top of page

Side Gigs for Urologists

  • 2 days ago
  • 10 min read

Over the years, we've seen countless requests for side hustle ideas for doctors in specific specialties in our online physician community. We continue our series of unique side gigs by specialty with side gigs for urologists. If you aren't in urology and want to learn more about side gigs for your specialty, check out our side gigs page, which has a section that specifically lists side gig ideas for different specialties. If your specialty hasn't been featured yet, follow the series on Instagram, where we've featured more specialties.


Disclosure/Disclaimer: Our content is for generalized educational purposes. While we try to ensure it is accurate and updated, we cannot guarantee it. You should do your own due diligence before making decisions based on this page. To learn more, visit our disclaimers and disclosures.


12 unique side gigs for urologists, including locums, chart review, consulting & medical expert witness work


Side gigs for urologists


Locums and moonlighting


For urologists looking to increase their income while staying in the clinical environment they know best, locums and moonlighting offer one of the most direct paths available. Urology is a specialty in consistent demand across the country — particularly in rural communities and smaller hospital systems that lack full-time urologic coverage — and that demand can translate into competitive compensation. Whether you're picking up occasional on-call coverage, stepping in to cover a short-term staffing gap, or taking on a more structured multi-week contract, the range of available arrangements tends to be broad.


Opportunities vary considerably in structure and commitment. Some urologists prefer per diem or call coverage that can be added casually around an existing full-time role, while others opt for more intensive short-term contracts as a way to diversify their clinical environment, accelerate debt repayment, or explore a different practice environment before making longer-term career decisions.


Before picking up your first shift, make sure you’ve got the logistics handled. Two key considerations:

  • Malpractice insurance: Your primary employer's policy likely does not cover outside work, so you may need a separate policy for your side gig. Visit our medical malpractice insurance page for resources if needed.

  • Restrictive covenants: Review your employment agreement with your current employer to understand any restrictions on moonlighting and other outside clinical activity.


Related PSG resources:



Consulting


Consulting is a popular side gig in our online physician community that allows you to use your clinical expertise to help shape the future of healthcare. Companies such as pharmaceutical companies, medical device manufacturers, and health tech startups want your expert clinical opinion on products, usability, and marketability. This is a highly flexible side gig opportunity, allowing you to take one-off or short-term projects as desired, many of which can be remote.


Pay is typically on an hourly or per-project basis and though rates can vary by specialization, experience, and the scope of the engagement, they are often attractive. These engagements can also open doors to future opportunities such as speaking engagements and long-term advisory roles.


Related PSG resources:



Telemedicine


Telemedicine has found a natural foothold in urology, particularly for follow-up care, lab review, medication management, and some post-operative check-ins that don't require a physical exam. Patients managing chronic conditions like overactive bladder or recurrent UTIs are often well-served by virtual visits, and the growth of direct-to-consumer platforms in men's and women's health has expanded the range of opportunities available to urologists looking to add a telemedicine side gig.


Options range from joining an established telehealth platform to building your own independent virtual practice. Some urologists add telemedicine hours around existing clinic days to serve their current patient panel while others use it to reach new patient populations, including in underserved areas with limited urologic access. Third-party platforms typically prefer physicians with multiple state licenses, though it isn’t always a requirement. They also may have minimum hour requirements per week or per month. Building your own telemedicine practice offers more flexibility and control, but requires handling more of the administrative duties.


Compensation structures, malpractice coverage arrangements, and requirements vary by platform and state, so careful vetting of any opportunity before signing on is worthwhile.


Related PSG resources:



Chart review


Chart review offers urologists a flexible side gig that requires no special credentials beyond their existing clinical training. Opportunities exist across insurance companies, law firms, hospital systems, and utilization review organizations, and the range of relevant roles is broad. This can include:

  • Utilization management and peer-to-peer reviews

  • Independent medical evaluations (IMEs)

  • Workers' compensation case reviews

  • Insurance appeals and quality assurance reviews


Much of this work can be done remotely and on your own schedule, though some disability or IME work may involve an in-person component. Compensation structures vary, with hourly pay for some roles and per case or per review for others. Most arrangements allow you to control your own volume, though companies may have a minimum work requirement they desire.


Related PSG resources:



Medical expert witness work


Attorneys often seek physician experts for medical malpractice and personal injury litigation, which creates a steady stream of expert witness opportunities for urologists interested in using their clinical expertise for medical-legal work. Cases involving surgical complications, catheter-related injuries, and complications of urologic medications all commonly require expert urologic input — for both plaintiff and defense counsel.


Expert witness work is popular among physician members of our community because it draws almost entirely on existing clinical knowledge, it pays well (typically at or above your hourly clinical rate), and it is largely remote and flexible. The bulk of the work can be done from home on your schedule, with the caveat of potential travel if a case proceeds to trial (the majority of cases resolve before reaching this stage).


As an expert witness, you will outline your compensation through a fee schedule that details the pay for different aspects of expert witness work, including case review fees, charges for depositions & trial testimonies, and reimbursements for related expenses.


Related PSG resources:



Medical device development


Medical device development is a unique way to leverage your clinical knowledge to help shape future advancements in your field, and there are many paths urologists can take to get involved, depending on your interest and ultimate goals.


Getting involved in medical device development can start with an advisory or consulting role with a startup. This can include contributing feedback on design, usability, or clinical application. These roles are often compensated through cash compensation, equity, or a combination of both.


