Best Hospital Near me ChennaiImage
Urology
The department of Urology is dedicated to providing state-of-the-art medical and surgical care in all aspects of adult and pediatric urology. We provide patient-oriented management of cancer and benign urological diseases by integrating and leveraging our combined expertise. The center performs advanced surgical procedures which include the most current surgical and reconstructive techniques. Our team of highly experienced surgeons is supported by the most advanced medical equipment, computer navigation, and imaging equipment. The Centers of Urology and andrology at Apollo Hospitals provide diagnostic and surgical services for all genitourinary disorders and deal with surgical problems related to kidney, ureter, urinary bladder, prostate, urethra, penis and testes, fertility & erectile dysfunction. Common diseases like prostate enlargement, urinary stones, stricture disease, malignancies related to the above mentioned organs are dealt with by the department of urology and andrology. Areas of expertise include Renal Transplantation, Uro-oncology (urological cancers), Reconstructive Urology, Endo-urology for stone diseases (including Flexible Ureteroscopy, Percutaneous Nephrolithotomy and Laparoscopic Nephrectomy), Neuro-Urology with urodynamic facility, Andrology for treatment of male infertility and erectile dysfunction (including prosthetic surgery), Female Urology and Paediatric Urology. Apart from the clinical work, the institute has regular academic teaching program. We are running DNB accredited course. There are regular publications in the national & international journals from the clinical work of the institute. Most of the consultants are invited to give lectures as faculty in various national & international conferences & seminars. We also organize various workshops & conferences in the hospital regularly.
Andrology
The word Andrology literally means study of the human male (Andro = male; logy = study of). However, in clinical setting, Andrologists are doctors who look after the sexual health of an individual. There are two main divisions of Andrology – Infertility and Impotence (now known as erectile dysfunction). Many persons are shy of specialized ‘sex’ clinics. It is for this reason that, at Indraprastha Apollo Hospitals, Delhi we provide a combined service of urology and andrology. Perhaps the most significant contribution of medical therapy (ie use of drugs to treat sexual dysfunction) has been that it has got the problem out of the bedroom and into the drawing room. People now realize that sexual dysfunction is a disease like any other disease in the body and that treatment is now available in almost all cases. At Indraprastha Apollo Hospitals a very scientific approach is used to determine the nature and extent of the problem. For treatment, an entire range from counseling to medical therapy to surgical treatment (including penile prosthesis) is available under one roof. Thus tailor made therapy can be offered to patients suffering from sexual dysfunction. Both male and female sexual dysfunction are treated in an individualized manner. Indraprastha Apollo Hospitals was also the head quarters of Andrology India till recently. It is also involved in pioneering research in this emerging speciality. The faculty consist of some internationally known names.
TURP procedure in Delhi
TURP procedure in Delhi is done by a gadget called a resectoscope. This is passed along your urethra until it arrives at your prostate, and that implies no cuts are made in your skin. In the TURP procedure, the circle of wire is then warmed to remove the segment of your prostate. A slender cylinder called a catheter is then embedded into your urethra to flush away the taken out bits of the prostate.
TURP surgery in Delhi
A transurethral resection of the prostate (TURP) is a surgery that includes removing a part of the prostate. The prostate that is situated between the penis and bladder, and encompasses the urethra. In the event that the prostate becomes extended, it can put tension on the bladder and urethra. This can cause side effects that influence pee. For best TURP surgery in Delhi contact Apollo Hospitals Delhi.
- Comprehensive care for the urinary stone diseases
- Lithotripsy
- Percutaneous renal surgery (PCM)
- Intra-renal stone surgery by flexible scopes and laser lithotripsy
- Endourology
- Minimally Invasive surgery (Keyhole or laparoscopic surgery)
- Laparoscopic Donor nephrectomy
- Laser for prostatic surgery
- Urodynamics
- Impotence
- Infertility
- Urological Cancers
- Female Urology
- Paediatric urology
- Reconstructive urology
Comprehensive care for the urinary stone diseases
Stone disease is a very common problem all over the world. Stones can either be managed by lithotripsy and or may need various endourological procedures to remove the stones without open surgery.
Lithotripsy
A method of treating kidney and ureteric stones without surgery, using the latest Dornier lithotriptor-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 (PCM)
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. Apollo 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. Apollo hospital now has facility to remove these glands by laser surgery.
Urodynamics
The most advanced fully computerised urodynamic machines at Apollo, 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. Indraprastha Apollo 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
Apollo 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
The well-trained surgeons and oncologists at Indraprastha Apollo with a backup of all investigation tools including MRI & CT scans and ultrasound including TRUS offer a comprehensive uro-oncology service. Approximately 50% of the cancers can be safely managed by laparoscopically surgery (Keyhole surgery)
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, 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.
