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Urology
Services Offered
Equipment
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            Out patient procedures:

The out patient department has facility to take care of all office urology procedures. It is supported by trained staff including two staff nurses, blood draw facilities, full fledged procedure rooms, dedicated X-ray machines, ultra sound equipments etc. The department is supported by radiology and nuclear medicine departments, which have all the modern equipments including MDCT and PET CT.

Uro radiology

Ultra sound machine: The department has its own B-K ultra sound machine apart from the facility available in radiology to do ultra sound guided procedures like TRUSS guided prostate biopsy, percutaneous nephrostomy, ultra sound guided aspirations etc. It has a dedicated TRUSS probe for accurate prostate biopsy to diagnose prostate cancer. The department has separate radiology suite for doing procedures like MCU, RGU.

It is supported by a radiology Department with all modern equipments including
  • CT: MD CT ( Seimens sensation 64) , Seimens Ct scan
  • MRI: GE HD xT, Magnotom symphony classic
  • Most modern invasive radiology suite.
  • Ultra sound section having 4 ultra sound machine
  • A mobile USG and X ray unit
  • Image guided Radiofrequency ablation equipments used in the minimally
  • Invasive treatment of tumors

    • Nuclear medicine has
  • PET CT scan: GE discovery
  • Seimens double head Gamma camera: Used for all procedures including diagnostic services like bone scan, DTPA scan, DMSA scan, MAG3, Therapeutic procedures in carcinoma prostate etc
Uro Dymnamics:

Two uroflow meters and Labourie Janus urodynamics machine: These are used for assessing the urine flow and evaluating neurogenic bladder.

Flexible cystoscopy:

Two Karl Storz flexible cystoscopes. These are used in the evaluation of hematuria to rule out bladder malignancies and in follow up of bladder cancer to diagnose early recurrence. It avoids anesthesia during routine cystoscopy as the procedure is pain less.

ESWL: Dornier compact sigma lithotriptor is used for extra corporeal lithotripsy. The machine is handled by a uro- technician well experienced and trained in the procedure under the supervision of urologists.
            Operation Theatre:

The operation theatre has stainless steel wall, laminar airflow and is provided with all the modern equipments.

It has all equipments for general urology works that includes
  • Wolf ureteroscopes, Wolf nephroscopes, Karl Storz cystoscopes, resectoscopes, pediatric cystoscopes etc.
  • Stryker Laparoscopy set and all the equipments for laparoscopy
  • Cook Odyssey 30 watt Holmium laser
  • Olympus Flexible ureteroscope
  • EMS Lithovac and lithoclast master
  • Seimens Fluroscope ( C arm)
            List of Procedures:

Laparoscopic urology:

The department is recognized as one of he apex centers in laparoscopic urology. Both laparoscopic and retroperitoneoscopic surgeries including
  • Laparoscopic and retroperitoneoscopic adrenalectomy,
  • Laparoscopic and retroperitoneoscopic Nephrectomy and radical nephrectomy, Laparoscopic nephron sparing surgeries
  • Laparoscopic Pyeloplasty
  • Laparoscopic radical prostatectomy

    • Laparoscopic donor nephrectomy :
    Donor nephrectomy is routinely done with laparoscopy if there are no specific contra indications. We have the Largent series of laparoscopic adrenalectomy in the country (more than 130 cases). Also we have presented he first retroperitoneoscopic right sided donor nephrectomy in the country.
Endo urology:
  • PCNL
  • Ureteroscopy
  • Flexible ureteroscopy and laser lithotripsy
  • TURP
  • TURBT
  • Endopyelotomy and retrograde endopyelotomy
Onco Urology:
  • Prostate cancer:
 
  • Open and laparoscopic Radical prostatectomy
  • IMRT and conformal RT( supported by radiotherapy dept)
  • Hormonal treatment
  • Chemotherapy( Supported by oncologist)
  • Radio isotope treatment ( Supported y nuclear medicine dept)
    		•
    • Kidney tumours:
     
  • Radical nephrectomy: open and laparoscopic
  • Nephron sparing surgeries : open and laparoscopic
  • RFA
  • Immunotherapy
    		•
    • Testicular tumours:
     
  • Inguinal orchiectomy
  • Retroperitoneal lymph node dissection
  • Chemotherapy and radiotherapy( supported by dept of Oncology)
    		•
    • Bladder cancer
     
  • Radical cystectomy and conduit
  • Orthotopic neobladder
  • Bladder preservation ( Supported by oncology)
    		•
    • Penile cancer: Penectomy and penile reconstruction
    Reconstructive urology:
    • Vescico ureteric reflux: STING therapy, laparoscopic and open ureteric re implanation
    • Vescico ureteric reflux: STING therapy, laparoscopic and open ureteric re implanation
    • Urethral stricture:
     
  • Perineal urethroplasty,
  • Buccal mucosal graft urethroplasty
  • Transpubic urethroplasty
    		•
    • Pelvi uretric obstruction:
     
  • Laparoscopic and open pyeloplasty
  • Endopyelotomy
    		•
    • Female urology
     
  • TVT ,SPARC, TOT sling surgery
  • Reconstructive surgery for VVF, UVF
    		•
    Andrology:
    • Pharmaco cavernosography and cavernosometry
    • Penile prosthesis implantation
    • Penile vascular reconstruction
    • Surgeries for peyronie's disease

    Pediatric Urology:

    • Pediatric pyeloplasty: Lap / open
    • Pediatric adrenalectomy; lap/ open
    • PUV ablation
    • Ureteric reimplanation( Lap/open) and STING surgery
    • Hypospadias repair
                Support

    The department is supported by other departments like Gastro intestinal surgery for complex reconstructive and ablative surgeries. The vascular surgery section is very active and is supportive. The radiology department has all facilities including

    • Angioembolisation
    • RFA for tumour treatment
    • Colour Doppler and mobile Ultra sound and X ray machine
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