Best Doctors in India for Cystectomy Surgery
- Top Robotic Urologist | Apollo Hospital, New Delhi, India
- 27+ Years Experience
- Indraprastha Apollo Hospital, New Delhi
Profile Highlights:
- Dr. Rajesh Taneja is celebrated as one of India’s foremost experts in robotic urology and andrology, currently practicing at Indraprastha Apollo Hospital in New Delhi.
- Renowned for his expertise in robotic-assisted urological surgeries, Dr. Taneja is among the select few urologists in the country performing these advanced procedures.
- His proficiency extends to Holmium Laser Enucleation of the prostate (HoLEP), where he has achieved exceptional outcomes.
- Trained in the Robotic Surgical system (Da Vinci Si), Dr. Taneja is recognized as a pioneer in robotic surgery, delivering results that meet global standards of excellence.
- Top Urologist | Max Hospital, Saket, New Delhi, India
- 35+ Years Experience
- Max Super Specialty Hospital, Saket, New Delhi
Profile Highlights:
- Dr. Anant Kumar is a distinguished figure in the field of Urology and Kidney Transplantation, boasting an impressive 35 years of experience. Currently serving as Chairman of Uro-Oncology, Robotic & Kidney Transplantation at Max Super Speciality Hospital in Saket, New Delhi, and Max Hospital Vaishali, he is celebrated as one of India’s top robotic and laparoscopic surgeons.
- Renowned for his expertise, Dr. Anant Kumar is widely recognized as the best urologist in Delhi and NCR. His specialties encompass Kidney Transplantation, Robotic Assisted Laparoscopic Urology, Urological Oncology, Laser Urological Surgery, and Reconstructive Urology.
- His reputation as a leader in urology is solidified by his extensive experience, having performed over 3,500 kidney transplants and more than 500 robotic surgeries in recent years.
- Top Uro - Oncologist | Max Hospital, Saket, New Delhi, India
- 22+ Years Experience
- Max Super Specialty Hospital, Saket, New Delhi
Profile Highlights:
- With an overall work experience of more than 22 years, Dr. Amit Goel is undoubtedly among the finest Uro-Oncologist in India who has been practicing at Max Super Speciality Hospital in New Delhi as the Director and Unit Head of Renal Transplant and Urology.
- He has extensive experience treating over 3500 cases of urological cancers and performing more than 400 kidney transplants, including both ABO-compatible and incompatible cases.
- Dr. Goel received his training in General Urology, Laparoscopic procedures, Endoscopic Surgeries, Renal Transplants, and Emergencies in Urology during his MCh residency.
- Urologist, Gurugram, India
- Over 40 years’ experience
- Medanta-The Medicity, Gurgaon
Profile Highlights:
- As the Group Chairman of Urology and Renal Care at Medanta The Medicity, Gurugram, Dr. Ahlawat continues to lead with unparalleled expertise, innovation, and dedication, furthering advancements in the field of urology and renal care.
- Dr. Rajesh Ahlawat is a preeminent figure in the realm of Minimally Invasive Urology and Renal Transplants, boasting over 39 years of distinguished experience.
- In addition to his clinical achievements, Dr. Ahlawat is a dedicated educator and academician. He has been involved in training future generations of urologists through M.Ch. and D.N.B. programs at the institutions he has been associated with.
- Top Urologist | Apollo Hospital, New Delhi, India
- 21+ Years Experience
- Indraprastha Apollo Hospital, New Delhi
Profile Highlights:
- Dr. Anshuman Agarwal is a highly esteemed Urologist with over 21 years of dedicated experience in the field, currently practicing at Apollo Hospitals Indraprastha in New Delhi.
- His academic foundation is robust, holding an MBBS, MS, and MCh in Urology, and he is an active member of both the Urological Society of India and the American Urological Association.
- In addition to his clinical practice, Dr. Agarwal has contributed significantly to academic and research endeavors.
