Urological Surgeries

Urology Treatment in Punjab

Urologic surgeries include the diagnostic and treatment procedures of diseases of the Urinary Tract and reproductive organs. It includes the Kidneys, Adrenal Glands, Urinary Bladder, Ureter, Urethra and male reproductive organs (Penis, Testes, Epididymis, Vas Deferens, Prostate and Seminal Vesicles).

Urologic surgical techniques can be:

• Minimally Invasive Robotic and Laparoscopic Surgeries.

• Scope-Guided Surgeries.

• Laser-Assisted Surgeries.

Urology surgeons perform these surgeries for patients with Urology diseases across all age groups. Specialized pediatric surgeons are available for infants and children. 

Consult an urology hospital if you require urology treatment in Punjab.

Why Is It Done?

Doctors may recommend Urologic surgeries as an option to treat Urinary Obstruction, Malignancy, Infection, Inflammation and Dysfunction in the organs of the Urinary system. They primarily focus on the following organs:

• Kidney

• Bladder

• Uterus

• Prostate

• Pelvis

• Scrotum

• Urethral areas

Urologic surgeries can be performed as inpatient and outpatient procedures. 

Risks

Most Urologic surgeries are minimally invasive and incur fewer risks and complications. 

However, some common risks associated with them are:

• Infection

• Bleeding

• Pain

• Blood clotting

• Inflammation

• High fever

• Chills

• Urinary incontinence

• Erectile dysfunction

• Injury to the nearby organs

• Drug reaction

• Urinary tract infections (UTIs)

• Slow urination

• Abdominal discomfort

• Frequent urination 

At Manipal Hospitals Patiala, experienced Urology surgeons ensure that complications are minimized and the patient receives the best care. Infection Control protocols are followed strictly to prevent infections and provide a safe environment for patient recovery.     

Preparation

• Being informed about the surgical procedures helps the patient to prepare themselves in a better way. 

• Before the surgery, the doctors may ask the patients to stop the medications like blood thinners and over-the-counter pain relievers.

• The patient needs to undergo a few tests, including

• Blood tests

• Urinary tests

• Organ functioning tests

• These tests tell about the patient's health, help the doctor plan the treatment, and identify potential risks.

• The patient may get antibiotics to prevent the risks and complications.

• The patient should arrange for transportation back home after the surgery since driving is prohibited if there is a catheter in the bladder.

Expectations

Prostate Surgeries

Transurethral Incision of Prostate (TUIP)

• The surgery treats Benign Prostatic Hyperplasia (BPH) that causes difficulty in urination.

• It is a minimally invasive procedure in which the doctors insert an Endoscope through the Urethra. They trim one or two small openings into the bladder neck. These openings allow the urine to flow freely.

• The patients can return to normal activities after three days of the surgery.

Transurethral Resection of the Prostate (TURP)

• Transurethral Resection of the Prostate (TURP) helps treat urinary problems caused by the enlargement of the Prostate.

• The surgeon inserts a Resectoscope into the tip of the Penis, extending it through the Urethra into the Prostate area. 

• With the help of the Resectoscope, the doctors will trim tissue (one small piece at a time) from the inside of the Prostate Gland. The irrigating fluid carries them into the bladder, where they get removed at the end of the procedure.

• The procedure does not involve any cuts or incisions outside of the body.

Transrectal Ultrasound Guided Biopsy of Prostate

• A Transrectal Ultrasound-Guided Biopsy of the Prostate Treats Prostate Cancer. 

• The surgeons use ultrasound imaging to check for any abnormalities in the Prostate. 

• During the surgery, the surgeons insert a scope inside the rectum to check the Prostate. 

• Using ultrasound waves, they guide needles to remove small tissue for biopsies.

Kidney Surgeries

Laparoscopic Nephrectomy

• It is a minimally invasive procedure.

• A Laparoscopic Nephrectomy removes one of the two kidneys. 

• The surgery involves making a keyhole incision in the flank to remove the Kidney. 

• The surgeons use Laparoscopic equipment to remove the Kidney.

• They fill the abdomen with carbon dioxide to separate the tissues for better vision during the surgery.

• They pass long thin instruments through up to five small incisions (about 1 cm) made in the flank. 

• They insert a camera, cutting and suturing instruments through other incisions. It helps to isolate and tie off the blood supply to the Kidney and remove it either with or without its surrounding structures. 

• The surgeons close the cuts with dissolving stitches.

Open Radical Nephrectomy

• In an Open Radical Nephrectomy, the surgeons remove the entire Kidney and the surrounding fatty tissues, Adrenal Glands and Ureters.

• During the surgery, the surgeon makes a large lower abdomen incision and removes the layers of tissues to access the Kidney.

• They remove the affected tissues and organs and close the incision with sutures.

