Urology in Mexico

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 Mexico?

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 Mexico 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 Mexico

About Mexico

The Country of Mexico forms a part of the North American continent and lies directly south of the United States and is the fifth largest country in the Americas. It comprises 31 states and a Federal District. The capital of Mexico City lies in the Federal District. Mexico is dominated by several mountain ranges and the more well-known ones are the Sierra Madre Oriental and the Sierra Madre Occidental. It is famous for its amazing beaches, and the best-known Latin American pyramids include the Pyramid of the Sun and the Pyramid of the Moon at Teotihuacán in central Mexico,

Mexico ranks among the top five locales for medical tourism worldwide, consistently attracting those seeking not only medical care but luxurious, boutique-styled facilities for recovery as well. The distinct appeal to choosing Mexico as a destination for medical procedures is not solely based on the accommodation standards, but also the notably lower costs contrasted with those in the United States. With a price tag that usually amounts to 70-80% less than what you'd expect to pay in the US for the same procedure, it's no wonder why Mexico is such an attractive option for medical tourists.

In terms of the economic value, medical tourism in Mexico has proven to be no small industry. According to the data gathered in 2016, the industry is worth a whopping $4.8 Billion. Moreover, it is not an underused resource, as can be seen in the influx of medical tourists that the country welcomes each year. An astonishing 1 million individuals travel to Mexico annually, seeking different varieties of treatments and procedures.

Geographically, it's noted that the majority of these medical tourists hail from nearby US states. In fact, states that border Mexico, such as California, Texas, and Arizona, make up approximately 70% of the medical tourists that arrive in Mexico.

Tijuana, Cancun, Mexicali, and Monterrey are some of the more popular cities in Mexico for medical tourism and the flowing procedures:

• Dental treatments including dental surgery
• Plastic and Cosmetic Surgery
• Bariatric Surgery
• Other medical procedures like dermatology, orthopedics, gynecology, and ophthalmology.

Popular Parts of Mexico

Six Cities in Mexico that should be on your itinerary:

1. Mexico City – This enormous capital city is the most populous city on the North American continent. The metropolitan area of the city is home to a staggering 21.2 million people. El Zocalo, the main public square is a famous landmark in Mexico City. It is also a UNESCO World Heritage site.
2. Cancun –Is a major resort city with turquoise blue waters and striking white sandy beaches. It has a population of about 628,000 people. You can take day trips to the Mayan ruins, the unspoiled jungle habitats of Coba, and Chichen Itza from Cancun.
3. San Miguel de Allende –Is one of the most popular cities in Mexico. The must-visit sites in this city are the San Miguel Arcangel Parish, the archaeological zone of Canada la Virgen, and the handicraft market.
4. Guadalajara – It’s the second largest city in Mexico and has a population of 5.1 million. The city has a more relaxed feel and a distinctly Mexican flavor. The historic center is impressive with a cathedral and colonial architecture. Guadalajara Cathedral, Instituto Cultural de Cabanas, and the Expiatory Temple are famous sights to visit.
5. Oaxaca – Is a southern Mexican city and is situated in a valley. It is home to 4.2 million inhabitants. Oaxaca Cathedral, Zocalo and Mercado Benito Juarez, and The Rufino Tamayo Museum are a few of the interesting places to see in this city.
6. Tijuana – Is a border city in Mexico and shares its border with California. Because of its location, this city is very popular with American medical tourists. The Avenida Revolucion is the main street and is lined with Bars and Restaurants. Popular landmarks include Jai Alai Fronton Palace, Centro Cultural Tijuana, and Estadio Caliente. It has a population of 1.3 million people.

Other important cities are Merida, Acapulco, Puebla City, Taxco Puerto Vallarto, and Playa del Carmen.

Weather and Climate in Mexico

Mexico, in its vastness, doesn't possess a uniform climate throughout the nation. Various regions exhibit distinct weather patterns, which are inextricably linked to their geographical features. Given Mexico's immense size, it's unsurprising that the climate varies significantly across different locations. The periodic patterns across the nation are not homogenous, as one would expect in a smaller, less diverse country. Instead, Mexico’s topography, which is incredibly varied, heavily influences the country’s diverse weather and climate.

