Email:- info@saisperfectplan.com
Toll-free:- 1800-120-00-4343
Email: Toll-free:
SS Urological Hospital
Two decades of experience in treating patients...
S.S. Hi-tech Urological Hospital is one of the pioneer Urological institutes in the world, which has been providing world-class urological and allied treatment to patients of all ages with state-of-the-art technology under one roof for 25 years.
With over two decades of experience in treating patients, S.S. Hi-tech Urological Hospital' was established in 1996 in the heart of Mumbai and has been providing unparalleled urological care to its patients since then. It is based on the foundation blocks of Honesty, Transparency, Focus, Organization, Patient Care and Community Service. The Hospital also serves as a tertiary referral center for a number of failed and complex cases. Equipped with the state-of-the-art technology and skilled professionals in a range of specialties, their team is able to take special care of preliminary and high-risk cases of associated diseases.
A renowned urologist of international repute is a Pioneer in Hi-tech Urology and Laser Surgery in the country. He trained in Robotic Surgery from USA (Roswell Park Cancer Institute, Buffalo, New York, and Weill Cornell Medical College, New York). He is the recipient of 'Society of International Urology (SIU)' award for excellence in the field of Urology. He has successfully treated a number of adult and pediatric stone cases in India and abroad from countries like USA, United Kingdom, GERMANY, AUSTRIA, MIDDLE EAST, BRAZIL, AFRICA, BANGLADESH, and PAKISTAN.
Shockwave therapy has been successfully used for the management of urinary stone disease ever since its inception in the late '70s. Historically, the effect of shockwaves was first documented during World War II when the lungs of castaways were noted to be damaged without any superficial evidence of trauma. It was discovered the shockwaves created by depth charges were responsible for the internal injuries. This created a great deal of interest and research into the biological effects of shockwaves on living tissue. The first medical treatment developed from this research was lithotripsy. This allowed focused shockwaves to essentially dissolve kidney stones without surgical intervention. Today, over 98% of all kidney stones are treated with this technology.
Mechanism: A clinical shockwave is nothing more than a controlled explosion that creates a sonic pulse, much like an airplane breaking the sound barrier. The primary effect of a shockwave is a direct Mechanical force which results in controlled stone fragmentation.
Shockwave therapy is a relatively new treatment option in orthopedic and rehabilitation medicine. The use of shockwaves to treat tendon related pain began in the early 1990s. The exact mechanism by which shockwave therapy acts to treat tendon pathology is not known. The leading explanation is based on the inflammatory healing response. It is felt the shockwaves cause microtrauma to the diseased tendon tissue. This results in inflammation, which allows the body to send healing cells and increase the blood flow to the injured site.
Multiple studies have been conducted to assess the efficacy of shockwave therapy. Many have shown a positive response versus placebo treatment and others have shown no benefit over placebo. No studies have reported any significant side effects when utilized for urological and orthopedic conditions. Contraindications to shockwave therapy include bleeding disorders and pregnancy.
Uses:
Percutaneous Nephrolithotomy (PCNL)
A Percutaneous Nephrolithotomy is likely to be a pre-planned operation and you should have plenty of time to discuss it with your consultant so you have sufficient explanation before you agree to the operation.
Why do I need this operation? What are the benefits?
You have been diagnosed as having a kidney stone (or stones) causing some, or all, of these symptoms: pain, infections, bleeding or obstruction of your kidney, which if left untreated, may lead to further symptoms or complications, such as severe infection or loss of kidney function.
This operation (PCNL) is performed to remove large kidney stones using a keyhole approach. This is a major operation despite the term 'keyhole surgery'.
The procedure requires a general anesthetic and may last 1 to 3 hours with a hospital stay from 4 to 7 days. The success rate of kidney stone clearance ranges from 75% to 100% depending on various factors.
.It is important to bring all your medication or a list of mediation and inform the doctor about all or any new medical problems. It is especially important to let the doctor know if you are on Warfarin / Clopidogrel / Aspirin as this may need to be stopped before the operation. If for some medical reason you are considered unfit, the operation may have to be deferred until you are fit enough and this may require consultation with other medical colleagues.
What are the risks?
(Problems and complications specific to this operation only are listed here. This does not cover every possible complication but covers the more common or serious. Complications may result from anesthesia and should be discussed with your anesthetist).
Failure to establish a track into the kidney or locate the kidney stone may make it impossible to proceed with the operation.
Bleeding either during the operation or post-operatively via the tube in your kidney and the bladder is common but soon settles. Heavy bleeding is uncommon (less than 1% of patients experience this). Rarely, the consultant may have to abandon attempts to remove the stone and take active steps to control the bleeding.
This might take the form of open surgery or using x-ray techniques to selectively control the bleeding. In very rare circumstances patients have had to have the kidney removed because of uncontrolled bleeding.
Infection of the bladder is common although all patients are given antibiotics before and after the operation. Some stones have bacteria trapped within them which are released during the operation. Severe infection occurs in less than 1% of patients.
Injury to the lung or chest cavity may lead to the collection of fluid or blood in the chest or lung which may require a separate tube temporarily to let it settle.
Chest Infection might arise if you are a smoker or if you have pre-existing breathing or chest problems. It is important you stop smoking before the operation and inform the consultant if you have had a recent chest infection.
