Khushlok hsopital Department of Urology strives to provide the patients with expert treatment and care.

The Department of Urology at khushlok hospital offers comprehensive diagnostic and treatment services for adult and pediatric urological conditions.

The Department of Urology at khushlok hospital offers comprehensive diagnostic and treatment services for adult and pediatric urological conditions. The Department always strives to deliver the best health care to our patients who seek advanced urological treatments in India.

The hospital is committed to maintain the highest clinical governance standards and patient-centric care, incorporating the latest advances in the field. This is the reason why a large number of patients choose khushlok hospital as their most preferred health care partner.

Laparoscopic surgery, also called minimally invasive surgery (MIS), or keyhole surgery, is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5–1.5 cm) as opposed to the larger incisions needed in laparotomy. Keyhole surgery makes use of images displayed on TV monitors to magnify the surgical elements. Laparoscopic surgery includes operations within the abdominal or pelvic cavities.

There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. These include reduced pain due to smaller incisions and less blood loss, shorter hospital stay, better cosmetic results and shorter recovery time. Patients are able to go back to work within 1-2 weeks.

Following procedures are done routinely by laparoscopic surgery;

• Radical and simple l nephrectomy
  • Renal cyst surery
  • Pyeloplasty, pyelolithotomy, ureterolithotomy

Reconstructive urology

The state-of-the-art reconstructive surgery to restore functional integrity of the urinary tract for women like repair of VVF and UVF. Uterine prolapse ,cystocele and rectocele repair in females are done through vaginal route.

Male urthral reconstruction for hypospedias repair or urethral stricture surgery. Bladder augmentation, ureteric reimplantation Neobladder and continent diversion Bladder extrophy and epispedias repair.

Uro Oncology Surgery

It is the surgical specialty that focuses on the cancer surgery of the urinary tracts of males and females, and on the reproductive system of males. Cancers of the organs covered by uro-oncologist include the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis).

Following cancer operations are done:

• Radical Nephrectomy, Partial Nephrectomy, Radical Nephro-ureterctomy.
• Radical cystectomy, Radical prostatectomy.
• Total or partial penectomy with inguinal lymph node dissection
• Radical orchiectomy and retroperitoneal lymph node dissections.

Urethral Stricture Surgery

Here urethral integrity is destroyed either by infection or trauma. Shorter strictures are treated with endoscopic procedures, but longer strictures and failed strictures are treated with various complex reconstructive procedures using skin from penis or mucosa from inner aspect of chin or tongue. Sometimes these procedures are done in stages.

Ureteroneocystostomy

An operation to implant the upper end of a transected ureter into the bladder. Also called ureteroneocystostomy.Whereby a ureter is implanted into the bladder.

Vesicovaginal & Ureterovaginal Fistula

It is often caused by childbirth (in which case it is known as an obstetric fistula), where in a prolonged labor baby head presses against the pelvis, cutting off blood flow to the vesicovaginal wall. The affected tissue may necrotize (die), leaving a hole where bladder and vagina communicate which leads to urinary leakage.

Vaginal fistulas can also result from violent rape or gynecological or rectal surgery where ureter or bladder is injured and may lead to communication between vagina with ureter or bladder.

Bladder Augmentation

It is a surgical alteration of the urinary bladder. It involves removing strips of tissue from the intestinal tract and adding this to the tissue of the bladder. This has two intended results: increased bladder volume; and a reduced percentage of the bladder involved in contraction, that in turn results in lower internal pressures in the bladder during urination.

Risks of bladder augmentation include incomplete voiding of the bladder post-surgery (resulting in the patient having to undergo intermittent catheterisation , acute intestinal obstruction due to adhesions some years after surgery, and, in extremely rare cases, cancers of the intestinal tissue within the bladder.

Ureterolysis

It is a surgical procedureaimed at exposing the ureterin order to free it from external pressure or adhesions or to avoid injury to it during pelvic surgery, most often hysterectomy. The procedure can be done during open or laparoscopic surgery. It is often done when ureter is trapped by cancers lymph nodes or fibrous tissues.

