Urology
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 and resident surgeons are available 24 hours a day. The latest state-of-the-art technology and equipment are available. The faculty subspecialises in the fields of Paediatric Urology, Uro-oncology, Laparoscopic Urology, Endourology, Andrology, Female Urology, Neuro-urology and Reconstructive Urology. Along with the support of the Nephrology services,renal transplantation operations have been successfully performed.

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.laparoscopic adrenalectomies have been successfully performed. We are one of the few centers in India who performs laparoscopic radical prostatectomy regularly for organ confined prostatic cancer.

Urological Oncology

The Department of Urology has a separate division for urological malignancies. The cancers of kidney, bladder, prostate, ureters, adrenals, testis and penis are taken care by this section. A subspecialty clinic in Uro-oncology is a unique venture in India. Being a research institute with state-of-the-art infrastructure, we have highly focused team for the care of urological cancers. In cases where multimodality treatment is required, our institution has medical oncologists, radiation oncologists, state-of-the-art radiology, pathology and nuclear medicine departments, all under one roof. There are facilities for brachytherapy, conformal radiotherapy, Intensity-Modulated Radiation Therapy (IMRT) and therapeutic nuclear medicine procedures. The Uro-oncologists, radiation oncologists, medical oncologists and Uro-pathologists discuss the cases and make combined decisions on the management of all the cases at the Tumour Board. Follow up and further management are done as per the current protocols.

i- Kidney Cancer

Surgeries like laparoscopic and open radical nephrectomies are the mainstay of treatment in kidney cancer. Complicated surgeries that require IVC exploration in locally extensive kidney cancers, open and laparoscopic partial nephrectomies (nephron sparing surgeries), and immunotherapy for advanced renal cancers are regularly done.

ii- Prostate Cancers

Diagnosis of prostate cancer by TRUSS-guided multicore biopsy, and staging by bone scan, PET CT, 1.5 Tesla MRI, MD CT have greatly improved the detection of early disease and improved the outcome. Laparoscopic prostatectomy, conformal radiotherapy, IMRT (Image modulated radiotherapy) and brachytherapy all are routinely performed here.

iii- Bladder Cancer

The gold standard for the treatment of advanced bladder cancer is radical cystectomy with orthotopic neobladder 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.

iv- 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.

v- Adrenal Tumours

Key hole surgery has replaced open adrenelectomy as there is better visualisation and enhances early recovery. We have the largest series of laparoscopic adrenalectomies in India . Retroperitoneoscopic adrenelectomy is done only in a handful of centers in the world with BIRDS being one.

vi- 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.

vii- Laparoscopic surgeries in Uro-oncology

The laparoscopic surgery has changed the surgical concept in Uro-oncology. Most of the open surgeries like radical nephrectomy, nephro ureterectomy, radical prostectomy and radical cystectomy are now done more and more with minimum morbidity and early return to work.

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 at BIRDS. The neonatal anesthesia and ICU support facilities are excellent. We are the only centre in South India who has an active paediatric laparoscopic urology program.

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. "Life tech Janus IV" urodynamic equipment available at the center correctly aids in managing these unfortunate patients. 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 including pharmacocavernosometry, pharmacocavernosography and procedures like penile 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. The latest “Dornier Compact Delta” ESWL machine is available for the most effective crushing of stones without surgery.

More Facilities

7A/8A/B - Panna Lal Road, George Town, Allahabad.
Emergency : +91 532 2256578