When is optical internal urethrotomy required?
Optical internal urethrotomy surgery helps in the removal of body tissues in the urethra for the stricture. This surgery is required when the urethra draining the urine from the body becomes narrow which leads to complications in the body. The surgeon performs an urethrotomy surgery which helps in the free flow of urine from the body, giving the patient relief from the pressure that was building up in the bladder.
How is it done?
Tests are conducted to understand the severity and the length of the stricture in the urethra. The various procedures to scrutinize the stricture include cystoscopy, X-Ray and ultrasound. Then if the need arises, the surgeon performs an optical internal which urethrotomy makes usage of an endoscopic device, termed as an urethrotome. This device along with a sharp knife is used to make an incision in the patient’s body to remove the unwanted tissues. Upon completion of this, the instrument is withdrawn and a catheter is placed through the repair into the bladder. The catheter thus fixed helps to drain the urine and also serves to secure the area of incision thus allowing the urethra to heal gradually.
The surgery done in an endoscopic manner recently uses anti fibrotic substances which produces effective results and ensures faster recovery. Urologists also use sequential dilation protocol after the surgery which reduces the chances of failure in the patients.
Precautions/Points to Remember
Patients undergoing optical internal urethrotomy should abide by some precautionary measures and keep certain health aspects in mind after the surgery is done.
- In certain patients, infections may occur in the urinary tract or in the operated place.
- Excessive bleeding should be brought to immediate notice of the doctor.
- After the surgery also, there persists a chance of recurrence of urethral stricture.
- The doctor recommends the patient to consume atleast 2 liters of water on a daily basis.
- Strenuous activities should be avoided in the post operative period.
Success rate of OIU
Management of the stricture in the urethra largely depends on the site, size and the nature of it. The success rate for OIU surgery in males is below 10%, yet it is a popular treatment for urethral strictures. It is a safe operative procedure for the management of strictures in the male urethra. However, there lingers a risk of recurrence and thus subsequent surgery may be needed. Self catheterization is also done for regulating the flow of urine from the body. The efficiency of the surgery also varies with the patient’s age, the catheters used, the length of the stricture and the periurethral scarring.
Cost of OIU in India
Many patients from across the world choose India for their urological treatment due to its cost effectiveness. The cost of optical internal urethrotomy is also much less in India in comparison to other western countries and the patients can avail the required treatment within their budget. In India the cost generally ranges from $3000 to $5000 whereas in UK or USA the cost falls between the range of $12000 to $18000. The treatment package varies according to the choice of hospital along with the city also. Thus, at low cost, proficient doctors render successful OIU surgery in India.
Best hospitals in India for OIU Surgery
There is a wide network of hospitals in India which cater to the needs of the patients and offer budget friendly treatment for different urological problems. Optical internal urethrotomy is a surgery done to cure urological problem occurring in males and findings have suggested that with latest means of technology, these hospitals provide efficient treatment. Some of the major urological hospitals in India are:
- Kokilaben Dhirubhai Ambani Hospital, Mumbai
- Jaslok Hospital, Mumbai
- Wockhardt Hospital, Mumbai
- Fortis Group ( Mumbai, Chennai, Delhi, Bangalore)
- Apollo Group ( Delhi, Chennai, Bangalore, Kolkata)
- Yashoda Hospitals, Hyderabad
- BLK Super Specialty Hospital, Delhi
- Artemis Hospital, Gurgaon
- Medanta- The Medicity, Gurgaon
- Sarvodaya Hospital, Faridabad
Best surgeons in India for OIU Surgery
Urologists in India have rendered successful treatment for years and thus have created a remarkable record in the field of urological treatment. Some of the most proficient surgeons dealing with optical internal urethrotomy are:
- Arun Shah ( Apollo Health City, Hyderabad)
- Ramesh Mahajan ( Fortis Hospital, Mumbai)
- Narmada Prasad Gupta ( Medanta- The Medicity, Gurgaon)
- Mahendra Jain ( Fortis Hospital, Bangalore)
- Anita Patel (Global Hospital. Mumbai)
- Dr Aditya Pradhan ( BLK Super Specialty Hospital, Delhi)
- Sanjay Gogoi ( Fortis Memorial Research Institute, Gurgaon )
- Mahesh Sane ( Wockhardt Hospital, Mumbai)
- Bejoy Abraham ( Kokilaben Dhirubhai Ambani Hospital, Mumbai)
- Surya Prakash B ( Yashoda Hospitals, Hyderabad)
- A patient from New Orleans, USA writes about his cost effective treatment in India:
“I always had a persistent urge to urinate frequently and then on diagnosis got detected with strictures in the urethra. My doctor advised me to go for a surgery whose cost in my city was quite high. After consulting with my doctor and browsing through the internet I came across Medicure Assist, a medical torism group based in India. I wrote to them about my problem and they immediately reverted back to me. Enquiring of my condition they informed me about the cost of the urological treatment in some of the best hospitals in India. They also made me an opportunity to have a telephonic conversation with one of the urologists in India. After talking with him, I was convinced that I could get my treatment done in India. Medicure Assist helped me with the proceedings at the hospital and I underwent a successful optical internal urethrotomy. A catheter was fixed which helped me in urinating and after a couple of days it was removed. I had a quick recovery and regular checkups were recommended for me. My conveyance and accommodation was taken into consideration by Medicure Assist. Without its help my stay in India and my treatment would not have been smoother. The cost also was within my estimated budget as suggested by them. I am grateful to Medicure Assist for their cooperation and also to my doctor for his extreme support and advice for a complete recovery.”
- Another patient from Nigeria narrates about his experience in India while undergoing a treatment for his urethral stricture:
“For months I had been suffering from pain while urinating and often had urinary tract infection. Since prognosis in my native city was not very good and urological treatment was not that advanced, I thought of getting my treatment done in India. After searching on the internet, I got in touch with Medicure Assist who came to my immediate help. Hearing about my problems, they assured me of a complete recovery. They provided me with the details of some of the leading urological hospitals in India. A brief outline of the treatment package was also given to me so that I could equip myself financially before taking a step. As per their bookings, I went to meet the doctor at Wockhardt Hospital, Mumbai. He went through my previous reports and recommended certain other diagnostic tests for me. After proper scrutiny of my health condition, a surgery was advised for me to initiate the normal passage of urine from my body. The optical internal urethrotomy surgery which he performed on me was a success and apart from mild discomfort I faced no other serious complications. I was discharged within a week and am completely doing fine now. I would surely recommend Medicure Assist to any patient suffering from urological problems as they not only take care of the needs of the patients but propose the necessary treatment depending on the patient’s condition. The cost needed in India for treatment is also affordable and one gets utmost care from the hospital staff. My experience in India was really fruitful and I am thankful to everyone who played a significant role in my recovery.”