Urology

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urology

The Department of Urology at Sri Ramakrishna Hospital have nearly four decades of experience and expertise in the field. Our surgeons are of the finest order and have performed literally thousands of procedures between them. For patients suffering from kidney stone disease, we have a host of treatments including the cutting-edge RIRS (Retrograde Intrarenal Surgery). Numerous patients have benefitted from our expertise at laparoscopic urologic surgery. Men suffering from erectile dysfunction can also explore penile prosthetic options in consultation with our surgeons.

Medical Conditions

The occurrence of kidney stones is an unfortunately common condition. Anybody who has experienced it can testify that it is excruciatingly painful. In fact, it is said that the pain caused by a kidney stone is only second to that of child birth.

Kidney stones are solid pieces of material which form when minerals in the kidneys become very concentrated. Often, patients might pass out small stones without even knowing it but the large ones can block the urinary tract and cause immense pain.

While they are common, nobody has been able to exactly pinpoint the cause of kidney stones. There are a host of conditions which seem to contribute to their formation ranging from genetic factors to low intake of water to urinary tract infections and so on. It is clear that diet and lifestyle also have an impact but the exact nature and correlation are not entirely clear. Treatments vary from vast intake of fluids to medications to lithotripsy (shock waves) to laparoscopic surgery.
This is the condition wherein a man is unable to attain and maintain an erection which is firm enough for sexual intercourse. While the occasional trouble with erection is not a cause for concern, it needs to be investigated if it is an ongoing problem. It can erode self-confidence, lead to relationship trouble, increase stress and, far worse, could be the indicator of a worse underlying health condition.

The process of male arousal is extremely complex, involving the brain, emotions, hormones, nervous system, muscles, blood vessels and so on. A problem with any of these may result in it. There are also psychological issues which can cause it. Some of the common causes of erectile dysfunction include heart disease, high cholesterol, diabetes, high blood pressure, obesity, alcoholism, use of tobacco, prescription medications, depression, anxiety and so on. Treatment can vary from medication to psychiatric therapy to injections, blood vessel surgery and surgical penile implants.

Treatments & Procedures

For a person with kidney failure, a lifetime on dialysis is a painful and depressing course of action. However, a kidney transplant can give such people hope and a new lease on life. While typically people go on dialysis for while before getting a kidney transplant, some people actually benefit from a pre-emptive transplant. One kidney can do the work of two so only a single donated kidney is enough two to replace two which have failed. There are broadly two kinds of kidney transplant – living-donor and deceased-donor.

Living-donor Transplant the name implies, in this case the donated kidney comes from a living person. Since one kidney is enough to do the work of two, it is very common for family members to donate one of their kidneys. Close family relatives will also have a higher chance of compatibility. This constitutes about a third of all kidney transplants. Living donor transplants have certain advantages. A patient spends less time on a waiting list for dead donors. This prevents greater deterioration of health and pain experienced from it. It also has greater survival rates in the short and long term.

Deceased-donor Transplant This constitutes nearly two-thirds of all transplants. The donated kidney comes from a recently deceased person. It is usually harvested from the person immediately after death and stored either on ice or on a machine which maintains its functions. At Sri Ramakrishna Hospital we have extensive experience and great success with both forms of renal transplant. We also have the capability to perform ABO incompatible transplants. This is a form of transplant where the donor’s blood type is incompatible with the recipient. Through advances in modern medical technology, the usually incompatible antibodies are no longer an obstacle to a successful transplant.
Retrograde Intrarenal Surgery (RIRS)

Here at Sri Ramakrishna Hospital we are equipped to perform modern surgical procedures. One such procedure practised by the Department of Nephrology and Urology is RIRS (Retrograde Intrarenal Surgery). A fibreoptic endoscope is a thin, flexible device which allows the surgeon to view the inside of the body while performing surgery. In this case, the endoscope is passed through the urinary opening (urethra) and into the region of the kidney which collects urine.