For urologists interested in this space but who don’t have a lot of time they want to commit to a long-term endeavor, angel investing in a startup is another opportunity, though it requires upfront capital and time for proper due diligence in vetting which startup to invest in.


For urologists with an entrepreneurial interest, identifying an unmet need and working with engineers or a development partner to bring a device concept forward is a longer path but one that can be professionally and financially rewarding.


Related PSG resources:



Medical director of a sperm bank


Serving as medical director of a sperm bank is a niche side gig for urologists with training or interest in male reproductive medicine. Sperm banks often require a licensed physician to provide medical oversight, review donor eligibility, and sign off on clinical protocols.


These roles are frequently part-time and typically don't require a daily on-site presence. Responsibilities typically include:

  • Establishing and reviewing donor screening criteria

  • Ensuring compliance with regulations and standards

  • Consulting on complex cases

  • Participating in quality assurance activities


Compensation is generally structured as a monthly retainer or stipend, and the time commitment can often be arranged around your clinical schedule. This side gig can be a great opportunity for those who want a formal leadership role without having to transition away from clinical work.


Related PSG resource:



Ambulatory surgery center ownership


For urologists performing a high volume of procedures, ownership in an ambulatory surgery center (ASC) can be one of the most lucrative opportunities available. Operating in a facility you have a stake in allows you to capture a portion of the facility fee on procedures you're already performing. This increases compensation without adding to your case load.


Ownership structures vary, and not every ASC offers the same financial potential. You may buy into an existing single-specialty or multispecialty ASC, or participate in the development of a new facility.


Significant upfront capital is typically required and there’s no guarantee on returns for your investment, so carefully review any ASC partnership opportunity, including a deep dive into the finances.


Related PSG resource:



Influencer and educational content creator


Urologists can speak on many popular topics patients are looking to educate themselves on, from kidney stones and bladder health to prostate cancer, erectile dysfunction, incontinence, and male fertility. This creates a meaningful opportunity for urologists who want to build an educational platform and serve as a credible, evidence-based voice in a space too often filled by unqualified sources.


Popular platforms include YouTube, Instagram, TikTok, and podcasting, and there's room for genuine subspecialty niches. Building a following can take a significant time commitment before you’re able to monetize your brand, but revenue can come from multiple avenues such as brand partnerships, sponsored content, and affiliate marketing. You may also create additional income streams through coaching, online courses, or writing a book. Several of these paths can offer passive income over time, and building an online presence can open the door to additional opportunities, such as consulting and speaking.


Related PSG resources:



Cash-pay vasectomy clinic


Offering vasectomies through a direct-pay, cash-pay model is another niche side gig opportunity for urologists. Vasectomy is a high-demand elective procedure with a relatively short procedure time, low complication rates, and a patient base that is often motivated, self-selecting, and comfortable paying out of pocket.


Some urologists dedicate specific clinic days or half-days to vasectomies at a separate location from their primary practice, while others partner with an existing independent clinic or men's health practice that provides the facility and scheduling infrastructure.


Setting your own pricing is one of the key advantages of the cash-pay model — without insurance billing constraints, you can set rates that reflect your expertise and local market, and the administrative overhead is considerably lighter without insurance contracting or reimbursements.


If you’re looking for space to establish your own clinic, explore our medical office space directory with spaces available in our physician members' practices.


Related PSG resources:



Sexual health clinic or coaching


Sexual health is a growing area of both clinical demand and patient interest, and urologists are among the most qualified physicians to serve in this space. Offering sexual health services, whether through a dedicated clinic, a concierge model, or a structured coaching program, can allow urologists to help patients with issues such as erectile dysfunction, low libido, and post-prostatectomy rehabilitation outside of the time constraints of a standard insurance visit.


This side gig can take a range of forms depending on your interests and how you want to structure the relationship. For example, a direct-pay sexual health clinic focused on evidence-based treatment can be built as a standalone offering or added to an existing practice as a cash-pay service line.


For urologists interested in coaching, the important distinction to navigate is ensuring the relationship is clearly defined as coaching rather than a physician-patient relationship; working with an attorney to draft appropriate disclaimers and intake language is essential before offering individualized coaching services.


Related PSG resources:



Circumcisions


Offering circumcisions as a direct-pay service is a niche but straightforward clinical side gig for urologists. Demand comes from multiple sources: newborn circumcisions for families that prefer a urologist's expertise over a general practitioner or OB, adult circumcisions for religious, cultural, or medical reasons, and revisions of prior circumcisions with unsatisfactory outcomes. Because this is a relatively quick procedure that doesn't require a hospital or surgical center for many cases, it lends itself well to an independent, cash-pay model with low overhead.


Some urologists offer circumcisions through a dedicated clinic day or mobile service, while others incorporate them into an existing direct-pay practice.



Additional side hustle resources for urologists


While we've outlined above some common side gig ideas for urologists, there's always room for creativity. If there's something you're passionate about and good at, look for ways to monetize it.


Dive deeper into some of the side gigs featured above, including:


Sign up for our free side gig matching databases (physician only) and our PSG weekly newsletter for alerts on side gig opportunities related to your interests.


Need inspiration? Join our Physician Side Gigs Facebook group and ask other urologists what they've enjoyed.


Explore and learn more about:


bottom of page