Services
Areas of Specialization
Robotic Surgery
Robotic surgery, also called keyhole surgery, is a modern technique that uses small incisions instead of one large cut. A tiny telescopic camera and robotic tools are inserted through these incisions, allowing for precise, minimally invasive operations with improved visualization.
Robotic surgery is used for various urological procedures. It offers faster recovery, shorter hospital stays, and better outcomes compared to traditional methods. Here’s a closer look at what I can help with:
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Robotic Radical Nephrectomy
This procedure removes an entire kidney affected by cancer using a minimally invasive approach.
Robotic Partial Nephrectomy
Instead of removing the whole kidney, this surgery targets and removes only the cancerous portion, preserving the rest of the kidney. It’s especially beneficial for individuals with conditions like diabetes or high blood pressure.
Robotic Donor Nephrectomy
For kidney donors, this robotic-assisted surgery makes the process safer, less invasive, and involves shorter hospital stays, minimizing disruption to the donor's life.
Robotic Radical Prostatectomy
This procedure removes the entire prostate, along with surrounding tissues, for patients with prostate cancer. It ensures the best chance of eliminating the cancer.
Robotic Pyeloplasty
If the connection between the kidney and ureter (the tube that drains urine) is too narrow, it can affect kidney function. Robotic pyeloplasty repairs this issue, restoring proper drainage.
Robotic Cystectomy
For bladder cancer, robotic cystectomy is a highly effective, minimally invasive way to remove the bladder or affected parts. It’s now a preferred method for treating this condition.
Robotic Ureteric Reimplantation
If the ureter (the tube connecting the kidney to the bladder) is damaged, robotic surgery can reattach it to the bladder, restoring normal function.
Robotic Vesico-Vaginal Repair
This surgery fixes a vesico-vaginal fistula, an abnormal connection between the bladder and vagina that causes urine leakage. The robotic approach ensures precision and faster recovery.
What are the advantages of Robotic Surgery?
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Surgeons have known for at least a decade that patients use fewer painkillers after Robotic surgery, go home earlier and return to normal activities and work sooner than after traditional surgery
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The advantages of the da Vinci Surgical System, such as magnification, 3-D vision, and increased flexibility and accuracy, with less bleeding seem to be a natural complement to the already proven laparoscopic procedure.
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A better cosmetic result
Retrograde Intrarenal Surgery
Retrograde Intrarenal Surgery (RIRS) allows the surgeon to do surgery inside the kidney without making an incision. The instrument for RIRS enters through the body's natural opening, through the bladder and the ureter, into the kidney.
RIRS is used for patients with stones in the kidney, narrowing of the outlet of the kidney or within the kidney (strictures) and tumors in the kidney. The RIRS is an outpatient day care procedure using general anesthesia.
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RIRS is used for difficult-to-treat cases, such as:
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Failed previous treatment attempts
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Stones too large for ESWL (lithotripsy)
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Strictures
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Tumors
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Patients with bleeding disorders
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Patients with gross obesity
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This procedure is done with flexible Ureteroscopy and Laser.
Reconstructive Urology
It is a subspecialty field that specifically manages and treats genitourinary injuries/ailments that affect normal voiding and sexual function.
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A urethral stricture is a narrowing of a section of your urethra. It causes a blocked or reduced flow of urine which can lead to complications. There are various treatment options which aim to widen the narrowed section of your urethra. This could involve urethral dilatation, Urethrotomy or definitive procedures like anastomotic Urethroplasty and Buccal mucosal Urethroplasty.
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Buccal mucosal Urethroplasty
This surgery has been carried out to replace a section of unhealthy urethra (water pipe) by using tissue from the inside of the cheek (buccal mucosal graft, BMG).
Problems treated with reconstructive Urology include
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Urethral disruption injuries from pelvic fracture
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Recto-urinary fistulas after prostatectomy or pelvic surgery
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Refractory male urethral strictures
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Radiation-induced urinary fistulas
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Major bladder reconstruction – urinary diversion, continent catherizable stomas (Mitrofanoff, Monti), neobladder, augmentation cystoplasty,
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Major ureter reconstruction - Boari flap, Psoas hitch, ileal ureter, trans-ureteroureterostomy, complex pyleoplasty
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Vesicovaginal or ureterovaginal fistulas after pelvic surgery
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Male urinary incontinence – artificial urinary sphincter, male sling, bulking agents
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Peyronie’s disease – plaque incision and grafting, penile placation.
General Urology and Endourology
This involves treatment of:
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Benign Prostatic Hyperplasia – mostly age related urinary issues which can be treated with medications and surgery (TURP- Transurethral resection of the prostate)
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Renal stones – stones can be in the ureter or kidney. This can be treated with Ureteroscope and laser or Per cutaneous nephrolithotomy – PCNL (key hole surgery thorugh the back)
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Bladder tumor – Bladder tumors can be removed through cystoscopy, a procedure called TURBT (transurethral resection of bladder tumor)