By Dr. Anup Ramani

Effective communication with your doctor is critical when preparing for a complex surgical procedure like robotic adrenalectomy, a minimal invasive surgery performed to address adrenal gland disorders. Whether you’re seeking adrenal gland treatment in Mumbai or elsewhere, asking the right questions and sharing vital details about your health can significantly influence the success of your treatment.

This article provides a detailed guide on how to approach conversations with your doctor about robotic adrenalectomy, ensuring you’re well-informed and prepared for the journey ahead.

Understanding Robotic Adrenalectomy

Robotic adrenalectomy is a cutting-edge procedure used to remove one or both adrenal glands when they are affected by tumors, overactive glands, or other conditions. This surgery employs robotic systems that allow for enhanced precision, minimal invasiveness, and quicker recovery compared to traditional methods. Mumbai, a hub for advanced healthcare, is home to some of the best adrenal gland surgeons, offering world-class care for both domestic and international patients.

Preparing for Your Appointment

Before meeting your doctor, it’s essential to prepare to ensure the conversation is productive:

  • Gather Medical Records:
    Collect all relevant medical history, including diagnostic tests, imaging results, and previous treatments for adrenal gland issues.
  • Make a List of Symptoms:
    Document your symptoms, their severity, and how they affect your daily life.
  • Prepare Questions:
    Write down a list of questions about the procedure, recovery, and any concerns you may have.
  • Research the Procedure:
    Familiarize yourself with robotic adrenalectomy and its benefits, so you’re ready to discuss it in depth.
What is Robotic Adrenalectomy

Key Questions to Ask Your Doctor

When discussing adrenal gland surgery, asking the right questions helps you understand the procedure and manage expectations. Here are critical areas to address:

1. Understanding the Need for Adrenal Gland Surgery

  • What is the specific issue with my adrenal gland?
  • Why is robotic adrenalectomy the best option for my condition?
  • Are there alternative treatments or surgeries available?

2. Details About the Robotic Adrenalectomy Procedure

  • How is robotic adrenalectomy performed?
  • What are the benefits of robotic surgery over traditional methods?
  • Who will be performing the procedure, and what is their experience level?

3. Risks and Complications

  • What are the potential risks or complications associated with robotic adrenalectomy?
  • How can these risks be minimized?
  • What should I watch for during recovery to avoid complications?

4. Preparation for Adrenal Gland Surgery

  • What dietary or lifestyle changes should I make before surgery?
  • Are there any medications I need to stop taking before the procedure?
  • Will I need additional diagnostic tests before the surgery?

5. Recovery and Aftercare

  • How long does recovery take after robotic adrenalectomy?
  • What restrictions will I have during recovery?
  • Will I need hormone replacement therapy after the surgery?

6. Robotic Adrenalectomy Surgery Costs and Insurance

  • What is the cost of adrenal gland surgery, and is robotic adrenalectomy covered by insurance?
  • Are there any additional costs, such as medications or follow-up visits?
  • Does the hospital offer financial assistance or payment plans?

Discussing Your Medical History

Sharing your complete medical history with your doctor is vital for successful treatment. Be sure to discuss the following:

  • Chronic Conditions:
    Mention any chronic conditions like hypertension, diabetes, or cardiovascular issues that may affect surgery or recovery.
  • Medications and Supplements:
    Provide a detailed list of medications, including over-the-counter drugs and supplements.
  • Family History:
    Highlight any family history of adrenal gland disorders or related conditions.
  • Previous Surgeries:
    Inform your doctor about past surgeries, especially those involving the abdomen or endocrine system.

Role of Mumbai in Robotic Adrenalectomy

Mumbai is a preferred destination for adrenal gland treatment in India, offering numerous advantages for patients:

  • Expert Surgeons:
    The city boasts some of the most experienced robotic adrenalectomy surgeons, known for their precision and success rates.
  • State-of-the-Art Facilities:
    Hospitals in Mumbai are equipped with advanced robotic surgical systems, ensuring world-class care.
  • Comprehensive Support:
    International patients benefit from multilingual staff, visa assistance, and personalized care plans.
  • Cost-Effective Care:
    The cost of adrenal gland surgery in Mumbai is significantly lower than in Western countries, making it a practical choice for medical tourists.

How to Assess Your Doctor’s Expertise

When choosing a robotic adrenalectomy surgeon, it’s essential to evaluate their qualifications and experience:

  • Training and Certification:
    Ensure the surgeon is certified in robotic surgery and has extensive training in adrenal gland procedures.
  • Experience Level:
    Ask how many robotic adrenalectomies the surgeon has performed and their success rates.
  • Patient Testimonials:
    Look for reviews or testimonials from previous patients to gauge the surgeon’s expertise and bedside manner.

What to Expect During the Robotic Adrenalectomy Procedure

When choosing a robotic adrenalectomy surgeon, it’s essential to evaluate their qualifications and experience:

  1. Pre-Surgical Preparation:
    • You’ll undergo pre-operative tests, including blood work and imaging, to confirm the need for surgery.
    • Follow your doctor’s instructions regarding fasting and medications.

