Dr. Anup Ramani is one of the best Uro oncologist, Surgeon in Mumbai, India providing Robotic Surgery and Treatment for Prostate Cancer, Kidney Tumor Surgery/Stone Removal, Urinary Bladder Cancer and Adrenal Gland Treatment, Enlarged Prostate Surgery and treatment, Penis Cancer/Partial Penectomy/Robotic Pyeloplasty Surgery and Treatment.
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Prostate Cancer Surgery

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Minimal Invasive / Robotic Radical Prostatectomy

One of the commonest procedures performed by Dr. Ramani, almost every day of the week.

  • Once the anaesthesia is done, 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 radical prostatectomy takes one hour.
  • The prostate cancer 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 prostate cancer surgery.
  • A tiny drain pipe in inserted in the left 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 is started the next day and solid food by day three.
  • Total hospital stay for radical prostatectomy is 5 nights (including night before surgery).
  • The drain pipe is removed in the room on day 3 after surgery.
  • Patient is discharged with the urine pipe (catheter). This is removed exactly 10 days from the date of surgery.
  • Post discharge, a doctor from the surgical team visits the patient at home/ hotel room once every day.
  • The urine pipe is removed by the same doctor at the patient’s home, ten days after surgery.

Incontinence After Prostate Surgery

  • All patients tend to, experience stress incontinence (leakage of few drops of urine) for few days to few months after surgery depending on the age of the patient.
  • Until such time the leak stops, patient cannot wear regular underwear but will have to wear an adult pull up diaper. Kegels exercises will be taught to the patient and the leak resolves soon.
  • Expertise with nerve sparing has caused leak times to reduce dramatically over the years.

Impotence

  • All patients experience some degree of difficulty achieving erections after a radical prostatectomy. 
  • The degree of impairment is directly proportional to the age of the patient. For patients experiencing significant erectile dysfunction, our team Andrologist offers multiple solutions to correct this and all our patients who want to be sexually active, are sexually active after the Andrologist treatment.
  •  

Return To Activity

  • On the day of discharge, the patient is totally self- sufficient. They are able to walk freely (with the urine bag), dress themselves, shower, and use the 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 prostaate cancer surgery (with a diaper). Heavy activities like running, weight lifting can be resumed after a month.

Follow Up After Prostate Surgery

Follow up after a radical prostatectomy is in the form of PSA checks.

  • Every 3 months for 2 years

  •  Every 6 months for next two years

  •  Once a year lifelong from year 5.

     

Need For Additional Treatments

  • All the tissue removed during prostate cancer surgery is sent for histopathological examination by top pathologists of the country. 
  • This report is usually ready by two weeks after surgery. Depending on the report, it is possible patient may need more treatments in the form of hormone therapy and/or radiation.
  • Local patients usually meet Dr. Ramani after two weeks to discuss report. Outstation patients are counselled on a phone consultation.

Hormone Therapy For Prostate Cancer

  • Patients who present with advanced prostate cancer are not candidates for surgery but are managed with hormone treatment.
  • This consists of an intramuscular injection in the buttock every 3 months and a tablet to be taken every day.
  • Once eventually the injection stops working, patients are moved to either another drug or chemo.
  • These injections are painless and overall have very few side effects and thus are very safe.

FAQs for Prostate Cancer Surgery & Treatment

Minimal Invasive / Robotic Radical Prostatectomy is a surgical technique used to treat prostate cancer, utilizing the Da Vinci robotic system for enhanced precision and minimal recovery time. Dr. Ramani performs this procedure by making six small incisions in the abdomen to insert the robotic arms, enabling a highly accurate operation that typically lasts about one hour. The procedure significantly reduces blood loss, often eliminating the need for transfusions.

After prostate cancer surgery, patients are initially on IV fluids and kept nil-by-mouth, gradually transitioning to water and solids over three days. A urine catheter and abdominal drain are placed during surgery to manage fluids, which are typically removed within ten days. The total hospital stay is about five nights, and post-discharge, the patient receives daily visits from the surgical team until the catheter is removed.

Patients might experience incontinence and impotence post-prostatectomy. Incontinence, often temporary, can range from a few days to several months and is managed with adult diapers and Kegel exercises. Impotence varies based on the patient’s age, with treatment options provided by an Andrologist to help regain sexual function.

Patients are generally able to manage daily activities independently by the day of discharge. Work can typically be resumed within two weeks, though strenuous activities should be avoided for at least a month. The focus is on ensuring a full recovery without the need for additional home care.

Erectile dysfunction is a side effect of prostate surgery, but recovery of sexual function varies among individuals.

Follow-up involves regular PSA tests to monitor for any signs of cancer recurrence. The schedule includes tests every three months for the first two years, every six months for the next two years, and annually starting from the fifth year. Depending on the pathology report of the removed tissue, further treatments such as hormone therapy or radiation may be required.

If the histopathological examination of the removed tissue indicates residual cancer cells, additional treatments like hormone therapy or radiation may be needed. Patients discuss these findings with Dr. Ramani to determine the appropriate next steps, ensuring tailored treatment based on individual needs.

For patients with advanced prostate cancer, hormone therapy is typically administered through regular intramuscular injections every three months, supplemented by daily oral medication. This regimen is well-tolerated and considered safe for long-term management. If effectiveness wanes, treatment might shift to other medications or chemotherapy.

By integrating advanced robotic technology and comprehensive post-operative care, Dr. Anup Ramani’s approach to Minimal Invasive Robotic Radical Prostatectomy aims to offer patients a high quality of life and effective management of prostate cancer outcomes.

Dr. Anup Ramani is one of the best Uro oncologist, Surgeon in Mumbai, India providing Robotic Surgery and Treatment for Prostate Cancer, Kidney Tumor Surgery/Stone Removal, Urinary Bladder Cancer and Adrenal Gland Treatment, Enlarged Prostate Surgery and treatment, Penis Cancer/Partial Penectomy/Robotic Pyeloplasty Surgery and Treatment.

Best Uro-Oncological surgeon
Specialist in India for Robotic Surgery
MCh, DNB, MS, DNB
Dr. Anup Ramani

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Dr. Anup Ramani
Uro-Oncologist in India,
Best Robotic Surgeon for Uro Oncology Surgery

1407, One Lodha Place Next to World Towers Senapati Bapat Marg, Worli, Mumbai. 400013.

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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.