The urinary bladder is a muscular sack that receives stores
and releases the urine through distal urinary tract. A bladder cancer is a
cancer that starts in the lining of the walls of the urinary bladder. A radical
cystectomy surgery is performed to remove the enlarged urinary bladder and the
surrounding tissues. An opening is created in the urinary tract and through
this opening it is made in the abdominal wall so that the urine flows out and
this is called as a urinary diversion.
The urinary diversion surgery are inherently complex such
that patients should be well-informed about the surgical complications
occurring during and after the surgery. However, precautions should be observed
at the super-specialty centers for minimising the tissue and the organ damage,
postoperative pain, blood loss and inconvenience experienced by the patients. The
surgery will take about three to four hours depending on the cases and
situations. Since the continent urinary diversion is a therapeutic procedure,
no special investigations are advised. They are preceded by a radical
cystectomy as the surgical intervention for the urinary bladder cancer, trauma
or dysfunctional bladder to the urinary tract.
This procedure is performed to enable the patients to pass
the urine at his or her own convenience without any external container or
collection equipment. There are two types of continent urinary diversion-
orthotopic or neobladder and cutaneous.
In neobladder, the urologist tries to restore the normal urinary anatomy
and in cutaneous, the patient needs to use plastic tube or clinical catheter by
frequently emptying the newly prepared bladder.
During the orthotopic continent urinary diversion, a part of
the small intestine is used to craft a pouch which will function as a new
bladder. This is will be surgically sutured in the pelvic cavity and then the
patients can urinate as spontaneously through the urethra. Many patients will
still require catheter bladder emptying. During the cutaneous continent urinary
diversion, a new bladder is prepared from part of the small intestine which is
placed under the skin. The patient will not have to wear any external container
or collection equipment. Instead they will be trained to frequently use the
plastic tube or clinical catheter for emptying the newly prepared bladder.
The patient will require follow-up- 24 hour surveillance,
emergency follow-up, vomiting or nausea, chest pain or breathing difficulty,
large amounts of blood clots in the urine, worsening pain, difficulty in fully
emptying the bladder, etc. Post urinary diversion surgery, the patient is
hospitalised for up to a week. Drainage tubes will be placed for about two to
three weeks. An X-ray will be done to ensure that the new pouch has healed
satisfactory and there is no leakage, before removing the drainage tubes.
Following discharge, the patients will be trained to keep
the urethral catheter clean by washing at home for every four to six hours.
During the initial postoperative period, the new bladder will hold the small
quantity of urine and therefore the patient will require to empty more
frequently. All the above treatments will be finalised depending on the overall
health, other ailments of the patient, age and severity. Only a well-experienced
and highly skilled urologist should perform the above treatment.
The health care system in Sudan lack medical care and
facilities, there are numerous serious diseases in the country and the uneven
distribution of the healthcare workers and facilities and financial conditions
are some reasons why patients get their urinary diversion surgery in India. The
medical tourism services in India with Indian Medguru consultants are renowned
for rendering a comprehensive medical services to the patients from Sudan to
seek the high quality and low cost surgery.
At Indian Medguru, we provide assistance to plan your
treatment option or other surgery in India. All you need to do is send us your
detailed query about the best hospitals in India for urinary diversion and we
will provide you few options from which you can choose as per your budget. Our
long term association with the best hospitals are well-equipped, have the
latest technology to perform the urinary diversion surgery. Contact Indian
Medguru, to book your urinary diversion surgery in India at the best hospitals
within your budget.
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Primus Super Speciality Hospital has been designed and constructed using the most advanced medical technology, available in the world. The hospital is located in serene diplomatic area of Chanakyapuri. The infrastructure of the hospital and the quiet environment are conducive to faster recovery, health and well being.
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