Urology (aka: genitourinary surgery) is a surgical subspecialty that tackles a wide spectrum of disease involving the male and female urinary tract and the male reproductive system. Urologists manage afflictions ranging from genitourinary malignancies (renal cell carcinoma, prostate carcinoma, transitional cell carcinoma, testicular carcinoma, etc. . .) and renal stones to congenital genitourinary defects, perineal reconstruction, and male infertility.

Although Urologists are surgeons, a significant part of the urologic practice also involves medical management of disease (i.e. no knife).

The American Urologic Association (AUA), the governing body for the specialty, divides Urology into seven subspecialties:

    Oncology
    Surgical management of neoplasms involving the:
    • Kidneys
    • Adrenals
    • Ureters
    • Bladder
    • Prostate
    • Urethra
    • Testicles
    • External Genitalia

     

    Calculi
    Medical, endoscopic, extracorporeal, percutaneous, and surgical management of stones of the urinary tract.
    Female Urology

    Medical and surgical management of incontinence and pelvic outlet relaxation disorders.

    Infertility
    Medical and surgical treatment of male infertility.
    Pediatrics

    Medical and surgical treatment of urological disease in the pediatric population.

    Transplant

    Renal transplantation.

    Neurourology

    Urodynamic evaluation of patients; medical and surgical management of voiding disorders and erectile dysfunction.

Below is a list of surgical procedures that are performed by urologists:

    Organs System Surgical Procedure
    Kidney and Perinephrium
    • Partial nephrectomy
      • laparoscopic
    • Nephrectomy
      • partial
      • laparoscopic partial
      • simple
      • donor
      • radical (w/ excision of vena caval tumor thrombus)
      • laparoscopic
      • robotic
    • Nephroureterectomy
      • laparoscopic
      • robotic
    • Renal transplantation
    • Renal arterial grafts
    • Splenorenal and hepatorenal arterial bypass procedures
    • Adrenalectomy
      • laparoscopic
    • Pyeoloplasty
    • Pyeoloureteroplasty
    • Symphisiotomy of horseshoe kidney
    • Repair of lacerated kidney
    • Surgery for renal abscesses
    • Excision of renal cyst
    • Nephrostomy
    • Pyelostomy
    • Nephroscopy
    • Endopyelotomy
    • Pyelonephrolithotomy
    • Percutaneous Nephrolithotomy
    Retroperitoneum and Ureter
    • Ureterocalicostomy
    • Ureterolithomoty
    • Psoas hitch
    • Boari flap
    • Ureterovesical anastomosis, reimplantation
    • Ureterocolic anastomosis
    • Ileoureteral substitution
    • Ureteroileal conduit
    • Ureteroureterostomy
    • Transureteroureterostomy
    • Ureterovaginal fistula repair
    • Repair of ureteral injuries/transections
    • Ureterectomy
    • Ureteral reimplantation
    • Megaureter repair
    • Ureteroscopy
      • basket extraction of stone
      • laser lithotripsy
      • ultrasound lithotripsy
      • electrohydraulic lithotripsy
      • ureteral stenting
    • Laparoscopic surgery of the ureter
    • Retroperitoneal Lymph Node Dissection (RPLND)
      • transperitoneal
      • laporoscopic
    • Ureterolysis for indiopathic retroperitoneal fibrosis
    • Intracorporeal Lithotripsy
    • Extracorporeal Shock Wave Lithotripsy (ESWL)
    • Endoscopic management of ureteral strictures / fistulas
    • Lower tract surgery for ureterocele and duplication anomalies
    • Prune Belly Syndrome management
    Bladder
    • Cystectomy
      • partial
      • radical: includes hysterectomy and anterior vaginectomy in female and prostatectomy in men
      • conduit diversion
        • ileal
        • continent diversion (Kock pouch)
        • cutaneous continent ileocecal reservoir
        • ileocolic neobladder
        • orthotopic continent diversion
    • Bladder extrophy repair
    • Excision of urachus and repair of bladder
    • Repair of ruptured bladder
    • Vesical diverticulectomy
    • Vesical fistula repair
    • Cystolithotomy/Cystolithalopaxy
    • Closure of fistula
    • Cystoscopy
      • flexible
      • rigid
    • Transurethral Resection of Bladder Tumor (TURBT)
    • Laser Treatment of Bladder Cancer
    • Augmentation cystoplasty
    • Sacral Nerve Stimulation
    Urethra
    • Meatotomy and repair
    • Excision of stricture
    • Diverticulectomy
    • Excision of posterior urethral valves
    • Artificial urinary sphincter implant
    • Urethroplasty
    • Urethrectomy
    • Repair of urethral fistula
    • Repair of urethral diverticula
    • Peri-urethral collagen injection for incontinence
    • Fistula repair
    • Dilation of stricture
    • Biopsy
    • Endoscopy
    • Endoscopic Treatment of Urethral Strictures
    Prostate and Seminal Vesicles
    • Radical Prostatectomy (radical procedure includes excision of seminal vesicles)
      • retropubic
      • perineal
      • laporoscopic
      • robotic
    • Pelvic Lymph Node Dissection
      • laparoscopic
    • Suprapubic Prostatectomy
    • Trans Urethral Resection of the Prostate (TURP)
    • Needle biopsy of the prostate
    • Ablation of prostatic tissue
    • Prostatic stenting
    • Seminal vesiculectomy
    Testes
    • Orchiectomy
      • simple
      • radical
    • Orchiopexy (repair of congenital undescended testicle)
    • Herniorrhaphy
    • Hydrocelectomy
    • Varicocelectomy
      • laparoscopic varix ligation
    • Spermatocelectomy
    • Vasectomy
    • Microscopic vasovasostomy
    • Microscopic vasoepididymostomy
    • Epididymal sperm retrival
    • Management of male factor infertility
    • Management of testicular torsion
    External genitalia
    • Penectomy with inguinal lymphadenectomy
    • Surgery for priapism
    • Surgery for Peyronie's disease
    • Resection of Fournier's gangrene
    • Vascular surgery for treatment of impotence
    • Repair of penile fracture
    • Implantation of penile prosthesis for treatment of impotence
    • Hypospadias repair
    • Epispadias repair
    • Circumcision
    • Congenital urethral duplication management
    • Ambiguous genitalia management
    • Colovaginoplasty for vaginal recontruction
    Pelvic floor
    • Urethrovesical suspension for stress incontinence
      • Burch colposuspension
      • Pubovaginal slings
    • Artificial sphyncter
    • Paravaginal repair
    • Cystocele repair
    • Rectocele repair
    • Enterocele repair
    • Laparoscopic surgery for stress incontinence
    • Periurethral injection for intrinsic sphincter dysfunction