Urology

Urology is a medical and surgical speciality which treats conditions medical conditions affecting urinary tract such as infections, management and treatment of prostate conditions like the benign prostatic hyperplasia (bph). Urology also looks into surgical procedures for bladder dysfunctions, prostate cancer, and removal of kidney stones, congenital abnormalities, traumatic injury, and stress incontinence.

Urology treats both female urinary system and male genitourinary conditions the organs under the domain of urology include the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs. A doctor who treats this condition in this speciality is known as an Urologist.

Wockhardt hospital specialises in Urological procedures and has the state of the art infrastructure for managing both medically and surgically procedures under Urology care. Our hospital boasts of a state-of-the art Reconstructive Urology services and Paediatric Urology.

Speciality Areas
  • Pediatric Urology

    Paediatric urologists treat children (and occasionally adults) with reconstructive problems related to the genitourinary tract (kidneys, ureters, bladder, urethra, vagina, genitalia). Pediatric urology is a surgical subspecialty of medicine dealing with the disorders of children's genitourinary systems The most common problems are those involving disorders of...

     

  • Urology Oncology

    The urinary and reproductive tracts are closely linked, and disorders of one often affect the other. Urologic oncology concerns the surgical treatment of malignant genitourinary diseases such as cancer of the prostate, adrenal glands, bladder, kidneys, ureters, testicles, and penis. In the Urologic Oncology practice there are also patients with non-inherited...

     

  • Reconstructive Urology

    Reconstructive urology is a highly specialized field of urology that restores both structure and function to the genitourinary tract. Prostate procedures, trauma (auto accidents, gunshot wounds, industrial accidents, straddle injuries, etc.), disease, obstructions, blockages (e.g., urethral strictures), can require reconstructive surgery. The urinary bladder,...

     

  • Turp Surgery

    The prostate gland plays an important role in both sexual and urinary function. It's common for the prostate gland to become enlarged as a man ages. Benign Prostatic Hyperplasia (BPH) is a common disorder in the elderly male. It is usually treated medically and with changes in life style. If the medical treatment does not help to reduce patients, urinary...

     

Doctors

FAQs

What are some common complaints associated with urology diseases ?

Some common Symptoms associated with Urological diseases include:

  • Pain or burning when you urinate
  • Fever, tiredness or shakiness
  • An urge to urinate often
  • Pressure in your lower belly
  • Urine that has a foul smelling or has a cloudy or reddish appearance
What are some common diseases treated by the urologist?

 Common conditions where an urologist consultation and treatment is required are:

  1. Recurrent urinary tract infections.
  2. Difficulty in controlling urine known as urinary incontinence or an overactive bladder.
  3. Bladder and Prostate Infections.
  4. Removal of kidney stones.
  5. Benign enlargement of the prostate known as benign hyperplasia of prostate (bph).
  6. Infertility and sexual dysfunction
  7. Cancers of the urogenital organs
What are the various specialities in this field ?
  • Medical and surgical urology
  • Urologic oncology and urologic oncological surgery: any malignant condition of the genitourinary system is managed with both surgical and medical intervention. Today Laparoscopic surgery and robotic assisted have become the new techniques for treating condition in this speciality.
  • End urology and Endourologic surgery involves conditions and treatment of the urinary tract and transurethral surgery is a type of surgery performed here (turp surgery)
  • Urogynecology and urogynecologic surgery,
  • Reconstructive urologic surgery this deals with both reconstruction of structure and restoring function to the genitourinary tract. Some procedures include for the bladder, urinary tract, Prostate, hysterectomies, correcting and removal of blockages commonly urethral strictures as well as conditions affecting reproductive organs. These conditions could arise due to types of obstructions, trauma or accidental injuries.
  • Minimally invasive urologic surgery,
  • Paediatric urology and surgery affecting children which are basic congenital anomalies or dysfunction in genitourinary area.  It also deals with paediatric urology surgery. A paediatric urologist treats these conditions.
What is endurology?

Endourology is a minimally invasive technique available to treat kidney stones. Stones may be extracted or fragmented using tiny instruments through natural body channels such as the urethra, bladder and ureter. Thin, flexible instruments including lasers, graspers, miniature stone retrieval are used to perform surgery without creating any incisions at all. The majority of endoscopic procedures can be done on an outpatient basis.

Endourological procedures include:

  • Urethroscopy: used to treat strictures or blockages of the urethra.
  • Cystoscopy: used to treat bladder stones and tumours.
  • Ureteroscopy: used to treat stones and tumours of the ureter.
  • Nephroscopy: used to treat stones and tumours of the kidney lining
  • Advantage: Endourology is a safe and effective procedure. Recovery periods are minimal.
Do I have to stay at the hospital for days?

No; the hospital stay is reduced. The number of days are variable depending on the type of endourological procedure is recommended and performed on you.

