Dr M Roychoudhury

KIDNEY STONE MANAGEMENT: ESWL

Extracorporeal Shock Wave Lithotripsy (ESWL) is a non-invasive treatment of kidney stones using an acoustic or sound wave. ESWL is the least invasive of the common place modalities for definitive stone treatment but provides a lower stone free rate than other more invasive treatment methods, such as PCNL or Ureteroscopic manipulation. It is a day care procedure with minimal complications.

KIDNEY STONE MANAGEMENT: PCNL / MINIPERC

Procedure to remove stone from the kidney by a small puncture through the skin. This key hole surgery is very safe in expert hands and gives almost total stone clearance. Average hospital stay is of 1-3 days. So far 3000 miniperc surgeries have been performed during the last 8 years & 75% of them were discharged within 24 hrs.

KIDNEY STONE MANAGEMENT: URS / RIRS

URS is a type of treatment which is done using a small caliber endoscope that is passed through the urethra without making an incision in your body. The stone is pulled out by basket or fragmented by laser. In RIRS, or Retrograde Intrarenal Surgery, a flexible fine endoscope is passed into the kidney through natural opening and then the stones are fragmented under direct vision using laser. Stone clearance rate is very high, complications are minimal & patient is discharged within 24 hrs. Also, it is very expensive & not suited for all types of stones. More than 300 RIRS have been performed at our hospital during the last 8 years.

URO-ONCOLOGY

Uro-oncology department offers dynamic & innovative diagnosis as well as treatment options for all the cases of urological cancer. We care for patients suffering from the following conditions:

•  Bladder cancer
•  Prostate cancer
•  Kidney cancer
•  Penile cancer
•  Testicular cancer

Excellent patient support system also available.

PEDIATRIC UROLOGY

Pediatric Urology is a surgical subspeciality dealing with children’s genitourinary disorders like kidney stones, urinary incontinence, surgical reconstruction of birth defects (like undescended testis, hypospadias etc.), tumor, and cancer of the kidney. Institute is well-equipped with pediatric endoscope, wide range of laparoscopic equipments, and laser to deal with babies of every age.

FEMALE UROLOGY

Female Urology is a subspecialty of urology that deals with the diagnosis & treatment of urological conditions that commonly affect women. Comprehensive care management is available for recurrent urinary tract infection, urethral syndrome, interstitial cystitis, urinary fistula, urinary incontinence, and voiding dysfunction.

RECONSTRUCTIVE UROLOGY

Reconstructive Urology surgery can help patients with conditions such as birth defects, cancer, neurological disorders, male & female incontinence, strictures, pelvic floor prolapse etc. Institute of Urology has expertise & extensive experience of performing complex reconstructive surgery on kidney, ureter, bladder, and urethra. Our section is unique because we are a high-volume centre with multidisciplinary approach, combining the expertise & experience of urologists, plastic surgeons, and general surgeons.

ANDROLOGY

Andrology is the speciality that deals with male health; particularly male infertility, impotence & sexual dysfunction. It is also known as “the science of men”. Complete diagnostic armamentarium is available for proper evaluation of infertile male. Erectile dysfunction commonly affects men. Both non-drug treatment & surgical options are available at the institute. Treatment depends on the underlying cause.

URODYNAMIC LAB

This forms a very important diagnostic support service for urology. Few such labs exist in our state. The department has MMS Video Urodynamic System. Urodynamic testing is used to evaluate lower urinary tract function and determine the type & nature of urinary dysfunction in people with incontinence & other urinary problem.