Urology in Vietnam

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 Vietnam?

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 Vietnam 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 Vietnam

About Vietnam

Situated at the extreme east of the Indochina Peninsula, Vietnam is a country that exhibits profound cultural richness and captivating landscapes. It holds the distinction of being the world's 15th most populous country, housing over 94 million residents scattered across its diverse geographical expanse. Despite grappling with issues like poverty and corruption, Vietnam's impressive economic performance cannot be overlooked. Notably, the country boasts a commendable GDP growth rate and is celebrated as one of the fastest-growing economies globally.

This country is well-known around the globe for its breathtaking natural beauty. It's also recognized for its energetic, larger-than-life cities that are always buzzing with activity. Furthermore, its culture is intricate and assorted, attracting millions who appreciate rich customs and traditions. In 2018, this place was a magnet for tourists, drawing in over 15 million visitors who were eager to immerse themselves in its unique way of life.

Broadly celebrated for its splendid scenic landscapes, there's an undeniable charm this country possesses. The vivacious megacities are a thrilling fusion of noise, colors, and life that leaves an impression on all who stroll through them. The cultural mosaic of this land is complex, and varied, presenting evidence of a fascinating history shared through countless generations. The year 2018 saw floods of tourists - well in excess of 15 million - come to explore, each leaving with their own tale of discovery within its borders.

The rapid development of Vietnam has made it into the next medical tourism hub in Southeast Asia. Now, medical tourists consider the country as their potential medical destination. Many new medical centers have sprung up and welcomed thousands of patients to relax and enjoy their treatment. The country offers a wide range of cost-effective medical treatment, well-trained doctors, and professional equipment. The country focuses on promoting medical tourism to neighboring markets such as Laos and Cambodia. 

Popular Parts of Vietnam

• Ho Chi Minh, formerly Saigon, is the most populous city in Vietnam. It is the financial center and home to the largest stock exchange in the country. Tourists coming to the city can enjoy its many tourist spots such as shopping in the Ben Thanh Market, viewing the city from Saigon Skydeck, discovering the city’s history from The War Remnants Museum, or learning the culture of Jade Emperor Pagoda. Other than the attractions, the city is also famous for its traditional food, including pho and pork rolls.
• Hanoi is the capital of Vietnam and the country’s major metropolitan and political center. Tourists will find many well-preserved colonial buildings, museums, and pagodas. As one of the most ancient capitals in the world, most tourists will be delighted to explore the city’s historic Old Quarter, spend a beautiful day in Hoan Kiem Lake, or visit the Temple of Literature.
• Hoi An invites tourists to experience a slow-paced, relaxing lifestyle. The city’s Old Town has successfully preserved Japanese merchant houses and Chinese temples. To get a glimpse of the city, many tourists will opt for a bicycle tour. The city also offers a unique farming and fishing experience for its visitors. Off the coast of the city, tourists will be overjoyed to find a diving paradise with hundreds of different coral and fish.
• Nha Trang is a coastal city on the South Central Coast of the country. Tourists usually come to this city for its stunning white sandy beaches and scuba diving. In addition to the beautiful beaches, Nha Trang Bay is considered to be one of the world’s most beautiful bays. The city is also home to the remnants of the Champa Kingdom, gothic-style Catholic churches, and many Buddhist temples.
• Da Nang is located on the coast of the South China Sea, making it the most important port city of Vietnam. The city continues to evolve each year, with modern hotels and restaurants being developed all around it. It is the tourist capital of South Central Vietnam. Tourists visit the city to enjoy its tranquil beaches with crystal clear waters, beautiful ancient pagodas, interesting French colonial buildings, and green national parks.

Weather and Climate in Vietnam

Vietnam, situated uniquely on the map, experiences differing climates in its varied regions. If you travel south, you'll find a tropical monsoon climate. This climate type typically comes with two main seasons - the wet season and the dry season.

Straying north, however, you'll encounter a different story altogether. Here, the climate is categorized as monsoonal but it's accompanied by four clear-cut seasons - spring, summer, autumn, and winter. So, regardless of the time of year, there's a high chance you'll experience a unique slice of Vietnamese weather, depending entirely on which part of the country you've set foot in.

