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
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
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.
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.
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
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 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.
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.
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.
Dr. Harish Ansari
- M.S. M.C.H