2. (http://www.armancare.com/urology_treatments.html)
Endourology
• TURP
• TURBT
• PCNL
• URS
Urologic Oncology
• Prostate Cancer
• Urinary Bladder Cancer

3. • Adrenal Gland Cancer
• Testicles Cancer
Paediatric Urology
• Cryptorchism (undescended testes)
• Congenital abnormalities of the genito-urinary tract
• Enuresis
• Underdeveloped genitalia and vesicoureteral reflux.
Female Urology

4. • Overactive bladder
• Pelvic organ prolapse
• Urinary incontinence
Reconstructive Urology
• Uretric stricture
• Urethralstricture
Andrology
• Male infertility

5. • Erectile dysfunction
• Ejaculatory disorders
Common Procedures
• Trans-Urethral Needle Ablasion of the Prostate
• Cystoscopy with Retrograde Pyelogram
• Prostatectomy
• Trans-Urethral Resection of Prostate (TURP)
• Circumcision

6. Transurethral Resection Of The Prostate (TURP)
About TURP
A Trans-urethral Resection of the Prostate (TURP) is an
minimally-invasive operation, performed by your urologist, to
remove the parts of your prostate gland that are pressing on your
urethra in order to allow urine to flow more freely. If you have an
enlarged prostate gland, you may find it difficult to pass urine, as
your prostate gland can obstruct the flow of urine from your
bladder.
TURP is a common operation for men who have an enlarged
prostate gland (benign prostatic hyperplasia).

7. Without TURP, your prostate gland may continue to enlarge,
leading to worsening of your symptoms. It may also increase the
risk of damage to your bladder and/or kidneys due to the
increased pressure and stress that is required to pass urine
through the squeezed urethra.
Know about your prostate gland
Your prostate is a walnut-sized gland that lies at the base
of your bladder (where urine is stored) surrounding the urethra
(the tube that passes urine from your bladder, along your penis
and out of your body).
The prostate gland is found only in males, and is part of the
reproductive system. It produces nutrients for the sperms and
produces components that make up the milky fluid (semen) that
you produce when you ejaculate.

8. The most common cause of prostate gland enlargement is 'Benign
Prostatic Hyperplasia', often shortened to 'BPH', which means
extra-growth of normal (non-cancerous) cells. This process often
begins at the age of 40, causing your prostate to gradually increase
in size as you get older. BPH is very common and often exists with
few or no symptoms. However as the prostate surrounds the
urethra, the enlargement can squeeze the urethra making it
difficult for you to pass urine.
This may lead to symptoms that can include:
• Weak flow of urine
• Needing to strain to pass urine
• Not being able to empty the bladder completely, so
needing to use the toilet more often both day and night

9. What are the alternatives to TURP
You will usually only be advised to have surgery if your
symptoms haven’t improved after taking medicines. There are
alternative types of surgery to TURP, including the following. The
type you are advised to have will depend on the severity of your
condition.
• Transurethral incision of the prostate – this is a similar
operation to TURP, but involves making one or two small cuts in
the neck of your bladder and prostate rather than removing part
of the prostate. It is usually only suitable for men whose prostate is
only moderately enlarged.
• Open prostatectomy – a cut will be made in your
abdomen (tummy) and the outer portion of your prostate will be
removed. This is usually only carried out in men who have a very
large, benign (non-cancerous) prostate and is rarely done.

10. • Minimally invasive surgery (such as electrovaporisation
and laser prostatectomy) – in these types of operation, laser or
electrical energy will be used to burn off excess tissue.
Your surgeon will discuss which procedure is most suitable
for you.
Preparing for your operation
Your surgeon will explain how to prepare for your
operation. For example, if you smoke you will be asked to stop, as
smoking increases your risk of getting a chest and wound infection,
which can slow your recovery.
The operation is usually done under general anesthesia.
Alternatively, you may have the surgery under spinal or epidural
anesthesia.

