Author: drsamiranurologyclinic

Professional   qualifications:

Degree                        Institution                             Dates attended                            Year Awarded

MCh (Urology)             Christian Medical College          15^th Jan 2003 – 14^th Jan 2006                2006

Vellore, India

MS (Gen. Surg)            VSS Medical college, Burla, 1st Sept. 1996- 31^st Aug 1999           1999

Sambalpur, India

Internship                     VSS Medical college, Burla,     5^th Nov. 1994- 4^th Nov. 1995           1995

Sambalpur, India

MBBS (MD)                VSS Medical college, Burla,     2^nd Nov. 1989 – 4^th Nov. 1994            1994

Sambalpur, India

Work   experience

Senior consultant in urology and renal transplant surgery in Apollo Hospitals, Bhubaneswar, Orissa since Dec 2009 till date
Consultant in Care Hospital. June 2009 to dec 2009 CARE Hospital, Bhubaneswar
Assoc. Prof.                            June 2008——June 2009       Department of Urology,

CMC Vellore, India.

Asst. Prof.                                April 2006 – June 2008       Department of Urology,

CMC Vellore, India.

Senior Registrar                       Aug 2000 – Jan 2006            Department of Urology,

CMC Vellore, India.

Senior Registrar                        Nov. 1999- Aug 2000          Department Uro-Gyane

Oncology, Rajiv Gandhi    Cancer Institute, Delhi, India.

Resident in Surgery                   Sept. 1996- Aug 1999          Department of Surgery,

VSS Medical College, Burla,                Sambalpur, India.

Junior Resident             April 1996- Aug 1996                       Department of Radiotherapy

IRCH, AIIMS, New Delhi,

Internship                                 Nov1994- Nov. 1995              VSS Medical college,

Burla, Sambalpur, India.

Training in urology

Presently I am working as consultant after completing my Urological Training at Christian Medical College, Vellore. Department of Urology at the Apollo Hospitals, Bhubaneswar is a well organized and well equipped 300 bedded, the most modern facilities for the management of all types of complex urological disorders.

Daily work schedule begin with ward rounds followed by either an outpatient clinic or a theatre list.  In addition to the clinical duties in urology ward, I am also responsible for 2-3 operating sessions and 3 outpatient clinics per week.

We are having weekly uroradiology and uro-pathology meetings. We also have regular case presentations, journal clubs and seminars.

I am also actively involved in teaching medical, nursing and paramedical students.

Clinical experience in urology (urological surgery performed)

Uro-oncology – Radical nephrectomy, radical cystectomy with urinary diversion, partial and total penile amputations, Radical inguinal and pelvic lymph node dissections, adrenalectomy.

Open stone surgery – Pyelolithotomy, nephrolithotomy, ureterolithotomy, Cystolithotomy.

Reconstructive urology–   Pyeloplasty, augmentation cystoplasty, Blandy’s urethroplasty  Johanson’s urethroplasty, perineal  and transpubic urethroplasties,  Vesico vaginal  fistula  repair,  ileal conduit,  ileal ureter,  Boari  flap.

Andrology – Vaso vasal and vaso-epididymal anastomosis, high ligation of varicocele.

Pediatric urology – Circumcision, hypospadias repair, epispadias repair, ureteric reimplantation, orchiopexy, pyeloplasty, extrophy epispadias complex repair.

Renal transplantation related work– Renal transplantation, live donor nephrectomies, ,  vascular access (AV shunt,  AV fistula and Insertion of venous and synthetic  grafts)  for  hemo-dialysis,  insertion of Tenckhoff  catheters for peritoneal  dialysis.

Endoscopic  procedures  performed

Rigid and Flexible Cystoscopy, Cystolitholapaxy, Optical  Urethrotomy, Ureteric  stenting, Trans Urethral  Incision  Prostate, Trans Urethral  Resection  Prostate, Resection  of Posterior  Urethral  Valves, Trans Urethral  Resection  Tumours, Percutaneous  Nephro Lithotripsy (PNL), Ureterorenoscopy(rigid and flexible)

Experience in the management of male erectile dysfunctions.

Experience in Urodynamics and videocystourethrography and various procedures for the   management of urinary incontinence and neurogenic bladder dysfunction.

Sound experience in day case surgery.

Experience in Laparoscopic surgery.

