Urology in Czech Republic

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 Czech Republic?

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 Czech Republic 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 Czech Republic

The Czech Republic is a landlocked country in Central Europe and it has a rich and eventful history, as well as amazing attractions. From medieval towns and magnificent castles to picturesque national parks and relaxing spa resorts, it has a lot to offer. The country also boasts top-quality healthcare and is emerging as a popular medical tourism destination. Medical procedures in the country are performed with the latest technology and techniques. The medical professionals are highly qualified, well trained, and internationally recognized. Besides, the cost of medical procedures in the country is extremely competitive. Medical tourists can make significant savings compared to most other countries in Europe. Cosmetic surgery is particularly popular among international medical tourists.

Popular Parts of Czech Republic

Prague is the capital and is popular for its fine dining, eccentric nightlife, and wonderfully preserved medieval buildings with Gothic architecture, such as Prague Castle, the 14th-century Charles Bridge, and the Astronomical Clock. Along with Prague, Ceský Krumlov and Brno are frequently visited by tourists as well.

Weather and Climate in the Czech Republic

Due to its location, the Czech Republic has a mostly temperate climate. Extreme weather is rare, but the summers can get hot and the winters cold. Summer starts in June and the days can be scorching hot. The average temperature is around 26°C, but in recent years, it tends to rise to 37°C. Winter, from November to March, can get rather cold. The average temperatures drop to around 2°C during the day and -2°C at night, with some snowfall and rain. Spring (March-May) and autumn (September – October) have beautiful weather.

Getting around in the Czech Republic

Václav Havel Airport Prague is the main airport where international visitors fly into and out of the Czech Republic. It serves numerous flights to many cities around Europe and Asia, including London, Moscow, Dubai, and Seoul. The Czech Republic has an affordable and reliable public transport system. Domestic flights are available, but rarely necessary. The rail network is affordable and very comprehensive, covering almost every city and town in the county. The bus also has extensive coverage throughout the country. Public transport within cities is also excellent. In major cities, you can opt for the metro, tram, bus, or trolleybuses. Taxis are widely available and are metered, but the fares are higher at night.

Tourist Visas in the Czech Republic

Nationals of all EU countries do not need a visa to visit and stay in the Czech Republic. The country is a part of the Schengen area, which means citizens of around 62 countries can stay for up to 90 days without a visa. These visa-exempt countries include Australia, Canada, the US, and South Korea. Citizens of other countries are required to apply for a visa before visiting the country. Those who want to receive medical care should obtain a Czech Republic Visa for Medical Purposes.

Additional Information

1. Local Currency: Czech Koruna/Czech Crown (CZK) is the currency of the Czech Republic. 1 USD is equivalent to 22.98 CZK. Note that the euro is not widely accepted in the country.​​​​​​
2. Money & Payments: ATMs are widespread around the Czech Republic. Major credit cards, such as MasterCard and Visa, are accepted for many types of transactions, but you may need to pay in cash for smaller amounts. Tipping is expected, especially in restaurants. Tip at least 10% of the bill.
3. Local Language: The official and most commonly spoken language is Czech, but Slovak is widely spoken as well. Many people, particularly in major cities, can speak English and German.
4. Local Culture and Religion: Most of the population is religiously unaffiliated and does not believe in God. However, Christianity is the largest religion. Judaism, Islam, Buddhism, and Paganism are also practiced by a small percentage of the population.
5. Public holidays: New Year’s Day, Easter Monday, Liberation Day, Sts Cyril & Methodius Day, Jan Hus Day, Republic Day, and Czech Statehood Day are some of the most important public holidays in the Czech Republic.