Urology in Austria

Urology is a branch of medicine that deals with the diseases of the female and male urinary tract (kidneys, ureters, bladder, and urethra). This branch of medicine also deals with male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate, and penis).

Urology has a number of sub-disciplines, including:

• Endourology – this sub-discipline of urology deals with the closed manipulation of the urinary tract. It includes all minimally invasive urologic surgical procedures, such as prostate surgery and stone removal surgery.
• Urologic oncology – this focuses on the treatment of malignant genitourinary diseases, such as cancer of the bladder, prostate, kidney, ureters, adrenal glands, testicles, or penis.
• Neurourology – this deals with the treatment of conditions involving the nervous control of the genitourinary system or abnormal urination.
• Pediatric urology – this focuses on urologic disorders in children, such as congenital abnormalities of the genitourinary tract, cryptorchidism (undescended testes), underdeveloped genitalia, enuresis, and vesicoureteral reflux.
• Andrology – this deals with disorders of the male reproductive system, such as ejaculatory disorders, erectile dysfunction, vasectomy reversal, and infertility.
• Reconstructive urology – this is a highly specialized field of male urology that deals with the reconstruction of both the structure and function of the genitourinary tract.
• Female urology – this deals with conditions of a woman’s reproductive and urinary tract, such as pelvic organ prolapse, overactive bladder, and urinary incontinence.

Medical professionals specializing in the field of urology are called urologists. Urologists can diagnose and treat diseases of the urinary tract in both women and men, as well as diagnosing and treating any problems in men’s reproductive tract. In some cases, urologists may also perform surgery. In the case of certain conditions, urologists may need to work in conjunction with medical professionals who specializes in other fields, such as oncologist, radiotherapists, nephrologist, and gynecologist.

Urologists can treat the following conditions:

In men:

• Prostate gland enlargement
• Cancers of the penis, bladder, testicles, kidneys, and adrenal and prostate glands
• Erectile dysfunction
• Infertility
• Kidney diseases
• Kidney stones
• Interstitial cystitis, also known as painful bladder syndrome
• Prostatitis
• Varicoceles, or enlarged veins in the scrotum
• Urinary tract infections (UTIs)

In women:

• Cancer of the kidneys, bladder, and adrenal glands
• Bladder prolapse, or a condition in which the bladder drops into the vagina
• Kidney stones
• Interstitial cystitis
• Overactive bladder
• Urinary incontinence
• UTIs

In children:

• Blockages and other problems with the urinary tract structure
• Bed-wetting
• Undescended testicles

What does Urology Involve?

During your first appointment, your urologist may ask you questions about your health history, any medicines you take, and your current symptoms. Your urologist may do a physical exam that includes a rectal and genital exam. They may also do some tests, such as:

• Imaging tests, such as MRI scans, CT scans, or ultrasound to help them locate the problem.
• A urine test to check for bacteria or other signs of disease.
• A cystoscope (a long, thin tube with a camera on its end) to see inside the urinary tract and take a sample of tissue for testing.
• A biopsy to check for cancer and other disorders.
• Urodynamic testing to check how fast the urine leaves your body, how much pressure there is in your bladder, and how much urine remains in your bladder after urinating.

After your urologist makes a diagnosis, the treatment will depend on your specific condition. It may include the use of medications and surgery.

Types of medication include:

• Hormone treatment for prostate cancer
• Antibiotics for infections
• Phosphodiesterase 5 (PDE5) inhibitors for erectile dysfunction
• Chemotherapy drugs for cancer
• Drugs that act on the smooth muscle of the bladder to help reduce urinary incontinence.

Some of the most common types of surgery include:

• A cystectomy, which is a procedure to remove the bladder. This procedure is used to treat cancer.
• A kidney transplant, which involves replacing a damaged or diseased kidney with a healthy one.
• Extracorporeal shock-wave lithotripsy, which is used to break up kidney stones so they can be removed more easily.
• A repair of damage to the urinary tract due to injury.
• A procedure to open a blockage.
• A repair of urinary organs that are not well-formed.
• A prostatectomy, which is used to remove all or part of the prostate gland. This procedure is performed to treat prostate cancer.
• Transurethral needle ablation of the prostate, which removes excess tissue from an enlarged prostate.
• Transurethral resection of the prostate, which involves the removal of excess tissue from an enlarged prostate.
• A sling procedure, which uses strips of mesh in order to support the urethra and keep it closed. This procedure can treat urinary incontinence.
• A ureteroscopy, which involves the removal of stones in the kidneys and ureter using a scope.
• A vasectomy, which is a procedure to cut and tie the vas deferens, or the tubes that carry sperm. This is done to prevent pregnancy.
• A nephrectomy, which involves removing a kidney to treat cancer.

The surgery can be performed in one of two ways: open through a large incision, laparoscopically through several tiny incisions. Both methods are usually performed under general anesthesia. In some cases, local anesthetic may be used instead.

How Long Should I Stay in Austria?

Depending on the procedure you will have, you may be able to leave the hospital on the same day or you will have to stay for up to 5 days. In general, it is highly advisable that you stay in Austria for several days following your procedure for initial recovery and to attend scheduled follow-up checkups. For surgical procedures, you may need to stay in the country for at least 10 to 14 days.