- Urologist, Kidney Transplant
- Over 25 years’ experience
- Medanta-The Medicity, Gurgaon
Profile Highlights:
- Dr. Sanjay Gogoi brings over 25 years of extensive experience in Comprehensive Urology Practice, specializing notably in renal transplantation.
- He is distinguished for his expertise in advanced transplant techniques including Laparoscopic and Robotic-Assisted procedures.
- Dr. Gogoi received specialized training in Robotic surgery at the da Vinci Training Center, Intuitive Surgical, California.
- With a track record spanning over six years in performing Robotic Cancer surgeries on various organs such as the Kidney, Bladder, Prostate, and Adrenal, he is renowned for his proficiency in Robotic reconstructive procedures for kidneys, ureters, and bladder, catering to both adult and pediatric patients.
- Director – Urology, Andrology & Renal Transplants | BLK Hospital, New Delhi, India
- 18+ Years Experience
- BLK Super Specialty Hospital, New Delhi
Profile Highlights:
- Dr. Shafiq Ahmed is a distinguished Urologist, Uro-Oncologist, and Robotic Kidney Transplant Surgeon, currently serving as the Director of Urology, Andrology & Renal Transplant at BLK-Max Super Speciality Hospital in New Delhi.
- With over 18 years of experience in the field, Dr. Ahmed has established himself as a leading authority in urology and renal sciences, having performed more than 15,000 urological procedures.
- Dr. Ahmed’s academic contributions are equally impressive such as MBBS, MS (General Surgery), DNB (Urology), MNAMS.
- Urologist, Gurugram, India
- Over 20 years’ experience
- Artemis Hospital, Gurgaon
Profile Highlights:
- Dr. Rajiv Yadav is a reputed urologist in India with great experience in Prostate, Kidney & Urinary bladder disorders.
- His clinical focus is on Robot-assisted Laparoscopic Surgery for Prostate Cancer, Kidney Cancer, and Urinary bladder cancers.
- He completed his training at the most prestigious institutes including AIIMS, Delhi & Weill Cornell Medical & New York-Presbyterian Hospital, USA.
- Urologist, Chennai, India
- Over 15 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- Dr. Deepak Raghavan is a renowned urologist who has gained immense fame and praise in the few years of his career.
- He is specially trained in Robotic Surgery, the need of the hour for Urology patients.
- Urologist, Chennai, India
- Over 21 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- Dr. Nitesh Jain is an experienced urologist in Tamil Nadu, having managed complex urological diseases.
- Dr. Nitesh has grabbed a gold medal in Surgery during MBBS and M.Ch Urology.
- Dr. Nitesh Jain also got training in robotic surgery from Roswell Park Cancer Institute, Buffalo, USA.
Best Hospitals in India for Cystectomy Surgery
- City: Gurugram, India
Hospital Highlights:
- One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
- Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
- The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.
- City: Gurugram, India
Hospital Highlights:
- Artemis Hospital, established in 2007 in Gurugram, India, is a leading multi-specialty institution known for its excellence in patient care and advanced medical technology, offering comprehensive services across specialties like Cardiology, Oncology, Neurology, Orthopedics etc.
- Renowned for its patient-focused care, Artemis Hospital combines state-of-the-art infrastructure with a team of internationally trained doctors and surgeons, ensuring the highest standards of medical treatment.
- Accredited by JCI and NABH, Artemis Hospital meets global healthcare quality and safety standards, reflecting its commitment to providing compassionate, personalized care.
- The hospital is recognized for utilizing cutting-edge diagnostic and ther*peutic techniques, ensuring patients receive accurate diagnoses and effective treatments tailored to their needs.
- City: Chennai, India
Hospital Highlights:
- The Apollo Proton Cancer Centre in Chennai is the most sought-after private cancer hospital in India. It is an integrated facility that provides cutting-edge, all inclusive cancer treatment to patients all over the globe.