2. The Surgery:

    • The surgeon uses a robotic system to make small incisions and remove the affected adrenal gland(s) with precision.
    • The procedure typically takes 2–4 hours.

3. Post-Surgical Recovery:

    • Most patients are discharged within 1–2 days, with full recovery taking a few weeks.
    • You may experience minor pain or discomfort, which is manageable with prescribed medications.

Post-Surgery Communication

Effective communication doesn’t end with the procedure. During your follow-up visits, discuss the following with your doctor:

  • Recovery Progress:
    Share any concerns about pain, swelling, or other symptoms.
  • Test Results:
    Ask about post-surgical test results and their implications for your health.
  • Long-Term Management:
    Discuss any lifestyle or dietary changes needed to maintain optimal health after adrenal gland surgery.

Tips for International Patients Seeking Treatment in Mumbai

For international patients traveling to Mumbai for adrenal gland treatment, here’s how to ensure a smooth experience:

  • Plan Ahead:
    Coordinate with the hospital’s medical tourism department to arrange appointments, accommodations, and airport transfers.
  • Pack Essentials:
    Bring medical records, medications, and comfortable clothing for your recovery period.
  • Learn About Mumbai’s Healthcare:
    Familiarize yourself with the city’s top hospitals and specialists in robotic adrenalectomy.

Benefits of Robotic Adrenalectomy

Patients undergoing robotic adrenalectomy in Mumbai or elsewhere can expect several benefits:

  • Minimal Invasive:
    Smaller incisions result in less pain, reduced scarring, and quicker recovery.
  • Enhanced Precision:
    Robotic systems allow for greater accuracy, minimizing damage to surrounding tissues.
  • Shorter Hospital Stay:
    Patients typically return home sooner compared to traditional open surgery.

Conclusion

Open and honest communication with your doctor is the cornerstone of a successful robotic adrenalectomy journey. Whether you’re considering adrenal gland treatment in Mumbai or another medical hub, asking the right questions and sharing essential details about your health ensures personalized and effective care. With world-class surgeons, state-of-the-art facilities, and patient-focused support, Mumbai remains a top destination for this advanced procedure.

FAQs About Robotic Adrenalectomy

Robotic adrenalectomy offers enhanced precision, smaller incisions, faster recovery, and reduced complications.

Choose a surgeon with certification in robotic surgery, extensive experience, and a proven track record in adrenal gland procedures.

Recovery typically involves mild discomfort, manageable with medications, and most patients resume normal activities within a few weeks.

Mumbai offers experienced surgeons, advanced technology, affordable care, and comprehensive support for international patients.

Gather medical records, list your symptoms, prepare questions, and learn about the procedure to ensure a productive discussion with your doctor.

PARTIAL PENECTOMY
  • Partial penectomy is done in cases where glans and distal penis is involved with carcinoma. 
  • Partial penectomy is a type of organ-preserving surgery. Preservation of sexual and micturational function depends on the surgical dissection and reconstruction of residual urethra.
Kidney Stone Removal
  • Patients who develop stones in the kidney or ureter, often experience severe pain.
  • This condition usually needs a procedure to remove the kidney stones.
  • This procedure is called ureteroscopy and is performed very commonly.
  • It does not require any cuts and hence it is painless.
  • The procedure is performed with an endoscope inserted through the penis under spinal anesthesia.
  • The scope is inserted through the penis into the kidney and stones are dissolved with a laser.
  • The procedure takes about 40-50 minutes. 
  • A catheter (urine pipe) is kept after the procedure to drain the bladder. A stent is kept in the kidney at the same time.
  • Patient is mobile and walking in the room the same evening.
  • Hospital stay is one night and patient is discharged the next day after removal of the catheter.
  • Patient has to come back after six weeks to remove the stent in the kidney.
  • Patients can resume office a week after surgery and heavy activities like running, weight lifting, a month after the procedure.
  • We offer fixed packages for this procedure which can be obtained by calling our helpline +91 9967666060.
  • Men with an enlarged prostate, which is a normal ageing changes, often experiencing difficulty passing urine. This condition usually needs a procedure to trim the prostate and relieve the blockage.
  • This procedure is called TURP and is performed very commonly.
  • It does not require any cuts and hence it is painless.
  • The procedure is performed with an endoscope inserted through the penis under spinal anaesthesia.
  • The overgrown prostate is dissolved with a laser bloodlessly.
  • The procedure takes about 40 minutes.
  • A catheter (urine pipe) is kept after the procedure to drain the bladder.
  • Patient is mobile and walking in the room the same evening.
  • Hospital stay is two nights and patient is discharged with the catheter, which is removed after 4 days.
  • Patients can resume office a week after surgery and heavy activities like running, weight lifting, a month after the procedure.
  • We offer fixed packages for this procedure which can be obtained by calling our helpline +91 9967666060.
ROBOTIC ADRENALECTOMY FOR ADRENAL GLAND TUMOUR
  • Robotic adrenalectomy is a sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications.

