City-based Brahmananda Narayana Multispeciality Hospital performed a rare urinary TB operation on J Ansari from Purulia district in West Bengal.

The patient had lost all his hopes of travelling long distances by public transports since he developed rare urinary symptoms of frequent passing of urine every 10-15 minutes with severe pain. He reached out to various hospitals and was even operated for removing ureteric stone. But the problems persisted with worsening symptoms. later, with the help of a relative, he was brought to Brahmananda Narayana Multispeciality Hospital.

Thirty-year-old Ansari is from a middle socio-economic background. He had no history of hypertension, diabetes or any other medical condition. From initial diagnosis, he was diagnosed of Genitourinary Tuberculosis (TB of urinary system) with small capacity bladder (less than100 ml) with poor excretion of left Kidney. So the patient was treated with anti tuberculosis drugs (ATT) for 9 months and thereafter he underwent Augmentation Iliocystoplasty, a surgery by which bladder capacity is increased by putting a part of small intestine to the original small bladder. The patient was kept on clear liquid for 2 days before the surgery and a day before the surgery his bowel was washed with medicine so that no fecal matter left in the intestine.

Describing the operation and its process as unusual, Dr Champai Saren, consultant Urologist,at Brahmananda Narayana Multispeciality Hospital, said, “It was a rare operation in our hospital with meticulous process in suturing and surgical principle. During surgery the abdomen was open and we found that the urinary bladder was much smaller than usual. The bladder was opened into two parts. Between the two parts, the small part of intestine was stitched together with the other two parts of the bladder, to make it water tight. Two catheters, one through urethra and one through abdomen was put inside the bladder to drain urine. The total surgical time was 4 hours and post operative recovery was uneventful and patient becomes almost normal in three weeks time”.

Today, Ansari is enjoying an improved lifestyle with normal daily works as his urination time got extended from the earlier 10-15 minutes to over 1 hour and 30 minutes now. He is able to do all his physical activities and is the bread earner of his family.