- The hospital is a part of the renowned Apollo Group which has a large network of over 74 hospitals in India and across the globe. Out of the 74 hospitals, 21 of them are cancer centres. However, Apollo Proton Cancer Centre is the only cancer hospital to have JCI accreditation.
- The Centre, which was established on the principles of excellence and expertise, unites a formidable medical staff led by some of the most illustrious figures in cancer treatment.
- The hospital follows the global ASTRO Model Policy. It is the same global policy which is followed by countries like USA, UK, and Europe.
- Apollo Proton Cancer Centre is among the very few hospitals in India to receive patients from First World countries such as USA, Canada, New Zealand, Australia, Singapore, Thailand, etc.
- Apart from that, it is also the first hospital in Chennai to receive patients from several countries like Uzbekistan, Kazakhstan, Turkmenistan, Georgia, Armenia, Azerbaijan, SAARC countries (Bangladesh, Nepal, Sri Lanka, Maldives, Bhutan, Afghanistan, and Pakistan), South Africa, Turkey, Egypt, etc.
- In fact, there is a dedicated team at the Apollo Proton Cancer Centre that serves only international patients. Thus, on a monthly basis, the Centre receives patients from across 32 countries.
- Moreover, there are certain treatments in Apollo Proton Cancer Centre that are not available in any other centre. APCC addresses all types of possible cancers that are usually not covered by any other centre.
- City: New Delhi, India
Hospital Highlights:
- Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
- The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
- Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
- Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.
- City: Gurugram, India
Hospital Highlights:
- Fortis Memorial Research Institute (FMRI) is a premier multi-super-specialty, quaternary care hospital, known for its exceptional international faculty, top-tier clinicians, super-sub-specialists, and specialized nurses, all supported by cutting-edge technology.
- It is the flaship hospital of Fortis Healthcare Limited, part of IHH Healthcare Berhad, a leading integrated healthcare services provider in India. As one of the country’s largest healthcare organizations, Fortis operates 28 healthcare facilities with over 4,500 operational beds (including O&M facilities) and more than 400 diagnostic centers (including joint ventures).
- Recognized as one of the top hospitals in India, FMRI serves as a leading referral center and aspires to be the ‘Mecca of Healthcare’ for India and beyond. Its 11-acre campus is a testament to its commitment to providing world-class healthcare.
- Accredited by JCI and NABH, FMRI is dedicated to maintaining the highest standards of healthcare quality and safety, ensuring that every patient receives the best possible care. The hospital’s reputation is further enhanced by its state-of-the-art facilities and innovative medical practices.
- City: New Delhi, India
Hospital Highlights:
- The Indian Spinal Injuries Center (ISIC), provides state-of-the-art facilities for the management of all types of spinal ailments.
- Staffed with internationally trained, acclaimed, and dedicated spine surgeons, the hospital provides cutting-edge medical & surgical technology. The hospital provides comprehensive management of spinal injury, back pain, spinal deformities, tumors, osteoporosis, etc.
- The hospital performs motion-preserving spine surgeries including disc replacement and dynamic fixation, and minimally invasive spine surgeries such as endoscopic disc excision.
- The orthopedic service of the hospital covers all orthopedic ailments including trauma, joint diseases & replacements, oncology, pediatric orthopedics & upper limb ailment.
- City: Faridabad
Hospital Highlights:
In the sprawling city of Faridabad, where healthcare needs are diverse and ever-evolving, one institution has consistently stood out as a beacon of excellence in the field of medicine—Marengo Asia Hospital. Established with a vision to provide world-class healthcare services to the community it serves, Marengo Asia Hospital has emerged as a trusted name synonymous with quality, compassion, and innovation in healthcare.
- City: New Delhi, India
Hospital Highlights:
- Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
- There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
- The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.
- City: New Delhi, India
Hospital Highlights:
- One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
- The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
- Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.