11. This completely blocks feeling from the waist down and you will
stay awake during the operation. You may be offered a sedative
with a spinal anesthetic – this relieves anxiety and helps you to
relax.
Your surgeon or anesthetist will advise which type of anesthesia is
most suitable for you.
If you’re having a general anesthetic, you will be asked to follow
fasting instructions. This means not eating or drinking, typically for
about six hours beforehand. However, it’s important to follow your
anesthetist’s or surgeon’s advice.
You may be asked to wear compression stockings to help prevent
blood clots forming in the veins in your legs. You may need to have
an injection of an anticlotting medicine called heparin as well as, or
instead of, wearing compression stockings.

12. What happens during TURP
The operation will take about an hour.
Your surgeon will insert a narrow, rigid, metallic, tube-like
telescopic camera called an endoscope into your urethra. He or
she will then cut out and remove the middle of your enlarged
prostate using specially adapted surgical instruments that use heat
energy to remove tissue.
What happens post surgery
You will need to rest until the effects of the anesthetic
have passed. You may not be able to feel or move your legs for
several hours after a spinal or epidural anesthetic.
You may need pain relief to help with any discomfort as the
anesthetic wears off.

13. You will have a catheter to drain urine from your bladder into a
bag. The catheter will also be used to wash out your bladder with a
sterile solution. This will help to flush out any blood clots in your
bladder. The catheter will be removed when your urine begins to
run clear. This is usually within 24 to 48 hours. Occasionally, you
may need to keep the catheter in for a while after you go home – if
so, your nurse will show you how to look after it.
You may have a drip in your arm to prevent you getting dehydrated
– this will be removed once you’re drinking enough fluids. You will
be encouraged to get out of bed and move around as this helps
prevent chest infections and blood clots in your legs.
You may be able to go home after about one to three days. You will
need to arrange for someone to drive you home. General
anesthesia temporarily affects your co-ordination and reasoning
skills, so you must not drive, drink alcohol, operate machinery or
sign legal documents for 24 hours afterwards

14. . If you’re in any doubt about driving, contact your motor insurer so
that you’re aware of their recommendations, and always follow
your surgeon’s advice.
Recovering from TURP
If you need pain relief, you can take over-the-counter
painkillers such as paracetamol or ibuprofen. Always read the
patient information that comes with your medicine and if you have
any questions, ask your pharmacist for advice.
You may be advised to increase your fluid intake. This is to flush out
your bladder and help you to recover.
It can take up to four weeks to recover fully from TURP. After two
to three weeks you can resume your normal activities. Don’t do
any strenuous activity for about four weeks after the operation.

15. You can have sex as soon as you are comfortable – this will
probably be at least three to four weeks after your operation.
What is medical tourism?
Medical tourism, also known as health tourism or health travel, is
a term that describes travelling to a foreign country for medical,
dental, or cosmetic treatment. It involves the benefit of cost
effective treatment, private medical care, in collaboration with the
tourism industry. The concept of medical tourism is fast growing in
India and people from different part of the world are choosing
India as their desired destination.
Why Choose India?
Medical tourism is a rapidly growing sector in India and millions of
medical tourists from all over the world have come here to
experience a world-class healthcare service.

16. In 2010, about 600,000 patients travelled to India from over 30
countries for treatment, including the USA, Canada, UK, Russia, the
Middle East and Africa.
According to a study by the Confederation of Indian Industry (CII)
on healthcare, after software, the medical tourism industry is
poised to be the next big success story in India. It has predicted
that the industry will grow to earn additional revenue of $2.3
billion by 2012 and will soon account for a major share of the
country’s revenue.
There are several reasons behind this tremendous growth:
Patients come to India to get specialized treatments not available
in their home country. Indian hospitals excel in performing
complex cardiac surgeries, kidney transplants, bone marrow
transplants, orthopedic surgeries, infertility treatments amongst
their wide repertoire.

17. India provides world-class quality treatments at a fraction of the
priceof developed countries. The cost of medical treatment in
India is generally one tenth of western countries and among the
cheapest in Asia.
India has state of the art medical institutes and hospitals of
international standards with highly qualified medical professionals.
These centers are backed by high quality equipment and
technology. This fusion of highly qualifiedstaff assisted by the latest
equipment gives India the edge over other countries.
With hospitals and clinics in every region including urban, semi-
urban, or rural parts of the country, India has ample choice in
terms of preferred destinations.
In countries such as Canada and the UK, patients almost always
have to wait weeks and sometimes months to avail of medical
treatments.