Robotic-Assisted Laparoscopic Nephrectomy:

• It uses robotics technology to remove the entire Kidney in case of cancer

• Robotic-Assisted Laparoscopic Partial Nephrectomy involves removing a part of the Kidney. The surgery uses robotics with imaging to cut the mass of affected Kidneys. 

Shockwave Lithotripsy (SWL)

• Shockwave Lithotripsy (SLW) breaks down Kidney stones. It applies pressure waves to break the large kidney stones into smaller fragments for easier removal.

• It is a minimally invasive procedure.

• The patient gets general anaesthesia before undergoing the procedure. It generally takes around an hour for the surgery to be completed.

Percutaneous Nephrolithotomy (PCNL)

• Percutaneous Nephrolithotomy (PCNL) treats large Kidney stones that are not treatable by medications and Shockwave Lithotripsy. 

• Doctors recommend this for very kidney stones larger than 2 cm, multiple stones, and resistant stones. The surgeons make a minimal incision in the back and insert a tube inside the Kidney to remove them.

• The patient stays in the hospital for two to three days.

Kidney Stone Ureteroscopy with Holmium Laser Lithotripsy

• This surgical procedure encompasses a scope and a powerful laser to break large kidney stones into tiny fragments that cannot pass naturally. 

• During the surgery, the surgeons pass the scope through the Urethra, bladder and ureter to break the Kidney stones using the Holmium Laser.

• It is a minimally invasive procedure.

Bladder Surgeries

Cystoscopy

• Cystoscopy examines the inner lining of the urinary bladder and Urethra. 

• The patient needs to empty their bladder before the procedure. They lie rested with their feet in stirrups and knees bent. 

• The patient receives a sedative or anaesthetic intravenously.

• The doctors apply a numbing jelly on the Urethra to prevent pain. Next, they will carefully insert the Cystoscope into the Urethra. 

• With the help of the Cystoscope lens, the doctors will examine the inner surfaces of the Urethra and bladder. They may attach a video camera over the lens to view the images on the video screen.

• The doctor fills the bladder with a sterile solution for better viewing. The patient may have an urge to urinate, which they can do after the procedure.

• The Cystoscopy procedure takes around 15 to 30 minutes to complete.

Transurethral Resection of Bladder Tumor (TURBT)

• Transurethral Resection of Bladder Tumor diagnoses and treats a cancerous tumour in the bladder.

• It is an outpatient procedure. The surgery involves inserting a Resectoscope inside the bladder through the Urethra to find and remove the tumour attached to the bladder wall. 

• Complete recovery takes around six weeks after the surgery.

Cystolithalopaxy

• A Cystolithalopaxy treats bladder stones. It is a minimally invasive procedure in which the doctors insert a small Endoscope through the Urethra. 

• Next, they identify and remove the bladder stones using a stone-grasping instrument. 

• The surgeons may use a laser to break down the large stones for easy removal.

Cystectomy with Ileal Conduit

• A Cystectomy with Ileal Conduit treats Bladder Cancer. The surgeon removes a part or whole of the bladder through an incision in the lower abdomen. 

• Then, they create a new pouch to store the urine and connect it with the Ureters using parts of the small intestines. 

PENIS, SCROTAL AND INFERTILITY

Vasectomy

• Vasectomy is a procedure for male sterilization.

• During the procedure, the Urologists cut, tie, or seal the vas deferens from each testicle. 

• As a result, the sperm are not mixed with the semen and get reabsorbed by the body.

• The patient gets sedatives to relax before the procedure.

Circumcision

• Circumcision removes the Penis foreskin.

• During the procedure, the surgeons clean the Penis and the surrounding area. 

• They inject the anaesthetic into the base of the Penis. Next, they attach a plastic ring to the Penis and remove the foreskin.

• The circumcision procedure takes about 10 minutes.

Vasectomy Reversal

• During this procedure, the Urologist reconnects the sealed Vas Deferens. 

• The surgeon makes a scrotum incision and examines the Vas Deferens under the microscope. 

• Next, they attach the tube again so that sperm can mix with the semen.

• The patient gets an anaesthetic before the procedure to ensure zero discomfort during surgery.

Hydrocelectomy

• It is a surgical procedure to remove or repair a Hydrocele. 

• A Hydrocele is the buildup of fluid around the testicle.

• A Hydrocelectomy is an outpatient procedure. The patient gets general anaesthesia that puts them to sleep during the surgery.

• The surgeon makes a minimal incision in the scrotum and drains the Hydrocele.

• Complete recovery after the procedure takes around four weeks generally.

Orchiectomy

• An Orchiectomy removes one or both testicles. It is an outpatient procedure. 

• The patient gets general anaesthesia that puts them to sleep during the procedure. 

• The surgeon makes a minimal incision in the pubic area and removes the testicle. They then close the incision.

• A Radical Orchiectomy involves the removal of the testicle and the spermatic cord. It treats testicular cancer.

Varicocelectomy

• A Varicocele is a large vein that drains blood from the testicles.

