Urology in Istanbul

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 Istanbul?

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 Istanbul 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 Istanbul

About Istanbul

Turkey has the unique distinction of being situated on two continents. You can see the influence of both the Asian and European cultures. Istanbul is the most populous city in this beautiful country and is the historical and financial center of Turkey.

Istanbul overlooks the Bosporus strait, a water body that separates Asia and Europe. Millions of travelers visit every year making it one of the world’s most popular destinations. You can visit UNESCO world heritage sites, old architectural monuments, and also experience the cultural heritage.

Istanbul consists of popular shopping malls. Spread over a huge area, the Grand Market is the first mall in the world that has a covered market style. The city is also famous for seafood restaurants and hotels serving Ottoman cuisine. Istanbul also offers a very active nightlife with many wine houses lining the streets. It also hosts many cultural and music festivals. Some of the renowned museums and monuments add to the list of attractions for tourists.

A recent study reveals that the city is becoming a well-known location for extraordinary healthcare facilities. People from all over Europe, Asia, and other countries come to Istanbul for surgical and non-invasive procedures. It has the advantage of providing an excellent medical system and housing well-qualified doctors as strict medical protocols regulate the industry.

Another interesting fact is that clinics here have affiliations with world-renowned hospitals of the USA and Europe. People come here for different types of surgical procedures. Some of the more common types are Rhinoplasty and breast augmentation procedures.

The medical techniques used here is comparable to any other world-class facility. At the same time, the medical procedures cost only a fraction of the price of developed countries like the UK and the USA. You can come here for any medical treatment and combine it with a relaxing vacation.

There are many excellent Hospitals in Istanbul such as the Hisar Intercontinental Hospital, Medipol Mega University Hospital, and Medicana International Istanbul Hospital.

Popular Areas in Istanbul

Istanbul is divided into 39 districts which all comprise multiple areas and neighborhoods.

• Sultanahmet is the most popular area for tourism in Istanbul as it holds the Hagia Sofia, Blue Mosque, Topkapı Palace, and the movie-famous Basilica Cistern. You can stay here but it's a little more expensive in this area for shopping and food.

• Beyoglu is the best area to stay in and ensure that you are close to Istiklal Street, Taksim Square, and Galata Tower. In these areas, you will be in the heart of the city’s never-ending hustle and bustle while feeling like a local. The food and nightlife are excellent here, and the areas are picturesque and beautiful.

• Sisli is one of the high-end business areas in Istanbul and much quieter than Taksim or Sultanahmet.

Weather and Climate in Istanbul

Istanbul experiences hot summers and cold winters with snow being a common feature. Spring (April to May) and autumn (September to late November), are the best times to visit Istanbul when temperatures are cooler.

Getting around in Istanbul

Istanbul has three international airports. The oldest is Atatürk, which was the third busiest airport in Europe. The airport is now closed for commercial aircraft and is open only for cargo, business, and government flights. The new airport, the Istanbul Airport, caters to most of the travelers coming from other countries. Turkish Airlines and other major world airlines connect the City to other big cities in Asia, Europe, and other countries. The third airport, İstanbul Sabiha Gökçen, operates some international flights, but It usually operates more domestic flights.

Istanbul has a vast network of trains, trams, buses, and ferries. These connect all the different parts of the City. In fact, the City has one of the largest ferry services across the Bosporus and the Black Sea. There is an integrated card-less trip enabled system across the city in different modes of transport.

Tourist Visas in Istanbul

Citizens from other countries in the European Union can visit Turkey with their national ID card and do not need a visa. You can find out if you need a visa to visit Turkey from the official website of the Turkish ministry of foreign affairs.

The country has an easy system of e-visa to help travelers from other countries. Citizens from countries like the US, UK, Australia, and others can also obtain a visa on arrival. People from most countries in Asia need an e-visa.

The pre-conditions to obtaining a visa are that your passport must be valid for the duration of your stay and for 60 days longer. The visa issued for visit and trade purposes is valid for 90 days. For longer durations and for medical reasons, you will have to apply to the consulate to get a long-term visa. E-visa fees and visas on arrival are not expensive and you can pay using your credit card.

Additional Information

1. The Local Currency is Turkish Lira or TL. The currency code is TRY. Shopkeepers do not mind taking Euros if you run out of the local currency. The exchange rate fluctuates and depends on political turbulence. Even then it is very inexpensive to live here. The usual exchange rate against the US Dollar may range between 4.0 TRY to 5.5 TRY per Dollar.
2. You can use credit cards in all big places such as hospitals, hotels, restaurants, and shops. However, you must carry a minimum amount of cash to be on the safe side. Taxis, transport, and small shops may not accept card payments. Cash payment may also get you some lucrative discounts in certain places. ATMs are safe and you can withdraw the local currency from one.
3. It is customary to tip at least 5 to 10 % of the bill amount in most places. The staff prefers local currency only.
4. Turkish is the official and the most common language spoken. In most hospitals and tourist places, people speak decent English. In fact, people here are fluent in English and other European languages.
5. Turkey has been influenced by all of the major religions including Islam, Christianity, and Judaism. Yet most follow Islam.
6. Culturally, Istanbul is a diverse country. People celebrate religious and national festivals with a lot of enthusiasm. January 1 New Year’s Day, April 23 National Sovereignty & Children's Day, May 1 Labor & Solidarity Day, and August 30 Victory Day are some of the national holidays here. Apart from this, the Ramadan feast is a significant festival. Dates, however, change every year due to the differences in the religious calendar.