Urology in Poland

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 Poland?

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 Poland 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 Poland

About Poland

Poland, as one of Central Europe's most expansive nations, has only recently begun to make its mark as a key player in the realm of Medical Tourism. Being particularly appealing to tourists from neighboring regions, many visitors arrive seeking Urology procedures. Poland's open border policy further simplifies travel between its territory and other countries within the European Union (EU), making it an accessible destination for many.

The Polish healthcare system comprises a blend of public and private establishments. While none of these facilities hold JCI accreditation, they are endorsed by local accreditations issued by the Polish Ministry of Health. Their recognition within the European Union testifies to the quality and reliability of these certifying bodies.

In Poland, the most frequently sought-after medical procedures encompass dental, cosmetic, orthopedic, and bariatric treatments. Impressively, the costs of these treatments are significantly lower than what one would expect to pay in Poland's Western European counterparts. Beyond Poland's vibrant capital, Warsaw, cities such as Krakow, Jelenia Gora, and Wroclaw have emerged as favored destinations among medical tourists.

Popular Parts of Poland

Poland, with a population exceeding 38.5 million, is a nation steeped in rich history and recognized for its whopping fourteen UNESCO World Heritage Sites. Despite frequently being overshadowed in the realm of tourism, the country in reality, boasts of a multitude of alluring attractions waiting to be explored and appreciated.

• Warsaw, Poland’s capital provides tourists with a mix of old and new. Restored Gothic buildings and modern glass structures stand side by side. The city offers a scenic view. Wander around the streets of Old Town to see the oldest part of the city. Warsaw was also the former home of Frederic François Chopin; tourists can retrace his steps by visiting Saxon Garden, where Chopin’s family used to live next door.
• Krakow is Poland’s former capital. The city is full of charms; from cobbled streets, beautiful squares, pretty buildings, churches, and a castle. Wawel Castle, located in the Old Town area, is an architectural wonder with medieval, baroque, and renaissance style. The city has numerous museums that provide insights into its fascinating history.
• Gdansk stands as one of the country's most breathtaking seaside cities. It houses some of the finest museums in Poland and is renowned for its thriving nightlife and diverse culinary scene. Visitors are encouraged to admire the vibrant street art, delve into history at the numerous museums, explore the charms of the Old Town, and embark on a gastronomic adventure with a food tour in Gdynia. In a nutshell, Gdansk offers a rich and memorable travel experience.
• Poznan will amaze tourists once they see its vibrant, playful, and unique treasures. As the birthplace of the Polish nation, the city offers many historical attractions as well as urban green spaces. Tour the Lech Brewery to learn more about the brewing process of beer visit the Old Market Square and find an array of bars and food stalls.
• Wroclaw is not as popular as other cities in Poland. It’s actually full of attractions, incredible architecture, and hidden gems. Tourists will find dwarf statues throughout the city and can go on the dwarf trail. Market Square is the city’s centerpiece that blends colorful buildings and gives a scenic view, especially in winters.

Weather and Climate in Poland

Poland has a temperate climate and sometimes experiences rough weather. Spring starts in late March to May. The season is characterized by a wave of warmer weather with less frequent rain. It is one of the best times to visit Poland because the temperature is comfortable.

Poland's summer season extends from June until August and brings with it a certain unpredictability in weather patterns. The general climate is warm, with temperatures hovering between 18 to 30°C. Amidst sunny spells and elevated temperatures, frequent rain showers and storms are also common phenomena. This period marks the peak of the tourism season and tourists can expect prices to see a corresponding increase. Despite the occasional rains, summer promises a delightful time to experience Poland in all its warmth.

September to November is Autumn, the season where the temperature starts to drop. Late September and October are still warm, while November is cold and wet. Sunny days during this season are known as “Polish Golden Autumn.”

Winter in Poland, which runs from December until early March, can be exceedingly cold. Temperatures often tumble to an average range of 0 to -10°C and can even drop as low as -20°C. Despite the chilly conditions, this is actually the peak season for mountain ski resorts, attracting numerous enthusiasts to take advantage of Poland's picturesque winter landscapes.

