Urology Department at Indraprastha Apollo Hospitals Delhi, India

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.

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.