Percutaneous Nephrolithotomy (PCNL) - Surgery Procedure

A Percutaneous Nephrolithotomy (PCNL) is an operation to remove stones from the kidney. It is a form of keyhole surgery so is performed through a small cut in the skin. This means you will have a small scar afterwards. The procedure is carried under general anaesthetic (you are asleep). PCNL is used for the treatment of stones in the kidney which are not suitable for other, less invasive treatments because they are too large, too hard or associated with abnormal kidneys. PCNL is a highly effective method of treating kidney stones. The success rate is between 75% and 99%.

Before Operation

You will be admitted to the ward on the day before or on the day of the operation, depending on your medical history. Your admitting nurse will show you the ward and organise any further tests needed. On the morning of your procedure the anaesthetic team will visit and review you. Feel free to ask them about concerns or issues you may have in regard to being anaesthetised. You will need to sign a consent form for surgery. Before you sign this, please ensure that you fully understand the procedure and its possible risks. If you have any questions or concerns, please talk to your surgical team.

How is the operation performed?

Using x-ray guidance, a radiologist (specialist in using x-rays/scanners) makes an access track down to the kidney through a small cut in the skin. A surgical telescope (nephroscope) is passed into the kidney and used to see your stone. The stone is then broken into small pieces which are removed. At the end of the procedure a drain called a nephrostomy tube is left in the kidney. The fluid which comes out is likely to be blood-stained initially and tends to clear after a day or two. PCNL usually takes 1-2 hours.

After operation

After the operation you should move your feet and wriggle your toes to help promote circulation in your legs. This will reduce the risk of blood clots forming (venous thromboembolism). You will be able to eat and drink, after surgery, as soon as you feel like it. A few days after the procedure, dye is injected into the nephrostomy tube and an x-ray taken. Provided there is no blockage, the tube is then removed. This leaves a small wound It is important to drink plenty of fluids.

Urethral Stricture Surgery/Reconstruction

Urethral stricture is the abnormal narrowing of the urethra (tube that releases urine from the body). Urethral stricture may be caused by inflammation or scar tissue from surgery, disease, or injury. It may also be caused by external pressure from an enlarging tumor near the urethra, although this is rare.

How the treatment performed ?

The treatment comprises of the placement of a suprapubic catheter, which allows the bladder to drain urine through the abdomen. It may be necessary to reduce acute problems such as urinary retention and infection. Surgical options vary depending on the location and length of the stricture. Visual internal urethrotomy may be all that is needed for small stricture. A urethral catheter is left in place after the procedure. Open urethroplasty may be performed for long strictures by removing the affected portion or replacing it with another tissue. The results vary depending on the size and location of stricture, prior therapies and the experience of the surgeon. There are no drug regimes currently available for urethral strictures. If all other treatment choices fail, urinary diversion -appendicovesicostomy (Mitrofanoff procedure) - may be performed to allow the patient to perform self-catheterization of the bladder through the abdominal wall. The results of the treatment depend upon the characteristics of the stricture viz. its length, degree of fibres, associated infection, and previous surgeries.

Laparoscopic Nephrectomy

Before Procedure

Before you go to theatre your will have nothing to eat for 4 to 6 hours before the operation, and nothing to drink for 2 hours. You can take prescription medicines and the anaesthetist will discuss exactly which tablets you will be able to take.

How the operation performed ?

For a laparoscopic nephrectomy, also called minimally invasive nephrectomy or hand-assisted laparoscopic nephrectomy, a 3-inch incision is made in the abdominal wall along with two or three ½ inch incisions. Laparoscopic instruments and a camera are placed in these incisions which are used to perform the surgery. Once the artery, vein and ureter of the kidney are controlled, the kidney is then freed from surrounding tissues. The kidney and surrounding tissue are then removed through the larger incision and the skin and incisions are closed with "skin glue", dissolvable sutures or staples.

After operation

You will have a drip put into a vein, to give you fluids until you are able to drink normally. You can start having some fluids to drink immediately after the operation, and the drip can usually be removed the next day. You will gradually increase your food and drink intake the next day. You may also feel nauseated (sick) for 24 hours after your operation. Recovery time after this operation varies but generally you should feel improvements 2 -3 weeks after your operation.

Specialists: