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2
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Ureteroscopy with lithotripsy (URSL)
Retrograde IntraRenal Surgery (RIRS),
Endo-cystolithotripsy
Percutaneous- cystolithotripsy,
cystolitholapaxy.
Prostate surgeries like- HOLEP, TURP, TUR channeling.
Bladder surgeries like – TURBT, BNI
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The complete term for URSL Surgery is Ureteroscopic Lithotripsy. This widely employed procedure is a common approach for treating kidney stones, particularly effective for the removal of stones ranging from small to medium in size (7 to 10 mm). Employing advanced technology, URSL is a contemporary method utilized for stones resistant to conventional treatments like medications and non-surgical interventions. It utilizes a high-precision laser technique or pneumatic lithotripter is used to break and to extract kidney stones lodged in the ureter, providing relief from painful and discomforting symptoms with minimal complications.
Retrograde intrarenal surgery (RIRS) stands as the least invasive method for conducting kidney surgery, employing a fiberoptic endoscope for visualization. In this procedure, the scope is introduced through the urethra, traversing the bladder and the ureter to reach the kidney's urine-collecting region. The retrograde movement (up the urinary tract system) of the scope allows for intrarenal exploration within the kidney. Using this approach, the stone becomes visible through the scope and can be manipulated or fragmented using an ultrasound probe, vaporized with a laser probe, or grasped using small forceps.
Endo-cystolithotripsy is a minimal invasive method to remove stone that are present in urinary bladder. A scope is inserted through the urinary tract and stones are broken down using laser or pneumatic lithotripter and removed via urinary tract itself.
Percutaneous- cystolithotripsy is a slightly modified technique to remove larger urinary bladder stone through a small incision made over skin through which bladder stone is approached
Transurethral resection of the prostate (TURP) is a prevalent surgical procedure employed to address urinary issues stemming from an enlarged prostate. During TURP, a specialized instrument known as a resectoscope is inserted through the penile tip and navigated through the urethra, the conduit for urine from the bladder. This resectoscope aids the surgeon in visualizing and excising excess prostate tissue that hinders the natural flow of urine. This technique proves effective in alleviating symptoms associated with an enlarged prostate.
Holmium laser prostate surgery, also known as holmium laser enucleation of the prostate (HoLEP), is a minimally invasive approach for addressing an enlarged prostate. This procedure utilizes a laser to eliminate tissue obstructing urine flow within the prostate. Following the laser treatment, a separate instrument is employed to cut the prostate tissue
prostate surgery, HoLEP does not necessitate any incisions. This technique entails the removal of the entire section of the prostate responsible for impeding urine flow, making it a viable option for the treatment of significantly enlarged prostates.
Transurethral Resection of Bladder Tumor (TURBT) is a medical procedure used for diagnosing and treating tumors or abnormalities in the bladder. During TURBT, a thin tube with a camera, called a cystoscope, is passed through the urethra and into the bladder. The surgeon can visualize the interior of the bladder and, if any tumors or abnormal tissue is identified, they can be removed or biopsied for further examination. TURBT is a common approach for managing early-stage bladder cancer and addressing non-cancerous growths within the bladder.
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28000/-
18500/-
27500/-
27500/-
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3
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Radical prostatectomy, radical cystectomy, radical and partial nephrectomy, radical nephroureterectomy with bladder cuff excision, high inguinal orchidectomy, partial and total penectomy, along with associated lymph node dissection like, pelvic, retroperitoneal and inguinal lymph node dissection
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Radical prostatectomy is a surgical procedure performed to treat prostate cancer by removing the entire prostate gland along with surrounding tissues. The goal of this surgery is to eliminate the cancerous cells and prevent the further spread of the disease. Radical prostatectomy can be done using different techniques, including open surgery, laparoscopic surgery, or robotic-assisted surgery. In an open radical prostatectomy, an incision is made in the lower abdomen to access the prostate. Laparoscopic and robotic-assisted techniques involve smaller incisions and the use of specialized instruments and a robotic system controlled by the surgeon. The surgeon carefully removes the prostate and may also remove nearby lymph nodes to check for the presence of cancer cells. Radical prostatectomy is a major surgery that can have side effects such as urinary incontinence and erectile dysfunction.
Radical cystectomy with ileal conduit is a surgical procedure primarily performed to treat invasive bladder cancer. This extensive surgery involves the removal of the entire bladder, adjacent lymph nodes, and, in some cases, surrounding structures affected by cancer. The term "ileal conduit" refers to the creation of a urinary diversion using a segment of the small intestine (ileum) to redirect urine from the kidneys to an external opening called a stoma. During the procedure, after the bladder removal, a surgeon uses a segment of the ileum to create a conduit, which is then connected to the ureters. One end of the conduit is brought out through the abdominal wall to create the stoma, allowing urine to pass directly from the kidneys to a collection bag outside the body. Radical cystectomy with ileal conduit is a significant surgery with potential complications, but it is often recommended when bladder cancer is advanced or has not responded to other treatments. While this procedure effectively removes cancer, it also has implications for urinary function, requiring the use of a stoma and external collection system for urine.
Radical nephroureterectomy is a surgical procedure primarily performed to treat upper tract urothelial carcinoma, which is a form of cancer affecting the kidney and the ureter (the tube connecting the kidney to the bladder). The surgery involves the removal of the entire affected kidney, the ureter, and the surrounding tissue, as well as the removal of the bladder cuff (the portion of the bladder where the ureter enters). This procedure is typically recommended when there is invasive cancer involving the kidney and the upper part of the ureter. The removal of the bladder cuff is done to minimize the risk of cancer recurrence in the remaining urinary system.
