Advanced Centre for Renal Sciences at Fortis Hospitals Bangalore

Urology / Andrology deals with the medical issues related to the male and female urinary tract and the male reproductive organs. The treatment of kidneys, adrenal glands, urinary bladder, ureters, urethra and the male reproductive organs including the testes, prostate, penis, and epididymis come under this discipline.

Urologists in Fortis Hospitals, Bangalore are at the cutting edge of the practice in the country and have vast experience in minimally invasive laparoscopic surgery, laser-assisted surgeries and a host of other scope-guided procedures. Our specialization in minimally invasive techniques employing ultrasound guidance, fiber optic endoscopic equipment and lasers ensure that our patients have access to cutting edge urological care. Our Urology Center is on par with the best facilities in the world and guarantees the latest in technology and care.

We have treated patients with a wide range of urological issues including various forms of acute and chronic prostate conditions, pediatric urological ailments, kidney disorders, kidney stones, kidney transplants and more.

Nephrology

Nephrology is a practice that focuses exclusively on the ailments of the kidneys. From diet to medication its specialty is the study and treatment of kidney problems. Fortis Hospitals, Bangalore Nephrologists. CLICK HERE.

Some Common Urology Treatments and Services

LASER TURP (Transurethral Resection of the Prostate) – It is a surgical procedure to treat patients with an enlarged, benign (non-cancerous) prostate called Benign Prostate Hyperplasia or BPH.

TURBT (Trans Urethral Resection of Bladder Tumor) – Treatment of excessive growth of cells on the internal surface of the bladder. A tumour may be either cancerous or non-cancerous.

BMG Urethroplasty – Treatment of urethral strictures to ensure long-term patency of urethra.

LAPAROSCOPY – Also known as key hole surgery, it is used for the treatment of benign conditions like swelling in the kidney to cancerous and malignant conditions in the kidney, bladder or the prostate. This surgery as opposed to open surgical techniques uses only three 1 cm incisions. We at Fortis Hospitals, Bangalore use an advancement of the laparoscopic surgery which is the 3D Laparoscopy.

In 3D Laparoscopy the doctor gets a 3 Dimensional View of the part of the Urinary Tract that is being operated upon. This minimizes the chances of damage and surgical accidents, decreased blood loss and aids in faster recovery time. &nbspTo learn more about 3D Laparoscopy, CLICK HERE .

MANS CLINIC – It deals with the treatment of impotence. Some of the procedure performed at the Man’s Clinic at Fortis Hospitals, Bangalore are Penile Prosthesis, Chordee Repair, and Varicocele Ligation.

PAEDIATRIC UROLOGY – It is a highly specialised medical discipline which deals with which deals with surgical disease of the genitourinary system of children from new born to 15 year olds. Our team of consultants are specialised in surgeries such as PU Valve Fulguration, STING, Pediatric Endoscopy, Ureterio Reimplantation, Lower Urinary Tract Reconstruction and Pediatric Uro-Oncology.

URO-ENDOSCOPY – Endoscopic surgery of the urinary tract which includes upper pelvic junction obstruction, ureteral strictures, ureter amongst others. An endoscopic device is used to observe the insides of an organ or cavity. This observation may be done through a natural body opening or a small incision. This gives doctors access to quickly identify issues that need attention.

URO-ONCOLOGY – Treatment of cancer in both the male and female urinary systems and the male sexual organs. Usually these include cancers of the kidney, bladder, prostate and testes. Some of the procedures performed here are Radicle Prostectomy, Radical Cystectomy with Neo-Bladder, Partial/Radical Nephrectomy and Adrenalectomy.

URO-GYNAECOLOGY – Treatment of female urinary incontinence (urine leakage), including stress incontinence (leakage of urine with physical activity or coughing/sneezing) and uterovaginal prolapse (bulging of the pelvic organs into the vagina). Some of the treatments include non-surgical therapies like kegel exercises and physical therapy, behavior modifications and medications. Other treatments include Minimally Invasive slings for female incontinence, botox for overactive bladder, etc.

RECONSTRUCTIVE UROLOGY –Reconstructive surgery is usually necessary for people who have suffered urinary tract injuries. Reconstructive surgery might also be necessary for other conditions such as congenital deformities, cancer treatments, etc. Some of the procedures performed here include Buccal Mucosal Urethroplasty, Augmentation Cystoplasty, Boari Flap, Ileal Ureter, Penile Lengthening, Neo Bladder, TVT and Pelvic Floor Repair.

DIALYSIS – Kidney dialysis is a procedure of purification of the blood of patients whose kidneys are too diseased to function. At Fortis Hospitals, Bangalore we provide state of the art Kidney Dialysis services.

Kidney Stone

Kidney Stones are characterized by sudden intense pain; the stones are lumps of mineral that accumulate typically in the kidney (nephrolithiasis) in the ureter (ureterolithiasis), in the bladder (cystolithiasis) or by what their composition might be calcium oxalate, uric acid, cysteine etc. Most stones form due to a combination of genetics and environmental factors when the minerals in the urine are at high concentration.

