinary gland axis" in Tibetan medicine. So, what are the main things to check in female urinary examination? Let’s find out with me below.

What is a urogenital system examination? A urogenital system examination is an examination of the structure and function of the urogenital system's internal organs (kidney function, urethra, bladder, urethral opening). The basic diagnostic methods for genitourinary system examinations are medical history analysis, physical examination and basic urine tests. On this basis, the urogenital system examination items also include intact B-type ultrasound scanning, isotope examination, CT, magnetic resonance imaging, intravenous urogenital system radiography, etc., depending on visual needs.

Which departments should women go to for urinary and reproductive system examinations?

Women's urethra is shorter and closer to the anus in the vagina, making it more susceptible to infiltration by female secretions and bacteria around the anus, leading to urinary tract infection. If you experience symptoms of frequent urination, urgency, and pain when urinating, it may be related to a urinary tract infection. You can go to the urology department of the hospital for further diagnosis through routine urine tests.

Cost of genitourinary examination

Examination of the urogenital system should first include B-ultrasound, urine routine test, hormone test, and targeted items. This basic cost is about 500 to 1,000 yuan. It is recommended that you go to a professional urology department and assisted reproductive department, where you can choose the examination items and receive targeted treatment according to your specific situation.

Urogenital system examination items

The examination of the urogenital system must first be based on a detailed understanding of the medical history, the course of the disease, the symptoms, and the clinical manifestations. Urinary and reproductive system examination adopts four basic examination methods: observation, touch, percussion and auscultation, and combines laboratory tests with equipment and imaging diagnostic tests to provide important basis for the diagnosis of the disease. The urinary and reproductive system examination items are as follows:

Kidney area examination

1. Inspection: The patient stands or straightens forward during inspection. Observe whether there are lumps, swelling, or inflammation in the kidney area, and whether the spine is bent. If scoliosis is very obvious, it is often related to lumbar muscle spasm caused by inflammation. Bumps at the costovertebral angle, waist, or upper abdomen indicate the presence of a lump.

2. Palpation: The patient lies flat on his back with his lower limbs flexed to relax the abdominal muscles. The operator stands on the right side of the patient, props up the flank at the costovertebral angle with his right hand, and performs superficial palpation under the rib margin in the same direction with his left hand. Put your hands together and instruct the patient to take a deep breath slowly during the palpation process. When breathing, the kidneys should sink and palpate the kidneys at the deepest part under the rib margin. Because the kidneys are located deep inside the body, they generally cannot be touched.

3. Percussion: Place the left palm on the kidney area on the back (costovertebral angle), clench the left fist and tap lightly. If there is percussion pain, it indicates that there is inflammation in the kidney function or surrounding area of ​​the kidney on that side.

4. Lung auscultation: For patients suspected of having renal artery stenosis, aneurysm or arteriovenous malformation, auscultation of the lungs on both sides of the upper abdomen and at the costovertebral angle to check for vascular murmurs is very helpful for diagnosis.

Urinary tube inspection

The urethra is deep in the posterior abdominal wall on both sides of the spine and is generally not easy to touch. In patients with a defective abdominal cavity, a cord-like mass may occasionally be palpated when there is a urethral tumor or stone.