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Urology treatments


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Urology treatments

  1. 1. (• TURP• TURBT• PCNL• URSUrologic Oncology• Prostate Cancer• Urinary Bladder Cancer
  2. 2. • Adrenal Gland Cancer• Testicles CancerPaediatric Urology• Cryptorchism (undescended testes)• Congenital abnormalities of the genito-urinary tract• Enuresis• Underdeveloped genitalia and vesicoureteral reflux.Female Urology
  3. 3. • Overactive bladder• Pelvic organ prolapse• Urinary incontinenceReconstructive Urology• Uretric stricture• UrethralstrictureAndrology• Male infertility
  4. 4. • Erectile dysfunction• Ejaculatory disordersCommon Procedures• Trans-Urethral Needle Ablasion of the Prostate• Cystoscopy with Retrograde Pyelogram• Prostatectomy• Trans-Urethral Resection of Prostate (TURP)• Circumcision
  5. 5. Transurethral Resection Of The Prostate (TURP) About TURP A Trans-urethral Resection of the Prostate (TURP) is anminimally-invasive operation, performed by your urologist, toremove the parts of your prostate gland that are pressing on yoururethra in order to allow urine to flow more freely. If you have anenlarged prostate gland, you may find it difficult to pass urine, asyour prostate gland can obstruct the flow of urine from yourbladder.TURP is a common operation for men who have an enlargedprostate gland (benign prostatic hyperplasia).
  6. 6. Without TURP, your prostate gland may continue to enlarge,leading to worsening of your symptoms. It may also increase therisk of damage to your bladder and/or kidneys due to theincreased pressure and stress that is required to pass urinethrough the squeezed urethra. Know about your prostate gland Your prostate is a walnut-sized gland that lies at the baseof your bladder (where urine is stored) surrounding the urethra(the tube that passes urine from your bladder, along your penisand out of your body).The prostate gland is found only in males, and is part of thereproductive system. It produces nutrients for the sperms andproduces components that make up the milky fluid (semen) thatyou produce when you ejaculate.
  7. 7. The most common cause of prostate gland enlargement is BenignProstatic Hyperplasia, often shortened to BPH, which meansextra-growth of normal (non-cancerous) cells. This process oftenbegins at the age of 40, causing your prostate to gradually increasein size as you get older. BPH is very common and often exists withfew or no symptoms. However as the prostate surrounds theurethra, the enlargement can squeeze the urethra making itdifficult for you to pass urine.This may lead to symptoms that can include:• Weak flow of urine• Needing to strain to pass urine• Not being able to empty the bladder completely, soneeding to use the toilet more often both day and night
  8. 8. What are the alternatives to TURP You will usually only be advised to have surgery if yoursymptoms haven’t improved after taking medicines. There arealternative types of surgery to TURP, including the following. Thetype you are advised to have will depend on the severity of yourcondition.• Transurethral incision of the prostate – this is a similaroperation to TURP, but involves making one or two small cuts inthe neck of your bladder and prostate rather than removing partof the prostate. It is usually only suitable for men whose prostate isonly moderately enlarged.• Open prostatectomy – a cut will be made in yourabdomen (tummy) and the outer portion of your prostate will beremoved. This is usually only carried out in men who have a verylarge, benign (non-cancerous) prostate and is rarely done.
  9. 9. • Minimally invasive surgery (such as electrovaporisationand laser prostatectomy) – in these types of operation, laser orelectrical energy will be used to burn off excess tissue. Your surgeon will discuss which procedure is most suitablefor you.Preparing for your operation Your surgeon will explain how to prepare for youroperation. For example, if you smoke you will be asked to stop, assmoking increases your risk of getting a chest and wound infection,which can slow your recovery.The operation is usually done under general anesthesia.Alternatively, you may have the surgery under spinal or epiduralanesthesia.
