Urology in Ha Noi

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 Ha Noi?

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 Ha Noi 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 Ha Noi

About Hanoi

Hanoi is Vietnam’s capital and the second-largest city by population. Located on the banks of Red River, it’s the major metropolitan and political center of the country. This chaotic and busy city is brimming with history, culture, and character. Known as one of the most ancient capitals in the world, the city charms its visitors with well-preserved colonial buildings, pagodas, and museums. Foreign tourists normally travel to the city to enjoy its history, but today, some of these foreign tourists are heading to its clinics and hospitals. Affordable healthcare and high-quality medical centers are the main factors that have attracted medical tourists and the most sought-after treatment is cosmetic surgery and dentistry.

Popular Parts of Hanoi

Hanoi offers many kinds of attractions for its visitors. The most popular part of the city is the Old Quarter, where visitors can experience Asia at its rawest. This 2000-year-old street is packed with over 1000 merchants. In this area, you can also get a glimpse of the strong influence the French had via its architecture. The area of Ba Dinh is also popular among foreign tourists. It’s the center of governance in Vietnam, as well as home to numerous historic sites, such as the One Pillar Pagoda and Hanoi Flag Tower. Those who are fascinated with Vietnam’s history and culture should visit the Temple of Literature, Quan Su Pagoda, or explore its many museums. Some of the popular museums are the Vietnam Women’s Museum, Army Museum, and the Vietnam National Museum of Fine Arts.

Transport in Hanoi

Noi Bai International airport is the biggest airport in Vietnam that serves both domestic and international flights to major cities in Asia and Europe. Several budget airlines operate from this airport, such as Jetstar Pacific and VietJet Air. Various modes of transport are available to get around the city. Taxis can be hailed from the street or by phone and are generally reliable. Motorcycle taxis and cyclo (similar to trishaw) are two of the most affordable options. Buses are also available. However, the easiest way to get around is by Grab motorbikes, which is similar to Uber.

Visas in Hanoi

Holders of passports issued to 24 countries, including Cambodia, Denmark, and the UK, are allowed to visit and stay in Hanoi for up to 90 days without a visa. Vietnam has introduced an electronic visa system in 2017, which is available for citizens of 81 countries, including all EU countries, Australia, and Japan. 

Weather in Hanoi

Hanoi experiences a warm and humid subtropical climate. The summer, starting from late April, is characterized by sunny days and heatwaves, with occasional rain. The average temperature is around 27.5°C. Winter, from December to January, has a lot of cold days and the temperature can drop to 7°C. Autumn and spring have pleasant weather.

Additional Info

1. Local Currency: Vietnamese Dong (VND) is the official currency, and 1 USD will get you around 23,270 VND.
2. Money & Payments: ATMs can be found easily around the city. Cash is king, but credit cards are accepted in various hotels. Tipping is not expected but appreciated.
3. Local Language: Vietnamese is the official and most spoken language in Hanoi. English is widely spoken, particularly in tourist areas.
4. Local Culture and Religion: Most people in Hanoi follow Vietnamese folk religion or are not religious. Other religions, such as Buddhism and Christianity, are freely practiced.
5. Public Holidays: Hanoi celebrates several public holidays, including New Year’s Day, Tet Holiday, Hung Kings Temple Festival, Reunification Day, International Labor Day, and National Day.