Urology is that branch of surgery that specializes on the urinary tracts of both males and females and the reproductive system of males. Physicians whose specialize on Urology are called Urologists.The Department of Urology deals with the bladder, kidney, uterus, urethra, prostate and related problems.
Endoscopic Surgery in urology includes removing kidney stones, obstruction of ultrapelvic junction, ureteral strictures and tumors. There are 2 ways to perform Endoscopic Surgery.
The first method is called 'Retrograde' in which the patient is made to lie down with his legs tied up. With the help of an ureteroscope connected to a camera, the surgeon watches the television monitor while he inserts the instrument into the bladder. This is called FIG. Sometimes, a device called 'stent' may be passed into the ureter (connected to the kidney) in order to break kidney stones, blockages, strictures or drain urine.
b) Antegrade (Percutaneous):
The other method is called 'Antegrade' or 'Percutaneous' which means reaching the kidney through the skin. Usually patients have a 'nephrostomy tube' inserted into his affected kidney by a radiologist. The patient is anesthetized and then the tube tract is dilated to the size of a nickel diameter.
The Urologist examines the kidney and its strictures using a fiberoptic scope. In most cases, the surgeon leaves a tube in the kidney in order to drain the urine out. After a few days, he injects a dye into the tube and an x-ray is done. If the kidney returns to its normal functioning, then the patient is discharged.
Patients undergoing ureteroscopic surgery can work normally within the next couple of weeks while patients who have undergone percutaneous surgery can resume their daily activities within 2-3 weeks.
Services Available at Samartha Hospitals:
- a) Management of congenial problems like PUJ obstruction, obstructed megaureter and posterior urethral valves etc.
- b) Calculous disease
- c) Malignancies
- a) Stone Disease Endoscopically by Uretreroscopy and percutaneous Nephrolithotripsy.
- b)Urethral Stricture.
- c) Benign Enlargement of prostate. and TUR of prostate.
- d) Open Urology Procedures.
- e) Stone disease.
- f) Malignancies of kidney, ureter, bladder & prostate.
- g) Obstruction.