Best Urology Hospital in Hyderabad

Preview: It’s a minimally invasive and effective surgical procedure that is similar to open surgery but performed with no incision, primarily in cases of benign prostate hyperplasia (BPH). It aims to remove and preserve prostate tissue for laboratory examination to check for other conditions, including prostate cancer.

Surgical Steps

• During a HoLEP procedure, a resectoscope and laser are used to separate the prostate’s core from its outer border, and the tissue is then suctioned out and cut into smaller pieces.
• A urinary catheter is inserted and removed the next day, with more discharges within the next few hours, and may require more hospital stays for complications like bleeding.
• Recovery involves avoiding strenuous activities for two weeks and straddle activities for six weeks, with complete recovery taking up to 12 weeks.

Benefits

• Effective for various prostate sizes
• Significantly lower the chances of retreatment
• Lower recurrence rate
• Long-term effectiveness
• Lower risk of complications

Read more about – Holmium Laser Prostate (HoLEP)

Preview: Ureteroscopic lithotripsy (URSL) aims to diagnose and treat kidney and ureteral stones, relieve obstructions, and prevent recurrence with minimal discomfort and quick recovery. It is a minimally invasive procedure that can be performed using laser, stent placement, or flexible methods.

Surgical Steps

• During a ureteroscopic lithotripsy procedure, a ureteroscope is inserted to fragment or remove urinary stones, which typically lasts for 30-45 minutes.
• The patients are later monitored for a few hours and are discharged with postoperative instructions for pain management, activity restrictions, and dietary intake.
• The surgeon may ask the patients to visit for a follow-up to monitor stone clearance, assess kidney function, and analyze any risks for complications.

Benefits

• Provides accurate diagnosis and treatment approach
• Minimally invasive with shorter recovery time
• Prevents recurrent stone formation
• Reduces the need for open surgery
• Shorter hospital stays

Read more about – Ureteroscopic Lithotripsy

Preview: Robotic radical prostatectomy is the most common surgical treatment for the removal of the tumor part of the prostate gland and rarely involves the surrounding tissues, while conveniently utilizing minimally invasive techniques such as laparoscopy and robotic surgery.

Surgical Steps

• The surgeon operates using the instruments while viewing the surgical area on the monitor through an endoscope, whereas robot-assisted prostatectomy employs a system controlled by the surgeon from a console.
• This allows greater access areas for the surgeon to operate on through several small abdominal incisions.

Benefits

• Less postoperative pain
• Early removal of the catheter
• Sooner refunctioning of the erection
• Low risk of incontinence
• Less scarring and bleeding

Read more about – Robotic Prostatectomy

Preview: Cystocele repair, or vaginal prolapse, is the bulging of the bladder into the vaginal canal wall due to weakened pelvic floor muscles from factors like vaginal childbirth, chronic constipation, or heavy lifting, leading to symptoms such as tissue protrusion, difficulty urinating, and painful intercourse. There are several surgical methods for cystocele repair, including anterior or posterior vaginal repair, vaginal suspension, and abdominal cystocele repair.

Surgical Steps

• During a cystocele surgery, a vaginal incision frees the prolapsed bladder, which is then supported with sutures, followed by a cystoscopy that analyzes the damage, and an excess skin resection may also occur before the closure.
• Following the surgery, the patient may be hospitalized for one or two days, with the vaginal pack and the catheter removed on the following day/s, and the patient is discharged when the condition is stable.
• Recovery may vary for every individual based on the severity of the condition, the type of surgery, and the patient’s overall health condition. Typically, the initial recovery may take a few weeks, with the final recovery within a few months.
• Post-operative care follows surgeon guidelines: avoid heavy lifting or tiring activities for 6 weeks, do light duties like walking and shopping, take pain meds as directed, and avoid driving and sexual intercourse for 6 weeks to let wounds heal.

Benefits

• Minimally invasive
• Shorter hospital stays
• Quick recovery time
• Enhanced urinary control and sexual function

Read more about – Cystocele Repair

Preview: Hypospadias is a surgical procedure that aims to correct a congenital condition where the urethral opening is not at the penis tip but rather along the shaft or where the penis and scrotum meet, as well as involves the penile curvature or penoscrotal transposition. It can be a single-stage or a two-stage procedure.

