By Dr. Anup Ramani

Bladder cancer surgery is a major procedure that requires optimal health for a smooth recovery. Strengthening your immune system before surgery can reduce complications, speed up healing and improve overall outcomes. If you are undergoing robotic radical cystectomy, preparing your immune system is crucial. This guide will help you understand how to boost immunity before bladder cancer surgery for a faster recovery.

Why Immunity Matters Before Robotic Bladder Cancer Surgery?

A strong immune system fights infection, speeds up tissue healing and improves post-operative resilience. Since surgeries like robotic radical cystectomy and TUR-BT for bladder tumor involve tissue removal and reconstruction, pre-surgery immunity can significantly impact healing.

Potential Risks without Proper Immunity

  • Increased risk of post-surgical infections
  • Slow wound healing
  • Higher chances of complications
  • Longer hospital stays and recovery time

To minimize these risks, focusing on pre-surgery immunity enhancement is essential.

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1. Nutrition: Building a Strong Foundation for Immunity

Diet plays a crucial role in preparing your body for surgery. A well-balanced diet rich in proteins, vitamins and minerals strengthens the immune system.

Essential Nutrients for Immunity Boosting

  • Protein: Helps in tissue repair and muscle strength. Include lean meats, eggs, fish, lentils and dairy.
  • Vitamin C: Supports wound healing and immunity. Eat oranges, kiwi, bell peppers and strawberries.
  • Zinc: Reduces inflammation and supports cell growth. Sources include nuts, seeds and seafood.
  • Iron: Prevents anemia and ensures oxygen supply. Eat red meat, spinach and legumes.
  • Probiotics: Maintain gut health, crucial for immunity. Include yogurt, kefir and fermented foods.

Foods to Avoid Before Surgery

  • Processed and sugary foods
  • Excess salt and unhealthy fats
  • Alcohol and caffeine

2. Hydration: The Key to Pre-Surgical Wellness

Proper hydration is critical before bladder cancer surgery in Mumbai. Water helps in detoxification, digestion and circulation.

Hydration Tips

  • Drink at least 2-3 liters of water daily.
  • Include coconut water, fresh juices and herbal teas.
  • Avoid sugary drinks and excess caffeine as they cause dehydration.

Staying hydrated ensures optimal kidney and bladder function before surgery.

Hydration before bladder cancer surgery

3. Exercise: Strengthening the Body for Surgery

Moderate physical activity enhances circulation, reduces inflammation and strengthens muscles, preparing the body for post-surgical recovery.

Recommended Exercises

  • Walking: Improves stamina and reduces stress.
  • Breathing exercises: Enhances lung capacity for better anesthesia tolerance.
  • Light strength training: Helps maintain muscle mass, crucial after surgery.

What to Avoid?

  • Strenuous workouts that cause fatigue.
  • High-impact exercises that may strain the bladder.

Consult your bladder cancer surgeon in Mumbai for personalized exercise recommendations.

4. Sleep and Stress Management for Stronger Immunity

Good sleep and stress reduction are essential for immunity before robotic bladder cancer surgery.

Sleep Tips for Pre-Surgery Health

  • Maintain 7-9 hours of sleep daily.
  • Avoid screens one hour before bedtime.
  • Keep a consistent sleep routine.

Stress Management Techniques

  • Meditation and deep breathing reduce anxiety before surgery.
  • Yoga and mild stretching improve relaxation.
  • Engaging in hobbies keeps the mind calm.

Managing stress effectively enhances the immune system and prepares the body for surgery.

5. Supplements: Enhancing Immunity with Medical Guidance

Certain supplements may help in immunity-boosting before bladder cancer surgery in India, but they should only be taken under medical supervision.

Common Immunity-Boosting Supplements

  • Vitamin D: Supports immune function and recovery.
  • Omega-3 fatty acids: Reduces inflammation.
  • Multivitamins: Provide essential micronutrients for healing.

Consult your surgeon before starting any supplements to avoid interference with surgery.

6. Minimal Invasive Robotic Radical Cystectomy: Faster Healing with Advanced Techniques

Robotic radical cystectomy is a Minimal invasive surgery where the urinary bladder is removed and reconstructed using robotic assistance. This advanced procedure allows:

  • Smaller incisions and less blood loss.
  • Faster recovery and reduced hospital stay.
  • Lower risk of post-surgical infections.

Patients undergoing bladder cancer surgery in India should prepare their immune system to maximize the benefits of robotic surgery.

7. Faster Recovery after Robotic Bladder Cancer Surgery

After surgery, maintaining immunity is essential for healing.

Post-Surgery Immunity Boosting Tips

  • Continue a protein-rich diet for tissue repair.
  • Follow the doctor’s instructions for hydration and mobility.
  • Avoid infections by keeping the surgical site clean.

Most patients recover within six weeks and heavy activities can be resumed after two months.

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Conclusion

Boosting immunity before bladder cancer surgery in India can significantly enhance recovery and reduce complications. A nutritious diet, proper hydration, regular exercise, stress management and medical guidance play crucial roles. Patients undergoing robotic radical cystectomy for bladder cancer should focus on pre-surgery health to ensure faster healing and minimal risks.

If you are considering bladder cancer treatment in Mumbai, consult an experienced bladder cancer surgeon for the best medical care and guidance.

FAQs About Bladder Cancer Surgery

Eat a protein-rich diet, stay hydrated, exercise moderately and get enough sleep. Managing stress and taking recommended supplements also help.

Avoid processed foods, excessive salt, sugar, alcohol and caffeine, as they can weaken the immune system.

Most patients recover within six weeks, but strenuous activities should be avoided for two months.

Yes, robotic radical cystectomy is Minimal invasive, leading to less pain, reduced blood loss and faster recovery.

Yes, high stress levels weaken the immune system and can slow down healing. Practicing relaxation techniques before surgery can help.

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.