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Urology & Andrology
The department of urology in
Indraprastha Apollo Hospitals offers a comprehensive urological service
to diagnose and treat kidney stone disease, urological cancers,
incontinence, infertility, impotence, female urology, paediatric
urology, prostatic surgery and other urinary difficulties. The services
offered are :
Comprehensive care for the urinary stone diseases
Stone disease is a very common problem all over the world.
Approximately 60% of stone s can be managed by lithotripsy and rest of
stones needs various endourological procedures to remove the stones
without open surgery.
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Lithotripsy
A method of treating kidney and ureteric stones without surgery, using the
latest Dornier lithotriptor-Delta model. One of the best machines available
for the purpose. Both x-ray & Ultrasound controls are available on this
machine. The positioning, focussing and delivery of shock waves are all
controlled by advanced computerized system with safety cut-offs to prevent
damage by human error. Patients does not need any hospital stay and can go
home same day.
Percutaneous renal surgery
Here 1 cm hole is made in kidney to remove stones after breaking it into
smaller pieces. There is a minimal pain and discomfort and patients can go
home in 48 hours. Even bigger stones and stag horn stones can be safely
managed with this modality. Some of the patients may also need help of
lithotripsy to get complete stone removal.
Intra-renal stone surgery by flexible scopes and laser lithotripsy
Here flexible scopes are passed through the urethra (from where one passes
urine) and stones are removed after breaking into smaller pieces by laser.
Here again patients can be discharged within 24 to 48 hours.
Endourology
All aspects of Endourology (surgery through a telescope, which does not
require open procedures) including treatment of prostate (TURP), bladder
cancers (TURBT), urethral strictures, kidney and ureteric stones (PCNL &
URS) are available. Intracorporeal Lithotripsy (breaking of stones using
endoscopes) using the pneumatic lithotripsy is also available.
Minimally Invasive surgery (Keyhole or laparoscopic surgery)
Most of the urological surgery can be performed by keyhole surgery. Most of
kidney surgery whether it is for benign disease or for cancer can be safely
performed laparoscopically. In the same way many other urological cancer
surgery like prostate cancer or ureteric cancer can also be done without
cutting the abdomen. Apollo hospital offers all kinds of laparoscopic
surgery for urological disease. Major advantage is less pain, small scar or
no scar, early discharge and early return to work.
Laparoscopic Donor nephrectomy
Now donor can donate one of the kidney to their loved on without much pain
and discomfort. Even kidney retrieval incision is not seen and donor can go
home in two to three days.
Laser for prostatic surgery
Men after the age of 50 years suffer from urinary problems like going to
toilet frequently, poor control of urine or difficulty of passing urine etc.
It is because of enlargement of the prostate, which can be removed safely by
endoscopic method.
Impotence
A problem of over 10% of adult population can be fully investigated and
treated. specialized facilities for pharmacotherapy, cavernosometry and
cavernosography, in addition to Doppler studies for assessment of blood
flow. Penile implant are also implanted for the severe degree of impotence.
Urological Cancers
Approximately 50% of the cancers can be safely managed by laparoscopically
surgery (Keyhole surgery).
Female Urology
Urinary incontinence (urinary leak) and other urinary problems like urgency
(going to the toilet frequently) and stress incontinence (leaking of urine
with cough and laughing or straining) can be investigated and treated with
minimally invasive methods.
Paediatric urology
Children suffer from various urological problems, which needs
investigations. Most of the problem again can be managed by endoscopic and
laparoscopic methods.
Reconstructive urology
Many reconstructive urological surgeries like pyeloplasty, urethral
stricture surgery, hypospedias surgery and other congenital disorder are
reconstructed routinely. Some of these reconstructive surgeries are done by
keyhole surgery.