Urology in Los Angeles

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 Los Angeles?

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 Los Angeles 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 Los Angeles

About Los Angeles

The city of Los Angeles, often called by its initials L.A., is the second-most populous city in the United States. It is the cultural, financial, and commercial center of Southern California. This sprawling metropolis is best known as home to Hollywood, natural beauty, and its Mediterranean climate. Near-perfect weather, clear blue skies, mountains, and sunny beaches beckon tourists from all around the globe to visit. In 2018, 50 million people visited this city, and among those visitors were medical tourists. The cost of medical treatment in the US may be rising, but with well-trained medical professionals, cutting-edge technology, world-class medical centers, and a wide range of procedures, people from all over the world still seek to get treated in Los Angeles. The city is widely known to have some of the best surgeons as well as some of the best medical centers in the world. 

Popular Areas in Los Angeles

Los Angeles has a lot to offer, and there is something to suit everyone in this beautiful city. Many people will start their travel by seeing the infamous Hollywood sign and visiting Hollywood Boulevard to enjoy the Walk of Fame. However, there is so much more in the city than Hollywood. The following are some of the top sites to see in Los Angeles.

• Venice Beach comprises a variety of artistic venues, exclusive boutiques, and surfers. It is a perfect place to relax and enjoy the sun. The much-admired Venice Breakwater is a famous local surfer spot where the waves break on both sides. Take a stroll at the Venice Boardwalk to discover the most diverse ocean front walk in the world. Here, tourists will find numerous restaurants, spas, street entertainers, artists magicians, and skaters.
• Disneyland in Anaheim is less than 30 miles from Los Angeles. It is called the “Happiest Place on Earth.” Take a day trip here and enjoy the rides, such as the Haunted Mansion and Space Mountain. In the park, tourists are encouraged to immerse themselves in the enchanting worlds of Disney stories and feel like a kid.
• Getty Center has a stellar art collection of photographs, drawings, manuscripts, and pre-20th-century European paintings. Tourists can see famous paintings such as Wheatstacks by Monet, Irises by Van Gogh, and The Abduction of Europa by Rembrandt from up-close. Besides the art, the architecture of this museum is fascinating, which was designed by Richard Meier. On clear days, tourists are able to get spectacular views of the city and ocean.
• Griffith Park is the second-largest park in the United States. It is a great place for picnics and to hang around with friends. For an incredible view of the city, follow the hiking trails that lead up to Mulholland Drive. Tourists can also enjoy the LA Zoo, The Space Observatory, and the Autry Western Museum.

Weather and Climate in Los Angeles

Los Angeles enjoys a Mediterranean climate and has plenty of sunshine throughout the year. 

• Spring months from March to May is known to be the best time to visit the city since the weather is pleasant. There will be loads of sunshine and minimal rain during this season. The average temperature is around 21 °C, but it can be much cooler near the ocean. 
• Summer comes in June and ends in August. It is also the peak tourist season, so expect the tourist areas to be crowded. Gray fog overruns the city in June, particularly in the early mornings. Generally, the weather is warm and sunny during this season, which allows tourists to enjoy the beaches. Note that the temperature can get unbearably hot inland.
• Autumn is from September to November. The weather starts to cool down, and the summer heat subsides, with the average temperature hovering around 23 °C. However, November is the start of Los Angeles’ rainy season.
• Winter is from December to February, and rain is prevalent during these months. The weather is still pleasantly mild, but it will be rainier than usual in February. 

Getting Around in Los Angeles

Los Angeles International Airport or mostly referred to as LAX is the primary international airport in the city. It serves a number of domestic and international flights to Europe, Asia, and the Middle East. Both major and budget airlines operate flights from the airport. JetBlue, Frontier Airlines, and Spirit Airlines are some of the low-cost carries tourists can choose for budget travel. From the airport, FlyAway bus, taxi, or car hire are available to get to the city center.

The best way to travel around Los Angeles is to hire a car, but if you want to avoid the hassle of driving, you can always hire a car and driver. Nevertheless, using public transportation is a lot more cost-effective. The city has a Metro Rail subway system, but the routes are still limited. You can purchase a pass at the self-service machines at each station. The pass is also valid for the city buses. The best alternative is to ride a public bus. The public bus travels to the entire city and charges the same fares as the metro. If you want to visit several attractions, there are a variety of sightseeing bus tours that can save you from the trouble of figuring out the public bus routes.

Taxis are available, but they can be expensive since LA is big and has bad traffic. The fares are metered and can be organized over the phone. Uber, UberX, and Lyft are popular in Los Angeles.    

Tourists Visas in Los Angeles

Visa exemption and visa waiver program are available for 42 countries, including Australia, Japan, Singapore, and Canada. Holders of passports that are not listed in the visa exemption or visa waiver agreement need to apply and obtain a visa before entering the country. The visa is generally valid for 90 days. It is advisable to visit the nearest United States Embassy to learn about the visa policy.

Additional Information

1. Local Currency: The official currency is the US dollar ($). It is the world’s primary reserve currency and used in most international transactions.
2. Money & Payments: ATMs are widely available, and credit cards are accepted in most restaurants, hotels, and shops. Cards are required for reservations. Tipping is not optional, tip 18% to 20% in restaurants.
3. Local Language: English is the most widely spoken language, but since Los Angeles is one of the most ethnically diverse cities in the world, there are 223 other languages spoken. These languages include Korean, Filipino, Chinese, Armenian, and Persian.
4. Local Culture and Religion: The largest religion in Los Angeles in Roman Catholicism, followed by Judaism. Smaller groups of Muslims, Buddhists, Hindus, and several other religions.
5. Public Holidays: Some of the largest holidays in Los Angeles are New Year’s Day, Independence Day, Thanksgiving, and Christmas.