Urology in Bangkok

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 Bangkok?

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 Bangkok 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 Bangkok

About Bangkok

Bangkok is the Capital city of Thailand and is ranked as one of the world’s most popular holiday destinations. The city holds a magical spell over its visitors and is full of beautifully decorated Buddhist temples, Royal palaces, museums, restaurants, and nightlife. Recently, the city has become the gateway to a large number of medical tourists. According to a BBC report, more than 80% of all medical tourists travel to Thailand, aiming to get the best medical attention, of which Bangkok and Singapore remain the most popular destinations for expats. The trend is increasing by 10% to 15% per year and has been a strong economic driver for the country, next to the tourism industry.

Medical tourism in Bangkok is highly rated within the industry for many reasons, including:

Cost-Efficient Treatments
Experienced Medical Professionals
Top-Tier Facilities
Advanced Technology
Quality Dental Care: Short Waiting Times
Comfortable Recovery:

Popular areas in Bangkok

For starters, Bangkok is a well-developed city. There are plenty of places to stay; shop and explore and deciding where you want to stay can be a difficult decision.

One way to choose the place you will likely stay is to prioritize your activities. For example, if you want to shop then Sukhumvit may be the right district. This 18-kilometer long road is the commercial center and some of the best shopping malls and retail markets are dotted along this road.

The Siam district would be a great place to stay as the more popular and trendy shopping centers can be found here with a great selection of restaurants. There are various other attractions too, the Siam Ocean World, Kidzania, Erawan Shrine, Madame Tussauds, and the BACC, Bangkok's biggest art gallery, and cultural center.

Other popular tourist locations are Sukhumvit, Pratunam, Silom, Chinatown, Khaosan and the famous Bangkok Riverside.

Weather and climate in Bangkok

Bangkok endures a tropical monsoon climate, it is hot and humid for the vast majority of the year with temperatures reaching thirty degrees centigrade. The best weather for visiting tourists in Bangkok is experienced between December and February as the temperature is much cooler and

There are three seasons in Bangkok –

• The hot season that stretches from March to June

• The Monsoon or the rainy season, which starts in July and lasts until October

• The cool season is generally late November and ends late February.

Getting around in Bangkok

There are two airports that serve Bangkok. All the international flights land at Suvarnabhumi International Airport and almost all of the domestic carriers, operate from Don Mueang Airport.

It takes sixty minutes to travel between the two airports and you must check with the airlines which airport your carrier is operating out of. You must also remember to check in for your flight at least two hours in advance to avoid the last minute rush.

Within the city, sky-trains and the underground MRT trains are the best ways to avoid heavy traffic. Taxis and tuk-tuks can also be used for shorter journeys around the city. Most taxis have meters, and you should avoid any that don't to protect yourself from scams. Ask your hotel to help you call for a cab, as they often have relationships with trustworthy companies. For a scenic view of the city, try hopping on a riverboat down the Chao Phraya River.

Tourist Visas in Bangkok

If you wish to visit Bangkok, you will have to go to your nearest Thai embassy to get a visa. The Thai government has a bilateral trade agreement with various countries. It allows citizens of 64 countries to enter without any visa. They can stay for a maximum period of thirty days before having to leave the country.

The latest price for a tourist visa to Thailand depends on the type of visa you apply for and your nationality.

For citizens of most countries, the following visa fees apply:

• Single-entry visa: 2,000 THB (approximately $65 USD)
• Multiple-entry visa: 4,000 THB (approximately $130 USD)

You can pay the visa fee in Thai baht (THB) at the Thai embassy or consulate where you apply for your visa.

To apply, you’ll need to visit a Royal Thai Embassy or Consulate in your home country. Required documents typically include:

• A valid passport with at least six months remaining before expiration
• A completed visa application form
• One recent passport-sized (4 x 6 cm) photographs
• Round-trip air ticket or e-ticket (paid in full)
• Proof of sufficient funds to cover your expenses (at least 10,000 THB per person or 20,000 THB per family)
• Proof of Hotel or private accommodation booking

Be sure to apply at least four weeks before your travel date. You can make your application online at the Thai E-Visa official website https://thaievisa.go.th/.

Additional Information

1. The local currency is the Thai Baht. Before you travel to Bangkok, it is advisable that you arrive with local currency. Your currency is exchangeable at most banks in Bangkok and at exchange bureaus. You will have to look out for specialized signboards that read “Bureau De Change”. 1 US Dollar is roughly 34.5559 THB as 2023. Exchange of foreign currency at the airport is also possible and it may not be at the best rate possible.

2. Bangkok banks and retail outlets accept all types of credit and debit cards. There are ATMs in most of the popular places for the convenience of tourists. Hotels and restaurants also accept credit and debit cards. Tipping is mandatory at ten percent of the value of the goods and services.

3. Thai is the official language of the country. Nevertheless, a majority of the population will speak and understand English. 

4. Buddhism is the official religion of the city and yet nowhere else in the world will you find a sterling example of cultural diversity. A massive 94 percent of the city’s population practices Buddhism and the remaining six percent follow the other world religions such as Islam, Hinduism, and Christianity.

5. There are a lot of festivals and holidays celebrated in Bangkok. The Gregorian and the Chinese New Year are the major festivals. A host of Buddhist festivals such as the Makha Bucha Day and the Visakha Bucha Day are also celebrated. Important dates in relation to the royal family are also prominent as the people celebrate the coronation day of the Monarch.