Urology

Steps Involved in IVF:

Procedure Description

Urological procedures vary widely, encompassing treatments for conditions affecting the kidneys, bladder, ureters, urethra, and male reproductive organs. Here are some common urological procedures:

Kidney Stone Removal

One of the most common urological conditions is kidney stones. Urologists utilize various procedures to treat this painful condition, including extracorporeal shock wave lithotripsy (ESWL), ureteroscopy, and percutaneous nephrolithotomy (PCNL). ESWL uses sound waves to break kidney stones into small fragments, allowing them to pass through the urinary tract. Ureteroscopy involves a thin, flexible tube inserted into the urethra and bladder to reach the stones, while PCNL is a minimally invasive surgery that removes large stones directly from the kidney.

Prostate Treatments

In men, benign prostatic hyperplasia (BPH) and prostate cancer are prevalent urological issues. Treatments for BPH include transurethral resection of the prostate (TURP), a procedure where excess prostate tissue is removed to relieve symptoms like difficulty urinating. Prostate cancer treatment can involve robotic-assisted prostatectomy, where robotic technology aids surgeons in precisely removing the prostate gland. Other treatments may include radiation therapy, hormone therapy, or active surveillance for less aggressive cases.

Bladder and Urinary Tract Surgeries

Bladder cancer or other bladder issues often require surgical intervention. Cystectomy, the removal of the bladder, may be necessary in severe cases of bladder cancer. Bladder sling surgery is another common procedure, primarily for women with urinary incontinence. This involves creating a support system around the urethra to prevent accidental leakage.

Male Infertility and Reproductive Health

For men facing infertility, urologists offer treatments like varicocelectomy—a procedure to remove enlarged veins in the scrotum—and vasectomy reversals for those seeking to restore fertility after a vasectomy. In addition, microsurgical procedures such as testicular sperm extraction (TESE) are employed to retrieve sperm in cases of low or absent sperm count.

Each of these procedures is performed by specialized urologists who tailor treatments based on individual patient needs and the severity of the condition.

Procedure Duration

The duration of urological procedures depends on the complexity of the condition and the type of intervention chosen. Here is a breakdown of typical timelines:

Preoperative Assessment

Before undergoing any urological procedure, a thorough preoperative evaluation is essential. This phase can include diagnostic tests like ultrasounds, CT scans, blood tests, and a review of the patient’s medical history. These assessments typically occur over a few days to weeks leading up to the procedure, depending on the patient's condition and urgency.

Surgical Procedures

  • Kidney Stone Removal: ESWL typically lasts 30-60 minutes and is done as an outpatient procedure, allowing the patient to go home the same day. Ureteroscopy takes around 1-2 hours, depending on the stone's location, while PCNL can take 2-3 hours, requiring a hospital stay of 1-2 days.
  • Prostate Treatments: A TURP procedure can take 60-90 minutes, with a recovery period of 2-3 days in the hospital. Robotic-assisted prostatectomy usually takes 2-4 hours, and the patient may stay in the hospital for 1-2 days, with a full recovery taking 4-6 weeks.
  • Bladder Surgeries: Cystectomy procedures can range from 4-6 hours, requiring a hospital stay of 7-10 days for recovery. Bladder sling surgery is usually completed within 1-2 hours, with the patient often discharged the same day or after an overnight stay.
  • Male Infertility Treatments: Procedures like vasectomy reversal typically last 2-4 hours, with patients returning to normal activities within 1-2 weeks. More complex infertility surgeries, like TESE, may take longer, and recovery time can vary depending on the patient’s condition.

Postoperative Recovery

Recovery periods for urological procedures vary. For minimally invasive surgeries like ESWL or vasectomy reversal, patients may resume regular activities within a few days to a week. However, more invasive surgeries, such as prostatectomy or cystectomy, may require several weeks of recovery, with regular follow-ups to monitor healing and ensure no complications arise.

Benefits

  • Minimally Invasive Options: Many urological procedures, like robotic-assisted surgeries, are minimally invasive, resulting in shorter recovery times and fewer complications.
  • Precision in Treatment: Advanced technologies, such as robotic surgery and laser treatments, provide greater precision in treating urological conditions, reducing damage to surrounding tissues.
  • Improved Quality of Life: Successful treatment of urological conditions can significantly improve the patient's quality of life, particularly in cases of incontinence or sexual dysfunction.
  • Outpatient Procedures: Some urological procedures can be performed on an outpatient basis, allowing patients to return home the same day.
  • Customizable Treatment Plans: Urologists offer personalized treatment options based on the patient’s unique medical history and needs.

