Nephrology in Turkey

Nephrology is a branch of medicine that deals with the kidneys, specifically normal kidney function, the preservation of kidney health, kidney disease, and the treatment of kidney disease. A physician who specializes in the care and treatment of kidney disease is called a nephrologist. 

Some of the most common conditions nephrologist treat are as follows:

• Advanced or chronic kidney disease
• Tubulointerstitial kidney diseases
• Tubular defects
• Glomerular conditions, such as nephrotic syndrome and glomerulonephritis
• Kidney infections
• Kidney vascular conditions
• Kidney neoplasms
• High blood pressure
• Structural or functional abnormalities of the kidney, urine collection system, or bladder
• Vasculitis
• Electrolyte, fluid, and acid-base imbalances or disturbances
• Autoimmune conditions that involve the kidneys

Nephrologists can perform a wide range of tests, procedures, and treatments. These include:

• Blood tests, including serum creatinine, glomerular filtration rate, and blood urea nitrogen.
• Urine tests, including urinalysis, 24-hour urine test, creatinine clearance, and microalbuminuria.
• Imaging tests of the kidneys, such as CT scans, ultrasounds, or X-rays.
• Dialysis, including placement of the dialysis catheter.
• Kidney biopsy.
• Kidney transplants.

How Long Should I Stay in Turkey?

After laboratory tests (blood and urine tests) and imaging tests, you should be able to leave the hospital right away, while with biopsy, you may need to stay overnight. However, you may need to stay in Turkey for a few more days to wait for the results. Once the results are ready, your nephrologist will explain them during a follow-up appointment. After kidney transplants, you usually need to stay in the hospital for 5 to 10 days and stay for 7 to 14 more days in Turkey. During your stay, ensure to attend all of the scheduled follow-up checkups with your nephrologist. 

What's the Expected Recovery Time?

Recovery time depends on the type of procedure you underwent. For laboratory and imaging tests, you should be able to resume your normal daily activities immediately, though your nephrologist may advise you to rest for the remainder of the day. After a biopsy, avoid strenuous activity for 2 to 3 days. Since a kidney transplant is a major surgery, the recovery time until you can return to work and other normal activities may take around 8 weeks.

What Aftercare is Required?

Your nephrologist will give you aftercare instructions that you will need to follow and you will also need to make healthy lifestyle changes to maintain the health of your kidney after treatment. You will need to attend regular checkups to check how well your new kidney is working and also will be taking medication for the rest of your life, including drugs called immunosuppressant’s to help keep your immune system from rejecting and attacking your new kidney.

What's the Success Rate?

As the field of nephrology continues to advance, the outcomes of tests and treatments are constantly improving. This means that patients now have more chances to be diagnosed early and receive successful treatments. The success rate for nephrology procedures is proven to be generally high. For example, 93% of kidney transplants are working at the end of the 1st year. However, every procedure always comes with risks, such as infection, excessive bleeding, and damage to other organs.  

Are there Alternatives?

There is no alternative to seeing a nephrologist if you have kidney problems. If your condition is found to be caused by problems in other organs, your nephrologist may work with or refer you to the relevant specialist.

Nephrology in and around Turkey

About Turkey

Where East meets West – Turkey is considered to be both Asia and Europe, with 95% of its landmass being located in Asia. Rich in culture and history, a land once inhabited by some of history’s greatest empires, including most recently the Ottoman Empire and long before that, the Roman and Byzantine Empires. Of Turkey’s 1,200+ medical facilities, of which many are JCI-accredited and this includes an even mix of publicly and privately owned hospitals and clinics.

700,000 annual medical tourists are drawn to Turkey each year, traveling from all across the globe, particularly from within Europe and the Middle East, many of which travel for Nephrology procedures. Dental, Cosmetic, Bariatric, and Reproductive procedures are most common, including Veneers, Hair Transplants, Gastric Bypass Surgeries, and IVF. Popular medical tourism destinations outside of the capital, Ankara, of course, include Istanbul and other regions like Antalya and Izmir.

