What is it?
The tests you have had so far point to your bladder as the cause of your trouble. Your bladder is like a soft rubber balloon which has an opening into the penis or the front of the vagina. You can feel it in the lower part of you tummy when it is full of urine. It is necessary to look inside the bladder to find out what is going on. A special telescope called a cystoscope is used. It is about half an inch in diameter. The examination is called a cystoscopy. At the same time, X-rays of the kidneys can be taken, narrow parts can be widened, stones can be taken out, pieces of the bladder lining can be taken out, and diseased parts can be burned out as needed.
You may have a general anaesthetic and be completely asleep. It is quite common however, for patients to be numbed from the waist down with an injection in the back. If this is the case, you would be awake during the operation, but feel no pain. The operation takes about 40 minutes. If the cystoscopy is being done so that the surgeon can have a thorough look in your bladder and possibly take two or three pieces of tissue from the lining of the bladder (biopsies) to see them under the microscope to help clarify the problem, you might not need a general anaesthetic or an anaesthetic injection in the back.
As an alternative, the surgeon can flush some anaesthetic jelly into your urethra (the tube that connects your bladder with you penis or the area in the front of your vagina) so that you will have only minimal discomfort when he passes the cystoscope up into you. The procedure takes 5 to 10 minutes. The cystoscope is passed through the penis or through the opening of the bladder in the front of the vagina, for a look around inside. Other instruments may be passed up the cystoscope to do the other things as needed.
Finally all the equipment is taken out. Sometimes, afterwards, it is necessary to pass a tube, a catheter, back up into the bladder. This will allow urine to drain freely into a bag for a time. The operation can usually be done as a day case. This means you come into hospital on the day of the operation and go home the same day. You may come into hospital the day before the operation and stay overnight if you are elderly, or have other illnesses, or if there is no-one at home to look after you.
If you leave things as they are, any problems with the bladder are likely to get worse. You may be missing the chance of receiving early treatment and this can be extremely important particularly if it is something like a developing cancer which if diagnosed at an early stage could be treated. . Scans and X-rays will not help any further. It is generally not a good idea to start any treatment without knowing what is wrong.
Before the operation
Stop smoking and get your weight down if you are overweight. (See Healthy Living). If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. For women, check the hospital's advice about taking the Pill or hormone replacement therapy (HRT). Check you have a relative or friend who can come with you to the hospital, take you home, and look after you after the operation. Bring all your tablets and medicines with you to the hospital. On the ward, you may be checked for past illnesses and may have special tests to make sure that you are well prepared and that you can have the operation as safely as possible.. Many hospitals now run special preadmission clinics, where you visit for an hour or two, a few weeks or so before the operation for these checks.
After - In Hospital
You may have some discomfort in the penis or front passage for a day or so. This will settle down. You need to pass urine before you leave the ward. If you have any difficulty, tell the doctors or the nurses. If there is a catheter in the bladder, you will be informed how long it should stay there. A general anaesthetic will make you slow, clumsy and forgetful for about 24 hours. The nurses will help you with everything you need until you are able to do things for yourself. Do not make important decisions, drive a car, use machinery, or even boil a kettle during this time. You will be able to drink and eat some light food on the day of your operation. Drink plenty of fluid if you do not feel like eating. You should be eating normally after a day or two. You will be able to take a bath or shower as often as you want. You should plan to leave the hospital the day of your operation. The nurses will talk to you about your home arrangements to arrange a time for you to leave hospital. Please ask the nurses about sick notes, certificates etc. Some hospitals arrange a check-up about one month after you leave hospital. By that time the results of any biopsies taken from your bladder should be available. Others leave check-ups to the general practitioner.
After - At Home
You may feel very tired for a day or two. You will be back to normal after a week or so. You can start driving again after 24 hours. You can start sexual relations any time you feel comfortable enough. You should be able to return to a light job after about two weeks.
