Kidney and Ureteral Stone Removal by Minimally Invasive Stone TreatmentsWe strive to provide each patient and family member with education, support and world-class medical care extending from his first visit until discharge. We are also proud to provide personal services through integrated, team approach taking care of your comfort and well-being along with all other considerations with a goal of outstanding surgical outcomes even for the most complex and difficult cases applying cutting-edge of new, advanced treatment options that were once considered inconceivable, such as minimally invasive urology surgery.
Shockwave Lithotripsy (SWL)
Shockwave lithotripsy (SWL) is a popular choice for the management of small- to medium-sized kidney stones, and is generally performed as an outpatient procedure with the patient under general anesthesia. SWL is highly effective at treating most stones in the kidney and ureter.
Ureteroscopy And Laser Lithotripsy
Along with SWL, ureteroscopy is a preferred method for the treatment of small-to-medium sized kidney stones located in any part of the urinary tract. Ureteroscopy and laser lithotripsy are typically performed as a same-day procedure. A thin lighted telescope is introduced through the urinary opening into the bladder and then up through the ureter. The diameter of the instrument is 2.5mm and allows visualisation of the entire kidney and the ureter due to the flexible nature of the scope. It contains a small instrument port which allows the introduction of a holmium laser fibre to break stone into fragments and micro-baskets to retrieve any stone fragments. Kidney stones up to 2cm in size can be treated using this approach.with the patient under general anesthesia. A stent is placed temporarily to help the kidney drain after the operation and is removed after 3-8 day in the OPD only.
Percutaneous Nephrolithotomy (PCNL)
For exceptionally large or complex kidney stones, or for a large number of small stones in one kidney, the recommended method of treatment is percutaneous nephrolithotomy. PCNL is an inpatient procedure, which typically requires an overnight hospital stay.
PCNL is performed by a urologist, typically with the assistance of an interventional radiologist. The urologist and radiologist work together to create a channel directly into the drainage system of the kidney through a small incision in the back, typically no larger than a dime.
The urologist is then able to use a set of specialized equipment to shatter the stones, which are then either vacuumed or plucked out of the kidney. A drainage tube or stent is then left in place temporarily to help the kidney to drain. For exceptionally large or complicated stones, a second “clean-up” procedure may be necessary. Most patients can be discharged within 24 hours of their procedure. Gold-standard for treatment of very large or complex stones, and for patients with several smaller stones in one kidney.
Capable of clearing most stones completely with one procedure.
For larger stones, we recommend a procedure called a cystoscopy and litholapaxy.
Laser Treatment For BPH (Enlarged Prostate)
Holmium Laser Enucleation Prostatectomy (HoLEP). A HoLEP is a procedure that enables the surgeon to remove the inside portion of the prostate gland that is restricting the flow of urine. The operation is performed via the urethra with no cuts in the skin.
Open Prostatectomy which is a major abdominal surgery. Performed in a hospital under general anesthesia, performed when the patient's prostate has grown too large, there are bladder stones, or when the bladder needs to be repaired at the same time.
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More commonly performed TURP (Transurethral Resection of the Prostate) Less invasive done through urethra Using a resectoscope, no open cut. Optimum treatment for BPH today.
Radical prostatectomy (prostate removal) is surgery to remove all of the prostate gland and some of the tissue around it. It is done to treat prostate cancer.
There are 4 main types or techniques of radical prostatectomy surgery. These procedures take about 3 to 4 hours:
Retropubic: By making a cut just below your lower abdomen that reaches to your pubic bone.
Laparoscopic: The surgeon puts a thin tube with a video camera (laparoscope) inside one of the small cuts made by him and performs the whole procedure through this.
Robotic surgery: It is a minimally invasive surgical treatment for prostate cancer. few key hole incisions are made in the belly in order to remove the whole prostate.