Urology in France

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 France?

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 France 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 France

About France

France, renowned for its architecture, art, cinema, cuisine, fashion, literature, music, and wine, with the most significant attraction being its glorious capital city, Paris - home to the famous Eifel Tower. With its small medical tourism industry, France sees far fewer medical tourists than its neighbors Germany and Spain, however, many travel each year for Urology procedures among other popular procedures. Other than Paris, popular locations for private medical centers, include Bordeaux, Lyon, and Montpellier.

Popular Parts of France

France has welcomed more than 80 million visitors in the past few years. The country does have a lot to offer, from culture to iconic landscapes, making it an ideal place to spend a memorable holiday. 

• Paris, the capital of France, is an international center of culture, fashion, art, and gastronomy. Hundreds of writers have written about their love of this city, and it is easy to see why. With thousands of years of history, the city is filled with iconic monuments. Some of the most famous and most visited landmarks are the Eiffel Tower, Arc de Triomphe, and Notre Dame. This stunning city is also known for its art nouveau cafes with pretty chairs lining the terrace and the beautiful banks of the Seine that are perfect for romantic walks. 
• Bordeaux is known for its wine, lively restaurant scene, and the futuristic La Cité du Vin. Tourists can take a tour of a winery and taste some of the world’s best wines. Complete the wine tour by visiting La Cité du Vin, an ultra-modern cultural center that provides comprehensive information about wine production. Other than the wine, there are countless things that tourists can do in this city. Visit Place de la Victoire, a pretty square with amazing architecture, or visit Musée D’Aquitaine to see historical collections from all around the Aquitaine region.
• Lyon is the third-largest city in France and it is famous for its cuisine and historical landmarks. The city was an important area for silk production and had lots of trade with Italy and tourists can see the Italian influence in the city’s architecture. The city attracts travelers to come and visit its many museums such as the Museum of Fine Arts of Lyon, Museum of Miniatures, and Textile Museum. Tourists who love cinema will be delighted to explore the Lumiere Institute. Since Lyon is famous for its gastronomic scene, tourists should taste its famous specialties in a Bouchon.
• Nice is the second-largest tourist destination in France. Located on the Mediterranean coast, the city is brimming with stunning beaches, hilltop lookouts, and glamorous restaurants. Thanks to its Mediterranean climate, it is always filled with sun-seekers all year round. The city in the past also attracted many artists such as Henri Matisse, Marc Chagall, Pablo Picasso, and Pierre-Auguste Renoir. The city pays tribute to the artists in its top museums, the Musée Chagall and the Musée Matisse.
• Marseille is the second most populated city in France. Found by Greek sailors in 600 BC, it is one of the oldest cities in Europe. With a complex history, it is now a melting pot of different cultures. Discover the city by shopping in one of the colorful markets like the Noailles market. Do not forget to visit the Calanques to admire its beauty, wander around the interesting Mucem, get lost in Le Panier, and stroll around the scenic Corniche.     

Weather and Climate in France

France generally enjoys mild summers and cold winters except in the Mediterranean area, which enjoys mild winters and hot summers. Spring starts in March and ends in April and the streets in spring are bursting with colors, making it a beautiful time to visit the country. It rains a lot during this season but the weather will start to brighten up in April. The temperature ranges between 7.5 °C in early March and 13.6 °C in May. June is when the summer starts and this season is a high season for tourism. The average temperature in summer is around 24 °C and the season experience little rainfall (around 11 days every month). 

Autumn lasts from September to November. With an average of 12 °C, the temperature is still pretty mild to enjoy some outdoor activities. The temperature will slowly decrease in November when it reaches an average of 7.5 °C. Autumn is also the season of grape harvests, meaning it is a great time for wine tours. Winter is during the months of December to February and the weather can be really cold during this season with an average temperature of 5 °C. Despite the cold, December can be a delightful time to visit the country since it is one of the most festive months in France.

Getting Around in France

France has 34 airports, but the busiest are the airports in Paris: Paris Charles de Gaulle and Orly. Paris Charles de Gaulle Airport is the largest airport in France and the second largest in Europe. The airport serves domestic and international flights. It connects France with almost every country around the globe. It also serves budget airlines such as EasyJet and Norwegian Air Shuttle. While Charles de Gaulle airport serves as the main airport, Orly Airport serves as a secondary hub for domestic and overseas territories flights. 

Traveling around France is easy. The wide range of airports let tourists travel around the country quickly by domestic flights. The country also has a great rail system since it is the creator of the earliest high-speed train system. The TGV (Train a Grande Vitesse) connects 150 cities in the country and Europe. It speeds up to 200 miles per hour. Other than the TGV, there are also Intercity trains, TER, and AutoTrain. The easiest way to buy train tickets is online. The prices vary widely but you will get good bargains if you book early. Before getting on the train, remember to validate your ticket in yellow machines known as compostage de billets.

Taxis can be found easily around France and you can hail a taxi from a taxi rank (station de taxi) outside railway stations, airports, or main areas in cities. You can also hail one directly from the street or by telephone. The taxis are metered and the base fare is around €4.10. If there are more than four passengers, there will be an extra fee of €2.50 and the driver can charge an extra €2 if you have a lot of luggage and Taxis are usually more expensive in Paris.

Tourist Visas in France

France is a member of the Schengen Agreement. Therefore, holders of ordinary passport from 62 countries including Australia, Malaysia, Singapore, and the United States do not need a visa to enter the country for short stays of up to 90 days. Other nationals not listed need to apply and obtain a visa before entering the country. It is advisable to always check at the nearest France embassy or consulate for a France visa.

Additional Information

1. Local Currency: The official currency in France is the Euro (€). US$1 converts to €0.85.
2. Money & Payments: ATMs (known as DAB - distributeurs automatiques de billets) are widely available in the country, particularly in airports, train stations, and street corners. Credit and debit cards are accepted almost everywhere, including shops, supermarkets, restaurants, and hotels. Tipping can sometimes be mandatory, usually around 10% in restaurants.
3. Local Language: French is the official language. Most people in large cities will speak English, especially in hotels and tourist sites. But it is better to know some French.
4. Local Culture and Religion: France has a diverse religion under secular principles. The major religion in the country is Christianity, but other religions such as Islam, Buddhism, and Judaism are freely practiced. 
5. Public Holidays: There are 11 official public holidays in France, including New Year’s Day, Easter Monday, Bastille Day, and Christmas Day.