Urology in Delhi

Urology is a branch of medicine that deals with the diseases of the female and male urinary tract (kidneys, ureters, bladder, and urethra). This branch of medicine also deals with male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate, and penis).

Urology has a number of sub-disciplines, including:

• Endourology – this sub-discipline of urology deals with the closed manipulation of the urinary tract. It includes all minimally invasive urologic surgical procedures, such as prostate surgery and stone removal surgery.
• Urologic oncology – this focuses on the treatment of malignant genitourinary diseases, such as cancer of the bladder, prostate, kidney, ureters, adrenal glands, testicles, or penis.
• Neurourology – this deals with the treatment of conditions involving the nervous control of the genitourinary system or abnormal urination.
• Pediatric urology – this focuses on urologic disorders in children, such as congenital abnormalities of the genitourinary tract, cryptorchidism (undescended testes), underdeveloped genitalia, enuresis, and vesicoureteral reflux.
• Andrology – this deals with disorders of the male reproductive system, such as ejaculatory disorders, erectile dysfunction, vasectomy reversal, and infertility.
• Reconstructive urology – this is a highly specialized field of male urology that deals with the reconstruction of both the structure and function of the genitourinary tract.
• Female urology – this deals with conditions of a woman’s reproductive and urinary tract, such as pelvic organ prolapse, overactive bladder, and urinary incontinence.

Medical professionals specializing in the field of urology are called urologists. Urologists can diagnose and treat diseases of the urinary tract in both women and men, as well as diagnosing and treating any problems in men’s reproductive tract. In some cases, urologists may also perform surgery. In the case of certain conditions, urologists may need to work in conjunction with medical professionals who specializes in other fields, such as oncologist, radiotherapists, nephrologist, and gynecologist.

Urologists can treat the following conditions:

In men:

• Prostate gland enlargement
• Cancers of the penis, bladder, testicles, kidneys, and adrenal and prostate glands
• Erectile dysfunction
• Infertility
• Kidney diseases
• Kidney stones
• Interstitial cystitis, also known as painful bladder syndrome
• Prostatitis
• Varicoceles, or enlarged veins in the scrotum
• Urinary tract infections (UTIs)

In women:

• Cancer of the kidneys, bladder, and adrenal glands
• Bladder prolapse, or a condition in which the bladder drops into the vagina
• Kidney stones
• Interstitial cystitis
• Overactive bladder
• Urinary incontinence
• UTIs

In children:

• Blockages and other problems with the urinary tract structure
• Bed-wetting
• Undescended testicles

What does Urology Involve?

During your first appointment, your urologist may ask you questions about your health history, any medicines you take, and your current symptoms. Your urologist may do a physical exam that includes a rectal and genital exam. They may also do some tests, such as:

• Imaging tests, such as MRI scans, CT scans, or ultrasound to help them locate the problem.
• A urine test to check for bacteria or other signs of disease.
• A cystoscope (a long, thin tube with a camera on its end) to see inside the urinary tract and take a sample of tissue for testing.
• A biopsy to check for cancer and other disorders.
• Urodynamic testing to check how fast the urine leaves your body, how much pressure there is in your bladder, and how much urine remains in your bladder after urinating.

After your urologist makes a diagnosis, the treatment will depend on your specific condition. It may include the use of medications and surgery.

Types of medication include:

• Hormone treatment for prostate cancer
• Antibiotics for infections
• Phosphodiesterase 5 (PDE5) inhibitors for erectile dysfunction
• Chemotherapy drugs for cancer
• Drugs that act on the smooth muscle of the bladder to help reduce urinary incontinence.

Some of the most common types of surgery include:

• A cystectomy, which is a procedure to remove the bladder. This procedure is used to treat cancer.
• A kidney transplant, which involves replacing a damaged or diseased kidney with a healthy one.
• Extracorporeal shock-wave lithotripsy, which is used to break up kidney stones so they can be removed more easily.
• A repair of damage to the urinary tract due to injury.
• A procedure to open a blockage.
• A repair of urinary organs that are not well-formed.
• A prostatectomy, which is used to remove all or part of the prostate gland. This procedure is performed to treat prostate cancer.
• Transurethral needle ablation of the prostate, which removes excess tissue from an enlarged prostate.
• Transurethral resection of the prostate, which involves the removal of excess tissue from an enlarged prostate.
• A sling procedure, which uses strips of mesh in order to support the urethra and keep it closed. This procedure can treat urinary incontinence.
• A ureteroscopy, which involves the removal of stones in the kidneys and ureter using a scope.
• A vasectomy, which is a procedure to cut and tie the vas deferens, or the tubes that carry sperm. This is done to prevent pregnancy.
• A nephrectomy, which involves removing a kidney to treat cancer.