• The south experiences wet and dry season and the wet season lasts from September to December. There is more rainfall between September and November. The dry season starts in January and ends in August and the average annual temperature is around 26 °C. Some cities such as Da Nang are prone to typhoons during the wet season.
• In the north, spring starts in February characterized by some rain and cold temperature. The end of April is the start of summer, with intense sunshine and sometimes even a heatwave. The average temperature during Summer is 27.5 °C but it can feel a lot hotter. Autumn starts in September and ends in November. Autumn has the best weather, with a lot of sunshine and calm wind. From December to January is Winter and it is generally cold with an average temperature of 17 °C which can drop as low as 7 °C.

Getting Around in Vietnam

There are numerous airports in Vietnam that connect the major cities. However, there are three major international airports where international visitors usually arrive at, Ho Chi Minh, Hanoi, and Da Nang. Most international flights will arrive at Tan Son Nhat International Airport which serves domestic and international flights to and from major cities in Asia, Europe, and Australia. In terms of capacity, the biggest airport in the country is the Noi Bai International Airport in Hanoi.

The airport is a hub for both local and global travel. It houses two terminals within its boundaries. Terminal 1 is tasked with the management of domestic flights, servicing those traveling within the country's borders. On the other hand, Terminal 2 oversees international flight operations, connecting this airport to numerous cities across Asia and Europe. Affordable airlines, including the likes of Jetstar Pacific and VietJet Air, schedule flights departing from and arriving at both Tan Son Nhat and Noi Bai airports - a testament to the airport's reach and convenience to travelers with varying budget needs.

Tourists do have a few travel options to get around Vietnam. The country is served by trains running from Ho Chi Minh City to Hanoi and it stops in many of the popular areas such as Da Nang and Nha Trang. Buses are a great option for tourists to get around the country and the buses are privately operated buses called “open tour” buses. There is also a national bus system, but they are generally not as comfortable as the private buses.

Taxis are available in most cities and can be hailed directly from the streets or via a phone call. The fare usually starts at VND 10,000 to VND 12,000. If you need to be quick, try the motorcycle taxis known as Xe Om. You will need to negotiate the price but they can be found in most parts of the cities. Cyclo (similar to trishaw) is also available for short-distance travel within a city. For easier travel, opt for Grab Motorbike, an online hailing app similar to Uber.

Tourist Visas in Vietnam

• Citizens of 24 countries, including Singapore, Thailand, Russia, and Japan, can enter and stay in Vietnam for up to 90 days without a visa.
• Citizens of 81 countries, including the United States, the European Union, and Canada, can apply for an e-visa. An e-visa is a single-entry visa that allows the holder to stay in Vietnam for up to 30 days.
• Citizens of all other countries need to apply for a visa at a Vietnamese embassy or consulate.

How to apply for an e-visa:

• To apply for an e-visa, you will need to create an account on the Vietnam e-Visa website and complete an online application form. You will also need to upload a digital photo of yourself and a scan of your passport.
• The e-visa fee is USD 25.
• Once your application is approved, you will receive an e-visa by email. The e-visa must be printed out and presented to immigration officials upon arrival in Vietnam.

Additional information:

• All visitors to Vietnam must have a passport valid for at least six months beyond their intended date of departure from Vietnam.
• Visitors who obtain an e-visa must have a valid passport and a digital photo.
• Visitors who apply for a visa at a Vietnamese embassy or consulate may also need to provide additional documentation, such as a proof of onward travel or a letter of invitation.

Additional Information

1. Local Currency: The official currency is the Vietnamese Dong and 1 USD converts to VND 24,455.
2. Money & Payments: ATMs are widely available throughout the country. Credit and debit cards are accepted in many hotels but most restaurants and shops still only accept cash. Tipping is generally not expected but will be appreciated.
3. Local Language: Vietnamese is the local language. English is not widely spoken, but if you are staying in popular tourist areas, there will be people who can speak some English.
4. Local Culture and Religion: Most of the population follows the Vietnamese folk religion. Buddhism, Christianity, Hoahaoism, Islam, and Hinduism are also freely practiced.
5. Public Holidays: The country celebrates major religious and national holidays such as New Year’s Day, Saigon Liberation Day, and Vietnam Traditional Lunar New Year.