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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.
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. Apollo hospital now has facility to remove these glands
by laser surgery.
Video Urodynamics
The most advanced fully computerised video urodynamic machines at Apollo,
which will diagnose all kinds of incontinence and difficulty in passing
urine so as to enable the right treatment. These machines also include 'EMG'
facilities that are a must for diagnosing urinary and bowel problems
secondary to spinal injuries stroke, parkinsonism and other neurological
disorders. This laboratory has well designed facilities for the entire range
of studies including uroflownmetry, filling and voiding cystometry, urethral
pressure profile studies (UPP) and VCUG (in addition to EMG and
cavernosometry).
Impotence
A problem of over 10% of adult population can be fully investigated and
treated. Indraprastha Apollo provides 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
Infertility
Apollo offers a complete range of facilities for investigation of male
infertility. Female infertility investigation by gynaecologists with special
training in infertility is also provided. Treatment is coordinated with the
assisted conception unit and an 'IVF' laboratory.
Urological Cancers
The well-trained surgeons and oncologists at Indraprastha Apollo with a
backup of all investigation tools including MRI & CT scans and
ultrasound including TRUS offer a comprehensive uro-oncology service.
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
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