INTERNATIONAL STANDARDS IN BHUBANESWAR
Dr Debasis Routray is helping me in doing PCNL IN OPERATING THEATRE
it is key hole surgery for kidney stone,one hole is made into thee back and the calculus is broken using intracorporeal shockwave lithotripsy and all fragments removed . at timesone tube is kept as nephrostomy or one DJ stent is put.
Done so far good number of pediatric urological cases, we have all infrastructure support to handle all types of pediatric urological cases.
so far done cases under one year of age with
Hypospadias,
Undescended testis,
PUV
Bladder polyp
Penile Chordee correction
Pyeloplasty both open and laparoscopic for PUJ obstruction ( congenital Hydronephrosis)
Wilm’s tumor
1 st laparoscopic pyeloplasty in Odisha
1st laparoscopic adrenalectomy In odisha
1st laparoscopic Radical nephrectomy In odisha
1st Renal transplantation with three renal arteries in Odisha
1st IVC thrombectomy in case of Renal cell carcinoma (kidney cancer) done so far 3 cases
1st penile re-implantaion in traumatic /self mutilation in odisha
1st ABO Incompatible renal transplant in odisha
1st cadaveric organ retrieval of kidneys in Odisha
1st cadaveric renal transplant in Odisha
THE COST OF TREATMENT FOR A MAJOR SURGERY IN UROLOGY STARTS AT 45k (complete treatment cost IN AC GENERAL WARD) WHICH INCLUDES EVERYTHING LIKE COST OF TREATMENT(SURGERY INCLUDING SURGEON FEES, OPERATION THEATER RENT EQUIPMENT CHARGES) STAY, FOOD , MEDICINE USED IN THE HOSPITAL, INVESTIGATIONS IN THE WARD. WHICH IS MUCH CHEAPER THEN MANY CORPORATE HOSPITAL AND NURSING HOMES IN THE CITY AND IF YOU COMPARE WITH ANY OTHER CITY WITH A QUALITY CARE. THAT YOU CAN CHECK WITH MY PATIENTS…………………..
most of the time in smaller hospital and nursing homes you are not been told upfront about the cost you are going to incur, they will tell you the surgeon fees and OT charges and medicine and stay in the bed separate , when you finally calculate the total expenditure you will realize …………….” being quoted by many of my patient who had already some experiences in different hospital. In addition to it you are going to get Apollo Hospital services
THE MAJOR PROCEDURES LIKE
SURGERY FOR
PROSTATE
KIDNEY STONE
URETERIC STONE
KIDNEY TUMOR
BLADDER TUMOR
STRICTURE URETHRA
ALL TYPES OF ADVANCED LAPAROSCOPIC SURGERIES ARE POSSIBLE IN UROLOGY IN APOLLO HOSPITAL, BHUBANESWAR WITH GOOD SUCCESS
FOR EXAMPLE
Laparoscopic Radical nephrectomy
Laparoscopic Simple nephrectomy
Laparoscopic Pyeloplasty
Laparoscopic Ureteric reimplantation
Laparoscopic VVF repair
Laparoscopic adrenalectomy
Professional qualifications:
Degree Institution Dates attended Year Awarded
MCh (Urology) Christian Medical College 15th Jan 2003 – 14th Jan 2006 2006
Vellore, India
MS (Gen. Surg) VSS Medical college, Burla, 1st Sept. 1996- 31st Aug 1999 1999
Sambalpur, India
Internship VSS Medical college, Burla, 5th Nov. 1994- 4th Nov. 1995 1995
Sambalpur, India
MBBS (MD) VSS Medical college, Burla, 2nd Nov. 1989 – 4th Nov. 1994 1994
Sambalpur, India
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.
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
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
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.
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
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 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.
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.
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.