High inguinal orchidectomy, also known as radical inguinal orchiectomy, is a surgical procedure involving the removal of the testicle through an incision in the inguinal (groin) area. This procedure is commonly performed as a treatment for testicular cancer or other conditions affecting the testicles. During a high inguinal orchidectomy, the surgeon makes an incision in the groin rather than directly through the scrotum. This approach allows for the removal of the entire testicle along with the spermatic cord. It is considered a standard procedure for diagnosing and treating testicular cancer, as it provides an opportunity to examine the testicular tissue and determine the type and extent of the disease. After the surgery, if necessary, additional treatments such as chemotherapy or radiation therapy may be recommended based on the type and stage of the testicular cancer. While the removal of one testicle may affect fertility and hormone levels, the remaining testicle can often compensate for these functions. Additionally, some individuals may choose to undergo procedures like sperm banking before the surgery if fertility preservation is a concern.
Total penectomy involves the complete removal of the penis. This procedure is usually considered in cases of advanced penile cancer or other severe conditions where the entire penis must be removed to prevent the spread of disease. Total penectomy has significant implications for sexual function, urination, and psychological well-being. Reconstruction options, such as phalloplasty or other procedures, may be considered to address cosmetic and functional aspects after the surgery.
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50,000/-
88,000/-
27,500
13,800/-
25,000/-
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4
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Sling surgeries for urinary incontinence, female urethral reconstructive surgery for urethral stricture, urethral caruncle excision.
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Partial penectomy involves the removal of a portion of the penis, typically aiming to remove the cancerous tissue while preserving as much healthy tissue as possible. Partial penectomy is considered when the cancer is confined to a specific area of the penis, allowing for the removal of the affected part while maintaining some degree of penile function. The impact on sexual function and urination varies depending on the extent of the surgery. In some cases, reconstructive procedures may be performed to improve cosmetic and functional outcomes.
Both total and partial penectomy surgeries are major procedures with physical, emotional, and psychological consequences. The choice between these procedures is determined by factors such as the extent and location of the disease, overall health of the patient, and their preferences regarding postoperative outcomes.
Sling surgery is a common and effective surgical procedure used to treat female urinary incontinence, specifically stress urinary incontinence (SUI). Stress urinary incontinence is the involuntary leakage of urine during activities that put pressure on the bladder, such as coughing, sneezing, laughing, or exercising. During sling surgery, a synthetic or biological sling is placed to provide support to the urethra, the tube that carries urine from the bladder to the outside of the body. The sling acts as a support under the urethra, preventing it from moving excessively during activities that may cause leakage.
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15,000/-
28,900/-
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5
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Substitution urethroplasty including buccal mucosal, preputial, saphenous vein graft
End to end anastomotic urethroplasty, progressive perineal urethroplasty, hypospadias repair.
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Male urethroplasty is a surgical procedure performed to reconstruct or repair the urethra in men. The urethra is the tube that carries urine from the bladder to the external opening, and it plays a crucial role in both urinary and reproductive functions. Urethroplasty becomes necessary when the urethra is damaged, narrowed (stricture), or affected by other conditions that hinder normal urinary flow.
Types of Urethroplasty:
- End to end anastomotic urethroplasty: The narrowed or damaged portion of the urethra is removed, and the healthy ends are then stitched back together.
- Substitution Urethroplasty: A segment of tissue (graft) is used to replace the damaged or scarred portion of the urethra.
- Grafts can be sourced from various places, including the mouth (buccal mucosa), inner lining of the cheek, saphenous vein present in lower limbs, genital area.
- Augmentation Urethroplasty: Used for longer strictures where a tissue graft is used to widen the urethra rather than replace it.
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28000/- to 41,500/-
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6
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Varicocelectomy, vasectomy.
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Varicocelectomy is a surgical procedure performed to treat a varicocele, which is an enlargement of the veins within the scrotum. A varicocele can lead to decreased sperm production and quality, potentially
causing male infertility.
Open Surgery: In traditional open varicocelectomy, a small incision is made in the lower abdomen or groin to access the affected veins. The veins are then ligated (tied off) or surgically removed.
Laparoscopic Surgery: In laparoscopic varicocelectomy, a surgeon makes several small incisions and uses a tiny camera and specialized instruments to perform the procedure.
Microsurgical Varicocelectomy: This technique involves using an operating microscope to magnify the surgical field, allowing for precise identification and preservation of the testicular arteries during vein ligation.
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10,000/-
15,000/-
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7
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Live donor renal transplant with laparoscopic approach for donor kidney retrieval
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In live donor renal transplant procedures, a laparoscopic approach is utilized for the retrieval of the donor kidney. This surgical technique involves making small incisions in the donor's abdomen through which a laparoscope (a thin, flexible tube with a camera and light) and specialized instruments are inserted. The laparoscope provides a clear view of the internal organs, allowing the surgeon to carefully disconnect and remove the donor's kidney.
The laparoscopic approach offers several advantages over traditional open surgery, including reduced postoperative pain, quicker recovery times, and smaller scars. By minimizing the invasiveness of the procedure, the laparoscopic approach aims to enhance the overall well-being of the live kidney donor while ensuring a successful and efficient transplantation process. This technique reflects advancements in medical technology and a commitment to improving the safety and experience of both donors and recipients in live donor renal transplants.
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