Potential Destinations

  • Germany: Known for its advanced medical technology and state-of-the-art urological centers, Germany offers a range of treatments for kidney stones, prostate disorders, and bladder conditions. The country is recognized for its minimally invasive surgical techniques and high success rates.
  • Turkey: Turkey has emerged as a leading destination for urological treatments due to its cost-effective healthcare system and highly trained specialists. Patients seek treatments for prostate cancer, kidney stone removal, and male infertility at internationally accredited hospitals.
  • India: India is renowned for its skilled urologists and affordable healthcare. Major cities like Delhi and Mumbai offer treatments for all types of urological conditions, including robotic-assisted surgeries and advanced procedures for bladder and kidney cancers.
  • Thailand: With its reputation for medical tourism, Thailand provides high-quality urological care in hospitals equipped with the latest medical technology. Common urological procedures include kidney stone removal, prostate treatments, and bladder surgeries.
  • Spain: Spain is a popular destination for urological treatments, particularly for European patients seeking world-class care at competitive prices. Spain offers excellent healthcare services for treating male infertility, kidney stones, and prostate conditions.

Risks & Considerations

  • Infection: As with any surgery, there is a risk of infection. Proper postoperative care and hygiene can reduce this risk significantly.
  • Bleeding: Urological surgeries, particularly those involving the prostate or bladder, can lead to bleeding during or after the procedure.
  • Scarring: Some procedures, particularly open surgeries, may result in scarring, although minimally invasive techniques reduce this possibility.
  • Anesthesia Complications: Patients undergoing surgery will receive anesthesia, which carries its own risks, including allergic reactions or breathing difficulties.
  • Urinary Incontinence or Erectile Dysfunction: Some procedures, particularly prostate surgeries, can result in side effects like urinary incontinence or erectile dysfunction, though these risks are often mitigated with advanced surgical techniques.

How to Choose the Right Doctor and Hospital

When selecting a doctor and hospital for urological treatment, it’s important to ensure that the facility is accredited and has a strong track record in performing urological procedures. Consider the following tips:

  • Experience and Expertise: Look for urologists who specialize in the specific procedure you require and have extensive experience in performing it. Check for credentials, including board certifications and years of practice.
  • Technology and Facilities: Choose hospitals that are equipped with the latest medical technologies, such as robotic surgery platforms and state-of-the-art diagnostic tools. This ensures better precision and improved outcomes.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

Orthopedics Stem Cell

Knee

Research on mesenchymal stem cells regenerative properties in knee osteoarthritis. In these studies, researchers suggest that Stem Cell Therapy has the potential to regenerate lost cartilage, stop and reverse cartilage degeneration, provide pain relief, and improve patient mobility.

Shoulder

Stem Cell Therapy as an Alternative to Rotator Cuff & Shoulder Replacement Surgery. Stem cell therapy may offer an excellent alternative for patients looking to avoid shoulder joint replacement surgery, as well as many other surgical treatments for shoulder pain.

Ankle

If you suffer from chronic or acute ankle pain or instability due to arthritis, cartilage loss, ligament strain or tear, or tendon damage, then you may benefit from non-surgical stem cell treatments or stem cell-enhanced surgery.

Back Pain

Patients now have a minimally invasive option. Stem cell therapy for back pain and disc herniations can potentially repair the damaged disc or facet joint, restore function, rehydrate the disc, and ultimately alleviate chronic pain.

Anti-Aging Stem Cell

Hair Loss

Stem cell therapy and PRP therapy have been shown to be most effective for: Those in the early stages of hair loss, patients who are not viable candidates for surgery and women who prefer to avoid hair surgery.

Facial Anti-Aging

Aesthetic Anti-Aging. The Aesthetic Stem Cell Localized Treatment is a non-surgical minimally invasive procedure to enhance the appearance of aging skin and hair restoration. This all-natural technique combines dermal injections of bone marrow or adipose tissue derived stem cells and growth factors.

Fertility Stem Cell

Endometrial PRP

The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.

Low Ovarian Reserve (PRP)

The treatment uses PRP (Platelet-Rich-Plasma), which with stem cell therapy is the novel therapeutic approach for restoring the quality of the ovarian reserve.Your PRP will contain a physiologic balance of platelets, growth factors and white blood cells tailored specifically for you.

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