Urology in Monterrey

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 Monterrey?

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 Monterrey 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 Monterrey

About Monterrey

Nuevo León, a northeastern state in Mexico, takes pride in its capital, Monterrey, a major financial hub for the nation. Serving as a manufacturing and industrial center, Monterrey is also home to a plethora of large Mexican and international businesses. With an impressive GDP (PPP) amounting to US$ 123 billion, it holds the distinction of being the second-most productive city in Mexico. Additionally, its population marking of 5 million residents simultaneously places it as the country's third-most populous city.

Monterrey has successfully carved out a reputation in the tourism sector, particularly drawing global attention as a favored destination for medical tourism. The underlying factors for this growing attraction can be attributed to the following reasons:

• The healthcare industry, banking, and telecommunication are the pillars of the City’s economy.
• The City has some acclaimed hospitals that offer cutting edge treatments. Most hospitals have JCI accreditation, a certification that ensures safety and quality across the healthcare industry.
• Low prices and above-average quality of medical care are the two main reasons that attract medical tourist attention.
• Proximity to the US also provides a big advantage to patients and tourists from the United States of America.
• The most popular procedures are breast augmentation and liposuction and are performed at Dr. Sauceda Plastic Surgery, Dr. Alvar Garcia Plastic Surgery Monterrey, and Dr. David Kirsch M.D. Cosmetic Surgery

Popular Areas in Monterrey

• The Macroplaza is the largest park in Mexico and is surrounded by many historical buildings and museums. It is a popular spot for locals and tourists alike to relax and enjoy the outdoors.
• Fundidora Park is a heritage museum and public park that was once home to a steel mill. Today, the park is a popular destination for families and tourists alike, with a variety of attractions including a museum, a zoo, and an amusement park.
• The Museum of Modern Art displays the works of Ricardo Mazal, Antony Gormley, and Jenny Holzer. The museum is noted for its sculpture yard and restaurant.
• Cerro de la Silla, Is popular for its great urban hiking trail up the tall mountain for its fantastic view of Monterrey and the surrounding areas.
• Cerro del Obispado is a historical site that houses a museum and offers panoramic views of the city. It is a popular spot for tourists and locals alike to learn about the history of Monterrey and enjoy the views.
• To get a glimpse of a traditional wrestling match, Coliseo is the place to be. If you are lucky and brave enough, then you may even get to see a traditional bullfight.

Weather and Climate in Monterrey

It has a dry climate and is one of the hottest cities in Mexico, winters tend to be moderate, while summers can reach high levels of heat. The hot season, which spans from May to September, is often accompanied by rainfall. For the rest of the year, the climate remains mild with relatively minimal temperate fluctuations, and there's hardly any rain during the cold season.

Monterrey can exhibit drastic shifts in its weather scenarios. For instance, a sudden shower during the summer can cool the temperatures down significantly. Conversely, the winter season might witness balmy temperatures in the absence of city-crossing winds. Instances of ice, snow, and sleet are quite the rarity in this region.

Getting around in Monterrey

In Monterrey, there are primarily two airports dedicated to catering a variety of air traffic. The main airport used for commercial flights is Monterrey International Airport. The secondary airport, comparatively smaller, primarily serves private and cargo aircraft traffic. Monterrey International Airport efficiently accommodates a mix of both international as well as domestic travel audiences.

American, United, Delta, and Copa are some of the international airlines that connect it to Houston, Los Angeles, Atlanta, Chicago, Detroit, Dallas, Las Vegas, San Antonio, etc. People can travel to the nearby Mexican cities of Guadalajara, Mexico City, Cancun, Mazatlan, Puerto Vallarta, and Tijuana using Interjet, Aeromar, Magnicharters, and Volaris. At the same time Interjet, Aeromexico, and Viva Aerobus cater to both domestic and international travelers.

Monterrey houses the largest bus terminal in the northern region of Mexico, offering a significant connectivity advantage. Individuals can travel to and from Monterrey and various other bus stations dispersed across Mexico and the US using trans-border buses. Given Monterrey’s closeness to the US-Mexico border, a car ride from the US is another feasible transportation choice.

Moving around within the city is quite feasible and straightforward. Although efficient, the subway system's coverage is relatively limited. The optimum choice for commuting is the taxi service, which may come with a slightly higher cost compared to bus rides. It's advisable to request the driver to go by the meter to guarantee fair charges.

Tourist Visas in Monterrey

Citizens of 67 countries, including Australia, Canada, Schengen countries, the USA, the UK, and Japan, do not need a tourist visa to visit Monterrey, Mexico, for up to 180 days, as long as their trip does not provide any monetary benefit to them. People who have a valid visa to the US and PR in Canada also do not need a separate visa to enter Mexico. The exemption is available to many countries in South America and the Caribbean Islands also. You can check your eligibility on the official website of the Mexican government.

Citizens of other countries will need to obtain a tourist visa to visit Monterrey, Mexico. The tourist visa is valid for six months from the date of entry. You can apply for a visa at the Mexican consulate in your country.

Required documents for a tourist visa:

• Valid passport with at least six months of validity remaining beyond your planned date of departure from Mexico.
• Visa application form.
• Two passport-sized photos.
• Proof of onward travel, such as a return flight ticket.
• Proof of financial resources, such as a bank statement or credit card statement.
• Visa processing fee.

Additional Information

1. The local currency used in Monterrey, Mexico, is the Mexican peso (MXN). The exchange rate for the Mexican peso fluctuates daily, but it is currently trading between 20 and 21 Mexican pesos to the euro and 18 to 19 Mexican pesos to the US dollar.
2. You can use a credit card for payment at big stores, hospitals, and restaurants. Smaller merchants and establishments may not accept credit cards. Therefore, it is better to carry some local currency. You can also use the ATMs available in the city to withdraw local currency. The use of cards may involve certain transaction charges. Tipping is not compulsory. However, people appreciate some form of tipping; somewhere between 10 to 15 % of the total bill is the norm. Porters also get tipped, say, 10 pesos per bag.
3. Mexico Spanish or Castilian Spanish is the main language here. Locals can also communicate in English as well. It would still be an advantage if you can say some basic phrases in Spanish.
4. The majority of the people living in Monterrey are Christians.
5. Mexicans observe holidays on Christian festivals and some national holidays. Christmas and New Year’s Day are the two main public holidays. Independence Day on 16th September and Revolution day on the third Monday of November are the two main national holidays. Apart from this, there are many other holidays.