Minimal Invasive / Robotic Radical Cystectomy for Bladder Cancer,
TUR-BT for Bladder Tumor
- 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 Radical Cystectomy Surgery
Follow up after a radical 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.
FAQs on Urinary Bladder Cancer Surgery and Treatment
What Should I Know About Bladder Cancer Surgery in India?
Bladder cancer surgery in India encompasses a variety of techniques, including traditional open surgery and advanced robotic surgery. Robotic surgery is becoming increasingly popular due to its minimal invasive nature and associated benefits. Surgeons like Dr. Ramani offer state-of-the-art procedures such as robotic radical cystectomy to effectively treat bladder cancer with reduced recovery times.
India’s healthcare system provides access to highly skilled surgeons and modern medical facilities. Patients can expect high-quality care and innovative treatment options when undergoing bladder cancer surgery in the country.
What is Minimal Invasive Robotic Radical Cystectomy?
Minimal invasive robotic radical cystectomy is an advanced surgical procedure used to treat bladder cancer. This sophisticated surgery involves the complete removal of the urinary bladder and reconstruction of a new bladder using robotic assistance. Dr. Ramani, one of the few surgeons in India with expertise in this field, performs this surgery with precision to minimize complications and enhance recovery.
Robotic radical cystectomy is characterized by the use of a robotic system, specifically the Da Vinci robot, which allows for high precision through minimal invasive techniques. The procedure typically lasts between 3 to 4 hours and is conducted through six micro incisions, each 3mm in size, which reduces blood loss and speeds up recovery compared to traditional methods.
What Does the Urinary Bladder Surgery Procedure Involve?
During the robotic radical cystectomy, the patient is placed under general anesthesia, and six small incisions are made in the abdomen. The Da Vinci robot’s arms are then connected through these incisions via ports. Dr. Ramani operates from a console, controlling the robot with precise movements. The procedure is conducted with minimal blood loss, and blood transfusions are rarely required.
The surgery involves the removal of the bladder and, in many cases, the construction of a new bladder or an ileal conduit. A urine catheter and bag are inserted to manage urine drainage post-surgery. Additionally, two tiny drain pipes are placed to remove any excess fluids from the surgical site.
What is the Urinary Bladder Surgery Post-Operative Care Like?
Following the urinary bladder surgery, the patient is kept nil-by-mouth for four days and receives intravenous (IV) supplementation to meet daily nutritional needs, including calories, fats, carbohydrates, proteins, and electrolytes. On days three to five, the drain pipes are removed, and the patient can typically leave the hospital after a total stay of eight nights, including the night before the surgery.
During recovery, patients can expect daily visits from a member of Dr. Ramani’s surgical team to monitor progress and address any concerns. The care plan ensures that patients are well-supported and that any issues are promptly addressed.
When Can Patients Return to Their Regular Activities after robotic radical cystectomy?
Patients who have undergone robotic radical cystectomy generally experience a swift recovery. On the day of discharge, most patients are self-sufficient, capable of walking without pain, dressing themselves, and managing personal hygiene. They usually return to work within six weeks. However, heavy activities such as running or weight lifting are advised to be resumed only after two months.
This rapid return to normal activities is a significant benefit of the minimal invasive nature of the procedure, allowing patients to resume their daily lives with minimal disruption.
What is the Follow-Up Process after Urinary Bladder Surgery?
Post-surgery follow-up is crucial for ensuring the effectiveness of the treatment and monitoring for any recurrence of cancer. Follow-up includes annual CT scans for five years to check for any signs of cancer recurrence. Local patients typically meet Dr. Ramani in person to review the histopathology report, while outstation patients are consulted via phone.
Depending on the histopathology report, additional treatments such as chemotherapy may be required. Patients have the option to receive chemotherapy from a medical oncologist of their choice or from one of the four oncologists on Dr. Ramani’s team.
What Are the Advantages of Robotic Radical Cystectomy?