18. In India the consultations with the doctors are prompt and patients
receive a turnaround to their treatment plan at a quicker pace.
As English is a commonly spoken language in India, the patient will
be comfortable communicating with the doctors.
Medical tourists find that the cost of their treatment (including the
return airfare, holiday and accommodation) leaves them with a
total bill substantially less than they would have spent just on
having the procedure in the UK.
Why Arman
There are several concerns that flicker in the minds of the
foreigners who come for treatment to India, particularly for first
time fliers. The first among them is which hospital to choose for
their treatment.

19. India is flooded with hospitals, medical centers and hotels which
have their websites that attract the foreign patients. This makes
them even more confused and the complexity of decision making
becomes a challenging task.
We, at Arman can address all these concerns and issues by acting
as intermediary with hospitals, clinics, surgeons, hotels.
Arman is a healthcare facilitator that has painstakingly brought
together highly qualified professionals and hospitals of repute and
health care providers.
We take the responsibility of screening the hospitals by checking
their track record, accreditations, associations and have partnered
with the best internationally accredited hospitals in India.
Arman update and monitor our network of hospitals on a regular
basis and maintain a database on the hospital’s certifications, type
of facilities and other factors critical in choosing a medical center.

20. Arman also negotiate a lower price from the hospital which foreign
patients would not get by directly approaching the hospitals This
helps the patient to save a lot on the medical procedure costs
We provide assistance with logistics, documentations, permits and
other travel arrangements required for medical tourism.
Our coordinators are highly trained to foresee every need of the
patient and make the entire process hassle free from start to finish.
They help the patient plan his medical procedures before leaving
home, and schedules all his appointments, surgery, treatments
and plans for recuperation.
This in turn helps the patient to choose the hospital according to
his convenience and also get a clear picture of the cost of
treatment, accommodation beforehand that helps them to
arrange their finance.

21. We are aware that a lot of trust is put in our hands and ensure that
this trust is well placed by serving each patient individually with
care and comfort.
How We Work
Patient query received by the patient himself or his doctor/
hospital.
This query along with medical reports is forwarded to the
concerned hospitals to get expert opinions
After the hospitals respond, we create a package for the patient
which includes recommendation on the treatments, duration of
stay, and the costs involved.
The patient reviews the various options presented to him and
makes a decision based on budget and the line of treatment
recommended by the doctors.

22. Occasionally, a patient may clarify his concerns or questions he
may have regarding the treatment with the doctor by telephone.
In liaison with the patients, Arman representatives will make prior
bookings with the hospital, airlines, hotels.
Patient travels and checks into hospital to start the treatment. We
provide assistance through out your stay in the hospital which
include pre and post opeartive care.
Once fit and able to travel, the patient if wishes can enjoy the vast
tourist destinations within India before returning to their home
country fully rejuvenated. (at an additional
cost)(ebranding/mum/ts/19)

23. Arman Health Care Facilitators
OUR OFFICE IN INDIA
422, Bonanza, 'B' Wing,Sahar Plaza Complex, Next to Kohinoor
Hotel,
Andheri Kurla Road, Andheri East Mumbai India 4000059.
Contact: land line No: ( 022-28387433 )
Email :enquiry@armancare.com
OUR OFFICE IN CONGO
Arman Health care Facilitators,Gallery Saint-Pierre, 36 local
UtexAfrica Advanced ,AV 374 VolonelMondjiba,Kinshasa /
Ngaliema,DRC Mobile : +243998290384

24. OUR OFFICE IN KENYA
Arman Health Care Facilitators C/O Doctor Pharma Kenya Limited
Vision Tower, Muthithi Road,
Westlands, Nairobi,Kenya.Contact: Telefax:(+254)722330329
Email : doctorpharmamt@gmail.com
Web:- http://www.armancare.com/urology_treatments.html
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