  10. 10. This completely blocks feeling from the waist down and you willstay awake during the operation. You may be offered a sedativewith a spinal anesthetic – this relieves anxiety and helps you torelax.Your surgeon or anesthetist will advise which type of anesthesia ismost suitable for you.If you’re having a general anesthetic, you will be asked to followfasting instructions. This means not eating or drinking, typically forabout six hours beforehand. However, it’s important to follow youranesthetist’s or surgeon’s advice.You may be asked to wear compression stockings to help preventblood clots forming in the veins in your legs. You may need to havean injection of an anticlotting medicine called heparin as well as, orinstead of, wearing compression stockings.
  11. 11. What happens during TURP The operation will take about an hour.Your surgeon will insert a narrow, rigid, metallic, tube-liketelescopic camera called an endoscope into your urethra. He orshe will then cut out and remove the middle of your enlargedprostate using specially adapted surgical instruments that use heatenergy to remove tissue.What happens post surgery You will need to rest until the effects of the anesthetichave passed. You may not be able to feel or move your legs forseveral hours after a spinal or epidural anesthetic.You may need pain relief to help with any discomfort as theanesthetic wears off.
  12. 12. You will have a catheter to drain urine from your bladder into abag. The catheter will also be used to wash out your bladder with asterile solution. This will help to flush out any blood clots in yourbladder. The catheter will be removed when your urine begins torun clear. This is usually within 24 to 48 hours. Occasionally, youmay need to keep the catheter in for a while after you go home – ifso, your nurse will show you how to look after it.You may have a drip in your arm to prevent you getting dehydrated– this will be removed once you’re drinking enough fluids. You willbe encouraged to get out of bed and move around as this helpsprevent chest infections and blood clots in your legs.You may be able to go home after about one to three days. You willneed to arrange for someone to drive you home. Generalanesthesia temporarily affects your co-ordination and reasoningskills, so you must not drive, drink alcohol, operate machinery orsign legal documents for 24 hours afterwards
  13. 13. . If you’re in any doubt about driving, contact your motor insurer sothat you’re aware of their recommendations, and always followyour surgeon’s advice.Recovering from TURP If you need pain relief, you can take over-the-counterpainkillers such as paracetamol or ibuprofen. Always read thepatient information that comes with your medicine and if you haveany questions, ask your pharmacist for advice.You may be advised to increase your fluid intake. This is to flush outyour bladder and help you to recover.It can take up to four weeks to recover fully from TURP. After twoto three weeks you can resume your normal activities. Don’t doany strenuous activity for about four weeks after the operation.
  14. 14. You can have sex as soon as you are comfortable – this willprobably be at least three to four weeks after your operation.What is medical tourism? Medical tourism, also known as health tourism or health travel, isa term that describes travelling to a foreign country for medical,dental, or cosmetic treatment. It involves the benefit of costeffective treatment, private medical care, in collaboration with thetourism industry. The concept of medical tourism is fast growing inIndia and people from different part of the world are choosingIndia as their desired destination.Why Choose India?Medical tourism is a rapidly growing sector in India and millions ofmedical tourists from all over the world have come here toexperience a world-class healthcare service.
  15. 15. In 2010, about 600,000 patients travelled to India from over 30countries for treatment, including the USA, Canada, UK, Russia, theMiddle East and Africa.According to a study by the Confederation of Indian Industry (CII)on healthcare, after software, the medical tourism industry ispoised to be the next big success story in India. It has predictedthat the industry will grow to earn additional revenue of $2.3billion by 2012 and will soon account for a major share of thecountry’s revenue.There are several reasons behind this tremendous growth:Patients come to India to get specialized treatments not availablein their home country. Indian hospitals excel in performingcomplex cardiac surgeries, kidney transplants, bone marrowtransplants, orthopedic surgeries, infertility treatments amongsttheir wide repertoire.
  16. 16. India provides world-class quality treatments at a fraction of thepriceof developed countries. The cost of medical treatment inIndia is generally one tenth of western countries and among thecheapest in Asia.India has state of the art medical institutes and hospitals ofinternational standards with highly qualified medical professionals.These centers are backed by high quality equipment andtechnology. This fusion of highly qualifiedstaff assisted by the latestequipment gives India the edge over other countries.With hospitals and clinics in every region including urban, semi-urban, or rural parts of the country, India has ample choice interms of preferred destinations.In countries such as Canada and the UK, patients almost alwayshave to wait weeks and sometimes months to avail of medicaltreatments.
