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Best RIRS-LASER LITHOTRIPHY in Patna : Dr. Sudish Kumar

RIRS (Retrograde Intrarenal Surgery) with laser lithotripsy is an advanced, minimally invasive surgery used to treat kidney stones. The procedure involves inserting a flexible ureteroscope through the urethra and bladder into the kidney. A laser is then used to break down kidney stones into tiny fragments, which can either pass naturally through urine or be removed using a basket device. This technique eliminates the need for incisions, reduces recovery time, and is ideal for patients with stones that are difficult to access or too large for other methods.

Robotic Partial Nephrectomy

HoLEP

HoLEP (Holmium Laser Enucleation of the Prostate) is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH), an enlarged prostate. During HoLEP, a holmium laser is used to precisely remove excess prostate tissue that is blocking urine flow. The procedure allows for a complete removal of the obstructing tissue, which is then pushed into the bladder and removed. HoLEP is highly effective, with long-term results, minimal bleeding, and a quicker recovery compared to traditional prostate surgeries.

URSL

URSL (Ureteroscopic Lithotripsy) is a minimally invasive surgical procedure used to treat stones located in the ureter. A small, flexible ureteroscope is passed through the urethra and bladder into the ureter, where the stones are identified. A laser or other energy source is then used to break the stones into smaller pieces, allowing them to either pass naturally or be extracted. URSL is commonly performed for medium to large stones that cannot be managed with other non-invasive treatments, offering quick recovery and minimal discomfort.

PCNL (Percutaneous Nephrolithotomy)

PCNL (Percutaneous Nephrolithotomy) is a surgical procedure used to remove large or complex kidney stones that cannot be treated with less invasive methods like shockwave lithotripsy. The procedure involves making a small incision in the patient's back to access the kidney directly. A nephroscope is inserted through the incision, and the stones are broken down using ultrasonic or laser energy. The stone fragments are then removed. PCNL is particularly effective for large stones and has a high success rate with a relatively short recovery time.

HYPOSPADIAS

Hypospadias is a congenital condition in males where the opening of the urethra is not located at the tip of the penis but somewhere along the underside. The severity of hypospadias can vary, with the opening positioned anywhere from just below the tip to the base of the penis or even the scrotum. It can lead to issues with urination and, later in life, sexual function. Hypospadias is typically corrected with surgery during infancy or early childhood, restoring normal function and appearance.

TURBT (Transurethral Resection of Bladder Tumor)

TURBT (Transurethral Resection of Bladder Tumor) is a procedure used to diagnose and treat bladder cancer. During TURBT, a surgeon inserts a resectoscope through the urethra into the bladder to remove abnormal tissue or tumors. No external incisions are needed, making it a minimally invasive approach. The removed tissue is then analyzed to determine the presence, type, and stage of cancer. TURBT is often the first step in managing bladder cancer and may be followed by additional treatments like chemotherapy or immunotherapy.

TURP (Transurethral Resection of the Prostate)

TURP (Transurethral Resection of the Prostate) is a surgical procedure used to treat urinary problems caused by an enlarged prostate (benign prostatic hyperplasia or BPH). During TURP, a resectoscope is inserted through the urethra, and excess prostate tissue that blocks urine flow is removed using an electrical loop. This procedure helps improve urine flow and relieve symptoms like frequent urination and difficulty emptying the bladder. TURP is commonly performed for moderate to severe cases of BPH and typically involves a short recovery period.

OIU (Optical Internal Urethrotomy)

OIU (Optical Internal Urethrotomy) is a minimally invasive surgical procedure used to treat urethral strictures, which are narrowings of the urethra that can obstruct urine flow. During OIU, a cystoscope with a specialized cutting instrument is inserted into the urethra to visualize the stricture. The narrow segment is then incised to widen the urethra and restore normal urine flow. The procedure is typically quick and offers patients an immediate improvement in symptoms, with a relatively short recovery period.

URETHROPLASTY

Urethroplasty is a surgical procedure used to repair or reconstruct the urethra, primarily for treating urethral strictures (narrowing of the urethra). It involves excising the narrowed section and reconnecting the healthy urethra, or using tissue grafts to restore function. This procedure is generally reserved for more severe cases and aims to improve urinary flow and alleviate symptoms. Urethroplasty is often performed under general anesthesia and has a good success rate, with long-term relief from stricture-related issues.

