Urology in United Kingdom

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 United Kingdom?

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 United Kingdom 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 United Kingdom

About the United Kingdom

The United Kingdom is a constitutional monarchy comprising much of the British Isles. This Union is more than 300 years old and comprises four constituent countries: England, Scotland, Wales, and Northern Ireland. It occupies all of the island of Great Britain, the north-eastern portion of the island of Ireland, and most of the remaining British Isles. The UK is an island nation but shares an open land border with Ireland. The UK has a population of 65 million people, the capital and largest city is London.

The United Kingdom welcomes an ever-increasing number of medical tourists each year, many of which travel for Urology procedures. The government provides all British citizens free or low-cost care under the NHS, also known as the National Health System, leaving a small private sector for routine operations, which caters to people that do not want to wait in line for elective procedures or are not citizens or residents of the Islands. 

Popular Parts of United Kingdom

Made up of Great Britain and Northern Ireland, the United Kingdom is filled with vibrant cities and tranquil countryside.

• England is home to London, United Kingdom’s largest city and capital which also serves as its financial center. Today, the country continues to be one of the most popular tourist destinations in the world. Although most tourists stay in London, the country actually has a plethora of attractions spread all over its cities. Tourists can check out Buckingham Palace, visit the Tower of London, explore Stonehenge, relax on the beach in Brighton, hike Hadrian’s Wall, or go museum hopping.
• Scotland is popular for its welcoming locals, beautiful parks, ancient architecture, spectacular lochs and mountains, and delightful whiskey. Its vast wilderness area is a great place to have some fantastic outdoor adventures. The country is rich in history and culture, which is evident in its hundreds of castles and historical sites. It also has glorious cities, such as Edinburgh, a city filled with parks, museums, cobblestone streets, and pubs.
• Wales might be tiny, but this green country offers countless opportunities for its inhabitants and visitors to escape into nature. The country is mainly mountainous, making it a hiker’s paradise. Its higher peaks lie in the north and central areas, including the famous Snowdon. Not only widely-known for its lush greenery, but the country is also a wonderful beach destination. In the summer, families will fill up the beaches to soak up the sun and kids will be running around in the sand. Wales’s beautiful landscape is complemented by stunning castles which should not be missed by any visitors.
• Northern Ireland is often overlooked by tourists, but once they arrive, they will be surprised by its serene scenery, friendly people, and scrumptious food scene.  Giant’s Causeway, the country’s only UNESCO World Heritage site, has been attracting visitors from all around the world. It is a remarkable hexagonal-stone formation with an interesting magical tales behind it. Another popular attraction is the Titanic Belfast, a museum that provides nine galleries where visitors can discover the Titanic story. Visitors will be able to learn about the ship’s construction and get new insights into its disastrous demise.

Weather and Climate in the United Kingdom

The United Kingdom enjoys a temperate climate and has plenty of rain all year round. Tourists can visit any time of year as it does not experience extreme weather. There is a great variety of changeable weather, but the overall weather and seasons are generally the same throughout this sovereign country. 

• The Spring months are from late March to early June and this season is known to be one of the best times to visit the United Kingdom because the weather is warming up and beautiful spring flowers are blooming and the temperatures range from 9 °C to 12 °C.
• Summer is from June to August and is the hottest season of the year but the temperatures rarely rise above 35 °C. Although rainfall will decrease during this season, prepare to find some rainy days. During this season, some cities like London experiences approximately 15 hours of sunshine.
• September to November is Autumn, and it has a variety of weather. The early months of September and October are still quite warm, but the temperatures will decrease in November. Typically, November is also the wettest month of the year.
• With an average temperature of 4 °C, Winter is the coldest season in the United Kingdom. The season can be wet and windy with frost and occasional snow. Winter also experiences minimal daylight. Despite the gloomy weather, it is an enjoyable time to visit the large cities because the tourist attractions are usually quieter and the cities can be very festive. 

Getting Around in the United Kingdom

There are plenty of airports in the United Kingdom, but the busiest and the largest airport is the London Heathrow Airport. It is the second busiest airport in the world after Dubai Airport. The airport has international connections with almost every country around the globe, including countries in the Middle East, Asia, Africa, and North America. It also serves domestic flights which provide an easy way to travel around the United Kingdom. There are budget airlines that offer a more affordable option for those who want to get around by plane. 

The United Kingdom is very well connected by plane, train, and bus. The train is the most popular mode of transport and one of the most comfortable. Tickets can be booked online and it can be expensive, but most trains are equipped with air conditioning and sometimes Wi-Fi. There are two classes of train, the Standard Class and the First Class. Big cities and towns are usually connected by a regular bus service. The cost can be cheap, but the further you travel away from a city, the more expensive the cost. It is best to invest in an Oyster Card if you wish to travel by bus.

Taxis are available in most cities. There are two types of taxis; the metered taxis (painted in black) and private hire taxis (known as minicabs). The taxis should have a taxi-license displayed on the dashboard. The metered taxis can be hailed directly from the streets, while the minicabs have to be ordered via telephone. The minicabs are usually more affordable than the metered taxis because they operate on fixed prices and sometimes are even open to negotiation.

Tourist Visas in the United Kingdom

Citizens of the European Union can enter the United Kingdom without a visa. Additionally, British Nationals who are not European Union citizens and nationals of 56 countries can enter and stay for up to 180 days (90 days if they enter from the Republic of Ireland). Citizens of Kuwait, Oman, Qatar, and the UAE can obtain an online electronic visa waiver (EVW). Other nationals not listed in the visa-exempt for stays in the UK (including China and Russia) need to apply and obtain a visa before entering the country.

Additional Information

1. Local Currency: Pound sterling is the official currency (£). US$ 1 will get you £0.8.
2. Money & Payments: International ATMs that allow foreigners to withdraw cash directly from their home account can be found easily across the United Kingdom. Credit cards are accepted in restaurants, shops, and hotels (mostly Visa and MasterCard). Tipping varies between countries, but generally optional.
3. Local Language: English is the official language and spoken by approximately 98% of the population. A number of regional languages are also spoken (Welsh, Irish, Scottish Gaelic, and Cornish). There are also people who will speak some foreign languages, mainly French, German, and Spanish.
4. Local Culture and Religion: Christianity is the most popular religion. However, more than 25% of the population follows no religion. Other religions such as Islam, Hinduism, Sikhism, Judaism, and Buddhism are in the minority.
5. Public Holidays: There is a variation of public holidays in the United Kingdom. Typically, the countries celebrate New Year’s Day and Christmas Day.