Department of Urology

The Department of Urology offers comprehensive facilities for the diagnosis and treatment of genitourinary problems in adults and children.

A highly qualified and experienced team of dedicated urologists are available 24 hours a day. The latest state-of-the-art technology and equipment are available.

Facilities

Outpatient Procedures


The outpatient department has facilities to take care of all office urology procedures. In superspeciality urology OPD,there are 4 OPD rooms, one minor operation theater and urodynamic/uroflow room and ultrasound procedure room, blood collection room and preanesthetic check up room.

Uro Radiology

  • Ultra sound machine
  • 64 slice CT Scan Machine
  • MRI 1.5 Tesla
  • Most modern invasive radiology suite
  • A mobile USG and X ray unit

Uro Dynamics


Latest Dantecurodyanamic machine and uroflowmetry is present in separate air conditioned urodynamic suite.


Extracorporeal Shock Wave Lithotripsy (ESWL)- stone lith 5 electrohydraulic lithotripter.


Flexible ureteroscopy


Auriga 50 Watts Holmium laser for intracorporeal laser lithotripsy and HOLEP( holmium laser enucleation of prostate)


Complete set of instrument for adult and pediatric urology.

Services Offered

Endourology : Endoscopic treatment of stones and diseases of the kidney, ureter, bladder, prostate and urethra is performed through natural openings in the body avoiding the pain associated with open operations.


Laparoscopic Urology : Key - hole surgery to remove and reconstruct urinary organs avoiding pain and long bed rest associated with open surgery. Nephrectomy, radical and partial nephrectomy, stone extraction, correction of hydronephrosis due to PUJ obstruction and re-implantation of the ureters are performed.


Urological Oncology : The cancers of kidney, bladder, prostate, ureters, adrenals, testis and penis are taken care by this section. A subspecialty clinic in Uro-oncology is run once every week. Our institution has medical oncologists, radiation oncologists, state-of-the-art radiology, pathology and nuclear medicine department , all under one roof. There are facilities for brachytherapy, conformal radiotherapy, Intensity-Modulated Radiation Therapy (IMRT) and therapeutic nuclear medicine procedures.


Kidney Cancer Surgeries like laparoscopic and open radical nephrectomies , complicated surgeries that require IVC exploration in locally extensive kidney cancers, partial nephrectomies (nephron sparing surgeries), and immunotherapy for advanced renal cancers are regularly done.


Prostate Cancers All Diagnostic modalities for prostate cancer eg. TRUS-guided multicore biopsy, and staging by bone scan, PET CT, 1.5 Tesla MRI, MD are available. Radical prostatectomy, conformal radiotherapy, IMRT (Image modulated radiotherapy) and brachytherapy all are routinely performed here.


Bladder Cancer The gold standard for the treatment of advanced bladder cancer is radical cystectomy with orthotopicneobladder reconstruction. After removal of the diseased bladder, the bladder is reconstructed with a loop of intestine in the same sitting so that the patient is able to pass urine naturally. The quality of life is greatly improved as the patient is free from using a pouch to collect urine and the resultant social embarrassments. In a certain subset of patients, bladder preservation is done with the help of chemo radiation after endoscopic resection of the tumor.


Testicular Cancer Survival after testicular cancer has recently improved after the use of multimodality approach. This requires individualized treatment decision and care involving chemotherapy, radiation, surgery and protocol based follow up. Reconstructions using prosthesis are also available to add to the quality of life.


Adrenal Tumours Key hole surgery has replaced open adrenelectomy as there is better visualisation and enhances early recovery.


Penile Cancer Partial or total penectomy and radical lymph node dissection is the standard treatment in carcinoma of penis. Recent advances in the treatments have reduced the treatment morbidity considerably. With the help of plastic surgery team, penis can be reconstructed with forearm flap which makes the life of these unfortunate people comfortable. They can have a normal sexual life with the help of penile implants.


Paediatric Urology : Expertise for the surgical reconstruction of congenital defects of the urinary tract either by open surgery or laparoscopy is available. Hypospadias, vesico ureteric reflux, hydronephrosis, stone disease, urethral valves, etc. are routinely corrected .The neonatal anesthesia and ICU support facilities are excellent.


