Urology in Cyprus

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 Cyprus?

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 Cyprus 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 Cyprus

Cyprus is an island country in the Mediterranean Sea. The country is famous for its mineral wealth, splendid wines, dazzling beaches, and compelling culture. In addition, Cyprus is filled with classical ruins and century-old monasteries, and as the legendary birthplace of Aphrodite, it is also steeped in mythology. Due to its huge array of modern private medical centers equipped with excellent service, cutting-edge technology, and skilled doctors, Cyprus is also a thriving medical tourism destination. Foreign patients from all around the globe come to this country for a vast range of medical treatments, particularly bariatric surgery, cardiology, cosmetic and plastic surgery, and fertility treatments. Its spa and well-being resorts are also welcoming an increasing number of international medical tourists.

Popular Parts of Cyprus

The majority of tourists start their trip to Cyprus in Larnaca, it is the oldest city in Cyprus. It has a vast array of historical monuments, including Ayios Lazaros (the Church of Saint Lazarus), Stavrovouni Monastery, and Larnaca Medieval Castle. Besides its ancient buildings, Mackenzie Beach and Larnaca Marina are also popular among tourists. Not too far from Larnaca is Paphos, a charming city with exquisite natural beauty and all sorts of ancient ruins. The most popular attractions in this city include the Tombs of the Kings, the Old Town, Early Christian Basilica-St Paul’s Pillar, and Paphos UNESCO Archaeological Park. Nicosia, Cyprus’ capital, is also a popular destination.

Weather and Climate in Cyprus

Cyprus experiences a Mediterranean climate with four seasons and over 300 days of sunshine a year. The summer is long, warm, and dry, lasting from mid-May to mid-October. The winter starts in December and ends in February, bringing mild temperatures and more rain showers. Autumn and spring are short, but there is good weather.

Getting around in Cyprus

The main international gateway to Cyprus is Larnaca International airport. It serves international flights to many cities around Europe and the Middle East, including Kyiv, Abu Dhabi, London, and Moscow. In the south, the intercity bus system is reliable and great, but in the north, the bus services are often unreliable and do not seem to follow a timetable. Taxis are a safe and relatively inexpensive option. In the south, there are three types of taxi services: urban, trans-urban or interurban (shared and can be booked), and rural. In the north, taxis are only available in the main towns. Inside towns, buses are the best way to get around for those looking for a more affordable option. Taxis are more expensive, but they do offer more flexibility.

Tourist Visas in Cyprus

Nationals of EU countries, the United States, Australia, Canada, Britain, Iceland, Japan, and several other countries do not need a visa to visit and stay in Cyprus for up to 90 days. Other countries not listed in the visa-free agreement need to apply for a visa before entering Cyprus. It is best to consult the Cypriot Ministry of Foreign Affairs or contact the embassy to learn more about visa requirements. 

Additional Information

1. Local Currency: The euro (€) has been the official currency of Cyprus since 1 January 2008. The exchange rate from €1 is approximately US$1.17.​​​​​​
2. Money & Payments: It is easy to find reliable ATMs in large towns and tourist areas. Major credit cards, such as Visa and MasterCard, are widely accepted in larger restaurants, shops, and hotels. However, if you plan to go to smaller towns or villages, it is best to ensure you have cash. Tipping is expected most of the time. Tip at least 10% of the bill, and at least 5% or round up to the nearest euro for taxi drivers.
3. Local Language: Around 80% of Cypriots speak Greek as their first language, while Turkish is spoken by 10% of the population. English is widely spoken, especially in tourist areas. 
4. Local Culture and Religion: The main religion of Cyprus is Greek Orthodox, but Islam is the most prominent religion in the north.
5. Public holidays: Some of the most celebrated holidays in Cyprus include Ohi Day, Christmas Day, Boxing Day, New Year’s Day, Epiphany, Clean Monday, Cyprus National Day, and Independence Day.