- City: Kolkata, India
Hospital Highlights:
- Founded in 2017, the HCG EKO Cancer Centre is a committed, all-inclusive cancer care facility in Kolkata.
- The hospital was collaboratively established by India’s leading cancer care provider HCG (HealthCare Global Enterprises Ltd.), and EKO Diagnostic Pvt. Ltd., a top diagnostic and imaging chain in Eastern India.
- With 88 beds, the hospital provides a full spectrum of services including diagnosis, prevention, screening, second opinions, treatment, rehabilitation, follow-up, and palliative care.
- Additionally, the hospital contains a day-care chemotherapy ward, Neutropenic ward, medical ICU, pharmacy, blood bank, and an IPD wing.
- At HCG EKO Cancer Centre Kolkata, a large team of cancer experts with experience in medical oncology, surgical oncology, radiation oncology, hemato oncology, BMT, and nuclear medicine collaborate to offer a variety of treatment options under one roof.
- Furthermore, the hospital is also known for employing the most advanced radiation technology such as, the Radixact, a next-generation TomoTherapy equipment that provides greater radiation delivery precision.
CYSTECTOMY
Cystectomy, which is also known as bladder removal surgery, is a surgery for removing the urinary bladder. In men, having the entire bladder removed usually includes the removal of the prostate as well as seminal vesicles. In cases of women, cystectomy involves the removal of the uterus, ovaries, and parts of the vagina.
A surgeon needs to create a urinary diversion as well, after removing the bladder. This is to store urine and have it leave the body. There are several ways that urine can be stored as well as eliminated after removal of the bladder. Your doctor is able to decide which method is the best for you.
Cystectomy is generally performed for treating invasive or recurrent noninvasive bladder cancer. Cystectomy might also be performed for treating any kind of other pelvic tumors.
Purpose
Cystectomy can be performed for several reasons. Some of them include:
- Cancer that begins in the bladder or that begins nearby and grows to involve your bladder
- Birth defects affecting your urinary system
- Neurological or inflammatory disorders affecting your urinary system
The type of cystectomy and reconstruction that will be performed can depend on several factors, such as the reason for your surgery, your overall health, etc. You can discuss with your surgeon which procedure is best for you.
Preparation
Before your procedure, you will need to discuss with your doctor regarding any medicines that you take or whether you use any caffeine, alcohol, or any such drugs. You might also need to make changes to your medications, or avoid certain substances to help with your recovery after the surgery.
If you smoke, it is best to quit it before your surgery. Smoking is a risk factor for bladder cancer, and it also increases any risk of developing problems after the surgery.
After your surgery is scheduled, you are going to receive specific instructions on how you can prepare for it.
Procedure
Depending on your condition, your procedure can be of two types:
Partial cystectomy
In partial cystectomy, only a part of your bladder is removed. Usually, lymph nodes nearby are also removed to determine whether any cancer has spread beyond your bladder.
Radical cystectomy
In a radical cystectomy, surgeons remove your entire bladder and the lymph nodes near it. Surgeons generally almost always cut the vas deferens and remove any prostate and seminal vesicles. For women, doctors generally remove the uterus, fallopian tubes, ovaries, cervix, and in some cases, parts of the vaginal wall.
Ways of surgery
There are generally three ways in which the surgery might be performed:
Minimally invasive surgery
In minimally invasive surgery, your surgeon first makes several small incisions on your abdomen where he/she inserts special surgical tools to access the abdominal cavity.
Open surgery
In open surgery, a single incision is required on your abdomen to access the pelvis and the bladder.
Robotic surgery
Robotic surgery is a type of minimally invasive surgery, where your surgeon sits at a console and operates the surgical tools remotely.
You will first receive general anesthesia that helps to keep you asleep throughout the surgery. Once you are asleep, the surgeon will be cutting into your abdomen. In the case of open surgery, there will be one large incision, while in the case of minimally invasive or robotic surgery, there will be several smaller incisions.
