Department of Advanced Renal Sciences

ROBOTIC RADICAL PROSTATECTOMY

(Minimally Invasive Surgical Treatment For Prostate Cancer)

It involves a few key hole incisions in order to remove the whole prostate. Radical Prostatectomy is the gold standard for treatment of prostate cancer.

RESULTS AND COMPLICATIONS

Less Blood Loss

  • Blood loss and transfusion rates are generally lower
  • Compared with open surgery

Less Operative Time

24 Hour Hospital stay

Early Removal of Catheter

Resumption of Normal Activity Within One To Two

  • Weeks After Operation

High Continence Rate

  • Excellent postoperative urinary continence is routinely achieved after laparoscopic radical prostatectomy. Due to limited trauma to the periurethral striated sphincter in addition to the ability to reliably accomplish atension free, watertight anastomosis.

Less Erectile Dysfunction

  • Stage- and risk-stratified positive surgical margin and early biochemical free recurrence

 


PROSTATE CANCER PROGRAM


(Complete Spectrum From Diagnosis To Treatment)

PSA screening has induced a significant downward migration in age and stage (both clinical and pathologic) at diagnosis. Early prostate cancer can be cured surgically

ADVANCED DIAGNOSIS:

TRUS (Trans Rectal Ultrasound)

TRUS Biopsy(Trans Rectal Ultrasound Guided Biopsy)

  • Biplanar probe for accurate diagnosis
  • Increases grade concordance
  • Frozen Section

MPMRI | PET Scan | Nuclear Scan

(Whole body scan, bone scan)

ADVANCED TREATMENT:

Localized Prostate Cancer

  • Laparoscopic Radical Prostatectomy
  • IGRT (Conformal Radiation)

Results: 100% disease specific survival rate@ 5 years

Localized Advanced Prostate Cancer

  • Trimodal therapy
    Surgery | Radiation therapy | CAB
  • Brachytherapy

Metastatic prostate cancer clinic

  • Bone management
  • Obstructive uropathy management
  • Anemia management
  • CRPC management

 

ROBOTIC RADICAL CYSTECTOMY

Radical Cystectomy is an extra major surgery with potential for major complication like bleeding & infection but having excellent cancer control.

Laparoscopic Radical Cystectomy avoids all major complication with excellent cancer control leads to minimal morbidity with early recovery.

Small Incision | Minimal Blood Loss | Less Pain | Early Recovery



  

 

Patients with laparoscopic radical cystectomy are usually discharged by 5th day.

NEOBLADDER

After radical cystectomy the surgeon creates a new way for urine to leave the body. This new system is called a urinary diversion. An orthotopic neobladder, usually just called a neobladder, is one type of internal urinary diversion.

The surgeon takes a segment of the small intestine and uses it to form a new (neo) pouch for urine. This new bladder (neobladder) is attached to the ureters and the urethra, so urine passes through it like a normal bladder.

Urinary diversion need not be a bag. Continent neobladder is the standard of care after radical bladder surgery

    



BLADDER CANCER PROGRAM


Bladder cancer is related to age and exposure to environmental carcinogens, Smoking is the most common cause of urothelial cancer

NMIBC (Non Muscle Invasive Bladder Cancer) We can save your bladder

  • Flexible Cystoscopy
  • Intravesical Immunotherapy
  • Intravesical Chemotherapy
  • Narrow Band Therapy
  • TURBT


MIBC (Muscle Invasive Bladder Cancer)

  • Laparoscopic Radical Cystectomy
  • Male/Female
  • Neobladder
  • Illeal Conduit

MULTIMODALITY TREATMENT

(All at single health care facility)

  • Surgery
  • Radiotherapy
  • Chemotherapy

WE FOLLOW NCCN GUIDLINES


KIDNEY CANCER


KIDNEY CANCER IS CURABLE

LAPAROSCOPIC PARTIAL NEPHRECTOMY

WHAT IS LAPAROSCOPIC PARTIAL NEPHRECTOMY

Laparoscopic Partial Nephrectomy provides patients with a safe and effective way to remove a small renal tumor, while preserving the remainder of the kidney. This is a minimally invasive technique, which provides patients with less discomfort and equivalent results when compared to the traditional open surgery.

It has resulted in significantly less post-operative pain, a shorter hospital stay, earlier return to work and daily activities, a more favorable cosmetic result and outcomes that are identical to that of radical nephrectomy. Partial nephrectomy has become a standard procedure for selected patients with renal cell carcinoma.

IN EARLY KIDNEY CANCER KIDNEY REMOVAL CAN BE AVOIDED

ADVANTAGE:

  • Same result as complete removal
  • No change in survival
  • Important for long term kidney function
  • Avoid kidney failure in diabetes and blood pressure
  • Preserving kidney function

  

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