Abdominal distension (bleeding) may occur after the operation because of leakage of fluid used during the surgery or due to bowel distension. This usually settles in a day or two. During this time the amount you drink should be reduced.
Injuries to other organs such as the bowel, liver or spleen are very rare and usually settle with conservative management of may rarely require other surgical procedures. This may, however, prolong your stay in the hospital.
Retrograde Intrarenal Surgery (RIRS)
RIRS allows the surgeon to do surgery inside the kidney without making an incision. The instrument for RIRS enters through the body's natural opening, through the bladder and the ureter, into the kidney. RIRS is used for patients with stones in the kidney, narrowing of the outlet of the kidney or within the kidney (strictures) and tumors in the kidney. The RIRS is an outpatient procedure using local, intravenous or general anesthesia. The Minimally Invasive Urology Institute specializes in using RIRS for difficult-to-treat cases, such as:
Failed previous treatment attempts
Stones too large for ESWL (lithotripsy)
Strictures
Tumors
Stones in children
Patients with bleeding disorders
Patients with gross obesity
This procedure is done with flexible ureteroscopy and Laser.
Robotic Kidney Cancer Surgery
Robotic Surgical System is a supercomputer with mechanical control over tiny surgical instruments. The robot has no autonomous function. Every movement of the robot arms is controlled by the surgeon Conventional laparoscopy is limited to two-dimensional visions. The Robotic telescope is actually composed of 2 lenses, slightly separated to give different perspectives of the same field. This creates a 3D or stereoscopic, image which mimics our natural experience.
Robotic surgery offered:
Radical Prostatectomy
Adrenalectomy
Nephrectomy
Pyeloplasty
Partial Cystectomy
Robotic Prostatectomy
One of the most innovative treatments for prostate cancer is robotic-assisted laparoscopic prostatectomy removal of the prostate gland. SS Hospital is a leader in performing this minimally invasive, high-tech treatment of medical procedure. Robotic prostatectomy offers similar and often better outcomes than traditional prostate cancer surgery. In addition, by using the robotic technique there is greater nerve sparing resulting in less chance of erectile dysfunction (ED) and urinary discontinence.
Robotic Cystectomy
Robotic cystectomy is simply a newer, more effective, minimally invasive surgical method for bladder cancer. This procedure utilizes the da Vinci Surgical System in which a robotic arm imitates the surgeon movements, amplifying their precision.
Robotic / Laparoscopic Partial Nephrectomy
Laparoscopic partial nephrectomy uses a minimally invasive approach (laparoscopy) to perform exactly the same procedure that is done in open partial nephrectomy. In any partial nephrectomy (open or laparoscopic), kidney cancer is removed with a small amount of normal tissue around it. The normal tissue around cancer that is removed is known as the margin, and this tissue serves to assure that no cancer is left in the body.
Robotic / Laparoscopic Pyeloplasty
Laparoscopic Pyeloplasty is a Minimally Invasive Laparoscopic procedure which relieves the obstruction between the ureter and the kidney at the ureteropelvic junction (UPJ). Laparoscopic Pyeloplasty relieves the obstruction in the upper part (renal pelvis) of the ureter.
Robotic / Laparoscopic Ureteric Reimplantation Robotic Orchidopexy
In some cases, baby boys are born with one or both testicles inside the abdomen or groin, rather than in the scrotum. This is called undescended testicles. Orchiopexy is a surgery to lower the testicles into the scrotum. The scrotum is the external sac that holds the testicles.
Robotic-Assisted Transplant
A decade ago laparoscopic technology revolutionized the field of surgery, creating a new generation of minimally invasive procedures. At S.S. Hospital, Dr. Pattnaik has taken that technology one step further.
S.S. Hospital is the first in India to use the Intuitive Surgical's da Vinci â„¢ Robotic Surgery. This procedure revolutionizes kidney treatment, taking an open procedure to an advanced form of laparoscopic surgery.
"Robot-assisted technology is a remarkable surgical tool. It's an advanced form of laparoscopic surgery that allows us to do precision work with less trauma to the patient," states Dr. Prasant Pattnaik.
How does it work?
Utilizing the da Vinci Surgical System, the surgeon sits in a console a few feet from the patient and views the surgical site through a high-definition 3D viewer. A laparoscopic camera and robotic probes (arms) are inserted into the patient through four half-inch incisions. The surgeon uses hand controls and foot pedals to manipulate the robotic arms. These pencil-sized probes translate the surgeon's hand movements and adjust themselves to compensate for the natural tremor of the human hand.
The end of the robotic arm articulates 360 degrees, affording a complete range of movement. "It gives us much greater dexterity and range of motion, more so than the human wrist. "Therefore, when we operate we greatly reduce the amount of tissue damage.
The benefit to Donors and Recipients
For the patient, robot-assisted surgery is safe, minimally invasive and offers faster recovery time. Patients usually leave the hospital within a day or two and resume normal activity shortly thereafter.
Dr. Pattnaik hopes that this new technology and the ease with which kidneys can be removed will encourage more people to become living donors. Several thousand people in India and abroad are waiting for a kidney transplant. Many have to wait three to five years before they find a match. A shortage of living donors is one reason for the long wait.
Treatment branches offered by us -
In India
