Urology in Singapore

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 Singapore?

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 Singapore 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 Singapore

About Singapore

Singapore is a small, yet beautiful island city-state in South East Asia. The country's growth and prosperity in terms of infrastructure and economy are astounding and Singapore is affluent and tax-friendly and its GDP is on par with developed European nations.

Singapore is a global center for education, technology, tourism, trade, logistics, and healthcare. Medical expenses in Singapore are expensive when compared to Thailand and India. Yet, the country attracts medical tourists with its cleanliness, world-class medical infrastructure, and facilities. A C-section will cost anywhere between $6,048 and $11,267 in Singapore. Hip replacements can cost around $8,550-$12,850 and breast lump removal will cost you $5,459-$10,700 including a private room.

The country has 15 JCI accredited hospitals and medical centers, which offer a variety of services from orthopedics, dermatology, dental, cardiology, ophthalmology, and cosmetic procedures to alternative therapies such as acupuncture and Ayurveda. English-speaking medical professionals are extremely skilled and experienced. The hospitals in Singapore have access to cutting edge technologies and it is the best country to treat life-threatening, complex conditions.

It is advisable for medical tourists to have an International Health Insurance Plan to cover surgical costs. Most of the reputed hospitals in Singapore will only admit foreign patients with health insurance.

Medical care in Singapore is not just about getting preventive care and treatments for medical conditions that one may have. Some of the health care centers in Singapore are super luxurious and you can even order your food and shop using wireless tablets provided and make use of the nearby spas. Popular Hospitals and Clinics are the Farrer Park Hospital, Gleneagles Hospital Singapore, Mount Elizabeth Hospital, Parkway East Hospital, and Thomson Medical Centre.

Popular parts of Singapore

Singapore is home to over 5.5 million people and its cultural diversity is displayed in the extensive ethnic cuisine and major festivals. Singapore ranks number ten in the world for skyscrapers.

• Sentosa: Each of Sentosa’s three beaches: Siloso, Palawan, and Tanjong—hold their own unique charms. Palawan beach’s islets and playgrounds are great spaces for families to unwind. Resorts World Sentosa is home to several amazing experiences. Take a movie-themed ride at Universal Studios Singapore, or immerse yourself in aquatic adventures at the S.E.A. Aquarium.
• Marina Bay: If you wish to explore the extravagant side of Singapore, visit the stunning, Marina Bay. The Nightlife is amazing with glittering lights, glitzy rooftop bars, and restaurants. Marina Bay is the central and the busiest district of Singapore.
• Chinatown: You can experience an impressive blend of traditional and modern Singapore in Chinatown. There are ornate Chinese, Buddhist and Hindu temples, museums and plenty of opportunities to soak up the busy streets which are full of old shophouses. It is the perfect location for traditional cuisine and you will be spoilt for choice.
• Orchard: The 2 km long Orchard Road is a shopper’s paradise as you will find large shopping malls and designer’s stores. Singapore’s only UNESCO World Heritage site, the Botanical Garden lies at the corner of Orchard Road.
• Joo Chiat: This neighborhood is more residential and you will find an amazing range of housing options.
• Little India: is the center of the Indian community within Singapore and is filled with multicolored shop-houses that line the streets, and various mosques and temples, and enjoy the aromas that infuse the night air when the demand for food is at its peak.

Weather and Climate in Singapore

Singapore lies close to the equator in the Southern Hemisphere. The island country has a tropical climate. It is hot and humid throughout the year which has led to a steady inflow of tourists all year round.

Singapore receives an annual rainfall of 2430 mm. An average of 167 days receives moderate to heavy rainfall. Two different monsoons: Northeast (December to March) and Southwest monsoon (May to September) accounts for the rainfall. Thunderstorms are quite common during the Southwest monsoon.

The average temperature is 31°C during the day. It is most likely that the temperature can drop to 19°C during the hours of darkness.

Getting around in Singapore

Rated as the world's best airport by Skytrax, Singapore Changi Airport is one of the busiest airports in the World. The airport serves around 100 airlines, flying to 400 cities across 100 countries. You can hire a taxi or use the MRT to reach downtown Singapore.

The transport system is efficient due to the systematic and comprehensive network of roadways. The Land Transport Authority controls private vehicles and minimizes traffic congestion. Some of the common forms of transportation are:

• Mass Rapid Transit (MRT): The MRT has a total of five lines. You can buy a Singapore Tourist Pass or EZ Link card which allows you to use the railways any number of times for two or three days. A single journey costs 0.58 USD and a train arrives every 2-3 minutes during the peak hours.
• Public buses: There are over 300 public buses to serve the locals and tourists and bus fares range from 0.58 USD to 2.07 USD.
• Taxis: are widespread in Singapore and are less expensive and metered. It can cost you 2.63 USD per km.
• Water taxis: Will take you across the beautiful River Singapore. You can visit a few tourist spots via water taxis and view the downtown from a different angle. A single journey will cost 5 USD.

Tourist Visa in Singapore

Citizens of India, China and Russia require a valid tourist visa to enter the territory of Singapore. The visa processing time is just 5 days and it is valid for 90 days from the date of issue. You are allowed to stay here for a maximum of 30 days.

People from the European Union, US, Norway, South Korea, Australia, and New Zealand can enter and stay for 90 days in Singapore visa-free.

Additional Information

1. Singapore dollar (S$) is the official currency of Singapore. 1 USD is equivalent to 1.36 Singapore dollars.
2. You can find ATMs close to banks, shopping malls and almost every tourist location. You can also pay by using credit and debit cards.
3. Malay is the national language of Singapore. Mandarin, English, Malay, and Tamil are the four other official languages of the country. So, almost all the locals are fluent in English.
4. Singapore is home to 10 religions. 33% of the total population practice Buddhism, followed by Christianity and Islam.
5. New Year's Eve, Chinese New Year, Labour’s day, Good Friday, Deepavali, Vesak day, Hari Raya Puasa and Christmas are some of the public holidays in Singapore.