When a patient is diagnosed with a tumour of the bladder, the general procedure is to remove the whole bladder and to reconstruct the urinary tract in order to allow urine to leave the body. There are a few ways to do the same, first being urinary conduit, in which the surgeon uses a piece of the intestine to create a tube that runs from the kidneys to the abdominal wall. A bag on the abdomen collects the urine. Second being the Indiana pouch in which a tube is created that runs from the kidneys to a small reservoir that’s attached to the inside of the abdominal wall. A catheter is used to empty the reservoir through the bellybutton several times a day. And the most advanced technique is the “Neobladder” in which a part of the intestine is used to create a new bladder that allows the patient to urinate through urethra in a relatively normal fashion.

Not more than 10 centers in the world perform neobladder surgeries. Dr Sanjay Gogoi, Director-Urology & Renal Tranaplant and his team has performed around 40 Radical Cystectomy with Intracorporeal Neobladder in the last three years at FMRI. In the month of July six surgeries were performed, which is the highest number ever done in a span of 30 days.

The first Robot-assisted Radical Cystectomy with Intracorporeal Neobladder surgery was performed on 9th July, 2017 on a 66 year old male patient from Samoha islands. The surgery was successful and the patient was discharged within a couple of days. The potential advantages of a complete intracorporeal procedure are less intraoperative blood loss, decreased bowel manipulation and exposure, reduced insensible losses, decreased morbidity from smaller incisions, reduced postoperative analgesic requirements, shorter hospital stay and earlier return to normal activities.

FMRI has emerged as one of the few centres in the world to perform both robotic kidney transplants as well as robotic intracorporeal neobladder surgery.

Article Source: https://www.fmri.in/medical-bulletin/Fortis-Memorial-Research-Institute-collaborates-with-IIT-Delhi-for-research-work

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