Second Opinion on Urology

Expert opinion and online consultations on a wide range of diseases and conditions available on your computer or any mobile device.

Remote consultations on urology issues are aimed at obtaining a second opinion on the existing or suspected urogenital tract conditions. They can also be helpful in getting expert interpretation of available exam results (clinical, laboratory, microbiology, radiology, histology) and receiving recommendations regarding treatment or follow-up diagnostics.

The basic range of issues where this mode of medical advice is reasonable and technically feasible includes all inflammatory conditions of genitourinary organs (chronic and acute cystitis, various types of prostatitis, chronic orchitis, etc.), suspected or confirmed malignancy in the prostate, bladder, ureters, testes and seminal vesicles. Second opinion can be very beneficial in functional disorders of the genital area; for example, erectile dysfunction. In pediatric urology, an external evaluation of congenital genitourinary abnormalities may confirm a diagnosis and suggest treatment recommendations, including its type, optimal timing and step-by-step planning.

An urologist, involved in giving a second opinion, makes a conclusion about his agreement with the previous diagnosis, or questions its correctness on the basis of incomplete examination or different interpretation of its results. In the latter case are to be given the proposals for further diagnostic measures. An important aspect of the remote second opinion procedure is the assessment of therapeutic options and suggestions for the further treatment and observation tactics. The consulting doctor gives an opinion on the conservative or surgical treatment advisability. He can also, by the presence of a complete diagnostic picture and according to his conclusion, recommend the most suitable, in this particular case, drug regimen. It could be also given a conclusion about the of surgical tactics, if indicated.

The possibilities of getting a second opinion may be limited by urologic patients with subacute processes, such as active uro- and nephrolithiasis, chronic purulent processes in kidneys and urogenital organs. An extramural consultation is not indicated by any acute urological situation, such as renal colic, urogenital sepsis, acute macrohematuria (urinary bleeding), acute urinary retention.

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Specialists of the section Urology

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