Urosurgery

Urology is a field of medical science which focuses on the health of urinary system i.e., it deals with the diseases of Kidney, Urinary bladder, Prostate gland, Testis and Penis. It treats a wide variety of conditions like Urinary tract infections, male sexual dysfunction and male infertility. It also addresses the tumours of Kidney, Ureter, Bladder, Prostate, Testis, and Penis. Congenital anomalies of genitourinary tract like pelvic ureteric junction obstruction, vesico-ureteric reflux (VUR), posterior urethral valves etc. are treated at Shalby Hospitals by the team of experts. Urology deals with the kidney transplantation, also various voiding dysfunctions are treated under this speciality.

Holmium Laser Treatment

There has been renewed interest in the use of lasers for minimally invasive treatment of urological diseases in recent years. Holmium laser is one of the most versatile surgical lasers that are available at Shalby Hospitals to the urologist. Shalby hospitals is equipped with 100 watt Holmium laser, one of the most powerful lasers available in India. Holmium laser provides the highest standard of care for urological diseases like…

  • Stone disease (kidney stone, ureteric stone, and bladder stone)
  • Benign prostatic hyperplasia (HoLEP)
  • Laser Endopyelotomy
  • Ureteric Stricture Disease (Laser Ureterotomy)
  • Urethral Stricture Disease
  • Tumours (bladder tumour, ureteric tumour, and renal tumour)
  • Bladder neck incision
  • Incision of posterior urethral valve
Advantages of Laser treatment
  • Better success rate
  • Early catheter removal
  • Decreased blood loss
  • Decreased pain
  • Speedy recovery
  • Minimum hospital stay

Urology is a vast branch of medical science which has subdivisions like…

Endourology

Endourology is the branch of urology that deals with minimally invasive surgical procedures. As opposed to an open surgery, endourology is performed using small endoscopes and instruments that are inserted into the urinary tract. Transurethral surgery is the cornerstone of endourology. Most of the urinary tract can be reached via the urethra, enabling prostate surgery, surgery of tumours of the urothelium, stone surgery, and simple urethral & ureteral procedures.

Laparoscopy

Laparoscopy is a rapidly evolving branch of urology and has replaced several open-surgical procedures. Robot-assisted surgery of the prostate, kidney, and ureter has been expanding in this field. Today, most of the radical prostatectomies across the world are carried out by robotic assistance. Laparoscopic nephrectomy, prostatectomy, and pyeloplasty are well-established procedures in the field of urology which are available at Shalby Hospitals.

Urologic Oncology

Urologic oncology concerns the surgical treatment of malignant genitourinary diseases such as cancer of the prostate, adrenal glands, bladder, kidneys, ureters, testicles, and penis. The medical treatment of advanced genitourinary cancer is managed by either a urologist or an oncologist depending on the spread and stage of cancer.

Neuro Urology

Neuro-urology focuses on nervous system control of the genito-urinary system, and conditions that cause abnormal urination. Neurological diseases and disorders such as a stroke, multiple sclerosis, Parkinson’s disease, and spinal cord injury disrupt the lower urinary tract and may result in conditions such as urinary incontinence, detrusor over-activity, urinary retention, and detrusor sphincter dyssynergia. Urodynamic studies play an important diagnostic role in neuro-urology. Therapy for nervous system disorders includes clean intermittent self-catheterization of the bladder, anticholinergic drugs, injection of Botulinum toxin into the bladder wall and advanced yet less-commonly used therapies such as sacral neuromodulation. Less marked neurological abnormalities can cause urological disorders as well. For example, abnormalities of the sensory nervous system are thought by many researchers to play a role in disorders of painful or frequent urination (e.g. painful bladder syndrome, formerly known as interstitial cystitis).

Paediatric Urology

Paediatric urology deals with urologic disorders in children. These disorders include cryptorchism (undescended testes), congenital abnormalities of the genitourinary tract, enuresis, underdeveloped genitalia (due to delayed growth or delayed puberty; often an endocrinological problem), and vesicoureteral reflux. It also deals with paediatric stone diseases that are now managed through endoscopy.

Andrology

Andrology focuses on the male reproductive system. It is mainly concerned with male infertility, erectile dysfunction and ejaculatory disorders. Andrology overlaps with endocrinology as male sexuality is largely controlled by hormones. Surgeries in this field include fertilization procedures, vasectomy reversals, and the implantation of penile prostheses. Vasectomies may also be included here, although generally urologists perform this procedure.

Reconstructive Urology

Reconstructive urology is a highly specialized field of urology that restores function to any of various structures of the genitourinary tract. It deals with congenital anomalies of the genitourinary tract like pelvic ureteric junction obstruction, vesicoureteric reflux, urethral stricture disease, and any reconstruction of genitourinary tract post trauma.

Urogynecology

Urogynecology is a branch which deals with female pelvic organ prolapse, urinary incontinence and other voiding dysfunction in the females. It also covers the various fistulas like vesicovaginal, ureterovaginal and urethrovaginal fistulas. Thorough knowledge of the female pelvic floor together with urodynamic skills is necessary to diagnose and treat these disorders. A medical or surgical treatment can be recommended depending on the cause of the individual problem.

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