Urology in Berlin

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 Berlin?

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 Berlin 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 Berlin

About Berlin

Berlin is the capital and the largest city of Germany and with over 3.7 million inhabitants; it is the second-most populous city of the European Union after London. It is an alpha city of culture, politics, media, and science. The metropolitan city is also a popular tourist destination, thanks to its rich history, vibrant culture, lively parties, delightful food, and incredible architecture.  

Today, Berlin is one of the most popular destinations for medical tourism. The number of medical tourists coming to the city increases each year. Most of them travel from Poland, the Netherlands, France, and the Middle East. Some of the more popular treatments are oncology, cardiology, dentistry, and even tummy tuck. Although the cost is considerably higher than the neighboring countries such as Hungary, medical tourists still come for high-quality treatment with cutting-edge technology. Thousands of medical tourists prefer Berlin for the following reason:

• A patient-focused health-care system with a wide range of treatment.
• Qualified doctors, surgeons, nurses, and other medical practitioners. 
• Hospitals equipped with modern technology.
• Higher quality treatments, care, and services.
• Attractive destination and environment, perfect for rejuvenating and recovery.

Popular Areas in Berlin

As a famous tourist destination, Berlin has numerous attractions to see and many things to do. Whether you want to indulge in its culture, eat its food, or have a non-stop party, there will always be something for you.

• Museum Island (Museumsinsel) is a UNESCO World Heritage Site. It is a unique group of five world-renowned museums and it is the perfect place for those who love history and culture. From Ancient Egyptians, Roman Antiquity, the civilizations of the ancient Greek, Christian, and Islamic arts, to 19th Century European Art is available to see in the museums. 
• Brandenburg Gate is Berlin’s most famous landmark. This 18th-century neoclassical monument used to symbolize divided Germany during the cold war since the Berlin Wall shut off access to the gate for both East and West Germans. Now, it has turned into a symbol of unity.
• Berlin Wall Memorial is located in the middle of the city where East and West were once divided. The memorial extends along 1.4 kilometers of the former border strip and contains the last piece of the Berlin Wall. The historical remnants and traces of borders are preserved on display so visitors can see and learn more about the history behind it. 
• Berlin Cathedral (Berliner Dom) is the biggest church building in Berlin. The architecture and interior will leave visitors in awe. The architect, Julius Raschdorff, used the style of the Italian High Renaissance and Baroque elements. The interior is magnificent with marble columns and golden ornaments in abundance.
• Glass Dome of the Reichstag is an architectural masterpiece constructed on top of the rebuilt Reichstag building. The rooftop terrace and dome offer an outstanding view of the parliamentary and government district as well as Berlin’s skyline. There is also a restaurant on the rooftop.

Weather and Climate in Berlin 

Just like the rest of Germany, Berlin enjoys four distinct seasons, making it a year-round destination for tourists. Spring starts around March and ends in May. This season is characterized by the arrival of cherry blossoms and the increase of the temperature. The temperature is around 4.3 °C in early March and will get as warm as 19.4 °C in May.

Summer runs from June to August with an average temperature of 24 °C but can get as high as 30 °C in the hottest days. This season is the peak of tourism because people can enjoy outdoor activities, so prices can be a lot higher than usual.

The months of September and November are Autumn. The weather in this season is similar to summer, which is warm and pleasant. However, the temperature can drop significantly in late November. Tourists usually visit the city during autumn for the Oktoberfest.

Winter in the city can be freezing, cloudy, and wet. The temperature can plummet to -10 °C on the coldest days. The city is generally very festive during this season, thanks to the Christmas spirit. 

Getting Around in Berlin

Berlin has two main airports: Berlin Tegel Airport and Berlin Schönefeld Airport. The main international airport is the Berlin Tegel Airport located in the northwest. The airport serves domestic flights to other cities in Germany and international flights to almost every major city around the globe. Berlin Schönefeld Airport is the secondary airport that mainly serves budget airlines such as EasyJet and Ryanair. It is also an international airport that operates domestic and international flights. To get to the city center from both airport, bus, train, taxi or car are available. 

To get around Berlin, there are various transportation modes to choose from. The main means of transport in the capital is the U-Bahn system, which comprises 9 metro lines and 173 stations. During peak hours, trains run every two to five minutes and every ten minutes in the evening and on Sundays. Along with the U-Bahn, the S-Bahn system is also one of the main means of transport. It has 15 lines serving 166 stations and has a longer average distance between station than the U-Bahn. 

Tourists can also ride the tram and the tram lines mostly operate in the eastern neighborhoods since the tram lines in the former West Berlin were replaced by bus and U-Bahn. The tram lines operate 24 hours a day in some areas. 

The bus in Berlin has around 151 lines running every 10 minutes for 24 hours. The buses also replace metro trains during closing hours. Taxis can be found easily enough around the city, with more than 7,000 taxicabs. The taxis can be identified by the beige or ivory color. The base fare is 3.90 EUR and tourists can hail the taxis from the street, by phone, or via an app. Other transportation such as Ferry, car sharing, and e-scooter is also available.

Tourist Visas in Berlin

The citizens of Australia, Canada, Israel, Japan, New Zealand, Poland, the United States, and Switzerland can enter and stay in Berlin for up to 90 days. Since Germany is a member of the European Union, citizens from other European Union countries do not need to obtain a visa to enter. Citizens of other countries need a Schengen Visa. It is advisable to always check the requirements for Germany Visa Application before applying.

Additional Information

1. Local Currency: The official currency is the euro (EUR). 1 USD is equivalent to 0.81 EUR.
2. Money & Payments: Tourists can find ATMs almost everywhere within the city. Although credit card acceptance is growing, remember that cash is king in the city. Therefore, it is best to always carry some cash. Note that it is considered rude to leave a tip on the table. You should tell the server the total amount you want to pay. For a good restaurant service, a 10% tip is acceptable. For taxis, tourists can tip 10%, rounding to a full euro.
3. Local Language: German is the official language. Most people in the city will speak English, in hotels, restaurants, and shops.
4. Local Culture and Religion: Over 60% of Berlin’s population has no religious affiliation, while 30% identified as Christian.
5. Public Holidays: As most of German, Berlin celebrates major Christian religious holidays such as Easter and Christmas.