Urology in Italy

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 Italy?

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 Italy 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 Italy

Italy, a country in south-central Europe, boasts some of the most varied and picturesque landscapes in the world with the greatest collection of art treasures. The mere mention of Italy conjures up images of ancient Roman ruins, leaning tower of Pisa, stunning isles, rolling vineyards, and authentic cuisines. Besides its charming landscape, delicious food, and historical monuments, Italy is a popular spot for foreign patients to receive medical treatments. Its reputation for cutting-edge, high-quality treatment is growing rapidly. Although it is not the cheapest medical tourism destination, it is known for its highly qualified doctors and surgeons, as well as medical facilities that are equipped with the latest medical technology. Cosmetic surgery, hair transplant treatment, cosmetic dentistry, and cancer treatment are among the most popular treatments in the country.

Popular Parts of Italy

Rome, the capital of Italy, is the birthplace of Julius Caesar and is filled with Roman ruins, such as the Colosseum, Pantheon, and Forum. It is also home to Vatican City, the beautiful Sistine Chapel, the romantic Trevi Fountain, and picturesque restaurants filled with great food. Venice, another popular city in the country, is famous for its canals, gondola rides, and St. Mark's Basilica. On the west coast of Italy, visitors can find the Cinque Terre, which consists of five dramatically located hamlets. It is dotted with steep vineyards, mountains, and beautiful beaches. The fashion capital of Italy is Milan, the ancient towns of Pompeii, Naples, and stunning Florence with its Renaissance art are also popular tourist destinations. 

Weather and Climate in Italy

Italy has a variable climate, so different areas can experience different weather. In general, the country has four seasons: spring (March to May), summer (June to August), autumn (September to November), and winter (December to February). Summer has marvelous weather, with sunny days and warm nights. Autumn brings cooler temperatures to the country, while the winter can be chilly or freezing, depending on the area. In spring, the temperatures start to get warmer.

Getting around in Italy

Leonardo da Vinci-Fiumicino Airport is the main gateway airport in Italy. It connects the country with numerous domestic and international destinations, including London, Beijing, Paris, New York, and Moscow. Many international visitors fly to the Milan Malpensa International Airport as well. Transport in Italy is reasonably priced and efficient. An extensive network of domestic flights is available, making it the quickest and most convenient way to travel around. Trains cover many areas across the country and have frequent departures. There are also high-speed trains connecting major cities. Although buses are slower than trains, they are cheaper and covers areas not served by trains. All major cities have good transport systems, with the bus, metro, and tram networks. In Venice, the vaporetti (small passenger ferries) are the main public transport option. Taxis are widely available and are moderately priced.

Tourist Visas in Italy

Since Italy is part of the Schengen area, nationals of EU countries do not need a visa to visit regardless of their purpose and/or length of stay. Citizens of Canada, Australia, the US, Hong Kong, South Korea, the UAE, and several other countries do not need a visa to stay in the country for up to 90 days within a six-month period. Other nationals not listed in the visa exemption countries will need to apply for a visa before visiting.

Additional Information

1. Local Currency: The euro (€) is the official currency of Italy. The exchange rate from €1 is approximately US$1.17.
2. Money & Payments:  ATMs can be found easily throughout Italy, but make sure to be vigilant when making cash withdrawals in tourist areas since pickpocketing is common. Major credit cards are widely accepted. Tipping is not expected. However, you can always tip an extra 10% to 15% for exceptional service.
3. Local Language: Italian is the official and most commonly spoken language in Italy. English is not widely spoken, except in larger cities such as Rome, Milan, and Florence.
4. Local Culture and Religion: Roman Catholicism makes up around 80% of the population. The other 20% is made up of Muslims, agnostics, and atheists. 
5. Public holidays: Italy mostly celebrates Christian holidays. Some of the most important are Epiphany, Pasquetta, Saints Day, Liberation Day, and Christmas.