Urology in Bahamas

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 Bahamas?

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 Bahamas 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 Bahamas

The Bahamas is an archipelago and country on the northwestern edge of the West Indies. Having more than 700 beautiful, palm-fringed islands, this country is known for its stunning beaches, coral reefs, crystal clear waters, a myriad of bird species, and historic towns. With everything that it has to offer, it is easy to see why the Bahamas welcomes millions of visitors each year. Besides honeymooners, divers, and beach-goers, the Bahamas is also popular among medical tourists thanks to its exceptionally high-quality services. The country’s booming medical tourism industry is driven by its highly-skilled medical professionals and state-of-the-art equipment, combined with cost-effective medical care and the opportunity to recuperate in beautiful surroundings. Cosmetic and plastic surgeries, total knee replacements, and cardiac surgeries are some of the most popular procedures in the Bahamas. 

Popular Parts of the Bahamas

Nassau, the capital of the Bahamas, is one of the chief pleasure resorts in the world. Known as the Bahamas’ crown jewel, it boasts a vibrant culture, breathtaking natural landscape, and rich history. Its signature attraction is the beaches, and the most popular is Cable Beach. With striking white sands and blue waters, this peaceful and beautiful beach is the perfect place to relax and sunbathe. Freeport is also a famous destination in the Bahamas. With its diving sites and world-class restaurants, there are many things to see and do in this city. The main draw of Freeport is its beaches. Some of the most popular are Taino and Fortune Beach.

Weather and Climate in the Bahamas

The Bahamas experiences a tropical climate and the average temperatures will stay the same all year round, between 24°C - 29°C. There are generally two seasons in the country: dry and wet. The dry season, from November to June, is mostly sunny and pleasant. However, it tends to be very crowded during this season, especially from mid-December to mid-April. The wet season spans from July to November. This season sees an increase in rainfall, but there are still many sunny days. The Bahamas also has a hurricane season, which lasts from June to November. 

Getting around in the Bahamas

The largest international gateway to the Bahamas is Lynden Pindling International Airport, which is located near the capital city of Nassau, in western New Providence Island. It serves flights to numerous major cities in the Americas and Europe, including New York, Atlanta, and London. The easiest and quickest way to get around is by plane, especially to travel from one island to another. In Nassau and Freeport, the main transport option is the jitneys (private minibusses). In Out Islands, no public transport is available. The best way to get around inside the islands is by taxis or rental cars. However, taxis are often quicker and easier than driving on your own. Ferries and water taxis are all available.

Tourist Visas in the Bahamas

Citizens of 120 countries, including all EU countries, Australia, Canada, China, the US, and the UK, can visit and stay in the Bahamas for up to 3 months without a visa unless stated otherwise. Nationals not listed in the visa-exempt agreement need to obtain a visa to be able to visit the Bahamas. 

Additional Information

1. Local Currency: The Bahamian dollar (BSD) is the official currency, which is equivalent in value to the US dollar. Bahamian dollar and US dollars are accepted interchangeably in the country.
2. Money & Payments: ATMs are widely available on the major islands and can usually be found in airport terminals and at banks. Credit cards are widely accepted. Tipping is expected, usually around 15% for taxi drivers and waiters, and $1-$3 for bag porters and hotel maids. 
3. Local Language: English is the official language in the Bahamas.
4. Local Culture and Religion: Bahamians are deeply religious and the biggest religion is Christianity. However, the constitution guarantees freedom of expression, and other religions are freely practiced. 
5. Public holidays: Some of the most important holidays in the Bahamas are Whit Monday, National Heroes Day,  Randol Fawkes Labour Day, Emancipation Day,  Independence Day, Christmas Day, Boxing Day, New Year’s Day, and Majority Rule Day.