I have performed fairly good number of laparoscopic surgeries in our institution. At our institution we have done good number of laparoscopic simple Nephrectomies, Donor nephrectomy, laparoscopic pyeloplasty, radical cystectomies, Radical Nephrectomies, Ureterolithotomy, CAPD catheter insertion and laparoscopic VVF repair.

PUBLICATIONS

1. Renal failure and ascites after remote laparoscopy.Adhikary S, Mathews P, Gopalakrishnan G. CMAJ. 2005 Nov. 22; 173(11):1323
2. Uretero-uterine fistula following dilatation and curettage.Adhikary S, Devasia A, Gnanaraj L, Chacko N. Aust N Z J Obstet Gynaecol. 2005 Feb; 45(1):90.
3. SWL in upper ureteric calculus: How many shocks and how frequent? Samiran Adhikary, Chacko KN, Lionel G, Anthony D, Kekre NS, Ganesh G, Christian Medical College, Vellore, India J Endourol. Nov. 2004, 18 (Suppl).
4. Sildenafil induced Priapism. Adhikary S, Sinha M, Chacko KN. Indian J Urol 2006;22:146-47.
5. Is shock wave lithotripsy safe in bleeding diathesis? Adhikary S, Devasia A, Gnanaraj L, Chacko KN, Kekre N, Gopalakrishnan G. Indian J Urol    2006;22:122
6. Retro peritoneal fibrosis: A rare presentation with localized unilateral perirenal fibrosis. Adhikary SD, Gopalakrishnan G. Indian J Urol 2006;22:268-69.
7. Diabetes mellitus: A long term sequelae of shock wave lithotripsy? Adhikary S, Kekre NS.Indian J Urol 2006;22:387-388.
8. Comparative Study of Graft Nephrectomy in Pre-Cyclosporine and Cyclosporine Era
   Samiran Das Adhikary, Sistla Bobby Viswaroop, Nitin Sudhakar Kekre, Ganesh Gopalakrishnan. Urol Int 2008;80:80-83.
9. Tuberculosis in renal transplant recipients p. 396 Sundaram Madhivanan, Adhikary Samiran Das, John George T, Kekre Nitin S. Indian J Urol 2008;24:396-400.
10. Gross intermittent hematuria after laparoscopic donor nephrectomy p. 18 Gaurav G, Santosh K, Samiran A, Ganesh G. J Min Access Surg;2008 :4:18-9.
11. Histopathological analysis of T1 renal cell carcinoma: Does presentation matter? Gupta Gaurav, Adhikary Samiran Das, Kumar Santosh, Chacko Ninan K, Kekre Nitin S, Gopalakrishnan Ganesh. . Indian J Urol 2008;24:504-507.

Research work

Effect of left gonadal vein ligation on semen parameters and venous hemodynamics of the testis. Dissertation

Guide: Dr. Ganesh Gopalakrishnan, MS, MCh, FAMS.

PAPERS PRESENTED IN CONFERENCES

1. Outcome of Post Chemotherapy Retro Peritoneal Lymph Node Dissection, SOUTH ZONE USICON 2004, VIJAYAWADA

1. Adult VUR TAPASUCON 2004, TRICHY

1. SWL in upper ureteric calculus: How many shocks and how frequent? WCE 2004, MUMBAI

1. Renal transplantation in elderly recipients USICON, 2005, AHMEDABAD.

1. Metabolic Profile in High Risk Stone Disease, SOUTH ZONE USICON 2005, BANGALORE.

Referees

Prof.  Ganesh Gopalakrishnan

Head of the Department of Urology

CMC Vellore, India.

Email– ganeshgopalakrishnan@yahoo.com

Prof. Nitin Kekre

Dept of Urology II

CMC Vellore

Email nitinkekre@hotmil.com

Prof. Ninan Chacko

Dept of Urology I

Email ninan@cmcvellore.ac.in

Dr Sudhir Rawal

Senior consultant

Department Uro-Gyane oncology,

Rajiv Gandhi Cancer Institute, Delhi, India

Email dr_rawal@yahoo.com

The Department of UROLOGY and NEPHROLOGY at APOLLO HOSPITAL BHUBANESWAR offers treatment for a wide range of conditions. Our urologists specialize in open and laparoscopic procedures for kidney, bladder, prostate cancer and female urethral problems.