In terms of seasonality, Mexico traditionally experiences two major seasons - the rainy season and the dry season. Each of these seasons presents its own unique set of conditions and weather patterns, shaping the climate across the country in distinctive ways. The shifts between these periods of rain and periods of drought are quite pronounced, showcasing the climatic dualism that shapes the Mexican landscape. This cyclical pattern of rainy and dry seasons is a key part of Mexico's climatic identity, having profound effects on both its environment and the livelihood of its inhabitants.

• Rainy Season – Most of Mexico experiences rain from May to September or October. The weather is hot and humid in these months, especially in Southern Mexico. The average temperature in the summer months is around 83 degrees Fahrenheit. In winter, the temperature averages between 68- and 74 degrees Fahrenheit.
• Dry Season – October to May there is hardly any rain and it happens to be the most popular time to visit Mexico. During the winter months of December to February, the non-coastal regions have cold weather. At times, it reaches freezing temperatures. June to November is the hurricane season and hence it is better to avoid traveling during this time.

Getting Around in Mexico

The easiest way to reach Mexico is through Mexico City International Airport, which is also referred to as Benito Juarez International Airport, which is the busiest airport in Mexico. The airport links 52 domestic cities and 50 international destinations in Latin America, North America, Europe, and Asia. Aeromexico is the largest carrier serving many Latin American cities, domestic and international cities. Other prominent Mexican airlines are Interjet, Volaris, and Aeromar. Major American carriers like United Airlines, American Airlines, and Delta Air also operate flights to Mexico City.

For travel within Mexico, air travel is the best mode considering the vast size of the country. Budget airlines like Avolar, Azteca, Interjet, vivaAerobus, and Volaris offer competitive and cheap airfares for domestic travel.

You can navigate between cities via local buses and rental cars, making the journey a part of your Mexican adventure. However, for a quicker commute, the metro system prevails as the fastest mode of transport. This web of fast trains bridges the gap between major cities including Mexico City, Guadalajara and Monterrey, ensuring convenient and expedient transportation.

Navigating through Mexico City is fairly simple and cost-effective, courtesy of its inexpensive public transport system. You can choose from a variety of transport modes, including the Metro, first and second-class buses, colectivos, and Nissan Tsuru libre taxis.

However, if you prefer sitio taxis, it is advised not to hail one from the street after dark for safety reasons. Furthermore, for those not fluent in Spanish or unfamiliar with the city's layout, it is highly recommended to use taxis from Taxi Ranks, ensuring a smoother and more secure journey.

Tourist Visas in Mexico

Traveling to Mexico as a tourist, you need to apply for and get a tourist visa well in advance. Your passport must be valid to cover at least three months beyond the duration of your visa. A Mexican tourist visa is for a single entry and is valid for only six months. You should travel within 90 days of the visa being issued.

Mexico has a waiver for the tourist visa requirement for the citizens of 67 countries including the USA, European Union, Latin America, and Australia. Under this privilege, you can visit Mexico for a period of 30 to 180 days without a tourist visa. However, you need to get an online Electronic Authorization before traveling to Mexico.

Nationals of Russia, India China and a few other countries need to get a visa in advance before entering Mexico.

Additional Information

1. The currency of Mexico is Peso and has a $ symbol like the US Dollar. So, MXN is an alternative symbol to avoid confusion. Shopkeepers accept US dollars but refuse Euros. The conversion rate of a US dollar to Mexican Peso is 17.97 as of Mexico 2023.
2. You can use debit and credit cards within city limits in Mexico, but many retailers levy a surcharge for credit cards. Small shopkeepers insist on cash. ATMs are present everywhere and have bilingual options with English as a choice.
3. Spanish is the first and the main language spoken in Mexico. People also speak English in tourist areas and along the Northern border. However, it is always better to learn a little Spanish when you travel to Mexico.
4. Mexico does not have a national religion, but Roman Catholicism is a major faith.
5. Constitution Day (Feb 4), Benito Juarez’s Birthday (Mar 18), Independence Day (Sep 16), Revolution Day (Nov 18), and Christmas (Dec 25) are some of the statutory public holidays in Mexico.