Surgical Steps

• A hypospadias repair surgery is performed under general anesthesia, where a section of the foreskin is used to lengthen the urethra, and a catheter is inserted for drainage to support the shape and the urethra remains intact and functional with the help of dissolvable stitches.
• Post-surgery, the patient was sent to the recovery room for monitoring and can usually go home the same day. During recovery, you may experience tiredness and increased sleep.
• Initial recovery may take up to 2 weeks with gradually subsiding swelling and bruising, with final recovery taking about 6 weeks.

Benefits

• Penile strengthening
• Urethral reconstruction
• Prevent urinary tract infections
• Imparts a natural penis appearance

Read more about – Hypospadias

Preview: Transurethral resection of the prostate (TURP) is a surgical procedure that aims to remove the excess prostate tissue blocking the urine flow using a resectoscope. Its purpose is to effectively treat moderate to severe urinary issues caused by an enlarged prostate due to BPH or prostate cancer when other treatments fail.

Surgical Steps

• During the TURP surgery, a catheter is inserted into the urethra to trim the prostate tissue internally, flush it into the bladder, and extract it.
• Patients typically stay in the hospital for a day or two until the catheter that aids in urine flow is removed.
• Complete recovery takes up to 4-6 weeks and is considerably faster and offers a more comfortable recovery with laser TURP, as the surgeon suggests avoiding strenuous activity and following pain management guidelines.

Benefits

• Reduced risk of complications
• Minimally invasive
• Improved urine flow
• Long-term relief

Read more about – TURP

Preview: Bipolar enucleation, also known as transurethral enucleation of the prostate (TURP), primarily aims to separate the prostate tissue from its capsule and then remove it. This procedure may also be used for vaporization and resection.

Surgical Steps

• The procedure is performed using a resectoscope with a bipolar current, which allows for precise tissue removal and coagulation. The surgeon uses a loop electrode to carefully dissect and separate the enlarged prostate tissue (adenoma) from the surrounding capsule, creating a plane of dissection.
• This enucleation process is often described as lifting and separating the adenoma from the capsule. After the adenoma is separated, it is then removed from the bladder using a morcellator, which grinds the tissue into smaller pieces for easier extraction.

Benefits

• Less bleeding
• Shorter recovery time
• Effective for larger prostates
• Removal of the entire adenoma
• Longer-lasting results, better than TURP

Read more about – Bipolar enucleation

Preview: BMG urethroplasty aims to repair urethral strictures, which are scars in the urethra that can cause frequent urination, infections, increased bladder emptying time, and, therefore, decreased urine flow, with the help of buccal mucosal grafts and represents the highest success rates.

Surgical Steps

• Urethroplasty involves pre-surgical preparations, such as urinalysis, urine culture, cystoscopy, and voiding cystourethrogram to identify and locate the urethral strictures.
• During the surgery, the obstructed part of the urethra is resected, and the healthy ends are joined either directly or via a buccal mucosal graft, followed by a catheter placement for 2-4 weeks and regular follow-ups due to the risk of stricture recurrence.

Benefits

• Improved urinary flow
• Reduced symptoms
• Ease of graft harvest
• Long-term results and higher success rates

Read more about – BMG Urethroplasty

Preview: Cystectomy is a surgical procedure that aims to remove part or all of the bladder and to create an alternate pathway for urine excretion. Although the type of cystectomy performed (open, laparoscopic, or robotic) and the extent of the bladder removal depend on the patient’s health, the surgery indication, and the tumor’s location. It is typically performed to treat bladder cancers, interstitial cystitis, or severe malignant issues.

Surgical Steps

• During a cystectomy performed under general anesthesia, the surgeon removes the bladder and related structures, then creates a urinary diversion such as an ileal conduit, a continuous urinary reservoir, or a neobladder, which may require catheterization for drainage.
• Following cystectomy, incisions are sutured, with hospital stays typically lasting several days for laparoscopic or robotic procedures and up to a week in open cystectomies.
• Recovery period differs with individuals who undergo partial cystectomy, where the recovery time is shorter than that of radical cystectomies, which can take from weeks to months.

