Urology

Urology is a surgical super specialty dealing with ailments of genital & urinary system in male and female. It is one of the most varied branches of surgery, encompassing diseases of kidneys, bladder and prostate to include incontinence, impotence, infertility, cancer and reconstruction of the genito-urinary tract and encompasses patients of both sexes and all ages.

Over the last 20 years, urology has become one of the most innovative surgical specialties. Urologists use traditional surgical methods, but have also pioneered the most modern high-tech, fibreoptic and endoscopic techniques (sometimes called minimally-invasive surgery). Urology is one of the first specialties to use "keyhole" surgery and still retains the most comprehensive array of minimally-invasive techniques for patients. The doctors here at Narayana Health are leaders in handling all urological conditions such as stone disease, birth defects, infections, tumors, obstruction of the urinary system, prostate enlargement, infertility, erectile dysfunction, urinary incontinence, kidney transplantation, etc. The department performs over a thousand operations in a year and treats over 10, 000 patients on an out-patient basis.

We are one of the few centres in the country which offers highly specialised tests such as video urodynamics for patients with neurological disorders and template prostate biopsy for patients with suspected prostate cancer who have had repeated negative prostate biopsies.

Urological cancer care at our institute provides a holistic approach to cancer care with strict adherence to current well accepted evidence based treatment. Each patient’s cancer treatment is endorsed by our multi-disciplinary tumour board which has representation from urological surgeons, medical oncologists, radiation oncologists, pathologist, radiologist and palliative care medicine experts. We are at the forefront of treatment for penile cancer with the expertise to perform dynamic sentinel lymph node biopsy which is currently performed at handful centres across the world. With minimally invasive (key-hole) surgery becoming a gold standard in the treatment of urological cancers, this is available for kidney, bladder and prostate cancer at our centre. We have a well-established laparoscopy programme and offer laparoscopic nephrectomy, laparoscopic partial nephrectomy and laparoscopic radical prostatectomy for the treatment of kidney and prostate cancer.

With the advent of LASER technology the treatment of stone and prostate disease has evolved tremendously, at our institute both rigid and flexible (also called retro grade intra renal surgery) ureteroscopy is available for effective management of ureteric and kidney stones. Holmium LASER enucleation of prostate is the only laser technology across the globe which has stood the test of time and this is offered to patients with large prostates where conventional endoscopic surgery may not be feasible and we are one of the few centres in South India to offer this treatment.

The unit has a very well established Laparoscopic Donor Nephrectomy Programme, wherein a minimally invasive approach is used to extract the donor kidney allowing for early recovery of the donor with minimal morbidity. The renal transplant programme is run as a large dedicated multi-disciplinary team involving the urologists, nephrologists, specialised nephrology transplant nurses and in-house transplant co-ordinator. The role of our coordinator brings together the psychological and legal aspects of kidney donation. We were one of the first unit’s to introduce steroid-free immuno-suppression in transplant patients, thereby significantly reducing the risk of steroid-induced infective complications.