• A Varicocelectomy is a surgery to treat Varicocele. It is an outpatient procedure.

• During the surgery, the surgeons make an incision in the groin and cut the vein causing the Varicocele.

Penectomy

• A Penectomy surgery is a treatment for penile cancer.

• During the surgery, the surgeons remove a part or all of the Penis. It prevents the growth of penile cancer. 

• The surgeons create an opening between the scrotum and the anus through which the patient urinates after the surgery. 

Inflatable Penile Implant

• The doctors recommend an Inflatable Penile Implant if the patient has Erectile Dysfunction and Peyronie's Disease.

• During the surgery, the surgeons insert two cylinders, a reservoir and a pump into the Penis. They attach the cylinders to a separate saline reservoir in the lower abdomen. 

• A male can control their erection by pressing the pump.

Why Choose Manipal Hospitals?

Manipal Hospitals offer the best Urology and Kidney disease treatment in the country. Manipal Hospitals Patiala has the best urology surgeons in the city. The multidisciplinary approach and experience of the urologists help diagnose and treat the entire spectrum of urological diseases like Kidney Stones, Prostate Problems, Cancer Treatment, and Incontinence. Pediatric urologists are also available for the care of infants and young patients suffering from treatable congenital urological conditions.

We have world-class treatment facilities along with the latest medical technology. The state-of-the-art rehabilitation and care ensure a speedy recovery for the patients.

Choose Manipal Hospitals for any Urological problem and be assured of the best urology treatment in Punjab.

Frequently Asked Questions

1. When should I see a urologist?
You should see a urologist if you experience any of the following symptoms:

• Difficulty urinating

• Painful urination

• Blood in the urine

• Frequent urination

• Urinary leakage

• Kidney stones

• Prostate problems

• Erectile dysfunction

• Infertility

2. What can I expect during a urological surgery consultation?

During a urological surgery consultation, your doctor will:

• Review your medical history and symptoms

• Perform a physical exam

• Order any necessary tests

• Discuss your treatment options

• Answer any questions you have

3. What are the risks of urological surgery?

All surgeries carry some risks, including:

• Bleeding

• Infection

• Anesthetic complications

• Damage to nearby organs

• Pain

• Scarring

The risks of urological surgery vary depending on the type of surgery and your individual health condition. Your doctor will discuss the risks and benefits of surgery with you before making a recommendation.

4. How can I prepare for urological surgery?

Your doctor will give you specific instructions on how to prepare for your surgery. These instructions may include:

• Fasting for a certain period before surgery.

• Taking certain medications or stopping certain medications.

• Avoid smoking and alcohol.

• Arranging for transportation home after surgery.

5. What should I expect after urological surgery?

Your recovery from urological surgery will vary depending on the type of surgery you had. However, most people can expect to:

• Go home from the hospital within a few days of surgery

• Experience some pain and discomfort, which can be managed with medication

• Need to rest for several weeks

• Return to their normal activities gradually

6. What is the recovery timeline after TURP surgery?

It takes around 3-4 weeks to recover after the TURP. In the meantime, the patient should avoid strenuous activities and lifting heavy objects.

7. What can Cystoscopy reveal?

Cystoscopy helps reveal issues in the urinary tract and detect early stages of Cancer, Infection, Narrowing, Bleeding or Blockage.

8. What helps in the faster healing of circumcision?

• Keep the Penis clean and dry.

• Take proper care of the wound.

• Avoid scratching or pulling the Penis while it is healing.

• Clean the Penis with normal water twice a day.

• Avoid heavy work or exercise after the surgery.

9. How long does it take to remove the Kidney using a Laparoscopic instrument?

It takes around 3-4 hours for the Lap Nephrectomy surgery. After the surgery, the patient stays in the recovery room for -2 hours. The doctor examines the patient and keeps them under observation of the medical team.

Summary 

• Urological surgeries focus on diagnostic and treatment procedures of the Urinary system. It treats ailments of the Kidneys, Adrenal Glands, Urinary Bladder, Ureter, Urethra and male reproductive organs (Penis, Testes, Epididymis, Vas Deferens, Prostate and Seminal Vesicles).

• The surgeons at Manipal Hospitals Patiala can perform these as minimally invasive procedures or open surgeries. Laparoscopic and Robot-Assisted surgeries are common for treating various Urological concerns.

• Some associated risks and complications include infection, inflammation, bleeding, urinary incontinence, frequent urination, pain, slow urination, and abdominal pain, among others. Urologic surgeries help in relieving the symptoms.

• Minimally invasive Urologic surgeries do not require the patient to stay in the hospital for long, have a faster recovery, and the patient can return to routine activities quickly. Open surgeries involve a lengthy hospital stay, and the recovery also takes time.

• The patient gets an anaesthetic before these procedures. 

• The patient needs to drink plenty of fluids and eat a fibre-rich diet for faster recovery and avoid complications.