Getting Around in Poland

Most international flights arrive at Warsaw Frederic Chopin Airport. It’s Poland’s largest and busiest airport. The airport serves domestic and has International connections with many cities around the world. It is the hub for LOT Polish Airlines. Budget airlines such as Wizz Air and EasyJet also operate flights from this airport. There is a smaller airport, Warsaw Modlin Airport, which handles more budget airlines.

To get to the city center, bus, taxi, and train are available. There are five public buses that stop at Warsaw’s city center; bus 175, bus 188, bus 148, bus 331, and bus N32 (night bus). Taxis are available, but always make sure to use licensed taxi services. The fare from the airport to the city center is around 40 PLN. Chopin Airport is linked to Legionowo and Sulejówek Miłosna by a railway service. Tourists can buy ZTM tickets to ride the bus and train which can be purchased at the Passenger Information Point in the arrivals hall, ticket machines at bus stops and train station entrance, or from bus drivers.

Ample public transportation options simplify getting around in Poland. Trains, in particular, offer an incredibly budget-friendly means of travel. For instance, the journey from Krakow to Warsaw is set to cost approximately 45 PLN and spans a duration of around three hours. Meanwhile, a slightly longer five-hour train journey from Warsaw to Gdansk can be undertaken at a reasonable fare of around 65 PLN. Such connectivity and affordability make exploration within Poland both easy and economical.

Within the cities, local buses in the central zone cost around 4 PLN (a single-fare ticket). Major cities offer one-day tickets for 20 PLN. Taxis are relatively cheap and tourists can get around the city quickly. Taxis are metered and usually start at around 6 PLN to 8 PLN. Unlicensed taxi drivers are most likely to cheat and charge more. There are taxis that put a fake phone number in their cars, be careful and ask your hotel staff for the number of the taxi company they have used previously. Cycling is a good way to explore the scenery in Poland. There are many bike rentals around the country, always be aware of drivers since some are careless.

For cities like Krakow, tourists are highly recommended to secure tourist cards. These cards provide unlimited access to public transportation for a period of one to three days. In addition, they also offer free or discounted admission to several museums. This is a great bargains that grants tourists flexibility and sizable savings to fully relish their visit.

Tourist Visas in Poland

Poland is part of the Schengen Area. Citizens of the United States, Canada, Australia, New Zealand, Japan, Israel, and several other countries do not need to obtain a visa and can stay in Poland for up to 90 days. EU citizens do not need a visa and can stay indefinitely. Other nationalities must check with their local Polish embassy. All visitors must hold a passport valid for at least six months.

Additional Information about Visa in Poland:

• It is important to note that the visa requirements for Poland can change at any time, so it is always best to check with the Polish embassy or consulate in your home country before you travel.
• If you are planning to stay in Poland for longer than 90 days, you will need to apply for a visa. You can do this at the Polish embassy or consulate in your home country.
• When applying for a visa, you will need to provide a number of documents, including a valid passport, proof of travel insurance, and proof of financial means.

Additional Information

1. Local Currency: the official currency is the Polish złoty (PLN). 1 USD converts to 4.21 PLN.
2. Money & Payments: ATMs are available in cities and towns; even small villages should have at least one. The best way to exchange rates is at banks or withdrawing money from ATMs. Credit cards (Visa and MasterCard) are accepted in most hotels and restaurants. Always carry small cash and coins for shops and cafes. Tipping in Poland is mostly optional. In restaurants, 10% is the standard. Room-service staff and porters in hotels expect to be tipped. Taxis don’t expect tips.
3. Local Language: The official language is Polish. Most of the locals in the tourist areas will have decent English. Foreign tourists should be aware that all official information including street signs and directions are only written in Polish.
4. Local Culture and Religion: Christianity is the largest religion in Poland with 87.5% of the population identified as Roman Catholic.
5. Public Holidays: Poland celebrates major Christian holidays such as Christmas and Easter. The country hosts many festivals throughout the year such as St. Dominik’s Fair every July to August, Light & Move Festival every October, and Ice Festival every December.