Benefits

• High treatment success rate
• Prevents metastasis
• Reduces pain and manifestations of the disease
• Offers respite for uncontrollable severe incontinence
• Improves quality of life

Read more about – Cystectomy

Preview: Cystoscopy and TURBT aim to visualize the urethra and bladder and identify and remove the non-muscle-invasive bladder abnormalities or tumors. Its purpose is to diagnose and treat certain bladder conditions, such as inflammations and cancerous tissues; collect tissue samples; and help determine the extent and stage of the cancer.

Surgical Steps

• During a cystoscopy and TURBT, a cystoscope and resectoscope are inserted into the bladder via the urethra to resect the tumor sample for pathological examination.
• Following the surgery, fulguration and cauterization may be performed to eliminate residual cancer cells, and chemotherapeutic medicine may be instilled into the bladder, with a catheter potentially required for a few days.

Benefits

• Reduces the number of procedures
• Reduces the risks of complications
• Higher success rates

Read more about – Cystoscopy + TURBT

Preview: Its purpose is to treat adrenal tumors using minimally invasive techniques and primarily to treat benign and selected removal of malignant tumors, as well as to provide management of endocrine hypertension.

Surgical Steps

• Performed by urologists or general surgeons under the influence of general anesthesia, it involves making three small abdominal incisions for laparoscopic access to dissect and remove the affected adrenal gland.
• This procedure typically lasts for three to four hours. Post-surgery medications may be administered to restore essential hormones, with most patients achieving recovery within two to three weeks.

Benefits

• Reduced tissue trauma
• Improved cosmesis
• Lowers the pain medication requirement
• Potentially lowers the risk of complications

Read more about – Laparoscopic Adrenalectomy

Preview: Laparoscopic pyeloplasty is the procedure to correct the narrowing, blockages, or scarring at the ureteropelvic junction; it is minimally invasive and demonstrates safety. It provides benefits over traditional open surgeries, including diminished discomfort, shortened hospital stays, reduced risks, expedited recovery, and enhanced cosmetic results.

Surgical Steps

• For patients undergoing laparoscopic pyeloplasty under the influence of general anesthesia, the surgery typically lasts 3-4 hours.
• The surgeon makes five 1 cm incisions on the flank, allowing the insertion of instruments and the webcam into the carbon dioxide-inflated abdomen, thus enabling the urologist to visualize, remove, and suture the stricture.
• A drainage bag is inserted to manage any effusion, and a ureteric stent is placed to facilitate healing and urine drainage. Additionally, a catheter is placed until normal physical activity is resumed, with a hospital stay typically lasting 1-2 days.

Benefits

• Improved kidney function
• Higher success rates
• Reduced postoperative pain
• Faster recovery time
• Reduced risk of complications

Read more about – Laparoscopic Pyeloplasty

Preview: Orchiectomy is a minimally invasive surgical procedure involving the removal of one or both testicles. It is indicated for the treatment or prevention of certain cancers like testicular cancer, prostate cancer, or male breast cancer. Furthermore, orchiectomy can also be performed as a gender-affirming procedure for transgender women or for several testicular traumas resulting in reduced testosterone levels.

Surgical Steps

• Patients undergo standard blood tests and other investigations to confirm surgical suitability and may be advised to continue on blood thinners to mitigate bleeding risks, and may consider sperm banking for future reproductive options.
• During the orchiectomy, an incision is made through the scrotum to remove one or both testicles as needed; later, the surgeon implants prosthetic testicles and stitches the incisions.
• The patient may stay in the hospital for a day, and the specialists may prescribe pain medications and antibiotics to prevent infection.

