The
services provided encompass:
·
Physician offices for consultation
· Diagnostic procedures like Uroflometry,
Voiding cystometry, EMG and others.
· Office procedures like urethral
calibration, BCG therapy, lithotripsy, PCN to name a few.
· All major and minor surgeries including
all endoscopic procedures, laser procedures for stones, prostate, laparoscopic
surgeries, penile implants for erectile dysfunction.A short overview is
provided below.
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.
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