What's the Recovery Time?

The recovery time varies, depending on the procedure you have, the reason why you need the procedure, and your overall health. For surgical procedures, it may take about one to six weeks until you can go back to your full activity. For non-surgical procedures, you may be allowed to go back to your normal routine within several days. Your urologist will give you a detailed recovery timeline, which includes the time you can go back to work, normal activity, and strenuous activities, such as exercise and heavy lifting.

What About Aftercare?

Your urologist will give you a set of instructions for your aftercare. The instruction may include a diet plan, exercise, restrictions, and medication to take, and wound care. It is important that you follow every instruction closely. After surgery, you will be encouraged to do some light exercise, such as walking, to help your healing process. You may also need to eat easily digestible food until you are recovered.

Depending on your specific condition, you may need to attend regular checkups following your treatment. For instance, if you had cancer treatment, your doctor will suggest you attend a checkup once or twice a year to ensure that cancer has not come back.

What's the Success Rate?

The field of urology is at the forefront of research and innovation. Due to its constant advancement, the procedures are becoming more effective and safer. Each urological treatment is also known to offer high success rates. However, any procedure comes with risks, such as infection, bleeding, and damage to nearby organs. Therefore, it is important that you choose a skilled and experienced urologist.

Are there Alternatives to Urology?

If you have any injury or disease in your urinary tract and/or reproductive organ (for men), there is no other alternative besides visiting a urology department. However, if your disease is found to be caused by other problems, the doctor will refer you to a relevant doctor.

Urology in and around Austria

Austria is a mountainous landlocked country in south-central Europe. Although it is best known as the birthplace of Mozart and home to the Habsburg Empire, the country also boasts breathtaking Alpine scenery, contemporary architecture, world-class museums, delicious food, and wine country. Austria is also known to have one of the best healthcare systems in the world, making it a popular destination for international medical tourists. Many people, particularly from other European countries and Asia, come to Austria to receive medical care in one of its many internationally acclaimed medical centers, two of which are accredited by JCI. These medical centers feature cutting-edge technology and first-class facilities.

Popular Parts of Austria

Austria’s capital city, Vienna, is rich with remarkable Habsburg sights, such as Schönbrunn Palace and Lipizzaner stallions. It is also home to the Mozart Museum, St. Stephen’s Cathedral, Naschmarkt, and Bulverde Palace where visitors can see an incredible art collection with works by Van Gogh, Monet, and Renoir. Salzburg is another popular city in the country. This city is frequented by fans of Mozart and the “Sound of Music.” It also boasts beautiful Baroque churches, a dramatic castle, and a stunning old town full of winding lanes. Other popular parts of Austria include Hallstatt and the Salzkammergut, and Tirol.  

Weather and Climate in Austria

June to August is summer in Austria with warm days and cool nights and an average temperature of around 18 - 19°C. Summer mornings are usually sunny, but thunderstorms can sometimes break out in the afternoon. Winter in Austria, from November to March, can be very cold as the temperatures plummet to an average of -1 to 5°C. Spring and autumn are generally nice and incredibly beautiful.

Getting around in Austria

There are 6 international airports in Austria, but the main airport where most tourists arrive at is Vienna International Airport. It serves as the hub for Austrian Airlines and Eurowings, as well as several budget airlines, such as Wizz Air, Ryanair, and Lauda. This airport connects Austria with many cities in other European countries, North America, Africa, and Asia. Getting around Austria is fairly easy since it's public transport system is fast, efficient, and reaches even remote regions. Internal flights are available, but given the size of the country, it is rarely necessary. The country’s national railway system (ÖBB) is integrated with the Postbus services. Cheaper bust options, such as the Flexibus, are available as well. Inside major cities, an extensive system of light rail, metro, bus, and tramway services are available. Taxis are reliable and relatively affordable.

Tourist Visas in Austria

Since Austria is a part of the Schengen Area, nationals of EU/EEA do not need a visa to enter the country regardless of the purpose of their travel. Citizens of about 62 countries are exempt from a visa to travel to Austria, including the US, Canada, Australia, and South Korea. Unless you are a citizen of these 62 countries, you will need a visa to visit Austria.

Additional Information

1. Local Currency: Austria uses the Euro (€) as its official currency. €1 converts to approximately US$1.17.
2. Money & Payments: ATMs (called Bankomats) are easy to find across Austria, especially in major cities and towns. Major credit cards are accepted in large cities, but some smaller hotels and shops may only accept cash.
3. Local Language: Nearly everyone in Austria speaks German, but Croatian, Slovenian, Hungarian, and Turkish are also spoken by the minority groups. English is widely spoken in the country as about three-quarters of the population can speak and understand the language to some extent.
4. Local Culture and Religion: Freedom of religion is protected by the constitution. Around 64% of the population identifies as Roman Catholic. Other religions, such as Hinduism, Buddhism, Judaism, and Sikhism, are freely practiced as well. 
5. Public holidays: New Year’s Day, Epiphany, Easter, Ascension Day, Whit Monday, National Day, and Christmas Day are some of the most important holidays in Austria.