Urology in Tunis

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 Tunis?

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 Tunis 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 Tunis

About Tunis

Tunis is the capital and the largest city of Tunisia and is the center of government and administration as well as the center of commercial and cultural activities. It is divided into two parts, the old city known as Medina and the new city or Ville nouvelle. Even though it is located on the southern shores of the Mediterranean Sea, the city does not have many beaches. Still, it has managed to attract millions of tourists in 2018 thanks to its rich history displayed in numerous ancient buildings. These buildings have an enchanting blend of North African and French Architecture that will leave anyone in awe. Many tourists come to see the Roman ruins of Carthage or to stroll around and shop in the Medina.

Tunis is known to have a high standard of healthcare, which attracts an increasing number of medical tourists each year. Many of the medical tourists come from other African countries that have an inferior healthcare system. However, the city’s excellent reputation in cosmetic surgery and dental treatment appeal to many patients from Europe, the Middle East, and Asia. The private medical centers are armed with the best equipment and English speaking staff. The Tunisian Ministry of Health regulates cosmetic and plastic surgeons to ensure that there is a high standard. In addition to exceptional healthcare, Tunis also offer attractive prices for medical treatment and the cost of living. 

Popular Areas in Tunis

Although it is the largest city in Tunisia, Tunis can feel like a compact city and can be explored on foot. The city has a number of famous attractions that are always packed with tourists.

• Carthage was founded in the 9th century BC and was once a powerful empire of the Mediterranean as well as home to a wonderful civilization before being destroyed by the Romans in the Third Punic War. It was then to become an important Christian center until the Islamic invaders destroyed it. Today, the ruins have become a UNESCO World Heritage Site that tourists can visit.   
• The Medina in Tunis is one of the most remarkable medieval medinas in North Africa. There are over 700 monuments within the area, from mosques to madrassas to historical places. It is easy to get lost in the impressive maze-like alleyways, but tourists are encouraged to admire the Islamic architecture and art or learn more about the city’s history. Tourists can also shop in one of the souqs selling everything from shisha pipes to shoes or enjoy one of the cafes.
• Sidi Bou Saïd is a picturesque cliff-top village with cobbled streets, blue-and-white walls, and glimpses of pristine blue waters. It is probably one of the most beautiful places in Tunisia. The beautiful architecture is a blend of the Ottoman and the Andalusian. It is now a sleepy fishing village perfect for anyone who wants to get away from busy city life. The village has been a gateway for artists, bohemians, and pilgrimage for centuries.
• Bardo Museum is the second-largest museum in Africa and the main attraction of this museum is the ancient Roman mosaics recovered from Carthage. The museum also exhibits Greek statues, artifacts of the region’s Berber, and the accomplishments of the Islamic culture in the country. Other than the exhibitions, the building itself is decorated in impressive historic Islamic decorative arts.

Weather and Climate in Tunis

Tunis has a hot-summer Mediterranean climate meaning the city enjoys warm and sunny weather all year round. The summer can be hot and dry because rain is very rare and the summer usually lasts from June to August and the average temperature is around 25 °C but can get as high as 40 °C. July and August are the high tourist season, especially at the beach resorts. The city begins to get rain in autumn, often accompanied by a short thunderstorm. The winter is the wettest season of the year because it can rain every two or three days and the temperature can drop to 7 °C in the morning and 16 °C in the afternoon. The rainfall decreases in spring, and in March, the temperature ranges between 8 °C to 24 °C and the sunshine usually becomes dominant in May.

Getting Around in Tunis

Tunis-Carthage International Airport is the main airport in Tunisia and the airport connects Tunis with other cities in the country as well as the rest of the world as it serves flights to and from the Middle East, Africa, and major Europeans countries. It is the hub for Tunisair, Tunisair Express, and Nouvelair, but there are not many budget airlines operating flights from the airport. To get to the city center from the airport, tourists can opt for a taxi or bus. The bus is operated by the SNT bus line and departs every 30 minutes. It is very affordable with a single ticket costing less than 1 TND. There is also a more luxurious and expensive bus line known as the TUT bus and the bus departs every 15 minutes. If you want a more private mode of transportation use an airport taxis and they are usually metered.

Tourists have plenty of options to get around Tunis. There is a tram system in the city with inexpensive tickets, usually around .48 TND. However, be aware that it can be packed during the rush hours. Taxis are a good option to get around, the taxis are metered, and the base fare is around .4 TND but can be much more expensive if you hail one off the street. 

Tourist Visas in Tunis

Nationals of 97 countries including Australia, China, Singapore, the United States, and Russia can enter and stay in Tunis for up to 90 days without a visa. Other nationalities not listed in the visa exemption agreement are advised to check at their nearest Tunisia embassy or consulate. The country provides an online visa application to simplify the process of obtaining a visa to enter the country.

Additional Information

1. Local Currency: Tunisian dinar (TND) is the official currency of Tunisia. 1 USD will get you 2.61 TND. 
2. Money & Payments: ATMs are widespread in Tunis. Credit Cards, particularly MasterCard and Visa, are accepted in most top-end restaurants, hotels, and shops. Tipping is by no means mandatory but will be greatly appreciated.
3. Local Language: Arabic is the official language and French is very common. English is not widely spoken except in tourist areas and hospitals.
4. Local Culture and Religion: Most of the population follows Islam, but there are small groups of Christian and Jews.
5. Public Holidays: The city celebrates major nationals and Islamic holidays such as Independence Day, Eid Al-Fitr, and Prophet Mohammed’s Birthday.