Robotic radical cystectomy offers several significant advantages over traditional surgical methods. The minimal invasive nature of this procedure results in reduced pain and faster recovery times. The use of the Da Vinci robot enhances precision, allowing for more accurate dissection and reconstruction. This precision contributes to fewer complications and a decreased likelihood of blood transfusions.
Moreover, the smaller incisions involved in robotic surgery lead to less scarring and a quicker return to normal activities. The sophisticated robotic system also provides better visualization and control, which improves surgical outcomes and patient safety.
How is TUR-BT Performed for Bladder Tumor Management?
Transurethral resection of bladder tumor (TUR-BT) is a procedure used to diagnose and treat bladder tumors. During TUR-BT, a resectoscope is inserted through the urethra to visualize and remove tumors from the bladder wall. This procedure is performed under anesthesia and typically takes about 30 to 60 minutes.
The resectoscope, equipped with a camera and electrical loop, allows the surgeon to resect (cut away) the tumor and cauterize the area to prevent bleeding. Post-operatively, patients may experience some discomfort and a temporary need for a urinary catheter. Recovery is usually swift, with most patients resuming normal activities within a week.
What Are the Expected Outcomes After Robotic Radical Cystectomy?
The outcomes of robotic radical cystectomy are generally positive, with most patients experiencing significant improvements in quality of life. The success of the procedure depends on various factors, including the stage of cancer and the overall health of the patient. Generally, patients report a reduction in cancer-related symptoms and an improved ability to manage daily activities.
Post-surgery, the majority of patients adapts well to their new bladder or ileal conduit and finds that their life quality is restored to near pre-cancer levels. The risk of cancer recurrence is monitored through regular follow-ups and imaging, ensuring that any potential issues are addressed promptly.
What Should Patients Know About Post-Operative Diet and Lifestyle?
Following robotic radical cystectomy, patients must adhere to specific dietary and lifestyle recommendations to support optimal recovery. Initially, patients are on a liquid diet, transitioning to solid foods as tolerated. A balanced diet rich in nutrients is important for healing and overall well-being.
Patients are advised to stay hydrated and avoid strenuous activities until they receive clearance from their healthcare provider. Incorporating light physical activity, as recommended, can aid in recovery and help regain strength. It is also essential for patients to follow any specific instructions given by their healthcare team regarding medication and wound care.
Who is the Best Bladder Cancer Surgeon in India?
When it comes to finding the best bladder cancer surgeon in India, Dr. Ramani stands out due to his extensive expertise in robotic surgery for bladder cancer. He is renowned for his proficiency in performing complex procedures such as robotic radical cystectomy, which involves the removal of the urinary bladder using minimal invasive techniques.
Dr. Ramani’s reputation is built on his successful outcomes, advanced surgical techniques, and commitment to patient care. His practice is well-regarded for both the effectiveness of the surgeries performed and the comprehensive post-operative support provided.
Where Can I Find the Best Bladder Cancer Treatment in Mumbai?
Mumbai offers a range of top-notch facilities and surgeons specializing in bladder cancer treatment. Among them, Dr. Ramani is highly acclaimed for his expertise in robotic surgery and comprehensive bladder cancer care. His clinic in Mumbai is well-equipped to handle various aspects of bladder cancer treatment, from diagnosis to advanced surgical interventions.
For patients seeking the best urinary bladder cancer treatment in Mumbai, Dr. Ramani’s practice provides cutting-edge technologies and personalized care to ensure optimal outcomes.
How Does Bladder Cancer Treatment in India Compare to Other Countries?
Bladder cancer treatment in India is on par with global standards, offering advanced surgical techniques, including robotic surgery, and comprehensive care. Indian surgeons, such as Dr. Ramani, employ state-of-the-art technology and follow international protocols to ensure effective treatment outcomes.
The cost of treatment in India is often more affordable compared to many other countries, without compromising on quality. Additionally, India’s healthcare system is known for its high standards of care and patient-centered approach.