The Urology and Andrology specialty has all the necessary equipments including urodynamics machine, lithotripsy, Laser machine, flexible laparoscopic instruments etc. The hospital has specially trained technicians for assisting in the office and surgical procedures.
1
What is benign prostatic hyperplasia?
Benign prostatic hyperplasia (BPH) is a condition that affects the prostate gland in men. The prostate is a gland found between the bladder (where urine is stored) and the urethra (the tube urine passes through). As men age, the prostate gland slowly grows bigger (or enlarges). As the prostate gets bigger, it may press on the urethra and cause the flow of urine to be slower and less forceful. “Benign” means the enlargement isn’t caused by cancer or infection. “Hyperplasia” means enlargement.
2
What are the symptoms of BPH ?
Most symptoms of BPH start gradually. One symptom is the need to get up more often at night to urinate. Another symptom is the need to empty the bladder often during the day. Other symptoms include difficulty in starting the urine flow and dribbling after urination ends. The size and strength of the urine stream may decrease These symptoms can be caused by other things besides BPH. They may be signs of more serious diseases, such as a bladder infection or bladder cancer. Tell your doctor if you have any of these symptoms, so he or she can decide which tests to use to find the possible cause.
3
How will my doctor treat my BPH?
All enlarged prostates do not necessarily need medical treatment. Options include medicines & various forms of surgery.
4
What are my chances of getting prostate cancer?
Prostate cancer is the most common cancer among men and the second leading cause of annual cancer deaths, following lung cancer. One in 10 men will be diagnosed with prostate cancer. More than 70 percent of all prostate cancer cases are diagnosed in men over the age of 65. Black men are in the highest risk group and represent approximately 270 cases per 100,000 men. In addition, prostate cancer has the strongest familial link of all the major cancers.
5
What are the symptoms of prostate cancer?
Often, early stages of prostate cancer do not cause any specific symptoms. But, in some cases, men with prostate cancer may present with symptoms of prostate enlargement or those due to widespread disease including blood in urine, bone pain etc:
6
What are the chances of survival?
Prostate cancer may be highly curable when detected in its early stages. One in every seven men diagnosed with prostate cancer will die from the disease. In advanced stages of the disease, new data from two large clinical trials suggest chemotherapy extends survival among men who have failed hormone therapy. Your physician can provide you with specific guidance based on the facts and circumstances of your case.
7
What type of doctor should I visit for prostate cancer screening?
Screening for prostate cancer is a relatively simple procedure. While others may begin with a visit to the urologist. Urologist will be able to help you learn more about the screening process.
8
What type of tests will the doctor perform?
The first analysis many physicians will perform is a:
- PSA test. Prostate specific antigen (PSA) is an enzyme produced in the prostate that is found in the seminal fluid and the bloodstream. To measure the PSA level, a small vial of blood is drawn and sent to a laboratory for evaluation. An elevated PSA level in the bloodstream does not necessarily indicate prostate cancer, since PSA can also be raised by infection or other prostate conditions. Many men with an elevated PSA do not have prostate cancer.
- The digital rectal exam (DRE) should be performed along with the PSA test. The DRE is performed by a physician who will insert a gloved finger into the rectum to feel the peripheral zone of the prostate where most prostate cancers occur. The physician will be checking for hardness of the prostate or for irregular shapes or bumps extending from the prostate – all of which may indicate a problem. The DRE is particularly useful because the PSA test may miss up to 25 percent of cancers, and the DRE may catch some of these.
9
How prostate cancer is typically treated?
There are a variety of ways to treat prostate cancer including:
- Surgery to remove the prostate in its entirety, radiation therapy to kill the cancerous tissue in and around the prostate
- Hormone deprivation therapy to stop the production of hormones that help prostate cancer cells to grow
- Chemotherapy to stop the cancer cells from dividing and multiplying
- Active surveillance and/or watchful waiting where patients remains under strict follow up. One or more of these treatment approaches may be used by your doctors at various times and stages of the disease. There are a variety of factors that will be evaluated by your physician to determine the best treatment approach
10
What if my prostate cancer progresses or comes back after I receive initial therapy?
By measuring levels of a substance called prostate-specific antigen in the blood, your physician can measure disease progression. If you are receiving treatment for prostate cancer and your PSA numbers keep rising, it may be a sign that your therapy isn’t working and you may need to consider a more aggressive treatment. Most men whose cancer returns after local treatment or are diagnosed with advanced disease are treated with hormone therapy. However, at some point, hormone therapy may stop working and the PSA levels will begin to rise again. At this point it is particularly important to seek the advice of a medical oncologist who can work with the rest of your healthcare team to determine the best treatment for you at this stage of the disease.
