REASSURING EXPERTISE FOR DELICATE ISSUES

Urology is a specialty that deals with diseases of the male and female urinary tract (kidneys, ureters, bladder and urethra). It also deals with the male organs that are part of the reproductive system (penis, testes, scrotum, prostate, etc.).

Amara Hospital is fully committed and geared to provide comprehensive care to patients with urological problems, which have seen an upsurge in recent times owing to lifestyle choices. Our team of highly experienced specialists has the necessary skills to successfully treat the most complex cases with total competence and confidence, offering both medical as well as surgical treatment including minimally invasive, endoscopic and open procedures.

Amara Hospital provides access to world class technologies and equipment along with the convenience of comprehensive facilities – from evaluation to diagnostics to treatment – under one roof. Plus, since Amara is a multispecialty hospital, Urologists can consult and coordinate with other experts, if need be, before drawing up personalized treatment pathways for patients.

Since urological problems are linked with the urinary tract or genitals, they are often a source of embarrassment, for both men and women, resulting in hesitancy and delay in seeking medical help. At Amara Hospital, our experienced Urologists put you at ease with their compassionate approach and professionalism. We urge you to consult our experts if you experience any of the following:

Blood in urine

Pain or burning while urinating
Frequent need to urinate or having difficulty urinating
Pain in testicular area
Urinary incontinence
Severe constipation
Problem with getting or keeping an erection
Fertility issues in males
Abnormality in prostate exam report

Amara Hospital is a one-stop solution for all urological problems, promising treatment with the latest techniques to ensure lesser pain, lower risk, faster recovery and shorter hospital stay.

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Endoscopic Surgery for Kidney & Bladder Stones

To rid you of the pain and problems of kidney or bladder stones, our team is fully geared with the latest treatment techniques.

Percutaneous Nephrolithonomy (PCNL) :

is a procedure to remove stones in the kidney or upper ureter that are too large for other forms of stone treatment. It involves making a small 1 cm incision in the patient’s flank area through which a tube is placed into the kidney under x-ray guidance. A small telescope is then passed through the tube in order to see the stone, break it up and remove it from the body. The benefits of PCNL include less post-operative pain, shorter hospital stay, and faster return to daily activities as compared to open stone surgery.

Ureteroscopic Lithotripsy (URSL) -

typically performed with the patient under general anaesthesia, the procedure entails insertion of a ureteroscope, a long, thin cable with a tiny camera at the end, through the urethra and bladder into the ureter or kidney. X-ray images with a contrast dye enable the urologist to see where the stone is located. Once located, it is pulled out with a “stone basket” or a laser is used to break the stone into smaller pieces before extraction.

Cystolithotripsy (CLT)

is performed to remove bladder stones. In this procedure, a camera is inserted through the urethra to locate the stones. Then a lithotripter, which is attached to the camera, is used to crush the stones into small pieces before removing them. At the end of the procedure, a catheter is placed.

Laser Surgery for Kidney Stones

For those suffering from kidney stones, our skilled endourologist provides relief with the most advanced Retrograde Intrarenal Surgery (RIRS)

In RIRS, a fibrotic endoscope is inserted through the urethra into the bladder and then through the ureter into the urine-collecting part of the kidney. The stone is seen through the scope and is then manipulated or crushed by an ultrasound probe or disintegrated by a laser probe or grabbed by small forceps.

The advantages of RIRS over open surgery include a quicker solution to the problem, no prolonged pain after surgery, and much quicker recovery.

Benign Prostatic Hyperplasia Surgery

Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland and is common in men aged 50 and above. It puts additional pressure on the urethra, through which the urine passes, causing symptoms such as a frequent urge to urinate and a feeling that the bladder has not emptied.

At Amara, we offer advanced treatment options to remove prostate tissue blockage and improve urine flow, including:

Bladder Neck Incision (BNI) is usually done for smaller benign prostate glands which cause obstruction, or to treat narrowing of the bladder neck. During the procedure, a fine instrument called a cystoscope is placed into the urethra and a thin band with cautery or a laser fibre is used to make two incisions along the sides of the bladder neck. This results in widening the outflow channel exiting the bladder through the prostate.

Urinary Tract Infection

A urinary tract infection or UTI, is an inflammation in the bladder and/or urinary tract as a result of bacteria or viruses. More common in women, it typically causes burning sensation during urination, lower back pain and frequent urge to urinate among others. If a UTI spreads to the kidneys or into the bloodstream, it can cause serious medical problems. Hence, it is very important to properly diagnose and treat a UTI as soon as possible. The most effective treatment is a short course of antibiotics which usually clears the infection in 5 to 7 days.

Urinary Incontinence

This condition is the loss of bladder control which results in involuntary leakage of urine while sneezing, coughing or laughing. Although a common problem, it is an embarrassing and frustrating issue that can lead to mental tension and reluctance to seek medical treatment. In most cases, lifestyle and dietary changes can successfully solve the problem, while in some, your doctor may recommend surgical intervention to address the underlying cause.

