Urology, Andrology & Renal Transplant

BPH Surgery

The number of prostate surgeries has gone down over the years. But operations for Benign Prostatic Hyperplasia (BPH) are still one of the most common surgeries for men. Surgery is used when symptoms are severe or drug therapy has not worked well.

Types of surgeries include:

• TURP (transurethral resection of the prostate) is the most common surgery for BPH. It accounts for 90 percent of all BPH surgeries. The doctor passes an instrument through the urethra and trims away extra prostate tissue. A spinal block is used to numb the area. Tissue is sent to the laboratory to check for prostate cancer. TURP generally avoids the two main dangers linked to other prostate surgeries, which are Incontinence (not being able to hold in urine) and Impotence (not being able to have an erection).The recovery period for TURP is much shorter as well.
• TUIP (transurethral incision of the prostate) is similar to TURP. It is used on slightly enlarged prostate glands. The surgeon places one or two small cuts in the prostate. This relieves pressure without trimming away tissue. It has a low risk of side effects. Like TURP, this treatment helps with urine flow by widening the urethra.
• TUVP (transurethral electrovaporation of the prostate) uses electrical current to vaporize prostate tissue.
• HOLEP (Holmium Laser Eneculeation of Prostate) uses a LASER to remove the prostate gland without bleeding complications.
• Open prostatectomy means the surgeon removes the prostate through a cut in the lower abdomen. This is done only in very rare cases when obstruction is severe, the prostate is very large, or other procedures can’t be done. General or spinal anaesthesia is used and a catheter remains for 3 to 7 days after the surgery. This surgery carries a higher risk of complications than medical treatment. Tissue is sent to the laboratory to check for prostate cancer.

Kidney Stones:

URS/PCNL/LASER RIRS

We are dealing with most of the stones by minimally invasive procedures. With the introduction of laser technology along with flexible ureteroscope, we can access any part of the kidney and any stone can be fragmented and dusted. Multiple puncture PCNL to remove staghorn calculi are routinely performed at SLG.

Urinary tract diseases and infections

Affecting both men and women, it is commonly seen in the latter affecting the kidneys, ureters, bladder and urethra. Symptoms may include a persistent urge to urinate, a burning sensation while urinating, passing frequent but small amounts of urine, the urine appearing cloudy and red, strong-smelling urine and pelvic pain in women.

Neurogenic bladder

Neurologic Urology is a subspecialty of urology that focuses on disorders or conditions of the bladder, urinary tract, kidney and genitalia related to neurological anomalies and spinal injuries. For instance, patients with neurological conditions such as Parkinson’s Disease or Multiple Sclerosis may experience problems including an overactive bladder or sexual dysfunction. This is treated through surgery, medication or behavioural changes.

Urethral obstruction

This is the blockage of one or both the tubes that carry urine from the kidneys to the bladder and is curable. If left untreated, symptoms can range from mild pain, discomfort, fever to loss of kidney function, sepsis and even death.

Renal tumours

A renal mass or tumour is an abnormal growth in the kidney. While some of these are noncancerous, others can be malignant. These most often don’t have symptoms in the early stages but as the mass progresses in size in the organ, some of the symptoms may include blood in the urine, pain in the back, loss of appetite, unexplained weight loss, tiredness and fever.

Renal failure

This occurs when the kidneys lose their filtering abilities in filtering out waste products from the blood and can be fatal if left untreated. Symptoms may include decreased urine output, fluid retention that causes swelling in the legs, ankles or feet, shortness of breath, fatigue, confusion, nausea, weakness, irregular heartbeat, chest pain and seizures. Renal transplantation is the best option for these patients.

PEDIATRIC UROLOGY

• Phimosis
• Hypospadias
• Cryptorchidism
• LUTD
• UTI
• VUR
• Pediatric urolithiasis
• Adolescent varicocele
• Pediatric emergencies –Torsion

UROGYNAECOLOGY

• Male infertility
• Pregnancy and UTI
• Calculus in pregnancy
• Urological injuries – prophylactic stenting, bladder repair, Boari flaps
• Urinary incontinence
• Slings and TVT-O
• Fistulae repair
• Urethroplasty/urethral calibration

When the kidneys lose their ability to filter out harmful levels of fluid and waste from the body, it can lead to high blood pressure and kidney failure when the kidney has lost 90% of its function. This results in a condition known as end-stage kidney disease or kidney failure. Only two possible solutions can create a favourable outcome for the patient – dialysis or a renal transplant.

Our dedicated team of specialists, surgeons and experts work together in tandem to provide the best outcome in a renal transplant using cutting-edge technology and state-of-the-art amenities available only at SLG Hospitals.