VVF Repair

VVF (Vesicovaginal Fistula) repair is a surgical procedure aimed at closing an abnormal connection between the bladder and the vagina, often resulting from childbirth, surgery, or pelvic trauma. The surgery involves excising the fistulous tract and repairing the surrounding tissues to restore normal anatomy and function. VVF repair is typically performed under general anesthesia, and the success rate is generally high, significantly improving the patient’s quality of life by resolving incontinence and preventing recurrent infections.

UVF Repair

UVF (Ureterovaginal Fistula) repair is a surgical procedure designed to close an abnormal connection between the ureter and the vagina. This condition often arises after pelvic surgery or trauma. The repair typically involves excising the fistulous tract and reconstructing the affected ureter and vaginal tissues. The procedure is performed under general anesthesia and aims to restore normal urinary function and eliminate associated symptoms, such as leakage of urine through the vagina. The success rate for UVF repair is generally high, improving the patient's quality of life.

PYELOPLASTY

Pyeloplasty is a surgical procedure to correct a blockage or narrowing of the ureter at the renal pelvis, often caused by a congenital condition or scar tissue. The surgery involves removing the obstructed segment and reconnecting the ureter to the kidney, allowing for normal urine flow. Pyeloplasty can be performed through open surgery or minimally invasive techniques such as laparoscopic surgery. The procedure is effective in relieving symptoms like pain and recurrent urinary infections, with a high success rate in restoring kidney function.

CYSTOSCOPY

Cystoscopy is a diagnostic and therapeutic procedure that involves inserting a cystoscope (a thin, tube-like instrument with a camera) through the urethra into the bladder. This allows healthcare providers to visualize the interior of the bladder and urethra, diagnose conditions such as infections, tumors, or stones, and perform treatments like biopsies or stone removal. Cystoscopy is typically performed under local or general anesthesia and is a valuable tool in urology for assessing urinary tract health.

REDICAL ORCHIDECTOMY

Radical orchiectomy is a surgical procedure involving the removal of one or both testicles, usually to treat testicular cancer. The operation is performed through an incision in the groin or scrotum, and it aims to eliminate cancerous tissue while preserving surrounding structures. This procedure can help prevent the spread of cancer and may be followed by additional treatments such as chemotherapy or radiation. Recovery typically involves managing pain and monitoring for any complications. Radical orchiectomy is considered a standard treatment for testicular cancer.

NEPHRECTOMY

Nephrectomy is a surgical procedure to remove a kidney, typically performed to treat kidney cancer, severe kidney disease, or trauma. There are two main types:

  1. Radical Nephrectomy: Involves the removal of the entire kidney along with surrounding tissues, adrenal gland, and nearby lymph nodes.
  2. Partial Nephrectomy: Involves the removal of only the affected portion of the kidney.

The procedure can be done through open surgery or laparoscopically, depending on the specific case and the surgeon's preference. Recovery varies based on the extent of the surgery.

RADICAL CYSTECTOMY

Radical cystectomy is a surgical procedure that involves the complete removal of the bladder and surrounding tissues, often performed to treat invasive bladder cancer. During the procedure, nearby lymph nodes and organs may also be removed, depending on the cancer's extent. After cystectomy, patients may require urinary diversion methods, such as an ileal conduit or a neobladder, to collect urine. The surgery is complex and typically requires a hospital stay for recovery and monitoring for potential complications.

TOTAL PENECTOMY

Total penectomy is a surgical procedure that involves the complete removal of the penis, usually performed to treat penile cancer or severe trauma. The procedure may also include removal of surrounding tissues, and the extent of surgery can depend on the cancer's progression. Following a total penectomy, patients will require reconstructive options for urinary function, which may include a urinary diversion method. Recovery involves monitoring for complications and adjusting to significant changes in body image and function.

