During a urologist exam, the doctor examines the lower abdomen, the external genitals and the internal structures either through a pelvic exam for women or a digital rectal exam for men, according to HealthCentral. Depending on the reason for the visit, the doctor might also empty the bladder with a catheter, examine the inside of the bladder with an ultrasound scan or an endoscope, or use a machine to measure the strength of the muscles controlling and supporting the bladder.
Before the actual exam, the urologist takes a comprehensive health history, with a focus on the genital and urinary tracts, and asks for information about any urinary or male genital symptoms, states HealthCentral. Patients should be ready to give a urine sample if necessary. Because a urologist specializes in urinary health for both men and women, and genital health for men only, exams vary depending on gender.
If symptoms point to a urinary or male genital health problem, additional tests may be necessary, maintains HealthCentral. Tests typically performed at the urologist's office include a uroflow test to measure the strength of the urine steam and a cystoscopy to examine the inside of the urethra and bladder with a small camera telescope. Tests performed outside the office include blood tests and imaging studies, such as X-rays and computerized tomography scans.