Our nephrologist DR CHOWDHURY SUDHIR RANJAN DASH WHO IS WELL TRAINED FROM UNIVERSITY HOSPITAL TORONTO, CANADA WITH VAST EXPERIENCE IN RENAL TRANSPLANTATION deals in patients with chronic kidney disease and renal failure.

WHAT WE TREAT

OUR SERVICES

• Adrenal Surgery
• Circumcision
• Cystoscopy
• Diagnostic Laparoscopy
• Dialysis
• Kidney Surgery
• Minimally Invasive Urological Surgery
• Organ Transplantation

• Pediatric Kidney Disease & Transplant
• Transplant- Kidney
• Urethral & Vaginal Reconstruction

The most common abnormality affecting the prostate gland is benign prostatic hyperplasia (BPH). Patients with mild symptoms may not require treatment other than observation. Moderate symptoms can be treated with a variety of medications that relax the smooth muscle of the prostate. Individuals with more advanced symptoms may require additional treatment.

We offer many minimally invasive treatment options.

What is Benign Prostatic Hyperplasia (BPH)?

It is a very common, non-cancerous condition in which the prostate cells grow and cause the prostate gland to enlarge. The enlarged prostate may compress the urethra and cause urinary symptoms.

If the symptoms of BPH are affecting the quality of your life, it is time to seek treatment for your prostate. For example, if you are losing sleep because you need to constantly urinate during the night, then you should consult a urologist about what is likely an enlarged prostate.

SYMPTOMS

In this common, non-cancerous condition, prostate cells grow and causing the prostate gland to enlarge. This may compress the urethra and cause urinary symptoms, such as frequent urination.

CAUSES OF BPH

By age 50, 50% of men will have some signs of BPH and about half of these men will develop symptoms that require treatment. By age 60, 80% of men will have signs of the condition.

DIAGNOSIS

After evaluating your medical history and giving you a complete physical, your doctor will perform a digital rectal examination. Because the prostate gland is in front of the rectum, it is relatively easy for the doctor to feel much of the gland. This enables him to estimate the size of the prostate and to detect any hard areas that could be cancer.

TREATMENT

Medications

BPH may be managed through selective medications. Urologists generally use two classes of medications to treat this prostate condition: alpha-blockers and the 5-alpha-reductase inhibitors. Alpha-blockers are used to relax the smooth muscle of the prostate gland and thus improve urinary symptoms. The 5-alpha reductase inhibitors block the production of dihydrotestosterone (DHT), which is felt to play a pivotal role in the prostate’s growth. Urologists at the prostate center currently participate in clinical studies of the latest available types of these medications.

Transurethral Resection of the Prostate (TURP)

Transurethral Resection of the Prostate is the prostate surgery procedure commonly used to treat BPH. This has been considered the “gold standard” of surgical care for the last few decades. In this cystoscopic procedure the urologist uses a wire loop, which has been charged with an electrical current to remove the prostate tissue. This effectively removes the obstructive in the prostate tissue blocking the urine from exiting the bladder. TURP is performed under regional or general anesthesia. The average in hospital stay for this prostate surgery is 1 to 2 days and potential complications may include bleeding, fluid absorption, hyponatremia, incontinence, and potentially erectile dysfunction.

Photoselective Vaporization of the Prostate (PVP)

F.D.A. approved in March of 2002, 200 of these procedures have been performed in the Glickman Urological and Kidney Institute. The procedure uses the GreenLight Laser™ produced by Laserscope. It uses a fiber that emits a laser energy wavelength that is absorbed by oxyhemoglobin. Because of this physical principle, the vaporization of the prostatic tissue can be accomplished in a nearly bloodless fashion. The risks of blood transfusion, fluid absorption, hyponatremia, incontinence, and impotence have all been assessed in a recent clinical trial done at our Institute and the results appear quite favorable. PVP is a type of prostate surgery performed on an outpatient basis at both Cleveland Clinic main campus as well as our Strongsville location.

Minimally Invasive Therapies (MIT)

There continue to be a variety of other minimally invasive treatments offered through out our Institute including transurethral needle ablation (TUNA), transurethral microwave therapy (TUMT), and interstitial laser coagulation of the prostate (ILC). These outpatient office based procedures employ the concept of heating the prostatic tissue to a point where the prostatic cells are unable to survive secondary to the heat treatment. The body subsequently reabsorbs this prostate tissue over a two to three month period following prostate surgery. Catheterization between 5 to 7 days is required.