Urology in Pune

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 Pune?

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 Pune 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 Pune

About Pune

Pune is a city in the Indian state of Maharashtra. With an estimated population of 3.13 million, it is the ninth most populous city in the country. Like many other cities in India, this city is a perfect blend of ancient and modern. It’s a thriving metropolis that still retains a few of its old buildings and residential areas. The city is famous for the Osho International Meditation Resort, an ashram founded by the late guru Bhagwan Shree Rajneesh. There is a lot to see and do in this city that cannot be packed into a short weekend trip. Recently, many tourists visit the city for its medical treatments.

Pune’s is in sync with India’s fast-growing medical tourism. Domestic and foreign patients prefer the city to get the best healthcare. Medical cost is relatively cheaper here than in any other medical tourism country. The government is expanding this sector rapidly to drive a strong growth rate. With high-quality hospitals, infrastructure, and well-trained medical professionals, the city has a lot of contribution in helping India to be the number one medical destination in the world.

A wide range of medical treatments is available in Pune, from Breast Augmentation, Tummy Tuck, to Otoplasty. Columbia Asia Hospital Pune, Deenanath Mangeshkar Hospital and Research Center, and Apollo Jehangir Hospital are some of the best hospitals with the highest ratings.

Popular Areas in Pune

Pune has a lively nightlife and vibrant atmosphere due to its large student population. It’s sometimes called “Oxford of the East” because there are numerous colleges and institutes here. It is also well known for its hill forts that offer panoramic views, fantastic restaurants, and good museums. The city has a magnificent history of nearly 1600 years.

• Shaniwar Wada is a historical fortification situated at the very heart of Pune. Built in 1732, it was originally a seven-storied capital building of the Peshwas of the Maratha Empire. It’s an amazing place for history buffs. Tourists can enjoy some live shows in the evening.
• Mahadji Shinde Chhatri has an extremely beautiful architecture that reflects the style used in Rajasthan. It is a memorial dedicated to the great soldier, Mahadji Shinde who served as the commander-in-chief of the Maratha army under the Peshwas for twenty years. The memorial consists of a temple dedicated to Lord Shiva.
• Pataleshwar Caves is a religious shrine that dates back to 700 – 800 AD. Located on Jungli Maharaj Road, the shrine has grand statues of Nandi, Sita, Ram, Lakshman, Lakshmi, Ganesh, and a big Shivalingam.
• Parvati Hill is the highest point in Pune. It offers a beautiful panoramic view of the city and is especially breathtaking during sunrise and sunset. The hill is home to four temples.
• Osho International Meditation Resort draws thousands of sannyasins since 1990. It is the perfect place to get some peace of mind. With various meditation techniques, the resort is suitable for those who want to indulge in some luxurious meditation. The resort has a swimming pool, sauna, spa, and guesthouse.

Weather and Climate in Pune

March to June is summer and the temperature can get really high during this season, with the highest temperature ever recorded is 43.3 °C (109.9 °F). The end of May usually experiences dusty winds. Humidity is also very high.

Monsoon or rainy season starts in June and last until October. There are moderate rainfall and the average temperature ranging from 22 °C to 28 °C (72 to 82 °F). July is the wettest month of the year with occasional Hailstorms.

Winter has the most pleasant weather. It starts from December to February. The average daytime temperature is around 26 °C (79 °F) and night temperature can drop to 5 °C to 6 °C (41 to 43 °F). Due to the pollution, the city’s winter temperature has warmed up by 6 degrees.

Getting Around in Pune

Pune International Airport is still the main airport in the city until the completion of the proposed Chattrapati Sambhaji International Airport. This airport has one terminal that serves both domestic and international flights. Major airlines such as Air India and budget airlines such as AirAsia India, GoAir, and IndiGo operate flights from this airport. The international flights connect the city with Abu Dhabi, Dubai, Sharjah, and Frankfurt.

To get to the city center from Pune International Airport, taxis, buses, auto-rickshaws, and car rentals are available. There are four bus lines that reach the city center: 24B, 102, 158 and 158A. A bus ride usually takes 45 minutes. Taxis are relatively affordable, there are pre-paid and metered taxis out on the arrivals area.

Tourists can use the PMPL City bus to get around Pune. Almost all parts of the city can be reached by the buses, but be aware that it can be very crowded and smoke-belching. The fare ranges from 5 INR to 22 INR. Auto-rickshaws are widely available within the city; there are metered and pre-paid auto-rickshaws. If you choose the metered one, always make sure that the drivers use the meter before getting in. Taxis are another nice option; the prices range between 7 INR/km to 20 INR/km. online hailing apps are also available. There are many car rentals and tourists can drive around the city, but there is a lot of traffic and bad driving in Pune.

Tourist Visas in Pune

All visitors, except citizens of Nepal and Bhutan, need to obtain and apply for a visa to enter India. Citizens of South Korea and Japan can apply for a visa on arrival. E-Visa is available for 150 nationalities. Tourists coming for medical treatment can apply for the medical attendant e-visa.

Passport must be valid for at least 180 days after your entry to India and should have at least two blank pages.

Additional Information

1. Local Currency: Indian rupee (INR) is the local currency. 1 USD converts to 70 INR.
2. Money & Payments: ATMs are widely available in Pune. Tourists can find many exchange services around the city. Credit and debit cards are accepted at several restaurants, hotels, and shops. It is advisable to always carry cash. Tipping is not mandatory; you can always tip 10 to 15 percent of the billed amount in restaurants.
3. Local Language: Marathi is the official language of Pune. Most people also speak Hindi. English is widely spoken especially in tourist areas.
4. Local Culture and Religion: Most of the population follows Hinduism. Other religions such as Islam, Buddhism, Jainism, Christianity, and Zoroastrianism have significant presences in the city.
5. Public Holidays: Pune celebrates major religious holidays. The city also celebrates several annual festivals such as Pune Festival, The Eateries Food Fest, and Pune International Film Festival.