We have constituted a panel of doctors who review various patient cases before they
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We at Tours2Health have always believed that our patients and medical tourist are the most important people in our business,
Urology is one of the fastest progressing fields which deals with the management of surgical problems of kidneys, ureter, bladder, prostate, seminal vesicles and other genital organs like the testicles and penis in the males. In the females, besides dealing with management of surgical problems of kidneys, ureter, bladder, it deals with surgical problems of urinary incontinence, the urinary fistula like the ureterovaginal and vesicovaginal communications.
1. Laparoscopic surgery (Key hole Surgery)
Almost all procedures which were done by the open method in the past are being done Laparoscopically routinely. This includes nephrectomies, nephroureterectomies (kidney removal for benign and cancer), Pyeloplasties in infants and adults for kidney obstruction, Orchidopexies (treatment for undescended testis), Varicocoelectomies for infertility, Uretero lithotomies(for urinary stones) & other procedures such as renal cyst deroofing, etc
2. Endourology
Procedures like PCNL, endopyelotomy, ureteroscopy and most commonly TUR of prostate, bladder tumours and endoscopic removal of bladder stones, and optical internal urethrotomy, are done regularly as standard of care.
Since most of the urological procdures are amenable to endoscopic operation, this field is well developed and all newer modalities are promptly added to the armamentarium.
3. Laser prostatectomy
This is the latest method of treating the prostatic obstruction or commonly known as enlarged prostate. This technique uses KTP laser which has property of vaporisation of tissue without causing bleeding.
The advantages of this technique are manifolds. This is practically bloodless operation, and can be done on patients who are on anticoagulant therapy i.e. patients on blood thinners like aspirin, clopidogrel, acitrom etc. It can be done on day care basis i.e. patient can be discharged same day without any catheter (urine bag). Catheterisation time can be as low as 5 hours as opposed to 2 days in conventional TURP.
4. Male infertility
Besides routine facilities for investigation, we regularly perform sperm retrieval by all techniques like TESA, MESA and PESA for micromanipulation like ICSI in coordination with department of IVF. Operations such as vaso-epididymal anastomosis are performed on a regular basis.
5. Andrology
This subspecialty relates to male sexual disorders such as impotence, etc. Our associates possess facilities for diagnosis and treatment of various types of impotence. Facility for colour Doppler for measuring penile blood flow is also available.
6. Reconstruction procedures
This subspecialty relates to male sexual disorders such as impotence, etc. Our associates possess facilities for diagnosis and treatment of various types of impotence. Facility for colour Doppler for measuring penile blood flow is also available.
7. ESWL
Non-invasive technique in which stones are disintegrated by application of extracorporeal stock waves with latest generation Dornier ESWL. Many patients have already been made free of their stones. It has got advantages that it can be done without hospitalization and without anesthesia. Invariably patient can resume his/her work straight away.
8. Uro-oncology
Non-invasive technique in which stones are disintegrated by application of extracorporeal stock waves with latest generation Dornier ESWL. Many patients have already been made free of their stones. It has got advantages that it can be done without hospitalization and without anesthesia. Invariably patient can resume his/her work straight away.
9. Uro-gynaecology
Facilities have been upgraded to deal with problems of lower urinary and genital tract of females e.g. stress urinary incontinence, recurrent urinary infection, uretero-vaginal, vesicovaginal, utero-vesical fistulae besides the management of pelvic floor abnormalies particularly in respect of stress urinary leaks.
Stone disease is a very common problem all over the world. Approximately 60% of stone s can be managed by lithotripsy and rest of stones needs various endourological procedures to remove the stones without open surgery.
A method of treating kidney and ureteric stones without surgery, using the latest Dornier lithotriptor-Delta model. One of the best machines available for the purpose. Both x-ray & Ultrasound controls are available on this machine. The positioning, focussing and delivery of shock waves are all controlled by advanced computerized system with safety cut-offs to prevent damage by human error. Patients does not need any hospital stay and can go home same day.
Here 1 cm hole is made in kidney to remove stones after breaking it into smaller pieces. There is a minimal pain and discomfort and patients can go home in 48 hours. Even bigger stones and stag horn stones can be safely managed with this modality. Some of the patients may also need help of lithotripsy to get complete stone removal.
Here flexible scopes are passed through the urethra (from where one passes urine) and stones are removed after breaking into smaller pieces by laser. Here again patients can be discharged within 24 to 48 hours
All aspects of Endourology (surgery through a telescope, which does not require open procedures) including treatment of prostate (TURP), bladder cancers (TURBT), urethral strictures, kidney and ureteric stones (PCNL & URS) are available. Intracorporeal Lithotripsy (breaking of stones using endoscopes) using the pneumatic lithotripsy is also available
Most of the urological surgery can be performed by keyhole surgery. Most of kidney surgery whether it is for benign disease or for cancer can be safely performed laparoscopically. In the same way many other urological cancer surgery like prostate cancer or ureteric cancer can also be done without cutting the abdomen. Our assiociate hopitlas offers all kinds of laparoscopic surgery for urological disease. Major advantage is less pain, small scar or no scar, early discharge and early return to work
Now donor can donate one of the kidney to their loved on without much pain and discomfort. Even kidney retrieval incision is not seen and donor can go home in two to three days
Men after the age of 50 years suffer from urinary problems like going to toilet frequently, poor control of urine or difficulty of passing urine etc. It is because of enlargement of the prostate, which can be removed safely by endoscopic method. Our Associate hospitasl now has facility to remove these glands by laser surgery.
The most advanced fully computerised video urodynamic machines at our assiociate hospitals , which will diagnose all kinds of incontinence and difficulty in passing urine so as to enable the right treatment. These machines also include 'EMG' facilities that are a must for diagnosing urinary and bowel problems secondary to spinal injuries stroke, parkinsonism and other neurological disorders. This laboratory has well designed facilities for the entire range of studies including uroflownmetry, filling and voiding cystometry, urethral pressure profile studies (UPP) and VCUG (in addition to EMG and cavernosometry).
A problem of over 10% of adult population can be fully investigated and treated. Our assiociates and network of hospitals and specialists centers provides specialized facilities for pharmacotherapy, cavernosometry and cavernosography, in addition to Doppler studies for assessment of blood flow. Penile implant are also implanted for the severe degree of impotence
Our assiociate hospitlas offers a complete range of facilities for investigation of male infertility. Female infertility investigation by gynaecologists with special training in infertility is also provided. Treatment is coordinated with the assisted conception unit and an 'IVF' laboratory.
The well-trained surgeons and oncologists at our associate hospitals with a backup of all investigation tools including MRI & CT scans and ultrasound including TRUS offer a comprehensive uro-oncology service. Approximately 50% of the cancers can be safely managed by laparoscopically surgery (Keyhole surgery)
Urinary incontinence (urinary leak) and other urinary problems like urgency (going to the toilet frequently) and stress incontinence (leaking of urine with cough and laughing or straining) can be investigated and treated with minimally invasive methods.
Children suffer from various urological problems, which needs investigations. Most of the problem again can be managed by endoscopic and laparoscopic methods
Many reconstructive urological surgeries like pyeloplasty, urethral stricture surgery, hypospedias surgery and other congenital disorder are reconstructed routinely. Some of these reconstructive surgeries are done by keyhole surgery
NOTE : If the procedure you require is not listed here or if you require further information's then please send your existing medical records with doctors diagnosis reports to info@tours2health.com and we will quickly get back to shortly.
"Private nurse after surgery, and, feeling always that they were just totally attentive..."
Stephanie Sedimayr, Vero Beach, Florida
