The Department of Urology offers the most advanced minimally invasive techniques for carrying out a wide range of urological procedures. We deal in diseases that involve the male and female urinary system and the male genital system (erectile dysfunction and infertility). We have one of the best urologist in Gurgaon on board to help you with urological problems of any kind.
Hardened mineral deposits formed in the kidney are called urinary or kidney stones (calculi). These originate as microscopic particles and over the course of time develop into stones. Medically this condition is known as nephrolithiasis or renal stone disease. The kidneys filter waste products from the blood and add them to the urine. When waste materials in the urine do not dissolve completely and the kidney is unable to evacuate them, crystals and kidney stones are likely to form. Some stones may pass out of the kidney or get lodged in the ureter (tube that carries urine from the kidney to the bladder) and cause severe pain that starts from the low back and radiates to the side or groin. A lodged stone can block the flow of urine and build a backpressure in the affected ureter and kidney. Increased pressure results in stretching and spasm causing severe pain.
ENLARGED PROSTATE (BPH)
Enlarged Prostate or Benign Prostatic Hyperplasia (BPH) is mistaken to be simply a case of too many prostate cells. But, in fact, there is no cure for BPH and once prostate growth starts, it often continues, unless medical therapy is started. The prostate gland grows in two different ways. In the first type of growth, the cells multiply around the urethra and squeeze it, much like you can squeeze a straw. The second type of growth is the middle-lobe prostate growth, in which the cells grow into the urethra and the bladder outlet area. This type of growth typically requires surgery.
Kidney cancer — also called renal cancer — is a disease in which kidney cells become malignant (cancerous) and grow out of control, forming a tumor. Almost all kidney cancers first appear in the lining of tiny tubes (tubules) in the kidney. This type of kidney cancer is called renal cell carcinoma. The good news is that most of kidney cancers are found before they spread (metastasize) to distant organs. And cancers caught early are easier to treat successfully. However, these tumors can grow to be quite large before they are detected.
Adenocarcinoma of the prostate is the clinical term for a cancerous tumor on the prostate gland. As prostate cancer grows, it may spread to sac-like structures attached to the prostate (seminal vesicles), to tissues near the prostate, the interior of the gland, and to distant parts of the body (bones, liver, lungs, etc).
URINARY BLADDER CANCER
Urinary Bladder is a hollow bag located in the pelvis, that collects and stores the urine from kidneys. When the normal body cells multiply, they form an abnormal area of cells, called tumor.
Bladder cancer is classified by how deeply they invade the bladder wall. Superficial bladder cancer is limited to innermost lining of the bladder. Invasive bladder cancer is the one which has penetrated the muscular layer of the bladder wall.
Along with classification, the grade of the tumor is based on the degree of abnormality of the tumor. Low-grade tumors are less aggressive whereas high-grade tumors are dangerous.
A ureteral stricture is a narrowing of the lumen of the ureter, the duct that carries urine from the kidneys to the bladder, resulting in an obstruction. Ureteral stricture may arise from a variety of causes and is characterized as either anastomotic or nonanastomotic, depending on how they develop. They may be benign or malignant.
Urethral stricture is the abnormal narrowing of the urethra ( the tube that releases urine from the body).
ERECTILE DYSFUNCTION (ED)
Erectile Dysfunction (ED) is the inability of a man to achieve or maintain an erection sufficient for his or his partner’s sexual needs. Most men experience this at some point in their lives, usually by the age of 40, and are not psychologically affected by it.
ENDOUROLOGY AND LASER SURGERY
Endoscopic treatment of various urology diseases such as :
Benign prostatic enlargement (TURP/HOLEP)
High bladder neck (BNI – Electorcautery/laser)
Bladder tumors (TUR-BT)
Stricture urethra (OIU)
Endoscopic ureteric and renal stone surgery with laser, keyhole surgery for renal stones
Ureteric stones (URS)
Renal stones (PCNL, mini PCNL)
Bladder stones (CLT)
Flexible ureteroscopy (RIRS)
Evaluation and management of urinary diseases/ problems arising due to the involvement of the nervous system e.g. various kinds of neurogenic bladders arising from involvement/ injury of the spinal cord.
Treatment of cancers of urinary system
Kidney cancer (radical nephrectomy)
Laparoscopic nephrectomy and laparoscopic partial nephrectomy
Cancer of ureter (radical nephroureterectomy)
Cancer of urinary bladder (radical cystectomy)
Transurethral bladder tumour removal and radical cystectomy (open and laparoscopic)
Cancer of testis (high orchidectomy)
Cancer of penis (total and partial amputation of penis)
Evaluation and treatment of various urological diseases occurring in children such as :
Posterior urethral valve (PUV)
vesico ureteral reflux (VUR)
Treatment of urological diseases arising in females e.g. stress incontinence.
Treatment of recurrent urinary tract Infections
Minimally invasive surgery for stress
Involves reconstruction of various diseases such as :
Stricture urethra (end to end urethroplasty, and various Substitution Urethroplasty
Ureteropelvic Junction Obstruction (pyeloplasty)
Vesicovaginal Fistula Repair
Buccal mucosa urethroplasty for urethral strictures
Neobladder reconstruction and bladder augmentation.
Deals in sexual dysfunction in fertility of males.
Medical treatments and psychosexual counseling
Penile prosthetic surgery
Microscopic surgery for infertility
COMMON SURGICAL PROCEDURES
The common surgical procedures performed at W Pratiksha Hospital include
Trans-urethral resection of prostate (TURP/HOLEP)
Trans-urethral resection of bladder tumor (TUR-BT)
Percutaneous cysto-lithotrpsy (PCNL)
Retrograde intrarenal surgery (flexible ureteroscopy)
Optical internal urethrotomy (OIU)
Botox bladder injection
Urethroplasty (urethral reconstruction)
Pyeronies disease treatment (penile plication and penile graft reconstruction)
Lithotripsy is a procedure used to treat certain types of kidney stones and stones in other organs, such as gallbladder or liver.
Lithotripsy uses sound waves to break up large kidney stones into smaller pieces. These sound waves are also called high-energy shock waves. The most common form of lithotripsy is extracorporeal shock wave lithotripsy (ESWL).
If you are looking for a painless and scar-less way of removing the kidney and ureteric stones then Extracorporeal Shockwave Lithotripsy (ESWL) is the best available treatment. ESWL involves lying down on a bed where a machine is brought in close vicinity of your kidneys and the sound based shockwaves are generated to fragment the stones into dust. These pieces then pass in the urine. The procedure duration is 30 minutes to one hour and does not require any admission. This modality of treatment is inexpensive compared to the surgical treatment and free of any complications. Lithotripsy can break stones in as many as 90% of carefully selected patients. We are proud to be able to offer you this therapy for stone management at W Pratiksha Hospital and request you to get in touch with Dr. Raman Tanwar, who is an expert in stone management to know more about how lithotripsy can help you get rid of your stone problem.