If you have this operation under general anaesthetic, there is a very small risk of complications related to your heart and lungs. The tests that you will have before the operation will make sure that you can have the operation in the safest possible way and will bring the risk for such complications very close to zero.
If you have an anaesthetic injection in the back, there is a very small chance of a blood clot forming on top of your spine which can lead to a feeling of numbness or pins and needles in your legs. Most of the time the clot dissolves on its own and this solves the problem. Extremely rarely, the injections can cause permanent damage to your spine.
Complications are very rare. If any of the lining of the bladder is taken out or burned away, there may be some blood-staining in the urine. If you are passing clots of blood in the urine, or the blood-staining lasts more than two days, phone the ward. You might need to have a catheter put back in the bladder if the clots don’t allow you to pass urine freely. The catheter is removed as soon as your urine is getting clearer. Sometimes the cyctoscopy stirs up an infection, causing scalding and tummy pains. Antibiotics will help to control this.
Extremely rarely (especially if many biopsies are taken or there is a lot of burning in the bladder) the cystoscope or the other instruments used during the cystoscopy can create a hole (perforation) or an extensive scratch in the urethra or, more frequently, the bladder. This problem is usually corrected by putting a catheter back in for one or two weeks to decompress the bladder and drain the urine until the hole or the scratch has healed. Only in extreme circumstances will you need another operation to fix the problem.
Phone Numbers Reach Us-
India & International : +91-9860755000 / +91-9371136499
UK : +44-2081332571
Canada & USA : +1-4155992537
Below are the downloadable links that will help you to plan your medical trip to India in a more organized and better way. Attached word and pdf files gives information that will help you to know India more and make your trip to India easy and memorable one.
Listen to the Voices of Our Happy Patients
I got acute lymphocytic leukaemia surgery in India at very attractive price
I am Caroline Johnson from Nigeria. My husband and I have never regretted the decision to go to India for acute lymphocytic leukaemia surgery in India and it has been a turning point in my health. After the surgery on the same day you are encouraged to get up and start moving. Lymphocytic leukaemia surgery in India really helps the healing process and amazingly I felt no pain. The lymphocytic leukaemia surgery in India was a complete success. The nursing care provided to me by IndianMedGuru is exceptional and the nurses cannot do enough to make you feel welcome and well cared for. The surgeons of Lymphocytic leukaemia surgery in India are very kind and understanding, What also really impressed us is that the doctors along with support staff are very helpful with any post-operative care.
Mrs. Caroline Johnson,
Australian patient who came to India for his vasectomy reversal surgery in India.
I am Jeff from Australia .I came for my vasectomy reversal surgery in India through indianmedguru. I had my vasectomy around 8 yrs ago. I surfed the internet for vasectomy reversal surgery and I came across indianmedguru in India. I gave all my details to the associates of the company and I got a fast reply asking for more details, I gave them all the details they wanted.
I got my surgery arranged in one of the best vasectomy reversal surgery hospital in India and the best vasectomy reversal surgeon in India. I got the best medical facilities in the hospitals the staff of the hospital was very nice and I am very happy at my decision of going with Indianmedguru. I got my vasectomy reversal surgery done in India at easily affordable and cost effective medical charges in India.I want to thank indianmedguru for providing me with the best medical facilities in the best vasectomy reversal surgery hospitals and the best vasectomy reversal surgery in India.Indianmedguru and Dr. Dheeraj Bojwani have got a bright future ahead my best wishes for them.
Sarah Stanton who underwent sterilization reversal surgery in Mumbai India
My name is Sarah Stanton. I come From the UK. I came for my sterilization reversal Surgery in India. I was thinking of getting the sterilization reversal surgery from a long time but I was not able to get that in my country because of its price. So, I decided to look on the internet for an affordable option abroad. There I got Indianmedguru in India I gave them my details and I got an immediate reply from the company associates. And I gave a call to Dr. Dheeraj Bojwani regarding my queries.
