Urology in Chiang Mai

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 Chiang Mai?

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 Chiang Mai 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 Chiang Mai

About Chiang Mai

Chiang Mai is the fourth largest city in Thailand and is situated in the Northern part of the country. Chiang Mai is a land of misty mountains, hillside tribal villages and lush green landscape. Chiang Mai is not only an amazing holiday location but is also one of the most reliable and affordable destinations for medical tourism. Surprisingly, medical costs are cheaper here than in Bangkok and the facilities are up to date and for 3000 baht (approximately $100), you can have a complete health check-up.

Each year, thousands of medical tourists from all over the globe flock to Chiang Mai. The city's superior hospitals that are top-rated globally, boast dedicated International departments specifically put in place to meet the varying needs of these medical visitors. Impeccable hospitality services are a hallmark of these facilities, coupled with hospital personnel and medical professionals who are proficient in English.

These hospitals are equipped to provide wide-ranging treatments such as cardiac surgery, amongst others, and cosmetic procedures including but not limited to breast augmentations, liposuction, and cool sculpting. There are also quite attractive medical packages available that conveniently bundle treatment and accommodation.

The Chiang Mai Ram International, bearing a notable reputation for their remarkable services, stands out as the most frequented hospital in the city. Moreover, Chiang Mai is rich with numerous restorative amenities including spas, resorts as well as massage and healing centers. These outlets have cemented the city’s status as a perfect haven for post-treatment rejuvenation.

Popular areas in Chiang Mai

The metropolitan area of Chiang Mai is home to over 1 million residents. Listed below are the popular areas of this amazing city. Each area has its own charm and offers something to the visitors.

• Old City: Is the cultural and religious epicenter of Chiang Mai. The old town has moats and fortress walls from ancient times. Pae gate, which lies in the Old Town, is the most famous traditional landmark of the city.
• Nimmanhemin road: You can experience a bustling and vibrant nightlife here. Located close to the famous Chiang Mai University, this place is quite popular with the young and dynamic student population and you can find several affordable hostels and guesthouses on the Nimmanhemin road, varied housing options are available for long-term expats.
• Chiang Mai Night Bazaar: Considered as the ‘downtown’ of Chiang Mai, it is a paradise for shopping sprees. You will find a lot of street food shops which offer authentic Thai delicacies at affordable prices. Handicrafts, antiques, textiles and other traditional Thai products also come with affordable price tags. After 6 pm, this area comes alive and you can expect to see the streets very busy with enthusiastic tourists and locals.
• Riverside: The Riverside Chiang Mai has all of the old world charms that the city is renowned for with affordable eateries and live-music venues combined with the fresh river breeze and the relaxed atmosphere all helps to make it the best place to chill out during evening time.
• Santitham: The Santitham area of the city is mainly populated by Thai locals and this spot is less touristy and a bit more laid back. You can find supermarkets, public parks, and many residential buildings within this neighborhood.

Weather and climate in Chiang Mai

Located at an elevation of 316 meters, Chiang Mai enjoys a cooler and pleasant climate. As it experiences a typical tropical climate, winter, and spring seasons are not applicable. Instead, Hot, Cool and Rainy seasons are distinct in Chiang Mai.

• Cool: Early December to February. Day time temperature rises up to 30°C, yet, you may require sweatshirts to keep yourself warm as dusk approaches. It is the best weather to pay a visit to Chiang Mai. January is the coolest month of the season with temperatures dropping to as low as 10°C.
• Hot: Mid-February to mid-June. March is the hottest month in Chiang Mai with the temperatures rising to 40°C. You can escape the blistering heat waves and embrace the chilly breeze by visiting the nearby mountains.
• Rainy: Early June to late October. The average temperature drops down to 32°C during the rainy season. It rains almost every single day without fail. Even though the rainfall is heavy and the storms are intense, they won’t last for long. August is the wettest month of the year.

Getting around in Chiang Mai

Chiang Mai International Airport proclaims its status as the fourth busiest air hub in the country. It skillfully and efficiently manages a substantial volume of domestic and international flights. These flights provide vital connections between Chiang Mai and an array of prominent cities across the globe such as Bangkok, Beijing, Doha, and Ho Chi Minh, to mention a few.

While Chiang Mai, the bustling metropolis, boasts a sizeable expanse and a cosmopolitan vibe, its public transportation system falls somewhat short of organized. However, this minor shortcoming does not pose a barrier to exploration of this magnificent city. A plethora of other transportation mediums step in to bridge this gap, facilitating comfortable and convenient travel around the city. These constitute both traditional and modern modes of transport that cater to different tastes and preferences, all aimed at ensuring visitors and locals alike can fully experience and appreciate the city's remarkable offerings.

• Songthaew: The Songthaew or red truck is the most common and the desirable mode of transportation. For 30 Bahts, you can travel anywhere within the city, as long as you have no issues sharing your ride with other passengers. You can book private songthaew using the mobile app, GRAB.
• Tuk-tuks: Are the second most common mode of transportation next to songthaew. However, they are pricey as the rates start at 60 Bahts. It could be inexpensive too if you have exceptional bargaining skills.
• Taxis: Are quite expensive, costing somewhere between 100 and 200 Bahts per ride in the city.

Tourist visas in Chiang Mai

Thailand is a popular tourist destination for people from all over the world. Citizens of many countries, including the US, UK, Australia, Germany, and Singapore, do not need a visa to enter Thailand and can stay for up to 30 days without a visa.

Citizens of India and China who intend to stay in Thailand for up to 15 days can apply for a visa on arrival. However, if they want to stay for longer than 15 days, they will need to apply for a different type of visa, such as a transit visa or a non-immigrant visa.

Here is a summary of the visa requirements for Indian and Chinese passport holders:

• Visa on arrival: Indian and Chinese passport holders can apply for a visa on arrival if they intend to stay in Thailand for up to 15 days. The visa fee is 2,000 Thai baht.
• Transit visa: Indian and Chinese passport holders who are only passing through Thailand on their way to another country will need to apply for a transit visa. The transit visa allows them to stay in Thailand for up to 48 hours.
• Non-immigrant visa: Indian and Chinese passport holders who want to stay in Thailand for longer than 15 days will need to apply for a non-immigrant visa. There are different types of non-immigrant visas available, depending on the purpose of the visit.

To apply for a visa on arrival or a non-immigrant visa, Indian and Chinese passport holders will need to have a valid passport, a return flight ticket, and proof of funds. They may also need to provide additional documents, such as a hotel reservation or a letter of invitation from a Thai resident.

Additional Information

1. Thai Baht is the currency of Thailand. 1 USD is around 34.5559 THB as of 2023. 
2. ATMs and exchange bureau are present at most of the tourist locations, making the withdrawal of local currency easy. You can pay by credit card in big restaurants, shopping malls, and hospitals.
3. Thai is the official language of Thailand and is widely spoken in Chiang Mai. However, most of the locals in Chiang Mai do understand and speak good English. The street signs are also translated into English making it is easier for the tourists to get around.
4. 90% of the total population of Thailand practice Buddhism, followed by Islam. Thai nationals exhibit deep love and admiration for their royal family.
5. Notable public holidays:

• January 1 – New Year's Eve
• February 19 – Makha Bucha day
• April 12-16 – Songkran Festival
• May 5 – Coronation day
• December 10 – Constitution day