Kidney, Bladder & Prostate Cancer Treatment

Our urologic cancer specialists are part of a multidisciplinary team approach to treat prostate and urological cancers. Experts from several specialties work in coordination to design a customized treatment plan specifically for each individual patient, which may include one or more of the following:

Active surveillance, or watchful waiting
Cancer surgery – uses minimally invasive techniques such as robotic-assisted surgery
Chemotherapy – medications that work to remove, kill or damage cancer cells
Hormone therapy – for prostate cancer that has spread
Immunotherapy – activates the body’s own immune system to fight the cancer (for advanced prostate cancer)
Radiation therapy – uses ionizing radiation to kill cancer cells and shrink tumors and includes stereotactic body radiation therapy (SBRT)
Targeted therapies – employs antibodies that target specific molecules within cancer cells

Penile & Testicular Tumor Treatment

At Amara, our team has the necessary expertise and experience to treat cancers of the penis and testicles with the latest techniques.

Penile Cancer

Early detection ensures successful, low-risk treatment of penile cancer. If the tumor is small and on top of the skin, it may be treated with a skin cream or external beam radiation. If the lesion is about the size of a pea, a small local excision or “Moh’s surgery” may be done. With larger tumors, more tissue needs to be removed and the surgeon could also consider taking out or draining lymph nodes in the groin. A mix of surgery, radiation, and chemotherapy may be recommended. In cases where the cancer is more advanced, the whole penis may need to be removed.

Testicular Cancer

Depending upon the severity of the case, along with radiation therapy and chemotherapy, the following surgeries may also be used to treat testicular cancer:

Radical Inguinal Orchiectomy
This is a surgery to remove the testicleand is considered the primary treatment for almost all stages and types of testicular cancer. The surgeon makes an incision in the groin and extracts the entire testicle through the opening. A prosthetic, saline-filled sac can be inserted to provide a balanced look.

Retroperitoneal Lymph Node Dissection
Surgery to remove lymph nodes in the abdomen may be performed to prevent the spread of testicular cancer. During the procedure, the surgeon will make an incision in the abdomen to remove lymph nodes on the same side as the affected testicle. The main goal of this procedure is to remove all cancer so that it does not spread.

Urethral Surgery

Conditions that cause significant damage to the urethra may lead to urinary strictures or obstructions. It can lead to symptoms such as a weak stream, urgency to urinate, leakage of urine, retention of urine and painful urination.

Urologists at Amara are well-versed with the new techniques and technologies to deal with this problem.

Visual Internal Urethrotomy (VIU)

is a simple surgical procedure to widen the urethral passage and improve the flow of urine. The narrowing of the urethra can be a result of scar tissue formation following inflammation, infection or injury in the tissue. Apart from slow flow of urine, urethral stricture can also cause infection, bleeding and pain during urination

Urethroplasty

is open reconstructive surgery to repair or replace the urethra when scar tissue forms inside it, causing difficulty in urination. The surgeon connects the two ends of the urethra after cutting out the scar tissue, or may take tissue from another part of the body to rebuild the portion of the urethra.

Perineal Urethrostomy

creates a permanent opening to the urethra from the perineum (the area between the scrotum and anus) for urine to flow out. This treatment is used for men with complex strictures who are willing to sit to urinate and want to avoid more complex reconstructive procedures.

Pediatric Urology

Amara’s team also includes specialists in pediatric urology to provide reassuring care for our younger patients. Their areas of expertise include:

Circumcision:

An elective urological procedure to remove the foreskin that covers the tip of the penis, it is usually performed in the first few days after the birth of the baby.

Hypospadias:

A birth defect where the opening of the urethra doesn’t develop properly and forms somewhere on the shaft of the penis instead of at the tip. Curvature of the penis and an abnormality of the scrotum (penoscrotal transposition) may also be present. Surgery is typically recommended between 6 and 12 months of birth.

Undescended Testis:

When a male baby is still in the uterus, the testicles develop in the abdomen. Before birth, the testicles normally drop down into the scrotum. If a child’s testicles don’t drop into the scrotum by the time he’s six months old, it’s time to consult a pediatric urologist. Treatment options include hormone therapy and surgery.

Male Infertility & Sexual Problems

Many underlying conditions cause male infertility and sexual dysfunction in men. However, both are often treatable and, in some cases, curable.

Our experts help get to the root cause and provide treatment for the best outcomes. They have the expertise and experience to help with everything from sperm disorders to structural issues in the urinary tract system to sexual dysfunctions including erectile dysfunction, ejaculatory conditions, premature ejaculation and retrograde ejaculation.

From medicine that regulates hormones to minimally invasive procedures that optimize reproduction, we provide a range of treatments help restore male fertility and sexual health.