| Detail | For this role |
|---|---|
| Department | Clinical and Medical |
| Level | Mid level |
| Reports to | Chief of Surgery |
| Direct reports | Senior Resident Doctor |
| Experience | 2 to 8 years after MCh, with independent endourology |
Urologist job description template
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Job title: Urologist
Department: Clinical and Medical
Reports to: Chief of Surgery
Location: [City], [office, branch or site]
About the role
A Urologist treats diseases of the kidneys, ureters, bladder, prostate and male reproductive organs. Daily work covers kidney stones, prostate enlargement, urinary infections, strictures, urological cancers and male infertility, with most stone and prostate surgery now done by endoscope or laser. The urologist runs OPD clinics, operates, and handles emergencies such as urinary retention and obstructed infected kidneys. A good urologist clears stones completely, keeps complications low and follows cancer patients closely.
Key responsibilities
- See OPD patients with flank pain, blood in urine, urinary difficulty, repeated infections and scrotal swellings, and plan tests.
- Treat kidney and ureteric stones with medicines, ESWL, laser ureteroscopy or PCNL depending on size and site.
- Perform TURP or laser prostate surgery for enlarged prostate after uroflowmetry and assessment.
- Handle emergencies such as acute urinary retention, obstructed infected kidney, testicular torsion and urethral injury.
- Diagnose and treat kidney, bladder and prostate cancers, including cystoscopy, biopsy and cancer surgery with oncology input.
- Perform urethral stricture repair, reconstructive procedures and laparoscopic urology where trained.
- Evaluate male infertility and sexual health problems with semen analysis and hormone tests, and counsel couples sensitively.
- Place and change DJ stents, record every stent date and make sure each stent is removed or changed on time.
- Explain procedure options, risks and costs to patients, and take consent before each procedure.
- Coordinate with nephrologists on kidney function and radiologists on imaging, and follow stone patients for prevention.
Requirements
- MCh or DrNB in Urology after MS General Surgery, or a six-year integrated MCh
- Valid registration with the National Medical Commission or a State Medical Council
- Training in laparoscopic, robotic or reconstructive urology is an advantage
- 2 to 8 years after MCh, with independent endourology
KRAs and KPIs for a Urologist
Key result areas for the appraisal form, each with a KPI you can measure every month or quarter.
| Key result area | How to measure it |
|---|---|
| Stone clearance | Stone-free rate after ureteroscopy and PCNL at or above the department target on follow-up imaging |
| Stent follow-up | Zero forgotten stents, with every stent removed or changed by its due date |
| Post-procedure infection | Urosepsis after endourology procedures below 2 percent of cases |
| Emergency drainage | Obstructed infected kidneys drained within 12 hours of diagnosis in 95 percent of cases |
| Cancer pathway | Biopsy or cystoscopy within 14 days for 90 percent of suspected urological cancer referrals |
| Surgical volume | Endourology and other operations at or above the monthly department plan |
Skills and tools
Tools used day to day: Holmium laser, Ureteroscope and nephroscope, Cystoscope, Resectoscope, ESWL lithotripter, Uroflowmetry and urodynamics system, C-arm.
Reporting line and career path
Next roles: Head of Department (Clinical), Chief of Surgery
Interview questions for a Urologist
- A patient has a 12 mm lower ureteric stone with fever and a raised count. What do you do first?
- How do you make sure no patient in your practice forgets a DJ stent?
- When would you choose PCNL over ureteroscopy for a kidney stone?
- A 70-year-old with an enlarged prostate is in retention for the second time. How do you plan?
- How do you counsel a young couple when the husband's semen analysis shows no sperm?
- Tell me about a complication after PCNL and how you managed it.
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What does a urologist do?
A urologist diagnoses and treats diseases of the kidneys, ureters, bladder, prostate, urethra and male reproductive organs. Common work includes removing kidney stones with lasers, treating an enlarged prostate, managing urinary infections and blockages, operating on urological cancers and treating male infertility and sexual problems.
What is the difference between a urologist and a nephrologist?
A urologist is a surgeon who operates on the urinary tract and male reproductive organs, for example removing stones, treating the prostate and removing tumours. A nephrologist is a physician who manages kidney function with medicines, diet and dialysis, and does not operate. Patients with stones and kidney damage may need both.
What qualification does a urologist need in India?
A urologist needs an MBBS, an MS in General Surgery and then an MCh or DrNB in Urology, or a six-year integrated MCh course taken after MBBS. Medical council registration is essential, and many urologists add training in laparoscopic, robotic or reconstructive urology.