URETHRAL DILATATION

Urethral dilatation is a medical procedure used to widen a narrowed urethra, which can occur due to conditions like strictures or scarring. During the procedure, a dilator or catheter is gradually inserted into the urethra to stretch the narrowed area. Urethral dilatation can be performed in a doctor's office or outpatient setting, often under local anesthesia. The procedure aims to relieve urinary obstruction and improve urine flow, providing symptomatic relief for patients with urethral narrowing.

LAPCHOLE

LAPCHOLE, or laparoscopic cholecystectomy, is a minimally invasive surgical procedure to remove the gallbladder. It involves making small incisions in the abdomen through which a camera and surgical instruments are inserted. This technique offers advantages such as reduced pain, shorter recovery times, and minimal scarring compared to open surgery. LAPCHOLE is typically performed to treat gallstones and related complications, and patients can often return to normal activities within a week.

LAP APPENDECTOMY

Laparoscopic appendectomy (lap appenectomy) is a minimally invasive surgical procedure to remove the appendix. During the surgery, small incisions are made in the abdomen, and a laparoscope (a thin tube with a camera) is inserted to guide the removal of the inflamed appendix. This technique typically results in less postoperative pain, shorter recovery time, and minimal scarring compared to traditional open appendectomy. It is commonly performed to treat appendicitis, which is an inflammation of the appendix..

LAP HERNIA REPAIR

Laparoscopic hernia repair is a minimally invasive surgical technique used to correct hernias. During the procedure, small incisions are made in the abdomen, allowing the surgeon to insert a laparoscope and other instruments to access and repair the hernia. The technique often involves placing a mesh patch to reinforce the abdominal wall. Benefits of laparoscopic hernia repair include reduced postoperative pain, shorter recovery time, and minimal scarring compared to open surgery, making it a preferred option for many patients.

LAP AND DYE TEST

Laparoscopy and dye test is a diagnostic procedure often used in the evaluation of female infertility and reproductive health issues. During the procedure, a laparoscope is inserted into the abdomen through small incisions to visually examine the reproductive organs. A dye is then injected through the cervix into the uterus and fallopian tubes to assess their patency (openness). This helps identify any blockages or abnormalities that may be affecting fertility. The procedure is minimally invasive and allows for both diagnosis and potential treatment.

LAP OVARIAN CYSTECTOMY

Laparoscopic ovarian cystectomy is a minimally invasive surgical procedure used to remove ovarian cysts. During the surgery, small incisions are made in the abdomen, and a laparoscope is inserted to guide the surgeon in excising the cyst while preserving healthy ovarian tissue. This approach typically results in less pain, shorter recovery times, and minimal scarring compared to open surgery. It is often performed for symptomatic cysts or those suspected of being cancerous, and it allows for a quick return to normal activities

LAVH

Laparoscopic Assisted Vaginal Hysterectomy (LAVH) is a surgical procedure that combines laparoscopic and vaginal techniques to remove the uterus. During LAVH, a laparoscope is inserted through small abdominal incisions to assist in the surgical process, while the uterus is removed through the vaginal canal. This method allows for less postoperative pain, quicker recovery, and minimal scarring compared to traditional abdominal hysterectomy. LAVH is often performed for various gynecological conditions, including uterine fibroids, endometriosis, and abnormal bleeding.

LAP LIGATION

Laparoscopic ligation typically refers to a surgical procedure where the fallopian tubes are sealed or cut to prevent pregnancy, commonly known as laparoscopic tubal ligation. During this minimally invasive procedure, small incisions are made in the abdomen, and a laparoscope is used to access the fallopian tubes. The tubes can be clipped, burned, or sealed with a ring. This method offers benefits such as reduced recovery time and less postoperative pain compared to traditional open surgery. It is considered a permanent form of birth control.

CHOLECYSTECTOMY CBD EXPLORATION

Cholecystectomy with CBD exploration is a surgical procedure involving the removal of the gallbladder (cholecystectomy) and exploration of the common bile duct (CBD) to check for stones or obstructions. Typically performed laparoscopically, the procedure allows for the removal of gallstones that may have migrated to the CBD during the gallbladder removal. This dual approach helps prevent complications such as cholangitis or pancreatitis by ensuring that all potential blockages are addressed.

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