Benefits

• Removes the cancerous tissue and reduces the spread
• Lowers the testosterone levels
• Eliminates the need for testosterone blockers
• Reduces the reliance on estrogen and other hormonal therapies
• Reduce gender dysphoria and improve body image
• Alleviates chronic pain
• Reduced anxiety and improved mental health

Read more about – Orchiectomy

Preview: Mini-PERC is a minimally invasive surgical technique that aims to remove kidney stones, offering benefits over open surgeries. This procedure is indicated for large, complicated, or multiple kidney stones, based on the stone’s size, complexity, and location.

Surgical Steps

• During the mini PCNL surgery, under the influence of general anesthesia and with fluoroscopic and ultrasound guidance, a small incision is made for sheath placement and mini nephroscopic insertion.
• This allows for ultrasonic lithotripsy and laser energy to fragment kidney stones. A drainage tube may be inserted for bleeding or urine leakage before sheath removal and incision closure.
• The mini PCNL recovery period typically lasts for 2-4 weeks, based on the various stone characteristics, the patient’s overall health, and

Benefits

• Minimally invasive
• Faster recovery
• Potential for a tubeless PCNL
• Reduced risk of complications

Read more about – Mini PERC or Mini PCNL

Preview: Percutaneous nephrolithotomy (PCNL) is a minimally invasive surgical procedure that uses a 1 cm puncture to remove kidney and upper ureter stones larger than 2 cm, performed under general or spinal anesthesia.

Surgical Steps

• Patients must discontinue medications that affect blood clotting and be screened for urinary tract infections to prevent complications.
• Patients are positioned face down, anesthetized, and undergo cystoscopy before the surgeon uses X-ray dye or carbon dioxide to map and remove kidney stones with a laser or mechanical device, which may result in postoperative pain and nausea.

Benefits

• Effective against complex stones
• Minimally invasive
• Reduced recovery time
• Improved renal function
• Reduced need for treatment and repeated procedures

Read more about – Percutaneous Nephrolithotomy

Preview: Retrograde intrarenal surgery (RIRS) is a non-invasive laser-driven endoscopic method that removes kidney stones by guiding a flexible ureteroscope through the urinary tract to the kidney/s.

Surgical Steps

• A fibre optic endoscope and holmium laser are used to treat kidney stones up to 1.5 cm, and a double J stent may be inserted pre-surgery.
• Whereas during surgery, a urologist may remove and crush the kidney stones, and the patients can go home within 24 hours, while complete recovery may take up to 4-6 weeks.
• In post-surgical recovery, blood in the urine is common, followed by the surgeon’s prescribed medication, dietary instructions, and complete bed rest for a week.

Benefits

• Lowers the risk of complications
• Minimally invasive
• Faster recovery
• Reduced hospital stays
• Potential for bilateral treatments

Read more about – Retrograde Intrarenal Surgery (RIRS)

Preview: Transurethral resection of bladder tumor (TURBT) is a key incision-free procedure that diagnoses, stages, and treats bladder cancer, primarily for non-muscle-invasive cases, by performing a biopsy from a tumour via a cystoscope passed through the urethra.

Surgical Steps

• Under general anesthesia, this surgery involves inserting a scope to remove the tumor with a cutting device, followed by electrocautery to control bleeding, sometimes with a catheter placed for drainage.
• After the surgery, the patient recovers under observation until vital signs are stabilized. The catheter is usually placed temporarily for drainage, and the pain is managed while the patient fully recovers, which may take up to 6 weeks.

Benefits

• Minimize patient discomfort
• Precisely identifies suspicious lesions
• Eliminates the need for separate procedures
• Effective for early cancer
• Shorter recovery time and less pain

Read more about – TURBT

Surgical Steps

• Ureteric reimplantation surgery corrects urinary tract blockages by detaching and reattaching the ureter to a new location on the bladder through a lower abdominal incision.

Benefits

• Corrects vesicoureteral reflux
• Reduced risk of UTIs and kidney problems
• Improved urine output
• Reduced scarring

Read more about – Ureteric Reimplantation

Preview: When other treatments for varicocele fail, a varicocelectomy, ranging from open to minimally invasive surgical options, precisely restores blood flow to reproductive organs, improving sperm count and fertility.

