Urology in Lithuania

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 Lithuania?

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 Lithuania 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 Lithuania

About Lithuania

Lithuania is an Eastern European country and is the largest and most populous of the three Baltic States. The country has a population of 3 million people, capital and largest city is Vilnius. There are only 3 Hospitals in Lithuania that are JCI accredited and all 3 can be found at the capital.

Lithuania welcomes an ever-increasing number of medical tourists each year, many of which travel for Urology procedures. The biggest attraction of Lithuania has to be the cost. Once you are there it is very affordable to eat, drink and get around and the prices from private clinics for medical treatment are extremely competitive. Come from within Europe on a low-cost airline and you will probably pay for your treatment and your holiday for less than your procedure would have cost at home.

Popular Parts of Lithuania

Although Lithuania is one of the lesser known countries of Europe, the country is actually a beautiful destination. Lithuania is home to incredible castles, lakes, forests, and landscapes.

• Vilnius: The capital of Lithuania is a city of churches. It is a dreamy city especially under the golden glow of summer sun. The city is often referred to as one of the cheapest city breaks in Europe. Trendy bars, hills, beautiful architecture, and fascinating history all makes this city an amazing destination. Hot-air balloons above Vilnius are also an impressive sight.
• Kaunas is the second city in Lithuania and is probably the coldest city in the country. Most tourists’ attractions in the city are within walking distance, making it a pleasant city to explore. The street in Old Town is packed with interesting architecture and hidden attractions.
• Druskininkai is filled with health spa amenities. Tourists will find countless natural attractions such as mineral water and curing mud. The city offers many outdoor and leisure activities such as river canoeing, cycling, adventure park with rope obstacles, and ski.
• Nida is a peaceful fishing village. It is a popular destination for tourists looking for some downtime, it has beautiful panoramic views. It is also home to the highest moving sand dunes in Europe. The Dead Dunes is probably the most famous spot in Nida.

Weather and Climate in Lithuania

Lithuania is at its best in summer when the days are warm and the Baltic Sea is swimmable. The country is swarming with tourists during this season. Summer starts from June until August; the average temperature is around 20 °C during the day and 14 °C during the night.

Spring arrives late, usually starts in April and finishes in May. Spring makes the country look even more beautiful with blossoming flowers and cherry trees. The temperature is usually cool.

Autumn has many sunny days and adds more color to the country. Autumn starts in September and lasts for two months. The nights in autumn are chilly, and the temperature usually drops to 0.1 °C in late November.

Winter is especially cold with an average temperature of around -6.6 to -2.8 °C. Some winters can be even colder with the average temperature dropping as low as -20 °C.

Getting Around in Lithuania

Vilnius International Airport is the largest airport in Lithuania. It connects the country with European cities. The airport is the hub for air Baltic and Get Jet Airlines. Budget airlines such as Ryanair and Wizz Air also operate flights from this airport. Other international airports are Kaunas International Airport, Palanga International Airport, and Šiauliai International Airport. The airports in Lithuania do not serve domestic flights.

Vilnius airport taxis are available and can be found in front of the arrivals terminal. The taxis are comfortable and affordable. All taxis accept payment by cash or credit card, a journey to the city center should cost around 10 EUR to 18 EUR. The city bus is a more cost-effective option to travel to Vilnius. A single ticket costs 1 EUR and can be purchased on the bus.

Getting around in Lithuania by car is the best way if you wish to visit many destinations. Lithuanian roads are among the best in Eastern Europe. The country has four-lane highways connecting Vilnius, Kaunas, Klaipeda, Panevėžys, and Palanga.

Intercity buses dominate the system of Lithuanian public transportation. Buses link all major cities and smaller towns. Buses between big cities are very frequent and usually leave every 15 minutes. Bus tickets can be purchased in the bus station or directly from the bus driver. Trains in Lithuania are good value but rather slow. Riding a bicycle is a nice way to get around inside the cities. Most roads are kept in good condition. Bike hire is available across all major cities and several small villages.

Tourist Visas in Lithuania

Citizens of the European Union, the United States, Canada, Australia, and Britain are granted visa-free entry to Lithuania and may stay for up to 90 days. Other foreign nationals must apply and obtain a visa before entering Lithuania. It is advisable to contact the local embassy to check visa requirements for Lithuania.

Lithuania is part of the Schengen Area, those who already have a Schengen visa do not have to apply for a new visa to enter Lithuania. A passport valid for at least three months beyond the length of stay is required by all visitors.

Additional Information

1. Local Currency: The local currency is the euro. Lithuania adopted the euro in 2015. 1 USD is equivalent to 0.88 EUR.
2. Money & Payments: ATMs are available in cities and towns, even in small villages. Most banks will exchange your money, but the easiest way is to withdraw cash from an ATM. Most restaurants and hotels accept credit cards (mostly Visa, MasterCard, and American Express). Always make sure to carry cash for small purchases such as museums and markets. Tourists can tip 10% in restaurants, always tip with cash even if you’re paying by credit or debit card. Taxi drivers do not expect a tip, but it is common to add a couple of euros.
3. Local Language: Lithuanian is the official language. English is widely spoken by younger generations. The older generations usually only have very basic English skills. Most people know Russian or at least very basic Russian. Polish is also understood in certain areas. German is also spoken in Palanga, Neringa, and other major cities.
4. Local Culture and Religion: The predominant religion in Lithuania is Christianity; with around 77% of the population is Catholic. There are also small groups of Jews, Muslims, as well as other faiths.
5. Public Holidays: As a Christian country, Lithuania celebrates Christian religious holidays such as Easter, Christmas Eve and Christmas. Lithuania has little traditions to celebrate its national patriotic holidays. The country hosts many annual and unique festivals all-year round. Galapagai Rock Music Festival in July, Palanga Smelt Festival in February, Vilnius Festival in June, Trakai Middle Age Festival in June, and Vilnius Film Festival in late March to early April.