Urology in Ukraine

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 Ukraine?

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 Ukraine 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 Ukraine

About Ukraine

Ukraine offers a favorable cost of living, which may be a strong draw for why one should consider exploring it. In particular, its capital city of Kiev ranks high among the list of economical European capitals. This affordability impacts various aspects from food, drinks to sightseeing, transport, and accommodations, making it a great option for budget-conscious travelers.

An added intrigue of Ukraine, specifically Kiev, is in how its affordable rates do not compromise the quality of the experience. Rather, it enhances the encounter as it leaves room to sample more of what the city has to offer. Amidst the cost-effectiveness, the country still presents a rich collection of attractions that are worthwhile. These span from convenient transport systems, diverse culinary options, alluring sightseeing spots to suitable lodging facilities. So, not only do you get to save money, but you also extravagant value while navigating through this remarkable city.

Ukraine is a growing magnet for health tourists, with a rise in individuals journeying for Urology services. The option to access private dental care, cosmetic procedures, and a diverse range of medical treatments at a fraction of what they would cost in one's home country makes it incredibly appealing. Further, the absence of extensive waiting lists is another attractive feature.

Added to these, Ukraine's reputation is rapidly gaining traction on the international front as a premier hub for laser eye surgery. The country is carving an image for itself as a pioneer in eye care, offering innovative and state-of-the-art laser vision correction techniques. Thus, the country isn’t just a destination for affordable services, but also for quality specialized treatments at the forefront of modern medical technology.

Popular Parts of Ukraine

Boasting a diverse populace of approximately 42.5 million residents, Ukraine stands as an expansive and multicultural nation that happens to be the biggest geographically within Europe’s borders. The country's lush forests create the feeling of an unspoiled, yet to be unveiled paradise. The breathtaking landscape combined with the stunning architectural feats create aesthetically pleasing vistas, which are a key part of Ukraine’s appeal.

• Kiev or Kyiv is the capital of Ukraine. It is one of the oldest cities in Eastern Europe, dating back to the 5th century. The city is steeped in history with cathedrals and golden churches. Kiev is now embodied by urban art and cafes.
• Lviv is a picturesque city full of charming art nouveau architecture and interiors, cozy cafes, and squares and is known as the city of art. Lviv’s historic center is listed in UNESCO World Heritage.
• Carpathian Mountain is the gem of Ukraine. This territory is brimming with natural beauty. Tourists are attracted by its thick forests, meadows, rural shepherds, and of course the incredible mountain lakes. There are many outdoor activities that tourists can do such as hiking, riding, skiing, and cycling.
• Odesa is the perfect summer getaway. It’s known for an affordable summer destination, with wide sandy beaches. The city is also home to the biggest harbor on the Black Sea. Odesa is famous for its Potemkin Steps and fantastic buildings.
• Ivano-Frankivsk is sometimes called “little Lviv.” With its beautiful architecture and sophisticated restaurants, exploring Ivano-Frankivsk is an amazing experience. For many people, the city is the base for exploring the Carpathian Mountains.

It's important to consider that travel advisories from authorities such as the UK Foreign and Commonwealth Office advise against traveling to regions like Crimea, Donetsk, and Lugansk. As a traveler, it's crucial to stay updated on such notifications and follow relevant guidance from your respective government before planning a journey. Ensure you are well-informed about local situations and regulations to ensure your safety and security while traveling.

Weather and Climate in Ukraine

Ukraine predominantly experiences a moderate climate, with an intriguing exception. The southern coastline of Crimea stands out with its delightful subtropical weather. This distinct climate pattern adds to the region's charm, making it distinct from the broader Ukrainian weather trends.

Ukraine's summers tend to kick off in June and extend until September. During this period, temperatures fluctuate within the range of 19 – 25 °C, underlining agreeable weather conditions. The days are typically long, sunny, and warm, sporadically met with occasional rain showers. With such favorable weather, it comes as no surprise that summer is the peak of tourist activity in Ukraine.

Transitional seasons - spring and autumn - are characterized by mild temperatures. However, they are also the seasons with the most rainfall. Spring, in particular, brings a colorful impact on Ukraine's cities with blossoming plants painting a vibrant landscape.