  17. 17. In India the consultations with the doctors are prompt and patientsreceive a turnaround to their treatment plan at a quicker pace.As English is a commonly spoken language in India, the patient willbe comfortable communicating with the doctors.Medical tourists find that the cost of their treatment (including thereturn airfare, holiday and accommodation) leaves them with atotal bill substantially less than they would have spent just onhaving the procedure in the UK.Why Arman There are several concerns that flicker in the minds of theforeigners who come for treatment to India, particularly for firsttime fliers. The first among them is which hospital to choose fortheir treatment.
  18. 18. India is flooded with hospitals, medical centers and hotels whichhave their websites that attract the foreign patients. This makesthem even more confused and the complexity of decision makingbecomes a challenging task.We, at Arman can address all these concerns and issues by actingas intermediary with hospitals, clinics, surgeons, hotels.Arman is a healthcare facilitator that has painstakingly broughttogether highly qualified professionals and hospitals of repute andhealth care providers.We take the responsibility of screening the hospitals by checkingtheir track record, accreditations, associations and have partneredwith the best internationally accredited hospitals in India.Arman update and monitor our network of hospitals on a regularbasis and maintain a database on the hospital’s certifications, typeof facilities and other factors critical in choosing a medical center.
  19. 19. Arman also negotiate a lower price from the hospital which foreignpatients would not get by directly approaching the hospitals Thishelps the patient to save a lot on the medical procedure costsWe provide assistance with logistics, documentations, permits andother travel arrangements required for medical tourism.Our coordinators are highly trained to foresee every need of thepatient and make the entire process hassle free from start to finish.They help the patient plan his medical procedures before leavinghome, and schedules all his appointments, surgery, treatmentsand plans for recuperation.This in turn helps the patient to choose the hospital according tohis convenience and also get a clear picture of the cost oftreatment, accommodation beforehand that helps them toarrange their finance.
  20. 20. We are aware that a lot of trust is put in our hands and ensure thatthis trust is well placed by serving each patient individually withcare and comfort.How We WorkPatient query received by the patient himself or his doctor/hospital.This query along with medical reports is forwarded to theconcerned hospitals to get expert opinionsAfter the hospitals respond, we create a package for the patientwhich includes recommendation on the treatments, duration ofstay, and the costs involved.The patient reviews the various options presented to him andmakes a decision based on budget and the line of treatmentrecommended by the doctors.
  21. 21. Occasionally, a patient may clarify his concerns or questions hemay have regarding the treatment with the doctor by telephone.In liaison with the patients, Arman representatives will make priorbookings with the hospital, airlines, hotels.Patient travels and checks into hospital to start the treatment. Weprovide assistance through out your stay in the hospital whichinclude pre and post opeartive care.Once fit and able to travel, the patient if wishes can enjoy the vasttourist destinations within India before returning to their homecountry fully rejuvenated. (at an additionalcost)(ebranding/mum/ts/19)
  22. 22. Arman Health Care FacilitatorsOUR OFFICE IN INDIA422, Bonanza, B Wing,Sahar Plaza Complex, Next to KohinoorHotel,Andheri Kurla Road, Andheri East Mumbai India 4000059.Contact: land line No: ( 022-28387433 )Email :enquiry@armancare.comOUR OFFICE IN CONGOArman Health care Facilitators,Gallery Saint-Pierre, 36 localUtexAfrica Advanced ,AV 374 VolonelMondjiba,Kinshasa /Ngaliema,DRC Mobile : +243998290384
  23. 23. OUR OFFICE IN KENYAArman Health Care Facilitators C/O Doctor Pharma Kenya LimitedVision Tower, Muthithi Road,Westlands, Nairobi,Kenya.Contact: Telefax:(+254)722330329Email : doctorpharmamt@gmail.comWeb:- ebrandingindia_s21