Popular Parts of Turkey

With a population of around 85 million, Turkey has a landmass of nearly 800,000 square km. The capital city is Ankara, located inland, however, Istanbul is the most populous and most recognized city in Turkey with some 15 million inhabitants. Straddling both Europe and Asia, the city attracts 13 million tourists each year, making it the fifth most popular tourist destination in the world.

Additional well-frequented locations encompass Antalya nestled in the southern part of the country, as well as Izmir perched in the west. Paradoxically, the eastern region of the country sees less influx of tourists. One major contributing factor is the enduring Kurdish-Turkish conflict, exacerbated further owing to its geographical closeness to conflict-laden nations such as Syria and Iraq.

Sun-chasers seeking a blend of affordability and indulgence invariably find themselves drawn to the southern holiday resorts like Marmaris and Bodrum. These locales are a magnet for those yearning for 5-star luxury hotels, offered at reasonable prices and with all-inclusive perks, for their vacation getaway.

The discovery of the world’s oldest known megalithic site at Gobekli Tepe in the South-Eastern Anatolia Region has cast much doubt over mankind’s ancient history and consequently attracts a sizable number of ‘History Tourists’. This UNESCO World Heritage Site is believed to be over 11,000 years old, built during a time humans were understood to be simple hunter-gatherers.   

Weather and Climate in Turkey

Enjoying a Mediterranean location, Turkey's south coast is graced by refreshing sea breezes. Despite this, the summer months from June through August witness soaring heat with temperatures often climbing into the 40s (104°F). The transitional seasons of spring and autumn bring more temperate weather, and winters are quite mild.

Turkey's vast expanse leads to a variety of weather patterns across its regions. The central parts of the country predominantly feature a semi-arid steppe climate, while the northern Black Sea region showcases far milder conditions compared to the southern Mediterranean Sea region.

Do take note of the potential problem of mosquitos and sandflies, particularly during summers in coastal areas. It's advisable to take proper protective measures against them. Though malaria cases are extremely rare, always consult a healthcare professional for appropriate advice before embarking on your trip.

Getting around in Turkey

Istanbul’s famous Ataturk International Airport sits 24 km outside the city and is home to the ever-popular Turkish Airlines. Most other major airlines service Ataturk, which is often used as a stopover destination for travelers between Europe and Asia. All the other major cities are serviced by their own international airports, with several low-cost domestic airlines joining them together, including AtlasGlobal, IZair, Onur Air, Pegasus Airlines, and SunExpress.

For those preferring to travel by land, Turkey has a few express train routes linking the major cities, most notably, Istanbul to Ankara. City buses are reliable and good value, whilst taxis are cheap, but be sure to negotiate the price before beginning any journey.

Tourist Visas in Turkey

Visa restrictions are relatively light, with a 90-day per visit allowance readily available for many nationalities. Still, e-visas need to be procured in advance, for a fee, by travelers hailing from countries such as the US, UK, Australia, China, and Spain. Conversely, passport holders from countries including France, Germany, Russia, and Singapore are granted visa-free entry.

For nationals from India and Pakistan, conditional e-visas are offered upon arrival, but solely at Ataturk International Airport. These visas have a validity of just 30 days. For comprehensive information on visa requirements, it is recommended to visit the Ministry of Foreign Affairs website.

Additional Information

1. The Turkish Lira (TRY) is the local currency where $1 USD is worth about 18 TRY, having experienced heavy fluctuations recently.
2. ATMs are in abundance across Turkey and accept all bank cards (Visa, Mastercard). Credit card and Amex payments are accepted in most restaurants and outlets, with more local food vendors or food market stalls, only accepting cash. Tipping is expected as service is not included at restaurants, this is usually between 5-10%. Taxi rides tend not to be tipped, just rounded up.
3. Turkish is the local language with the eastern Kurds speaking Kurdish too. English is spoken by many locals working in tourist locations, including major cities.
4. Islam (99.8%) is by far the main religion in Turkey, with a tiny Christian population (0.2%). Turkey is, however, a secular country where there is no ‘official’ state religion. Various elements of traditional culture remain, with much being modernized or ‘Westernized’.
5. There are many public holidays, most notably Labor Day and Commemoration of Ataturk in May, Ramazan Feast in June, Kurban Bayrami in August, and Republic Day at the end of October.