Urology in Mumbai

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 Mumbai?

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 Mumbai 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 Mumbai

About Mumbai

Mumbai, formerly known as Bombay, is a big cosmopolitan city. It’s the wealthiest city in India with the highest number of millionaires and billionaires. It’s the perfect place for anyone who wants to immerse in tradition and modernity, as the city is a grand mixture of old and new. The city is also home to Bollywood, India’s film industry. Tourists flock to the city for its historical sites, amazing food, unique bazaar, and recently, for its medical tourism.

In line with India’s growing medical tourism, Mumbai has gained a lot of attention as a medical destination. In 2017, 27 percent of medical tourism activities in India took place in the state of Maharashtra. Armed with advanced medical technology, world-class doctors, hospitals with the highest-quality, affordable cost, and a wide range of healthcare, Mumbai is the leading city in the state with 80 percent of patients choose to have a medical procedure there.

Most hospitals are accredited by Joint Commission International (JCI) or National Accreditation Board for Hospitals & Healthcare Providers (NABH). Hospitals like Kokilaben Dhirubhai Ambani Hospital, Global Hospitals Mumbai, and Wockhardt Hospital South Mumbai are patients’ favorite. Among the most popular procedures are cosmetic and plastic surgery as well as eye surgery.

Popular Areas in Mumbai

Tourists are drawn to the city for various reasons. Some want to indulge in its energetic vibe, others want to be fascinated by its history.

• Gateway of India was built in 1924 and is the most valued structure in India. It’s located at the tip of Apollo Bunder, overlooking the Mumbai harbor. The structure is designed in Indo-Saracenic style with traces of Muslim architectural style. It was built to welcome King George V and Queen Mary to Mumbai. Tourists can take a stroll and learn the history of this unique landmark.
• Siddhivinayak Temple will leave anyone in awe. Built-in 1801 by Laxman Vithu and Deubai Patil, it is a Hindu temple dedicated to Lord Shri Ganesh. The temple evolved from a small place of worship to a grand temple. Politicians and Bollywood film stars frequently visit this temple. Tourists can find many interesting facts and cultural insight here.
• Elephanta Caves are a collection of cave temples mostly dedicated to the Hindu god Shiva. The caves are a UNESCO World Heritage Site. People visit to see its fine specimens of the ancient Hindu culture and tradition as well as for their rock-cut sculptures. The statue of Trimurti Sadasiva form of Lord Shiva is the most famous sculpture in this cave. The caves were named Elefante (morphed to Elephanta) by the colonial Portuguese because they found elephant statues on it.
• Marine Drives is an important destination for tourists visiting Mumbai. It’s a 3km long road in southern Mumbai which forms a natural bay. Its fantastic sunset view is very popular among locals and international tourists. People also come for its perfectly lined palm trees that offer scenic beauty.
• Film City is where most iconic scenes from India’s film were shot. It’s located near Sanjay Gandhi National Park at Goregaon East. With all the essential equipment and world-class facilities, it’s one of the largest indoor shooting facilities in India. This attraction offers tourists a world of wonder.

Weather and Climate in Mumbai

Mumbai has a tropical, wet, and dry climate. Summer starts approaching the city in late March and ends in May. It might not be the best time to visit since the temperature can get as high as 40 °C and the humidity can also be very high. If you can bear hot temperatures and high humidity, there are many festivals worth visiting during these months.

June to October is the monsoon season which sees continuous rain showers, making traveling more difficult. The temperature is not as high as the Summer.

Winter has the most pleasant weather. It starts in November and lasts until February. The temperature is not too hot or too cold and the humidity is very low, so tourists can enjoy many outdoor activities and sightseeing. The coolest month in Mumbai in January, with the temperature ranging between 13 °C to 30 °C.

Getting Around in Mumbai

Chhatrapati Shivaji International Airport is the main international airport in Mumbai. It’s the second busiest airport in India. The airport serves domestic and international flights to major cities in Asia and Europe. Budget airlines such as GoAir, flydubai, and AirAsia India.

Taxis, auto-rickshaws, and car rentals are available to travel from the airport to Mumbai’s city center. Taxis will take tourists around 25 minutes (depending on the traffic) to the city center. There are two taxi options; metered taxis and pre-paid taxis. Auto-rickshaws are metered and available from Terminal 1, they are cheaper than taxis. Car rentals are the best option if you want to have more flexibility and independence, you can rent directly at the airport.

There are various transportation modes to get around Mumbai. The local Train has 120 stops so you can get off on your nearest destination easily, trains start at 4.00am and stop at 2.00am. While the second class ticket is very cheap, it’s usually very crowded and uncomfortable. Tourists can buy a tourist ticket for 275 INR which allows them to travel in first class for the whole day.

The Mumbai Metro is a cheaper option, with the fares ranging from 10 to 40 INR. The train leaves every 4 minutes during busy hours and 8 minutes on non-busy hours. Buses in Mumbai are known as Brihanmumbai Electric Supply and Transport (BEST), they run from 5.00am to midnight.

Taxis are cheap and easy to find. The minimum fare is 21 INR for the first 1.5 km and then 1 INR for every 100 meters. Make sure to check the meter yourself before paying because some drivers are known to cheat. Auto-rickshaws are widely available, the base fare should be 18 INR and 1 INR to 2 INR for every 100 meters.

Tourist Visas in Mumbai

Citizens of Nepal and Bhutan are granted visa-free entry. Visa on arrival is available for citizens of Japan and South Korea. India provides e-Visa for 150 countries, the visa is valid for 60 days. If you come for medical treatment, you can apply for the medical attendant e-visa. Citizens of other countries are required to apply and obtain a visa to enter the country.

Additional Information

1. Local Currency: The local currency is the Indian rupee (INR). 1 USD is equivalent to 70 INR.
2. Money & Payments: tourists can find ATMs everywhere. Credit cards are accepted in most hotels and restaurants but it is advisable to always bring cash. Tipping is optional.
3. Local Language: Marathi is the state and city official language. Hindi is widely spoken. English is widely used in most places and many locals speak broken English.
4. Local Culture and Religion: Due to the growth of various communities and migrants, there are many religions in the city. Most people are Hindus, Muslims, Zoroastrians, Christians, Jains, and Buddhist.
5. Public Holidays: Mumbai celebrates almost all major religious holidays. The city hosts several annual festivals such as Ganesh Chaturthi and Holi Festival.