Winter, on the other hand, introduces a colder climate with notable snowfall, particularly in the northeastern regions. The average temperature ranges from 5 to -3 °C during this time, creating a winter wonderland that contrasts to the warm and vibrant seasons.

Getting Around in Ukraine

Boryspil International Airport is the largest airport in Ukraine. Located 29km east of Kyiv, the airport serves domestic flights and has international connections with major cities in Europe and a few cities in Asia. Boryspil International Airport is the hub for Ukraine International Airlines and serves several budget airlines including Lauda, Ryanair, and SkyUp airlines. There are two other airports that serve international and domestic flights: Lviv Danylo Halytskyi International Airport and Odessa International Airport.

Tourists can take a taxi, bus, or shuttle bus to get to the city center. Airport taxis use meters and are comfortable. Some taxis even accept payment by credit cards. Buses are also a great option to get to the city center, Sky Bus takes tourists from Boryspil International Airport to Kyiv and departs from Terminal D and Terminal B. Sky Bus should cost around 60 UAH or 100 UAH depending on the destination.

To visit different cities, domestic flights are inexpensive and will speed up long distance journeys. The fastest way to get around big cities is the minibusses or subway (known as Metro). Minibusses follow routes that the regular bus travels on. Tourists can flag minibusses and ask them to stop at other places that are not the specified bus stops. The fare is fixed no matter how far your destination is.

Taxis are easily available in big cities. Most taxis don’t use a meter but taxi drivers usually don’t cheat. A long trip in Kyiv usually cost around 70 UAH. Shortstops start from 15 to 20 UAH. Tourists can also order a taxi by phone, although most taxi operators do not speak English. Locals usually are happy to help order a taxi for tourists.

Driving in Ukraine by car or motorcycle is another option to explore the country, but the roads are bad and the signs are written in Ukrainian (Cyrillic alphabet) only. Road policeman is one of the biggest disadvantages as they usually request a small bribe when they stop tourists.

Tourist Visas in Ukraine

Individuals hailing from countries like the European Union, Canada, and the United States, among others, enjoy the liberty of staying in Ukraine visa-free for a span of up to 90 days. However, citizens of certain other nations like China, India, and Thailand are required to secure a visa prior to setting foot in the country. To defend against any potential misunderstanding or complications, it is wise to verify visa obligations and specifics from the Ministry of Foreign Affairs of Ukraine's website before planning a trip.

Certain provisions are in place for tourists that allow visa-on-arrival options at major airports and seaports. In addition, an e-Visa system is operational for citizens from 52 designated countries, rendering the process more streamlined. It is mandatory for all visitors to possess a passport that remains valid for a minimum of 3 months beyond the expected date of exit from Ukraine. Moreover, this passport should have at least two pages that are devoid of any visas, marks, or stamps. These regulations ensure a smooth immigration process, avoiding any potential complications during travel.

Additional Information about Visas:

• The e-Visa application process is simple and straightforward, and it can be completed online in a minute.
• Citizens of some countries may also need to provide additional documentation, such as a proof of onward travel or a letter of invitation, when applying for an e-Visa.
• Visa-on-arrival is available for citizens of some countries at major airports and seaports in Ukraine, but it is important to note that visa-on-arrival is not guaranteed and may be subject to additional requirements.

Additional Information

1. Local Currency: The official currency of Ukraine is the hryvnia (UAH). 1 USD is equivalent to 36.72 UAH.
2. Money & Payments: ATMs are available even in small towns. Currency exchange points are very common in cities. Most shops and restaurants accept credit cards but many places are cash only. Tipping in Ukraine is common, but not obligatory.
3. Local Language: Ukrainian is the official language. Romanian, Polish, Hungarian, Belarusian, and Russian are widely spoken. Ukrainians either speak native Ukrainian or Russian. Most people in tourist areas speak English very well.
4. Local Culture and Religion: Religion in Ukraine is very diverse with most of the population following Orthodox Christianity. Judaism, Buddhism, Paganism, and Hinduism are in the minority.
5. Public Holidays: Ukraine celebrates major Orthodox holy days as well as Victory Day, Constitution Day, and Independence Day. If a festive or non-working day falls on Saturday and Sunday, the holiday will be postponed to the next working day.