Next, your surgeons remove the bladder along with the lymph nodes nearby. Your surgeon might also need to remove other organs near the bladder including the urethra, prostate, and seminal vesicles in men. In cases of women, it includes the urethra, uterus, ovaries, and parts of the vagina.
After your bladder is removed, your surgeon will need to reconstruct the urinary tract so that urine can pass the body. This can be done in various ways.
- Ileal conduit- In this method, the surgeon disconnects a short portion of your small intestine known as the ileum. The ureters, i.e. the tubes carrying urine from the kidney to the bladder, are attached to one end of the ileum. The other end of the ileum can be attached to an opening in the skin which is known as a stoma. The stoma is generally located close to your belly button on your right side. For collecting urine, a plastic appliance, known as an ostomy bag is placed over the stoma.
- Continent cutaneous diversion- In this method, your surgeon creates a reservoir for storing urine from parts of your small and large intestine. The ureters are attached to one end of the reservoir. The other end of the reservoir is meanwhile connected to a small opening known as a stoma, in the skin of the abdomen. The reservoir is able to store urine and it needs to be emptied periodically by inserting a small drainage tube known as a catheter into the stoma. There is a need for an external bag.
- Neobladder- In this method, your surgeon uses a long piece of the small intestine for creating a reservoir for storing urine. These ureters are attached to one end of the reservoir, while the other end of the reservoir is connected to your urethra, the tube carrying the urine out of your body. You can empty your reservoir periodically by relaxing the pelvic muscles and tensing the abdominal muscles.
After the Procedure
You might require staying at the hospital for around five-six days after your surgery. This time is generally required so that your body is able to heal from the surgery. The intestines tend to be the last part to be awake after the surgery, and therefore you might need to be in the hospital until the intestines are again ready for absorbing fluids and nutrients.
On the day after the surgery, your healthcare team will likely have you get up and walk. Walking can help to promote healing and it can also help your bowel function to return. It improves your blood circulation as well and also prevents joint stiffness and blood clots.
You might also experience some pain or discomfort around the incision or incisions for some weeks after your surgery. As you continue to recovery, your pain is going to get better gradually. Before you get discharged from the hospital, you will need to talk with your doctor about medications and any other ways to improve your comfort.
It is also likely that you will be seeing mucus in your urine since the piece of intestine used in the procedure will still be making mucus like the intestines normally do. Over time, you will be seeing less mucus in your urine, though it is likely that it will never go away completely.
Few weeks after your surgery, you will likely need to return for follow-up appointments. Your doctor will check to make sure that your upper urinary tract drains adequately and you don’t experience any electrolyte imbalances.
If the cystectomy was performed for treating bladder cancer, your doctor will be recommending regular follow-up visits for checking for the recurrence of cancer.
During the first two months after the surgery, it is best if you can restrict some activities such as lifting, driving, bathing, and going back to your regular routine. Gradually, you will be regaining your strength, and your energy level will increase. You can also discuss with your doctor when it is safe to resume sexual activities.
Risks
Like all major surgical procedures, a cystectomy poses a few risks, which includes:
- Bleeding
- Blood clot infection
- Organ damage
- Reactions to anesthesia
It is likely that you will be seeing changes in how you urinate after any bladder surgery. Your bladder is smaller after partial cystectomy, and therefore you might need to go to the bathroom more often. If you have a radical cystectomy, your ability to urinate will be depending on the type of reconstructive surgery that you have.
For some men, bladder removal surgery can cause sexual side effects as well. Some men might experience difficulty getting and maintain erections. Also, men will not produce semen anymore, as the doctor removes the seminal vesicles along with the bladder.
Women can also experience some sexual side effects. Though intercourse is still possible, it can cause discomfort if doctors remove parts of the vagina. Some women can also have nerve damage, and this damage can limit a woman’s ability to become aroused and have an orgasm.