Urology in Marrakech

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 Marrakech?

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 Marrakech 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 Marrakech

About Marrakech

Located to the north of the foothills of the Atlas Mountains, Marrakech is the fourth largest city in the Kingdom of Morocco. Found nearly a thousand years ago, this city is where Africa, the Middle East, and Europe fuse into one. It is widely known as the red city because of its famous red walls, alleys, and plazas. The city offers a rare opportunity for tourists to immerse themselves in culture, where modern and ancient merge in a perfect balance. Just like many Moroccan cities, the medina in Marrakech is too beautiful to be missed. 

Marrakech has the perfect environment for relaxing and rejuvenating, which is one of the reasons why many medical tourists seek health treatments in this beautiful red city.  The medical facilities in the city offer outstanding quality with the latest technology and a wide range of treatments. Healthcare in this city is considerably cheaper than in Western countries and many people are also attracted to Marrakech because it is known to excel in modern plastic surgery. The most sought-after procedures are liposuction, nose jobs, breast lifts, and ear surgery. Other treatments such as dental care, spa, and wellness are also popular.

Popular Areas in Marrakech

This exotic city has everything for everyone, whether you want to indulge in its culture and history or have a luxurious and modern vacation.

• Djemaa El Fna is the most famous square in Morocco that attracts tourists from all around the globe. Often referred to as the heart of Marrakech, the square is a thrilling place to go shopping and get a closer look into the Moroccan culture. However, the real excitement starts when the sun sets and the square is transformed into an Arabian fantasy. It will be filled with fortune tellers, snake charmers, monkeys, and musicians, making it an interesting place to have fun and experience new things. 
• Ali Ben Youssef Medersa is the largest madrasa in Morocco and one of the most important in North Africa. Built around 500 years ago, the Quranic learning center still retains its splendid beauty. It is said that up to 900 students have lived in the building to study law and theology. In 1960, it was turned into a museum and one of the most popular sights in Marrakech. Tourists can enjoy a striking view of architecture and decoration as its wall and columns have astonishing carvings, the large patio is made of marble, and the inner courtyard is decorated with mosaics.
• Musée Yves Saint Laurent is a must-visit for any fashion enthusiast and the museum exhibits selected masterpieces of haute couture clothing and accessories made by the legendary French fashion designer Yves Saint Laurent from 1962 until his retirement in 2002. Designed by Studio KO, the building itself is impressive with terracotta brick and earthen-colored terrazzo. The museum consists of a 150-seat auditorium, bookstore, a research library, and a terrace café.
• The Bahia Palace means brilliance in Arabic and it is a fascinating well-preserved historical site in Marrakech. It consists of a palace and a set of gardens which was built in the late 19th century. The building perfectly captures the essence of the Islamic and Moroccan style.

Weather and Climate in Marrakech

Marrakech mostly experiences a hot semi-arid climate. Spring starts in March and ends in May, with flowers blossoming and the temperature is between 15 °C at the lowest and 28 °C at the highest, spring is one of the best times to visit the city. If you’re planning to visit during this season, note that April and May have occasional rain showers. June to August are the summer months which can get extremely hot and the average temperature is around 26 °C to 30 °C, but it can increase to 36.8 °C. It is best to stay in the shade from noon to 3.00 PM when the sun is at its hottest. 

The temperature will slowly decrease in the Autumn months of September to November. This season is also one of the best seasons to travel and have some outdoor adventures in the red city. Although the summer is remarkably hot, the winter in Marrakech is cold as the temperature sometimes plummets to 6 °C. This season runs from December to February and it is also the wettest season as rain is most predominant in December.

Getting Around in Marrakech

The main international airport serving Marrakech is the Marrakesh Menara International Airport. The airport operates domestic and international flights. It has two passenger terminals in one large building that serve flights to Europe, the Middle East, and Africa. Budget airlines such as EasyJet, Ryanair, and Wizz Air provides affordable options to travel to and from the red city.  

Taxis are widely available throughout the city. It is also one of the most efficient and flexible ways to get to the main sites and there are two kinds of taxis in the city. The Grand taxis are old Mercedes cars that can carry up to six people and have a specific route with a fixed fare. Tourists can find the grand taxis at the bus station or Djemaa el Fna. Petit taxis are a private taxi, and the drive will take you anywhere. These taxis are metered and can be a little more expensive than the grand taxis. There are drivers who do not use the meter so you should bargain or ask the driver to switch the meter on before you get into one.

Buses are the most inexpensive way to get around. Tourists can find them in the central bus station of Place El Mouarabitene, and most buses will stop at the Djmaa el Fna. Tourists can pay the fare directly to the driver. If you want a more traditional and interesting way to get around, you can opt for the caliche and it is a horse-drawn carriage with a fixed price for the most common routes. 

Tourist Visas in Marrakech

There are around 66 countries granted visa-free access to Morocco for up to 90 days, including the European Union, Australia, China, Russia, and the United States. Citizens of the Republic of the Congo, Guinea, and Mali do not require a visa but must obtain an Electronic Travel Authorization in advance. It is best to always check the current regulations at the nearest Moroccan Embassy or Consulate before applying for a visa.

Additional Information

1. Local Currency: The official currency is the Moroccan Dirham (MAD) and the exchange rate from 1USD is 9.70 MAD.
2. Money & Payments: ATMs can be found all over the city. Credit cards are mostly accepted in top-end restaurants and hotels. Tipping can be obligatory sometimes. 
3. Local Language: Modern Standard Arabic and Berber is the official languages and French is widely spoken. English is not common but there will be people who can speak English especially in tourist areas.
4. Local Culture and Religion: The majority of the population follows Islam. There are also people who follow Christianity, Judaism, and Baha’i Faith.
5. Public Holidays: Islam religious holidays such as Islamic New Year and Eid al-Fitr are celebrated in Marrakech.