Urology Services

Professional medical service of Urology

Hardened mineral deposits formed in the kidney are called urinary or kidney stones (calculi). These originate as microscopic particles and over the course of time develop into stones. Medically this condition is known as nephrolithiasis or renal stone disease. The kidneys filter waste products from the blood and add them to the urine. When waste materials in the urine do not dissolve completely and the kidney is unable to evacuate them, crystals and kidney stones are likely to form. Some stones may pass out of the kidney or get lodged in the ureter (tube that carries urine from the kidney to the bladder) and cause severe pain that starts from the low back and radiates to the side or groin. A lodged stone can block the flow of urine and build a backpressure in the affected ureter and kidney. Increased pressure results in stretching and spasm causing severe pain

Our Best Services Included

  • Urinary / Kidney Stone
  • Enlarged Prostate
  • Kidney Cancer
  • Prostate Cancer
  • Urinary Bladder Cancer
  • Ureteric stricture
  • Male infertility

Small and smooth kidney stones may remain in the kidney or pass without causing pain (called “silent” stones). Stones that lodge in the ureter (tube that carries urine from the kidneys to the bladder) cause spasm in the urinary system and produce pain. This pain is unrelated to the size of the stone.

  • Urinary incontinence
  • Kidney stone
  • Prostate Cancer
  • Bladder Cancer
  • Benign prostatic hyperplasia
  • Hematuria
  • Overactive bladder
  • Kidney Cancer
  • Prostatitis
  • Interstitial cystitis
  • Other Laser Surgeries
  • Uterus
  • Uro-Gynaecology Operation
  • Gall Bladder
  • Hepato-Biliary Operation
  • Appendix
  • Gastro Enterology Operation
  • Tumour & Cancer Surgeries
  • Tonsillectony ENT Operation
  • Cosmetic Laser Surgeries
Particulars HoLEP TURP
Size of Gland Any Size Not greater than 80 grams
Hospitalization 1 - 2 days More then 4 days
Catheter Less than 24 hours 48 - 72 hours
Irrigation Normal saline Glycine
Blood Loss Minimal loss (15 ml o 50 ml] More than 300 ml
Patients on anticoagulants, aspirin and with heart valves and coronary stents Safe High Risk
Recovery Very Soon Few Weeks
Risk of stricture, bladder neck contracture & impotence Insignificant High Risk
Particulars HoLEP Other Lasers (Greenlight,PVP, Thulium, etc.)
Biopsy to detect Prostate Cancer Possible Not Possible
Published Laser RCT 8 2 (Greenlight); 0 (Thulium)
Amount of Enlarged 82 – 91% 32 – 51 %
Treatment Cost Economical Expensive

Extracorporeal Shock Wave Lithotrispy (ESWL) uses highly focused electro magnetic waves projected from outside the body to crush kidney stones anywhere in the urinary system. The stone is reduced to sand-like particles that can pass in the urine. Large stones may require more than one sessions. It can be used for patients of all age groups and those who have heart and breathing problems. However, the procedure is contraindicated for pregnant women. ESWL by 4th generation “SIEMENS LITHOTRIPTER” with ultrasound attachment helps to treat even radioluscent stones, which are not visible in normal fluoroscopy Lithotripters.

Percutaneous Nephrostolithotomy (PCNL) is performed under epidural or spinal anaesthesia. Percutaneous ( through skin) removal of kidney stones (lithotomy) is accomplished through the most direct route. A telescope along with the mechanical lithotripter in inserted to break the stone into fine particles so as to achieve a stone-free status in large and complicated stones. This procedure usually requires hospitalization, and most patients resume normal activity within 2 weeks.

Ureterorenoscopic Lithotrispy with Holmium Laser is performed under epidural and spinal anaesthesia to treat stones located in the middle or lower ureter. A small, fiberoptic instrument (ureteroscope) is passed into the ureter. Large stones are fragmented using 100-Watt Coherent Holmium Laser. The laser fragments the stone into sand like particles, which are then flushed out through the natural urinary passage. The advantage of Holmium Laser is its ability to fragment stones of all compositions with precision. Thus, it is the most effective laser for the treatment of urinary stones. Patients are generally admitted on the same day of the treatment and are discharged next day, which means only 24 hours of hospitalization is required.

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