Each step was explained in great detail. They all made me feel comfortable while I was considering this procedure. And within 3 weeks I was in India getting my surgery by the Indianmedguru in India. I followed the program exactly as instructed. I came to India and I was very glad after experiencing the wonderful services of Indianmedguru. I got my sterilization reversal surgery in the best associated hospital associated with Indianmedguru with one of the best sterilization reversal surgeon in Mumbai India.I am very much Thank full to Indianmedguru Consultants and Dr. Dheeraj Bojwani for providing the treatment in the best hospital and with the best Sterlization reversal surgeon in Mumbai India. I am thankful to the whole team of Indianmedguru for providing me with the five star services with the best treatment facilities in India.I deeply thank Indianmedguru and Dr. Dheeraj Bojwani for giving me the opportunity to experience life, as I had never been able to do before.
Health Screening in India Find problems early for better cure and treatment possibility
Health Screening in India is available with high class medical amenities. It comes with affordable price and quality service. The foreign patients opting Health Screening in India certainly experience beneficial results exceeding all other treatment methods by a significant margin. Indian Medguru Group is one of the leading medical tourism companies of India, wherein you can find problems early for better cure and treatment possibility. In the past few years, we have carved a niche for ourselves in the field of medical tourism. Every year we assist hundreds of patients who take back home pleasant memories. Recently, Dr. Mohammed from Nigeria was here for his Health Screening in India. He shares his experience with us.
Hello. This is Dr. Mohammed from Nigeria. I am glad that I got this opportunity to share my wonderful experience I had during my Health Screening in India. What should I say about this brief stay in India? I am really pleased to see high quality service rendered by Indian Medguru Group I would rather say, perhaps, it was my greatest time in life to be in India, to see myself coming down to India to get a comprehensive Health screening, suggesting me with a great deal of solution for my medical ailment and soon I am going to come for my surgery back here to get of this medical ailment. Why I called my medical trip for Health screening in India, a memorable because of the time I had at some of the exotic tourist places. It were days, when I was very much worried about my health issues, I moved around for solutions back in my home country, but either it was beyond our reach or didn’t had the required medical amenities.
This made me think of trying something on the internet, I kept trying for various countries, then I tried Health screening in India, I was flooded with information through a medical consultant called, Indian Medguru Group, I then went through their website, had my satisfaction of having medical treatments done in India, then called their executive. I was dealt very politely by the executives of Indian Medguru Group, they chalked out some good package for both me, the package offered was within our reach, I immediately agreed on the same and went ahead to opt for my treatment along with my complete Health Screening done in India. I then booked my tickets and soon boarded my flight for Bangalore for the said Health Screening in India.
I was really delighted to see things the way it is delivered to me as promised. I was really happy to see such an organized management evident by the medical consultant- Indian Medguru Group for my Health Screening in India. During My Health Screening in India my doctor performed Blood pressure tests using the automated machines at local grocery stores and pharmacies. While Cholesterol screening which is important for an elderly person like me in order to know my heart problems if any, my kidney and lungs as well along with sugar tests too. The other tests during my Health screening also had prostate exam, physical exam etc. Fortunately, I did not have to worry much as all the test results were clear, however, the other tests like cardiovascular tests which done through EKG and X-ray, revealed that I require back surgery to get rid of my medical ailment. Now with a very good Health Screening in India I got the answer of my problem which often bugged me, and soon with the help of my medical consultant, I have get things rectified.
After this I would come out of my medical ailment through a surgery to be soon organized in the near future. My complete Health Screening in India gave me the opportunity to have a thorough check up uncovering my medical ailment, which helped me to decide my further course of action in the coming future. I also would have my complete Health Check up done in India. Following my Health screening I visited some exiting places of India, which was the part of the very package offered to me. I really had good time in India while having my medical ailments sorted out. I should thank everyone in India who expedited things for me. Indeed, the people of Indian Medguru Group proved to be among the noble men who are at your service anytime when you require them, may God bless them all! Amen.