The surgery can be performed in one of two ways: open through a large incision, laparoscopically through several tiny incisions. Both methods are usually performed under general anesthesia. In some cases, local anesthetic may be used instead.

How Long Should I Stay in Delhi?

Depending on the procedure you will have, you may be able to leave the hospital on the same day or you will have to stay for up to 5 days. In general, it is highly advisable that you stay in Delhi for several days following your procedure for initial recovery and to attend scheduled follow-up checkups. For surgical procedures, you may need to stay in the country for at least 10 to 14 days.

What's the Recovery Time?

The recovery time varies, depending on the procedure you have, the reason why you need the procedure, and your overall health. For surgical procedures, it may take about one to six weeks until you can go back to your full activity. For non-surgical procedures, you may be allowed to go back to your normal routine within several days. Your urologist will give you a detailed recovery timeline, which includes the time you can go back to work, normal activity, and strenuous activities, such as exercise and heavy lifting.

What About Aftercare?

Your urologist will give you a set of instructions for your aftercare. The instruction may include a diet plan, exercise, restrictions, and medication to take, and wound care. It is important that you follow every instruction closely. After surgery, you will be encouraged to do some light exercise, such as walking, to help your healing process. You may also need to eat easily digestible food until you are recovered.

Depending on your specific condition, you may need to attend regular checkups following your treatment. For instance, if you had cancer treatment, your doctor will suggest you attend a checkup once or twice a year to ensure that cancer has not come back.

What's the Success Rate?

The field of urology is at the forefront of research and innovation. Due to its constant advancement, the procedures are becoming more effective and safer. Each urological treatment is also known to offer high success rates. However, any procedure comes with risks, such as infection, bleeding, and damage to nearby organs. Therefore, it is important that you choose a skilled and experienced urologist.

Are there Alternatives to Urology?

If you have any injury or disease in your urinary tract and/or reproductive organ (for men), there is no other alternative besides visiting a urology department. However, if your disease is found to be caused by other problems, the doctor will refer you to a relevant doctor.

Urology in and around Delhi

Introduction

Delhi is officially known as the National Capital Territory of Delhi (NCT). It is home to the capital of India, New Delhi. With a population of over 18 million, it is the second most populous city in the country. The city is brimming with vibrant modern life but also still steeped in history. People come to the city for its cultural richness and gastronomic scene.

Recently, Delhi has emerged as a medical tourists’ favorite destination. It’s the perfect place for those who seek low cost high-quality, world-class healthcare. India continues to expand its medical tourism sector with Delhi as one of the top hubs for medical facilities. Among the leading hospitals in Delhi are Max Super Specialty Hospital, Apollo Hospital Indraprastha, and BLK Super Specialty Hospital. Breast Augmentation and heart surgery procedures are two of the most popular procedures in the city. Patients come to Delhi for the following reason:

• State of the art medical facilities with international and local accreditation
• Skilled doctors, many of which trained in the UK
• English speaking doctors and staff
• Wide range, cost-effective procedures
• Traditional healthcare therapies and practices such as Ayurveda and yoga

Popular Areas in Delhi

Delhi is overflowing with enchanting history and colorful modern life. The city is made of layers of history, temples, monuments, markets, and UNESCO World Heritage Sites. Many tourists come to witness its charm and discover its hidden treasures. Go to Old Delhi and visit the Red Fort where a load of people fell in love with its beautiful structure influenced by Islamic, Persian, Hindu, and Timurid traditions. Learn Islamic history in one of the largest mosque in India, Jama Masjid. Shop in Chandni Chowk Market, the largest shopping hub in Delhi. Pay your respect in Raj Ghat, a memorial dedicated to Mahatma Gandhi.

