San Donato Hospital
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Dr. Alessandro Calarco is a skilled urologist with expertise in minimally invasive and endourological procedures. He performs percutaneous lithotripsy, ureterorenoscopy, tumor ablation, and advanced reconstructive surgeries. Dr. Calarco has received international recognition for his clinical work and research. He completed advanced training in Sweden and the UK.
Dr. Calarco graduated with top honors from Università Cattolica del Sacro Cuore in Rome. He completed his Urology specialization and earned a PhD in Oncological Urology at the same university. His research focuses on prostate cancer biomarkers and exosomes. He has also helped develop clinical protocols for hormone-refractory prostate cancer.
He serves as National Head of Urology for SPIGC and is a member of the European Board of Urology. Dr. Calarco holds an international patent for a device that improves percutaneous nephrolithotripsy. He has published extensively and received several awards for surgical innovation and education.
You cannot buy antibiotics for cystitis over the counter in Italy. Pharmacies require a valid prescription for all antibiotic treatments. To obtain one, you must see a doctor. English-speaking clinics and telehealth services often provide same-day electronic prescriptions for international patients.
Bookimed Expert Insight: Italian urological care is highly concentrated in specialized research hospitals. For example, San Raffaele in Milan performs over 52,000 operations annually. This high volume means that while simple prescriptions are available via telehealth, complex or recurring cystitis cases are best handled in Milan or Rome. These cities host centers with IRCCS accreditation, which ensures clinical care meets modern research standards.
Patient Consensus: Patients note that supplements alone rarely clear an active infection. They often appreciate the speed of private appointments when chronic pain requires a fast prescription.
Fosfomycin trometamol is the primary antibiotic prescribed for cystitis in Italy. Doctors frequently favor this single-dose oral medication for its high convenience and effectiveness. Fluoroquinolones like ciprofloxacin and levofloxacin are also commonly used, though guidelines suggest reserving them for more severe or complicated urinary cases.
Bookimed Expert Insight: Italian urologists at major research centers like San Raffaele in Milan manage high patient volumes, performing over 52,000 operations annually. These specialists increasingly focus on targeted antibiotic therapies based on local resistance patterns. Patients seeking treatment at such accredited institutions often receive comprehensive diagnostic screenings, including blood counts and urological consultations, before prescriptions are finalized.
Patient Consensus: Patients note it is important to visit a local pharmacy, identified by a green cross, but emphasize a valid prescription from an Italian doctor is mandatory. Many appreciate the simplicity of the single-dose treatments commonly available.
To get a cystitis prescription in Italy, use telemedicine for the fastest results. Online doctors provide English-speaking consultations and digital private e-prescriptions. Alternatively, visit local pharmacies marked with a green cross. They can guide you to a local medical guard or private doctor.
Bookimed Expert Insight: While small clinics are fast, larger research hospitals like San Raffaele handle complex cases. These centers perform over 52,000 operations annually across multiple departments. Choosing an IRCCS-accredited hospital ensures access to doctors who combine research with patient care. This is vital if cystitis symptoms persist or become recurrent during your stay.
Patient Consensus: Patients note that pharmacies are everywhere but non-EU prescriptions are rarely accepted. They emphasize checking the nearest 24/7 on-duty pharmacy for middle-of-the-night relief.
Italian law requires a valid medical prescription to obtain antibiotics. While doctors may prescribe medication based on symptoms, many practitioners require a urine culture test first. This ensures proper treatment for the specific bacteria and helps prevent antibiotic resistance within clinical protocols.
Bookimed Expert Insight: Large research centers like San Raffaele or Ospedale San Carlo di Nancy in Rome handle high patient volumes. These institutions often have integrated labs that may speed up diagnostic turnaround compared to standard public services. For a chronic or complex case, seeing a specialist like Dr. Alessandro Calarco, who holds a PhD in urological oncology, ensures your treatment plan is based on the latest international standards rather than just a quick script.
Patient Consensus: Patients note that being sent home with a test kit instead of immediate medication is common. Many suggest using private labs to bypass long wait times for results and get treatment faster.
Visit an emergency room for cystitis if you experience a high fever exceeding 38.3°C, shaking chills, or severe flank pain. These symptoms signal a potential kidney infection. Seek immediate care for persistent vomiting, visible blood in urine, or an inability to urinate.
Bookimed Expert Insight: Italian Pronto Soccorso facilities like San Carlo di Nancy in Rome prioritize cases by urgency. While San Raffaele in Milan performs 8,400+ operations yearly, emergency wait times for non-urgent cystitis can be long. For faster diagnostics during weekends, Italian emergency departments often provide urine cultures more efficiently than waiting for a local general practitioner on Monday.
Patient Consensus: Patients note it is vital to track symptoms hourly. Many suggest visiting a pharmacy for a dipstick test first, only rushing to the ER if pain moves to the back or fever spikes above 38.5°C.
Italian pharmacists provide essential guidance to tourists seeking medical care for cystitis. While they cannot prescribe antibiotics directly, they recommend local clinics or the guardia medica after-hours service. They also offer over-the-counter uro-disinfectants and herbal supplements to manage initial discomfort.
Bookimed Expert Insight: Italian pharmacies often serve as navigation hubs for complex medical systems. For instance, San Raffaele and San Donato in Milan handle 300,000 patients annually. Large pharmacies near these centers maintain direct contact with specialists like Dr. Alessandro Calarco. Seeking a pharmacist first ensures you find a certified European Board of Urology member rather than just any general practitioner.
Patient Consensus: Travelers find that pharmacists are incredibly helpful and often willing to make phone calls to find an available doctor. Most emphasize having a translation app ready to ask specifically for a medico per turisti to speed up the process.