11
What new treatments are available for advanced prostate cancer?
Recently many additional hormonal & new Chemotherapy options are now available.
12
How is erectile dysfunction treated?
How erectile dysfunction is treated depends on what things are causing it. After your doctor checks you for medical problems and medicines that might cause erectile dysfunction, he or she may have you try a medicine to help with erectile dysfunction. Some of these medicines are injected into your penis. Other medicines are taken by mouth. Not everyone can use these medicines. Your doctor will help you decide if you can try them.
13
What other options do I have?
If the medicines aren’t right for you, you could also try using vacuum pump devices, or you could have surgery. Your doctor may send you to an urologist to talk about these options.
14
How do I know which treatment for impotency is best suited for me?
The decision about treatment option should be discussed with your physician. Your choice of treatment will depend on personal preference and economic factors. Both you and your partner should be comfortable with your choice.
15
Is it necessary for my sexual partner to be included in discussions on my impotence?
She helps the doctor understand the problem and must agree with the treatment choice.
16
Can any of these treatment options reverse impotence?
Most impotence is irreversible. While none of the three treatment options reverse a man’s impotence, they do offer a solution to the problem.
17
Hope through research
Advances in suppositories, inject able medications, implants, and vacuum devices have expanded the options for men seeking treatment for ED. These advances have also helped increase the number of men seeking treatment. Gene therapy for ED is now being tested in several centers and may offer a long-lasting therapeutic approach for ED.
18
Points to remember
- Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse.
- ED affects 15 to 30 million American men.
- ED usually has a physical cause.
- ED is treatable at all ages.
- Treatments include psychotherapy, drug therapy, vacuum devices, and surgery.
View All
1
What are the symptoms of the presence of kidney stones?
The presentation of symptoms depends upon the location, size, and shape of the stone. Many times they are symptom free. They are called silent stones. Common symptoms are as follows:
- Sudden, severe pain- starting in the flanks and moving towards groins. Typically, described as ureteric colic and loin to groin pain
- Nausea and Vomiting
- Blood in Urine
- Increased Urinary frequency
- Burning sensation on passing Urine
- Infection in Urine
2
Who have greater tendency towards kidney stones?
- People who tend to form stones have certain factors in common
- Those who stay in the hot environmental condition, such as tropical area
- Positive family history of the stone disease in first blood relation
- Decreases fluid intake, which reduces urine output, and forms supersaturated urine
Various factors play a role in the formation of kidney stone in a susceptible individual. These factors are diet, water intake, urinary output, climate, occupation, and heredity, radical and family background.
3
What Should I Do If I Have Passed A Stone In Urine?
If you find a stone, bring it in to your doctor for analysis. The type of stone you have, will determine the diet and prevention programme your doctor recommends. You may need additional tests and X-ray in future to ensure that new stones do not form.
4
Is ESWL safe?
ESWL is an absolute safe procedure in almost all cases
5
Will there be pain after the procedure?
There may be dull aching pain in site of treatment after the procedure for few hrs. Further there will be colic pain due to passage of stone particles. This normally responds to the medication.
6
Is the treatment possible in patient with diabetes, blood pressure, heart disease or renal failure?
Yes ESWL is a safe option of treatment for stone disease. However one should keep this diseases under control when treating with lithotripsy.
7
How can I prevent urinary stones?
A good first step for prevention is to drink more liquids – water is the best. If you tend to form stones, you should try to drink enough liquids throughout the day to produce at least two litres of urine in every 24 hours period. People who form calcium stones used to be told to avoid dairy products and other foods with high calcium content. However, recent studies have shown that foods high in calcium, including dairy foods, help prevent calcium stones. Taking calcium in pill form, however, may increase the risk of developing stones. Women taking vitamin D and calcium pills in the postmenopausal period to prevent osteoporosis, especially with family history of stones, need to be careful.
8
My stone has not passed do I need surgery?
In general, you require surgical intervention if your stones are large enough to obstruct urine flow, if they are potentially harmful to your kidneys or if they are causing symptoms for which medication does not help.
View All
1
What is urinary incontinence?
Urinary incontinence is the inability to hold urine leading to involuntary loss of urine. The urine loss can range from slight leakage of urine to severe frequent wetting. This condition severely affects quality of life by interfering with work, travel, social recreation and sexual activities.
2
What is the incidence of of urinary incontinence?
At least 10% of people over the age of 65 years have urinary incontinence. According to World Health Organisation estimates, there are 200 million patients worldwide with symptoms of male or female urinary incontinence. However, as this condition is associated with shame, embarrassment and silence, the exact figure is not known.