There is also New Delhi, India’s capital, where you can stroll around India Gate, a war memorial that was inspired by the Arc de Triomphe. Humayun’s Tomb, the tomb of the Mughal Emperor Humayun, is also worth a visit for anyone who loves history. Don’t forget to go to the Gandhi Museum (Gandhi Smirti) to learn more about the leader of Indian independence’s life. Tourists can also visit an enthralling historical site known as Purana Qila. In your spare time, you can shop in Janpath Market and Sarojini Market.

South Delhi has many sites to enjoy such as the unique Lotus Temple, the soaring tower of victory Qutab Minar, and the thriving nightlife of Hauz Khas Village. This district also has a famous shopping paradise including Dilli Haat, Shahpur Jat, GK 1 N-block market, and Dastkar Nature Bazaar.

Weather and Climate in Delhi

Delhi has a high variation of temperature between summer and winter. Summer in Delhi can get really hot with an average temperature of around 32°C. The season starts in April to June and the temperature can reach as high as 46°C. It is advisable to avoid this season if you’re planning to do a lot of outdoor activities. The monsoon starts in late June to mid-September. The temperature usually falls to an average of 29°C, but it’s rainy and humid.

The temperature plummets during winter, ranging between 6°C to 7°C. This season starts in November and lasts until March. October to March is the best time to visit Delhi because the weather is neither too hot or too cold.

Getting Around in Delhi

Indira Gandhi International Airport, located 16 km from New Delhi city center, is the busiest airport in India. This airport serves domestic and international flights that connect the city with almost every country across the globe. Terminal 1 is used by budget airlines such as IndiGo and SpiceJet, while Terminal 3 is mainly used for international operations and several domestic flights.

The city center can be reached by bus, airport taxi, and metro. The bus is the most affordable option although it can be very crowded. Taxi is a good way to travel but always use licensed taxis such as WTi Cabs, Meru, and Mega Cabs. App-based taxis like Ola and Uber is another choice of travel. The fastest way to travel to Delhi’s city center is by The Delhi Metro. The travel time is less than 25 minutes and should cost around 10 INR to 60 INR.

There are several transportation modes to get around Delhi. The Delhi Metro is the best option to travel around because it offers comfort and fast travel. Taxis are widely available in the city. The easiest way to call a taxi is by the Ola app. It’s usually cheaper to use Ola than a local taxi stands.

For shortstops, opt for auto rickshaws. They’re affordable and easy to find. Make sure to negotiate the fare before getting in because most drivers will refuse using the meter. The drivers are also known to overcharge foreign visitors. Driving around Delhi is not recommended since the traffic can be time-consuming and there is a lot of bad driving. You can always hire a local driver if you want to get around by car.

Tourist Visas in Delhi

Citizens of Nepal and Bhutan can enter India without a visa. Citizens of Japan and South Korea can apply for a visa on arrival. Citizens of 150 countries can apply for e-Visa which is valid for 60 days. There are medical and medical attendant e-visas for tourists who come for healthcare. Other nationalities are required to apply and obtain a visa before entering the country.

All visitors must hold a passport valid for at least 180 days after their entry to India and should have at least two blank pages.

Additional Information

1. Local Currency: the official currency is the Indian rupee (INR). 1 USD converts to 70 INR.
2. Money & Payments: Major currencies such as US dollars, euros, and pounds sterling are easy to change throughout the city. The easiest way to exchange money is by using ATMs. Some shops, restaurants, and hotels will accept credit cards. It is advisable to always carry cash since a lot of places still accept cash only. Restaurants sometimes add a 10% service fee to the bills.
3. Local Language: Hindi is the official language of Delhi. Urdu and Punjabi are widely spoken. Most people will be familiar with English. Many young people shop keepers, and tour guides can speak English very well.
4. Local Culture and Religion: The major religion is Hinduism, followed by Islam, Christianity, Sikhism, Jainism, Buddhism, and Judaism.
5. Public Holidays: The city celebrates major religions (Hindus, Muslims, and Christians) holidays. The city hosts many festivals all year round such as The Grub Fest, The Palate Fest, and Holi Festival.