Urology in Croatia

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 Croatia?

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 Croatia 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 Croatia

About Croatia

Despite its relatively small size, Croatia presents a striking geographical diversity. It undoubtedly has a unique charm for those indulging in fantasies of an idyllic beach holiday. Being home to a vast stretch of seafront that spans thousands of miles and an intriguing archipelago with hundreds of islands, Croatia upholds a significant appeal for lovers of sun, sand, and surf.

Beyond its appealing coastlines, Croatia encompasses much more in its terrains. The expanse of the country is dotted with rugged, dramatic mountains that serve as the perfect backdrop to ancient towns that are enclosed within historical walls. The country is rich in untouched national parks that are truly a paradise for nature enthusiasts.

You also get a glimpse of regal history through majestic castles that mark the Croatian landscape. The icing on the cake is its fantastic cuisine that adds a flavorful dimension to one's experiences. Last but not least, the impressive Roman ruins scattered across the country are a testament to its astonishing historical heritage, enticing history buffs worldwide to explore Croatia.

Although Croatia is a newcomer to the medical tourism sector, the demand for medical services in the country by foreign patients is increasing. Its strong growth is largely driven by the high cost of private care and long waiting times in public healthcare in countries such as the UK and the US. Croatia is known to have affordable, top-quality treatments performed by highly qualified medical professionals. Also, medical centers in the country have modern equipment, friendly staff, and exceptional services.

Popular Parts of Croatia

Zagreb, the bustling capital of Croatia, is a vibrant city that boasts a blend of verdant parks, unconventional art galleries, and enticing museums. Even though the city pulsates with modern energy, its scenery stands distinguished by an array of neo-baroque and art deco buildings that impart a unique architectural charm.

The vibrant city of Zagreb brims with an eclectic mix of attractions that can appeal to a wide range of tastes and interests. One such unique point of interest is the Museum of Broken Relationships. This peculiar museum offers an offbeat exploration into the vestiges of love that has ended, providing a distinctively intimate glimpse into personal stories of heartbreak.

Another notable site that significantly attracts visitors is the serene Mirogoj. Not just an ordinary cemetery, Mirogoj stands out as one of the finest architectural gems in Croatia, offering a peaceful retreat within the lively cityscape. Balancing modern dynamics with a deep-rooted cultural heritage, Zagreb indeed offers engaging facets for every type of traveler.

The Croatian Museum of Naïve Art, standing as a symbol of the country’s rich artistic history, is a must-visit for art aficionados. Further, the bustling Dolac Market is the city's epicentre for fresh produce where locals and tourists alike converge. Rounding off the list is the Funicular Railway, another essential experience that offers a charming way to take in Zagreb's panoramic views.

Those who want to enjoy Croatian’s famous beaches and explore ancient monuments should visit Dubrovnik. Known as the “Pearl of the Adriatic,” this city has a giant walled Old Town, stunning mountains, and idyllic beaches.

Weather and Climate in Croatia

Croatia's summer season, extending from July to August, is characterized by lovely warm weather and dry conditions, with a generous sprinkling of sunshine across most days. Transition seasons such as spring (April to June) and autumn (September to October) also offer a fairly warm and agreeable climate, making them pleasant times to visit. However, the spring season can sometimes bring increased rainfall.

On the other hand, winters in Croatia, particularly in January, can dip into colder temperatures. This chill factor is more pronounced in areas of higher elevations, where it's common to witness snowy landscapes. Each season in Croatia brings with it a distinctive climate and charm, shaping the country's scenic beauty in different ways throughout the year.

As the calendar flips over to the cooler months, the Croatian landscape transitions from sun-kissed beaches to frost-laden terrains, especially in the elevated regions of the country. Here, it is not unusual to see snowfall, adding a whole new dimension to Croatia's captivating beauty. Still, regardless of the weather, Croatia retains its charm, offering visitors an array of unique experiences all year round. The country's seasonal moods only add to its diverse appeal, ensuring that there's always something beautiful to see or experience, making Croatia a truly year-round destination.

Getting around in Croatia

Zagreb Airport claims the title of being the largest and most frequented international airport in Croatia. This bustling transport hub is where the majority of global explorers set foot in the country.

The airport operates a host of both regular and seasonal air services that connect Zagreb to numerous metropolises worldwide. Notable among these are Paris, Toronto, London, Barcelona, Dubai, and Seoul, further emphasising Zagreb Airport's significance in global travel.

There are good transport options in Croatia. Domestic flights are the fastest option to get around, though they can be a bit expensive. The bus network is run by a lot of different companies and is generally comfortable.

The Croatian Railways has a reasonably efficient service and is cheaper than buses, but they are slower and less frequent. There is a large network of catamarans and car ferries. In major cities, the main form of transport is buses. Taxis are available and are expensive. 

Tourist Visas in Croatia

EU nationals, Canadian, Australian, British, and US nationals do not need to apply for a visa to stay in Croatia for up to 90 days. While Croatia is not yet a member of the Schengen area, holders of Schengen visas to enter the country without having to apply for an additional visa. 

Tips for applying for a tourist visa to Croatia:

• Plan ahead. It is important to apply for your visa well in advance of your travel date, as the processing time can vary depending on the country where you are applying.
• Be complete and accurate. Make sure to complete the visa application form accurately and completely, and provide all of the required supporting documents.
• Pay the visa application fee. The visa application fee varies depending on your nationality and the type of visa you are applying for.
• Attend a visa interview, if required. Some nationalities may be required to attend a visa interview at the Croatian embassy or consulate in their home country.

Additional Information

1. Local Currency: Croatian kuna (HRK) is the official currency in Croatia. 1 USD is equivalent to 7.08 HRK.​​​​​​
2. Money & Payments: ATMs are widespread. Credit cards, including MasterCard and Visa, are widely accepted around the country. Tipping in Croatia is expected, although it is not obligatory. It is standard to leave a 10% to 15% gratuity in restaurants. Taxi drivers usually do not expect tips, but it is common to round to the nearest kuna.
3. Local Language: The official language is Croatian. Serbian, Hungarian, Slovenian, and Italian are spoken by ethnic minorities living in the country. In tourist areas, people speak good English, as well as some German and Italian. 
4. Local Culture and Religion: More than 87% of Croatia’s population adhere to Roman Catholic, while Eastern Orthodox Serbs are followed by around 4.4% of the population. There are small groups of Muslims, Jews, and Protestants as well. 
5. Public holidays: Some of the most important public holidays in Croatia are Christmas, Epiphany, Easter Monday, Labor Day, Saint Stephen’s Day, Corpus Christi, All Saints’ Day, and Assumption Day.