Emergency Number
+91-79-26463535
banner
Dr. Ketan Shukla
Dr. Ketan Shukla
Dr. Ketan Shukla

Urology

 

Comprehensive care for the urinary &  stone diseases

A Complete Urology center offering treatment for all kind of stones, prostate problems, infertility, Andrology, Uro-gynacology, Paediatric Urology.
Hi-tech center for most advanced Laproscopic urology surgeries like Nephrectomy Pyeloplasty, Adrenalectoy, Radial Nephrectoy, Radial cystoprostatectomy, Radical Prostatectomy, Anterior exeriteration with ureterosigmoidostomy, Ureteric re-implantation with tailoring.
Stone disease is a very common problem all over the world. Approximately 60% of stones can be managed by lithotripsy and rest of stones needs various endourological procedures to remove the stones without open surgery.

 

Conditions


Congenital Defects :- Any Urinary or genital deformity if present since birth in children can be treated with latest techniques.     
Stress Urinary Incontinence :- when patient coughs or laughs, there is leakage of urine, can be treated with latest tape available in the market.

Infertility:- of both partners husband or wife, can be treated with various options like IUI, microsurgery, vasoplasty etc.

  

Ailments, Treatment & Surgeries


Lithotripsy

A method of treating kidney and ureteric stones without surgery, using the latest Direx lithotripsy - 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. Aarogyam 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. Aarogyam hospital now has facility to remove these glands by laser surgery by 100 watt holmium YAG laser machine.

 

Video Urodynamics


The most advanced fully computerised video urodynamic machines at Aarogyam, 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. Aarogyam 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


Aarogyam 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


Aarogyam Hospital is having state of the art facilities to treat. Kidney, urinary bladder & prostate cancers

 

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 like pelvi-ureteric junction obstruction, vesico-ureteric reflux, posterior urethral value and undescended testis, 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