The surgeon can then view the area and use a suitable method to deal with the condition. If it is a kidney stone, the surgeon might either evaporated the stone using a LASER or even held and removed using tipless basket. RIRS can only be performed by urologists with special training and expertise. The patient is usually placed under general anaesthesia or spinal anaesthesia. It is a quick and non-invasive procedure which allows much faster patient recovery times.

One possible treatment for men suffering from erectile dysfunction (ED) is the implantation of a penile prosthesis. A typical penile prosthesis is made up of two cylinders, a pump and a reservoir. These are surgically placed within the body. The two cylinders are placed within the penis. They are connected via a tube to the reservoir which contains fluid. The pump is connected to the system. It sits beneath the skin of the scrotal sac, between the testicles. The reservoir is placed beneath the muscles of the groin. In order to gain an erection, the man must press the pump. To ‘deflate’ he will press another valve at the base of the pump. There are different models of implants which different in levels of sophistication and mechanics.

Please consult our excellent team of Urologist & Andrologist at Sri Ramakrishna Hospital to determine which would be best for you.

This is more commonly known as ‘keyhole’ or ‘minimally invasive’ surgery. Laparoscopic surgery is a technique wherein surgery is performed through tiny incisions in the skin, rather than the more conventional ‘open’ methods which require large incisions. These tiny incisions are used to pass specialised instruments such as an endoscope (used to view the internals of the body) and microsurgical devices into the affected area. Using these, a surgeon gets a magnified view of the affected area and can make precise cuts and excisions exactly where required.

The advantages of this form of surgery as compared to open surgery are manifold – minimal blood loss, fast recovery, low pain inflicted and little to no scarring. At Sri Ramakrishna Hospital, the Department of Nephrology and Urology uses laparoscopic surgery to treat a number of conditions. Some of the laparoscopic procedures performed are as follows.

  • Laparoscopic nephrectomy
  • Laparoscopic partial nephrectomy
  • Laparoscopic removal of kidney stones
  • Laparoscopic adrenalectomy
  • Laparoscopic pyeloplasty

Speciality Doctors

Frequently Asked Questions

Is LASER treatment for kidney stones available in your hospital?
LASER treatment is available in our Hospital.
No. Treatment for kidney stones decided on the basis of size and location of the stone, patient symptoms, and kidney function.
In men, the Prostate gland is located between the bladder and urinary passage ( Urethra ). Which is enlarged in the majority of the men above the age of 50 years.
Difficulty in passing urine, incomplete emptying of the bladder, night frequent urination, urinary urgency.
The majority of the patients do well with medical treatment. Some patients need endoscopic surgery ( TURP-Trans Urethral Resection of Prostate).
Depends on symptoms and other clinical findings. Should come for a consultation.
We have to do some tests. Visit our services.
It is likely to be stricture of the urine tract. You should undergo an examination and some tests.
This is likely to be overactivity of the bladder. Some tests are required at our hospital.
At present, the law is prohibiting kidney donation to non-relatives. If you have a very close relative suffering from kidney failure, there is a possibility. Kindly meet our nephrologists personally.
Recurrent renal stones need proper metabolic workup after complete stone clearance. In Ramakrishna, we do complete stone clearance and proper metabolic work up later.
In Ramakrishna, we have state of art Holmium laser that helps in breaking down stone precisely with little side effects.
No, not at all. Based on disease severity and symptom assessment many can be managed medically.
In the majority of occasions, it's benign hyperplasia which is a non-cancerous condition but all prostate enlargements need a complete clinical workup.
Your erectile dysfunction maybe because of metabolic or hormonal reasons. Even the medications you take for other diseases may have a deleterious effect on erection which needs proper workup. The good news is, it's correctable by advanced medications on most occasions.

Sri Ramakrishna Hospital

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No: 395, Sarojini Naidu Road, Sidhapudur, Coimbatore.

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Phone

+91 422 4500 000

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