Are there any risks with these procedures?

Splash injuries and bleeding are the known risks with this procedure.

Are there any diet restrictions prior to undergoing the procedure

Water and fluid intake needs to be restricted 6 hours prior to the procedure. The doctor and his team shall give you some medication before the procedure.

What is Benign Hyperplasia prostate

Benign prostatic hyperplasia (BPH) is a condition of the aging men wherein the prostate gland grows in size. The cause of benign prostatic hyperplasia is not well understood; however, it occurs mainly in older men. It may compress the urethra and can impede the flow of urine from the bladder through the urethra to the outside. Untreated prostate gland enlargement can block the flow of urine out of the bladder and can cause bladder, urinary tract or kidney problems.

BPH cannot be cured, so treatment focuses on reducing the symptoms. Treatment is based on how severe the symptoms are, how much they bother the patient, and whether patient has complications. There are several effective treatments for prostate gland enlargement. In deciding the best option patient and doctor will consider particular symptoms, the size of prostate, other health problems patient may have and his preferences. In mild conditions, lifestyle modifications and medicines are recommended to control the symptoms. In severe cases surgery for transurethral resection is recommended.

When Should I Seek BPH Treatment?

If you are experiencing symptoms of BPH that are affecting your quality of life, such as losing sleep because you need to wake during the night to urinate, you are unable to urinate, you are unable to delay urination, have hesitancy, or a weak urine stream, consult urologist immediately.

What Are the Long Term Risks of BPH?

If left untreated, BPH can progress and cause health issues. When the bladder does not empty completely, you are at risk for developing urinary tract infections (UTIs). Other serious problems include bladder stones, blood in the urine (Hematuria), incontinence, or urinary retention.

How common is BPH? Are there any risk factors?

BPH is extremely common. Half of all men over 50 years develop symptoms of BPH.

What is the prostate gland?

The prostate gland is about the size of a walnut and surrounds the neck of a man's bladder and urethra—the tube that carries urine from the bladder. It's partly muscular and partly glandular, with ducts opening into the prostatic portion of the urethra. It's made up of three lobes, a center lobe with one lobe on each side.

What is the function of the prostate gland?

The prostate gland plays an important role in both sexual and urinary function As part of the male reproductive system; the prostate gland's primary function is to secrete a slightly alkaline fluid that forms part of the seminal fluid (semen), a fluid that carries sperm. During male climax (orgasm), the muscular glands of the prostate help to propel the prostate fluid, in addition to sperm that was produced in the testicles, into the urethra. The semen then travels through the tip of the penis during ejaculation.

What is turp procedure

A transurethral resection of the prostate (TURP) is a surgical procedure that removes portions of the prostate gland through the penis. It is performed by visualising the prostate through the urethra and removing tissue by dissection. TURP is the only treatment option when BPH is not controlled on medication. This is considered the most effective treatment for BPH. This procedure is carried out with spinal or general anaesthesia with successful outcome in almost 80-90% of BPH patients.

How is the procedure done?

There are no external incisions. The surgeon reaches the prostate by inserting an instrument through the urethra called a resectoscope. It has light and valves that control irrigating fluid. An electrical loop that cuts tissue and seals blood vessels. It's inserted through the penis and the wire loop is guided so it can remove the obstructing tissue one at a time. The pieces of tissue get are carried by fluid into the bladder and are flushed out at the end of the procedure or during the procedure as required.

Is reconstructive urological procedures elective?

These procedures need restoration of the traumatised and disfigured bone structure and shape of the organ following accident, trauma etc. hence, it is not an elective procedure. These are emergency procedures requiring immediate attention.

Does this procedure require anaesthesia?

Yes; these procedures require anaesthesia; the patient presents with deep pain and trauma accompanied by anxiety and patient needs to be sedated.

How successful are the reconstructive urological procedures

These procedures are fairly successful. The outcome also depends on many other factors such as general health of the patient and other co-morbid health issues and impact of trauma on other organ systems.

What does paediatric urology treat?
  • Paediatric urologists treat children (and occasionally adults) with reconstructive problems related to the genitourinary tract (kidneys, ureters, bladder, urethra, vagina, genitalia).
  • Pediatric urology is a surgical subspecialty of medicine dealing with the disorders of children's genitourinary systems The most common problems are those involving disorders of urination, reproductive organs and testes.
  • The common pediatric urological problems include: Bladder control problems such as bedwetting and daytime urinary incontinence, Undescended testes (cryptorchidism), Hypospadias (congenital defect of the urethra, primarily of males; Epispadias (also called bladder exstrophy) is a congenital defect of males; bladder and kidney stones, malformations of penis, urinary obstructions, neurogenic bladder, tumours and cancers of kidneys, repair of genitourinary trauma, malformations and birth defects such as ambiguous genitalia, intersex conditions etc.
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