Renal Transplantation and Access Surgery : Our center has recently started renal transplant programmeand has successfully done two renal transplant with laparoscopic donor nephrectomy. AVfistulasurgeries , CAPD catheter insertions are done regularily.


Female Urology and Neuro-urology : Treatment of women with incontinence of urine and management of urinary problems in patients with neurological disease or injury is practiced as a sub-specialty. Expertise for sling operations, TVT (TransVaginal Tape), TOT (TransObturator Tape), SPARC (SupraPubic Arc sling) and augmentation and continent urinary diversion procedures are available.


Andrology : Evaluation methods for erectile dysfunction and procedures like penile prosthesis implantation surgery are done regularly.


General Urology : Stones in the kidney, ureter, bladder, common diseases of the urethra (stricture), prostate (cancer, enlargement) and bladder are routinely treated. All the advanced treatment options for stones in the kidney and other parts of the urinary tract are available.


Ancillary Services : Advanced urological imaging, pathology, microbiology, nuclear medicine, anaesthesia, cardiology, nephrology, oncology and paediatric services contribute to complete team approach to our patients.

Procedure Performed

Laparoscopic Urology

  • Laparoscopic and retroperitoneoscopicadrenalectomy
  • Laparoscopic and retroperitoneoscopic nephrectomy and radical nephrectomy, laparoscopic nephron sparing surgeries
  • Laparoscopic pyeloplasty
  • Laparoscopic radical prostatectomy
  • Laparoscopic donor nephrectomy

Endo Urology

  • Laparoscopic and retroperitoneoscopicadrenalectomy
  • Laparoscopic and retroperitoneoscopic nephrectomy and radical nephrectomy, laparoscopic nephron sparing surgeries
  • Laparoscopic pyeloplasty
  • Laparoscopic radical prostatectomy
  • Laparoscopic donor nephrectomy

Andrology

  • Laparoscopic and retroperitoneoscopicadrenalectomy
  • Laparoscopic and retroperitoneoscopic nephrectomy and radical nephrectomy, laparoscopic nephron sparing surgeries
  • Laparoscopic pyeloplasty
  • Laparoscopic radical prostatectomy
  • Laparoscopic donor nephrectomy

Paediatric Urology

  • Paediatricpyeloplasty: Lap/open
  • Paediatricadrenalectomy: Lap/open
  • PUV fulgrationUreteric reimplanation: ( Lap/open) and STING surgery
  • Hypospadias repair

Prostate Cancer

  • Open and laparoscopic radical prostatectomy
  • Intensity Modulated Radiation Therapy (IMRT) and Conformal RadioTherapy
  • Hormonal treatment
  • Chemotherapy
  • Radio isotope treatment

Kidney Tumors

  • Radical nephrectomy: open and laparoscopic
  • Nephron sparing surgeries: open and laparoscopic
  • Radiofrequency Ablation (RFA)
  • Immunotherapy

Testicular Tumors

  • Inguinal orchiectomy
  • Retroperitoneal lymph node dissection
  • Chemotherapy and radiotherapy

Bladder Cancer

  • Radical cystectomy and conduit
  • Orthotopicneobladder
  • Bladder preservation

Penile cancer

  • Penectomy and penile reconstruction

Reconstructive Urology

  • Vescico ureteric reflux : STING therapy, laparoscopic and open ureteric reimplanation
  • Urethral stricture :Perinealurethroplasty, Buccal mucosal graft urethroplasty, Transpubicurethroplasty
  • Pelviuretricobstruction : Laparoscopic and open pyeloplastyEndopyelotomy
  • Female urology : TVT (TransVaginal Tape), TOT (TransObturator Tape), SPARC (SupraPubic Arc sling) surgery, Reconstructive surgery for Vesicovaginal fistula (VVF) and Urovaginal fistula (UVF)

Our physicians

Dr. Rajeev Agrawal

Department Head & Consultant (MS, M.Ch)

Dr. Santosh K. Agrawal

Consultant (MS, M.Ch)

Dr. Saurabh S. Chipde

Consultant (MS, M.Ch.)