Surgical Steps

• Varicocelectomy, a 30-60 minute procedure, can be performed using microscopic, laparoscopic, or percutaneous embolization techniques, with the type of anesthesia chosen based on the technique performed.
• After the surgery, the patient may experience localized pain, nausea, and grogginess, managed by the prescribed medications and rest. Full recovery varies from patient to patient, but it usually depends on the severity of the conditions and the complexity of the surgery.

Benefits

• Enhanced sperm quality
• Preserves vital structures
• Increased pregnancy rates
• Reduced shrinking of the testicles

Read more about – Varicocelectomy

Preview: Vaso-epididymal anastomosis’s primary aim is to bypass the obstruction and allow sperm to travel from the testicle through the vas deferens and into the ejaculate, enabling natural conception. Its purpose is to restore fertility in men with obstructive azoospermia when the patient shows epididymal blockages.

Surgical Steps

• Vaso-epididymal anastomosis is a microsurgical technique performed using a microscope, where the surgeon creates a small opening in the epididymis and connects it to the sliced end of the vas deferens.
• Followed by the fluid inspection, where the fluid from the epididymal tubule is collected to determine the level of sperm and anastomosis.

Benefits

• Restores natural fertility
• Better alternative to ART
• Improved sperm quality
• Higher pregnancy rates
• Potential to relieve post-vasectomy pain

Why is it performed?

A cystometrogram (CMG) measures bladder pressure to assess how well the bladder stores and releases urine. Its purpose is to provide information about bladder functioning by measuring the pressure changes. It is used to identify overactive bladder, urinary incontinence, or difficulty urinating.

Advantages:

• Understands the specific cause of the patient’s symptoms
• Minimally invasive
• Improved quality of life
• Improved diagnosis

Why is it performed?

A TRUS-guided biopsy is performed to diagnose prostate cancer by utilizing an ultrasound to guide a needle into the prostate gland to detect prostate cancer, assess prostate health, guide treatment decisions, and measure abnormal PSA levels.

Advantages:

• Early detection of prostate cancer
• Improved accuracy in diagnosis
• Reduced risk of unnecessary biopsies
• Real-time guide mid-surgery

Read more about – TRUS-Guided Biopsy

Why is it performed?

Urography aims to investigate blood in the urine, diagnose urinary tract conditions, and stage and assess urinary tract cancer. It also helps identify recurrent urinary tract infections as well as examine renal masses.

Advantages:

• Non-invasive
• Detailed anatomical assessment
• Improved detection of small lesions
• Improved staging and treatment planning for cancers

Why is it performed?

Lithotripsy’s primary aim is to treat kidney stones via a noninvasive or minimally invasive approach to surgery, offering a faster recovery time and reduced risk of complications.

Advantages:

• Faster recovery
• Reduced pain
• Treatment effectiveness
• Cost-effectiveness

Why is it performed?

Urodynamical laboratory aims to assess the function of the bladder and urethra, which helps diagnose various urinary problems, such as incontinence, overactive bladder, and urinary tension.

Advantages:

• Accurate diagnosis
• Personalized treatments
• Improved outcomes
• Reduced unnecessary procedures

Why is it performed?

A uro-oncology unit aims at diagnosing and treating cancers of the urinary and male reproductive system and provides early and accurate diagnosis with specialized expertise and personalized treatments to improve patient outcomes.

Advantages:

• Minimally invasive
• Functionally preserve
• Improved quality of life
• Multidisciplinary approach

Why is it performed?

The pediatric urology unit provides comprehensive care for a wide range of issues, from common conditions such as bedwetting and urinary tract infections to congenital abnormalities.

Advantages:

• Improved urinary function
• Reduced risk of complications
• Preservation of kidney function
• Proper sexual development

Read more about – Pediatric Urology Unit

Why is it performed?

The reconstructive urology unit focuses on repairing and reconstructing damaged or malformed parts of the urinary or reproductive system, with the aim of restoring function and enhancing a patient’s overall well-being. It is recommended for congenital defects, injuries, or conditions resulting from previous surgeries.

Advantages:

• Cost-effective
• Restored functions
• Reduced symptoms
• Improved quality of life
• Reduced risks of complications