Speaking of which, there is a big man in Zhuo County, Hebei, who has been a little embarrassed recently.
The couple has been preparing for pregnancy for more than a year, but the wife’s belly has not moved at all.
Finally mustered up the courage to run to the hospital, but got into trouble at the registration window:
“What department should I get into? Urology, andrology, or reproductive medicine?”
Coincidentally, I saw two big men standing next to them who were also confused.
So the three of them met each other late, and swore at the registration window on the spot, which is known as “the secret of three men’s words”…
Okay, I can’t write anymore.
Jokes aside, I’m mainly trying to make it clear that people do have questions about which department these “men” should go to.
Today, I’m here to talk to you guys.
Andrology is the “little brother” under urology
The three departments of Urology, Andrology, and Reproductive Medicine are relatively new disciplines in the hospital.
This can be seen from the establishment of their respective Chinese Medical Association academic branches:
From this chronology, it can be found that andrology has been an inconspicuous “little brother” under urology for a long time, and reproductive medicine is only one under obstetrics and gynecology. little one
In fact, there are still many hospitals in many places today that do not have dedicated andrology and reproductive departments, but only urology and obstetrics.
Why should I separate out andrology and reproductive medicine? Wouldn’t it be nice to stay in urology and obstetrics?
Yes, not fragrant!
The benefit of specialty segmentation is that specialists can handle patients more professionally and with more detail, because the focus of these departments is actually quite different.
Next, let’s take a look at the division of labor and expertise in these departments.
Three departments perform their own duties
Urology
The problems dealt with are closely related to the word “urine”.
That is to say, the organs that urine passes through from the time it is produced to the time it is excreted, all belong to the urological tube.
Simply put, urine is produced in the kidneys, stored in the bladder through the ureter, passed through the prostate, passed through the urethra, and finally excreted.
As a result, urology is responsible for problems with these organs, including kidneys (as well as adrenal glands), bladder, ureters, urethra, and prostate and penis.
As long as there is a problem in these places, whether it is a tumor, a calculus, or an inflammation, it will all go to the urology department.
Andrology
The issues dealt with are all related to the word “fine”.
The organs that sperm pass through from production to expulsion are all managed by andrology.
Simply put, sperm is produced in the testis, passes through the epididymis, vas deferens, passes through the seminal vesicle, enters the ejaculatory duct, passes through the prostate, and finally exits the body through the penis.
Therefore, andrology is in charge of these organs, including penis, testes, epididymis, vas deferens, ejaculatory ducts, seminal vesicles, prostate.
Therefore, if you can’t get hard, get soft fast, ejaculate fast, don’t ejaculate, or your wife can’t get pregnant, it is recommended to go to the andrology doctor.
“My wife can’t get pregnant, why don’t I go to the obstetrics and gynecology or reproductive department? Let me go to the male department?” Don’t worry, I will talk about it later.
Reproductive Medicine
The issues dealt with are all related to the word “fertility”.
As long as the couple cannot conceive a baby, whether it is the problem of the male or the female, it is under the control of the reproductive medicine department.
Actually, Reproductive Medicine can be divided into Reproductive Andrology and Reproductive Gynecology, in charge of male and female reproductive problems.
Wife can’t get pregnant, she has to see reproductive department
After reading the above paragraph, you may find that the things managed by these three departments seem to be repeated.
For example, urology and andrology both manage the penis and prostate.
Yes, but they each have a different focus.
If it is penile cancer or prostate cancer, it should be the work of the urology department; but erectile dysfunction and prostatitis are the problems handled by the andrology department.
And the problem of my wife’s inability to conceive a child is handled by both andrology and reproductive medicine.
Actually, the most professional solution to this problem is the Reproductive Andrology in Reproductive Medicine. Because, if the quality of semen cannot be improved after treatment, and if you still cannot conceive, the assisted reproductive technologies such as artificial insemination and IVF must be handled by the Department of Reproductive Medicine.
So the relationship between these departments can be represented by the following diagram:
Speaking of this, if you still don’t understand, let’s look at a few examples (do a few questions):
Example 1: Eggs hurt
When Xiao Wang was playing in the evening, he suddenly felt extremely painful on the left side of the ball and could not bear it. What subject should he take?
Example 2: Still a pain in the ass
Xiao Wang works in an Internet company. In recent months, after sitting for a long time, his left ball is aching. What subject should he take?
Example 3: No way there
Xiao Wang has always felt that his erection is not hard enough for the past six months. What subject should he take?
So now, do you know what class to take next time?
References:
[1]Paick S, Choi WS. Varicocele and Testicular Pain: A Review. World J Mens Health. 2019;37(1):4-11.
[2]Shimizu S, Tsounapi P, Dimitriadis F, Higashi Y, Shimizu T, Saito M. Testicular torsion-detorsion and potential therapeutic treatments: A possible role for ischemic postconditioning. Int J Urol . 2016;23(6):454-463.
[3]EAU Guidelines. Edn. presented at the EAU Annual Congress Barcelona 2019. ISBN 978-94-92671-04-2.
[4]Diagnostic evaluation of the infertile male: a committee opinion. Fertility and Sterility, Volume 103, Issue 3, e18 – e25.
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