  • Once the anesthesia is done, and patient positioned, three micro cuts (3mm each) are made in the patient’s abdomen.

  • The arms of the Da Vinci robot are connected to the cuts via ports (tubes).

  • Dr. Ramani then sits in the controlling console to perform the surgery.

  • On an average, a robotic adrenalectomy takes one hour.

  • The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.

  • A urine catheter and bag to drain the bladder is inserted during surgery.

  • A tiny drain pipe may be inserted in the surgical side of the abdomen, connected to a bag.

  • Patient is kept nil-by-mouth the day of the surgery, with IV fluids. Sips of water are started the next day and solid food by day three.

  • The drain pipe, if kept, is removed in the room on day 2 after surgery.

  • The catheter is removed on day two after surgery.

  • Total hospital stay for robotic adrenalectomy is 4 nights (including night before surgery).

  • Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.

RETURN TO ACTIVITY
  • On the day of discharge, patient is totally self-sufficient. They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home. Almost all patients are back to work within 2 weeks of surgery.

  • Heavy activities like running, weight lifting can be resumed after a month

FOLLOW UP AFTER SURGERY
  • Follow up after an adrenalectomy is in the form of CT scans, once a year for 5 years.
    Local patients usually meet Dr. Ramani after two weeks to discuss report.

  • Outstation patients are counselled on a phone consultation.

ROBOTIC SURGERY FOR BLADDER CANCER
  • Dr. Ramani is one of the very few surgeons in India who has the expertise to perform a robotic surgery for bladder cancer, which includes removing the urinary bladder and reconstructing a new bladder robotically.
  • Robotic radical cystectomy is an extremely sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications.
  • Once the anaesthesia is done, and patient positioned, six micro cuts (3mm each) are made in the patient’s abdomen.
  • The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
  • Dr. Ramani then sits in the controlling console to perform the surgery.
  • On an average, a robotic radical cystectomy with an ileal conduit takes 3-4 hours.
  • The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
  • A urine catheter and bag to drain the new bladder is inserted during surgery.
  • Two tiny drain pipe in inserted in the surgical side of the abdomen, connected to a bag.
  • Patient is kept nil-by-mouth for 4 days after surgery with IV supplementation of patient’s daily requirements of calories, fats, carbohydrates, proteins and electrolytes.
  • The drain pipes are removed in the room on day 3-5 after surgery.
  • Total hospital stay for radical cystectomy is 8 nights (including night before surgery).
  • Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
RETURN TO ACTIVITY
  • On the day of discharge, patient is totally self-sufficient. They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home.
  • Almost all patients are back to work within 6 weeks of surgery. Heavy activities like running, weight lifting can be resumed after two months.
FOLLOW UP AFTER SURGERY
  • Follow up after a radical a cystectomy is in the form of CT scans, once a year for 5 years.

  • Histopathology report: Local patients usually meet Dr. Ramani after two weeks to discuss report.

  • Outstation patients are counselled on a phone consult. Depending on the report, patient may or may not need chemotherapy after surgery.

  • If chemo is needed, patients may choose to get it done with a medical oncologist of their choice or avail the services of one of the four medical oncologists on our team.

ROBOTIC RADICAL/PARTIAL NEPHRECTOMY FOR KIDNEY CANCER
  • Robotic partial nephrectomy is a sophisticated, complex surgery and it is very important that an experienced surgeon performs this surgery to avoid major complications. Robotic radical (total) nephrectomy is
  • relatively easier but still requires significant experience to consistently deliver results.
  • Once the anaesthesia is done, and patient positioned, five micro cuts (3mm each) are made in the patient’s abdomen.
  • The arms of the Da Vinci robot are connected to the cuts via ports (tubes).
  • Dr. Ramani then sits in the controlling console to perform the surgery.
  • On an average, a robotic radical nephrectomy takes one hour and a robotic partial nephrectomy takes about an hour and half.
  • The surgery is almost completely bloodless and there has never been any need to transfuse blood after surgery.
  • A urine catheter and bag to drain the bladder is inserted during surgery.
  • A tiny drain pipe in inserted in the surgical side of the abdomen, connected to a bag.
  • Patient is kept nil-by-mouth the day of the surgery, with IV fluids. Sips of water are started the next day and solid food by day three.
  • The drain pipe is removed in the room on day 3 after surgery. The catheter is removed on day two after surgery.
  • Total hospital stay for radical/partial nephrectomy is 4 nights (including night before surgery).
  • Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
RETURN TO ACTIVITY
  • On the day of discharge, patient is totally self- sufficient. 
  • They are able to walk freely without any pain, dress themselves, shower, toilet and they do not need to hire any nurse or help at home. 
  • Almost all patients are back to work within 2-3 weeks of surgery.
  • Heavy activities like running, weight lifting can be resumed after a month.
FOLLOW UP AFTER SURGERY
  • Follow up after a radical/partial Nephrectomy is in the form of CT scans, once a year for 5 years.
  • Local patients usually meet Dr. Ramani after two weeks to discuss report. 
  • Outstation patients are counselled on a phone consultation.