3
Is urinary incontinence an inevitable part of aging?
With aging, the urge to urinate may occur more frequently and be harder to control: however, incontinence can affect men and women of all ages and is not a normal response to aging.
4
Is the incidence of urinary incontinence similar in men and women?
No, women experience incontinence two times more often than men. Pregnancy and child-birth, menopause and the structure of the female urinary tract account for this difference. However, both women and men can become incontinent from stroke, multiple sclerosis and other physical problems associated with old age.
5
What are the risk factors for urinary incontinence?
Risk factors for urinary incontinence vary, but include:
- Pregnancy
- Childbirth
- Obesity
- Menopause
- Cigarette smoking
- Prostate enlargement and/or surgery
- Hysterectomy
- Radiation therapy to the pelvis
- Diabetes
- Parkinson’s disease
- Back injury
- Cerebral vascular accident
- Dementia.
6
Are there different types of urinary incontinence?
There are three basic types of urinary incontinence:
- Urge incontinence
- Stress incontinence
- Overflow bladder
7
What is urge incontinence?
Urge incontinence or detrusor over activity is a common problem that increases in frequency and severity with advancing age. In this condition, the patient often loses urine for no apparent reasons while suddenly feeling the need or urge to urinate. In urge incontinence, the bladder involuntarily empties during sleep, after drinking a small amount of water, or while touching water or even when hearing it run (as when someone else is taking a shower or washing dishes).
8
What causes urge incontinence?
The most common cause of urge incontinence is inappropriate and involuntary bladder contractions. These involuntary contractions may occur because of inflammation or irritation within the bladder or when certain neurological diseases impair control of bladder contractions.
- Urinary tract infections
- Cancer
- Parkinson’s disease
- Alzheimer’s disease
- Certain drugs such as hypnotics or narcotics
- Injury (such as those occurring during surgery)
- Benign prostatic hyperplasia (BPH).
Urge incontinence can also occur when mobility is impaired (for example, in patients with arthritis), making it difficult for patients to get to the bathroom in time. This condition is sometimes referred to mass “functional” incontinence.
9
What is stress incontinence?
Stress incontinence is the most prevalent form of incontinence in elderly patients. It is caused by malfunction of the urethral sphincter that causes urine to leak from the bladder when intra-abdominal pressure increases, such as during laughing, coughing or sneezing.
10
What causes stress incontinence?
Physical changes resulting from pregnancy, childbirth and menopause are common causes of stress incontinence. It is the most common form of incontinence in women and is treatable. Certain muscles, known as the “pelvic floor muscles” support the bladder. If these muscles weaken, the bladder can move downward, pushing slightly out of the bottom of the pelvis toward the vagina. This prevents muscles that ordinarily force the urethra shut from squeezing as tightly as they should. As a result, urine can leak into the urethra during moments of physical stress. Stress incontinence also occurs if the muscles that do the squeezing weaken. Stress incontinence can worsen during the week before menstrual period. At that time, lowered estrogen levels might lead to lower muscular pressure around the urethra, increasing chances of leakage. The incidence of stress incontinence increases following menopause. Stress incontinence can also occur as a result of drugs, Surgical trauma or radiation damage.
11
What is overflow incontinence?
Overflow bladder is usually seen in elder men. Urinary incontinence due to overflow bladder is more common in men because of the prevalence of obstructive prostate gland enlargement. In this condition urine accumulates in the bladder until maximum bladder capacity is reached. It then leaks through the urethra by “overflow”, usually manifesting as dribbling. However, increased intra-abdominal pressure, which occurs during coughing and sneezing, may also cause loss of urine, so that overflow incontinence may be confused with stress incontinence.
12
What causes overflow incontinence?
Overflow bladder incontinence occurs because of :
- Week bladder muscles caused by nerve damage from diabetes or other diseases (e.g., tumours, radiation, surgery)
- Obstructed urinary outflow, such as those caused by prostate enlargement and urinary stones
- Under active bladder contractions caused by certain medications. These medications lead to urinary retention with bladder distension.
13
Are there any other types of incontinence?
When stress and urge incontinence occur together, it is sometimes referred to as “mixed incontinence”. This is common in women. “Transient” or temporary incontinence can be caused by medications, urinary tract infections, mental impairment, restricted mobility and severe constipation, which can push against the urinary tract and obstruct outflow.
14
Is there any treatment of urinary incontinence?
Most types of urinary incontinence can be effectively treated and the symptoms improved the type of incontinence present is determined. In some patients, incontinence is often improved by weight loss. Smokers who have a chronic cough have fewer problems when they stop smoking (and stop coughing). Some common drugs can also aggravate the situation.
View All
×