Small stones may pass without showing any symptoms however if the stone grows more than 5 mm in size it can cause a blockage causing severe pain in the lower back or abdomen. Drinking fluids can help dissolve small stones if this is not effective medication could help. Larger stones might require various medical procedures.To learn more about Kidney Sones, CLICK HERE

LITHOTRIPSY – A powerful Dornier Lithotripter which uses both X-Ray and ultrasound localization for real time imaging. With this the stone can be seen at all times during the treatment and the pain is minimal as the patient is under mild sedation. The Lithotripter generates shockwaves, which crush dense stones into sand like particles which are then easily be eliminated from the body through urine.
PCNL – Percutaneous Nephrolithotomy is a minimally invasive surgical procedure used for larger or remotely located kidney stones. It is a safe and effective way to remove larger stones or remotely located kidney stones.
RIRS (Retrograde Intra Renal Surgery) – This procedure is performed using flexible endoscopes to treat the stone in any location of the urinary tract, which are generally inaccessible by traditional methods.
URS / URSLC (URS Stone Removal) –Ureteric stones are removed by passing an ureteroscope through the urethra and bladder. The stone is removed with special instruments or the stone is fragmented by using the Swiss lithoclast or holmium laser.
LAPAROSCOPIC SURGERY – Laparoscopic surgery could be an option in certain cases depending on the size and location of stones, existing diseases, etc.
LASER UROLOGY – In this procedure holmium laser is used for renal and ureteric stone removal.
OPEN SURGERY – The larger stones which cannot be removed by any of the above techniques are removed by open and conventional surgery.

Conditions Treated

Fortis Hospitals, Bangalore Urologists are skilled in the full range of urologic surgical procedures, including the latest minimally invasive techniques and extensive reconstructive surgeries.

We provide unmatched treatment for the following conditions:

Chronic Kidney Disease

Chronic kidney disease (CKD) is the steady loss of kidney function over a period of time. It can take months or years for the condition to develop. As the disease progresses, wastes accumulate to unhealthy levels in the blood leading to:

Cardiovascular disease
Poor bone health
Nerve damage
Depression
Low blood cell count (anemia)
High blood pressure (hypertension)
Vitamin D deficiency
Malnutrition
Kidney failure

Uro-genital Tumours

Tumors of the genitourinary system, which comprises the urinary organs and the male reproductive organs.

Stone Disease

Masses of calcium oxalate which form in the kidneys and are the result of the buildup of dissolved minerals on the inner lining are known as kidney stones.

Bladder cancer

Bladder cancer is a type of urinary tract cancer that originates in the bladder, an organ that stores urine and is located in the pelvic area.

Incontinence

Involuntary passage of urine is called Urinary Incontinence (UI). This is a common and at most times an embarrassing problem. This type of problem is usually common in elderly people.

Urinary Incontinence is of different types:

Stress Incontinence (leakage of urine with physical activity or coughing/sneezing)
Urge Incontinence
Mixed Incontinence

Impotence

Impotence is a man’s inability to achieve and maintain an erection that is sufficient for satisfactory sexual intercourse.

Benign Prostate Hyperplasia

With age the prostate gland usually enlarges, this is referred to as benign prostatic hyperplasia or BPH. Symptoms of BPH are difficulty in emptying the bladder, the need to urinate frequently, straining, post urination dribble or weak stream.

Pediatric Urological Conditions

Some of the conditions include Posterior urethral valves, Undescended Testes, Urinary Tract Obstruction, Bladder Control Problems such as bedwetting, Urolithiasis, Phimosis, etc.

Uro-Gynecological Conditions

Some of the conditions include Urinary Incontinence, Pelvic Prolapse, Uterine Prolapse, Bladder Prolapse, Bowel Prolapse, Anal Incontinence and Genital Fistulas.

Kidney Transplantation

The kidneys are known to filter out waste products from the blood before converting it to urine. Kidney transplantation is performed to restore kidney function in people whose kidneys are too diseased to function, this condition is also known as end-stage renal disease (ESRD).

End-stage renal disease can be caused by several conditions. The two common conditions are Hypertension and Diabetes. Other conditions include Polycystic Kidney Disease, Inherited Kidney Disease, Autoimmune Disease and Urologic Disease.

To know more about Kidney Transplant, CLICK HERE

Fortis Hospitals, Bangalore Kidney Transplant Team CLICK HERE

Technology used at Fortis Hospitals, Bangalore

LEONARDO 200 Watt Diode Laser : Fortis Hospitals, Bangalore, one of the first in the world to introduce LEONARDO 200 Watt Diode Laser, to treat Benign Prostate Hyperplasia (BPH) or Benign Prostate Enlargement (BPE). It is a highly compact diode laser comprising of a combination of two wavelengths: 980 nm and 1470 nm. Precision incision, excision, vaporisation, haemostasis and coagulation of soft tissue are achieved with the wavelengths that can be used individually or blended. The LEONARDO 200 WATT DIODE LASER TURP is safer and faster than conventional Laser TURP’s. To learn more about LEONARDO 200 Watt Diode Laser, CLICK HERE.

180 Watts Diode “Life” Laser : This is a CO2 laser, which is used to vaporize and enucleate obstructing prostate tissue that causes the symptoms associated with prostate enlargement.

20 watts holmium laser : Also known as the “laser hammer” is used to fragment stones of various sizes and in different locations effectively. Its benefits include better treatment for more complex stones, higher success rate and fewer treatments for stone free results.

Dornier Lithotripter
Flexible Ureteroscope/Nephroscope
Lasting imaging technology such as 3 – chip digital camera, High definition C-Arm
High-Intensity Focused Ultrasound

Advanced Urology, Uro-oncology, Transplant, and Robotic Surgery

Advanced Urology Department at Fortis Hospital provides the highest level of comprehensive care for all urological disorders including uro-oncology, transplant, and robotic surgeries. Our health care professionals are devoted to the individual needs of patients with state of the art technology.