Urology Specialists | Kidney Stone | Sunrise Hospital Kochi,Kerala,India
kidney stone, kerala

Department of Urology and Andrology

Sunrise Hospital has a full-fledged ‘Stone Management Center’ equipped with shock wave and LASER Lithotripsy. Shock Wave Lithotripsy is a non-invasive procedure that uses shock waves to break stones in the Kidney, Ureter and the Urinary Bladder. The Uro-dynamic Lab evaluates proper functioning of storing and releasing of urine by the Bladder and Urethra.

The department is also centre of excellence in male health related problems like Erectile dysfunction, Fertility disorders and Hypogonadism. A fully functional IVF unit supports the department with most modern facilities for ICSI, Cryopreservation and embryo transfer. We try and adopt minimal invasive procedures wherever possible in order to give maximum postoperative comfort to our patients.

Our Team

Urology Specialist, Kerala

Dr Vinod P Abraham MCh DNB (Urology) MS DNB (General Surgery)

Consultant Urologist

He completed his MBBS, MS (Gen Surgery) and M Ch Urology from Christian Medical College, Vellore. He worked as assistant professor and head of urology at SVIMS, Thirupathi, soon after his higher specialty training, developing the department of urology at SVIMS into endourological and reconstructive surgical centre. A further 3 year period was spent at Christian Fellowship Hospital, Rajnandgaon, Chhattisgarh, working as deputy medical superintendent and pioneering urological services in the region.

He was working as independent consultant in Urology at University Hospital of North Tees and Hartlepool NHS Trust, Stockton, United Kingdom, for 4 years carrying out laparoscopic and all endourological surgeries. He was trained in basic laparoscopy from University of Dundee, United Kingdom and went on to do higher laparoscopy training from Hamburg in Germany and Erasmus Medical Centre Holland. He was specifically trained and independently carried out PCNL (Percutaneous Nephrolithotomy and RIRS (Retrograde Intrarenal Surgery), while in the UK. He is registered member of Da Vinci Community pursuing online training programme. Prior to joining Sunrise Hospital, he was working as senior consultant in urology at Lakeshore Hospital and research centre.

His area of expertise is minimally invasive surgery and is well versed with use of 2D and 3D laparoscopic procedures, carrying out donor nephrectomies including difficult multiple vessel donors. He was member of multi-organ transplant team at Lakeshore actively involved in cadaver kidney retrievals and disease donor renal transplantation independently, apart from regular live renal transplantation programme as a team member. He is adept at stone surgeries offering PCNL, RIRS and ESWL according to indications to his patients. He has been mentored in HOLEP (Holmeum Laser Ennucleation of Prostate) and use of laser in stone surgeries in the UK. He is a proponent of enhanced recovery program in urological surgeries, limiting unnecessary use of medications including antibiotics and working towards patient education and information, encouraging informed decision making and active participation by patients. He introduced flexible cystoscopy as outpatient procedure at Lakeshore Hospital, adding to patient convenience and safety and appropriate use of resources, in keeping with international standards of urological care.

Urology Specialist, Kerala

Dr D Kamalesh Kumar, MBBS, DNB, M.ch (Urology)

Consultant Urologist & Andrologist

Dr D Kamalesh Kumar has more than 5 year of experience as Assistant Professor, at Stanley Medical College & Hospital, Chennai. He is trained in Renal Transplant donor and recipient surgery, Cadaver Renal Transplantation, Lap Pyeloplasty/pyelolithotomy/ureterolithotomy, Lap Donor Nephrectomy.

SERVICES OFFERED

KIDNEY STONE SURGERY

  • Laparoscopic & Open ureterolithotomy, Pyelolithotomy
  • Ureterorenoscopy
  • Cystoscopy
  • Cystolithotripsy/Cystolitholapaxy
  • Anatrophic Nephrolithotomy
  • PCN / PCNL/ ESWL/ RIRS

PROSTRATE

  • Transurethral Resection of the Prostate (TURP)
  • Bladder Neck Incision (BNI)
  • Monopolar TURP & Bipolar saline TURP

URETHRAL RECONSTRUCTION

  • Optical internal urethrotomy (OIU)

Urethral dilatation

  • End to End Urethral anastomosis
  • Progressive Perineal urethroplasty

Buccal mucosal Graft

  • Meatoplasty/ Meatotomy
  • Perineal urethrostomy

TRAUMA CARE

RENAL TRAUMA

  • emergency partial / Total nephrectomy

BLADDER

  • Open/ Endoscopic Primary Realignment
  • Psoas Hitch & Boari's Flap

URETERIC INJURY

  • End to End Primary anastomosis

PENILE INJURY

  • Repair & Reconstruction

CANCER SURGERY/URO-ONCOLOGY

  • Simple / Radical nephrectomy / partial nephrectomy
  • TURBT/ BCG immunomodulatory therapy
  • Total / partial penectomy + Perineal urethrostomy
  • Radical cystectomy + ileal conduit urinary diversion
  • Partial cystectomy
  • Prostatectomy / Bilateral orchidectomy
  • Medical & Surgical treatment of prostate Ca.
  • Nephroureterectomy
  • Orchidectomy

CONGENITAL

  • PUJO
  • Pyeloplasty/Endo pyelotomy (Antegrade/Retrograde)
  • HYPOSPADIAS
  • Repair /cosmetic &functional reconstruction
  • CYSTOCELE
  • Endoscopic incision
  • MEGAURETER Uretric reimplantation

URINARY LEAK

  • For Mixed, Stress & urge incontinence
  • Diagnostic cystoscopic assesment
  • TVT-O Repair

INFERTILITY

  • Laparoscopic Varicocelectomy
  • Testicular biopsy
  • Treatment for male infertility

RENAL TRANSPLANTATION

  • LIVE DONOR NEPHRECTOMY
  • RECEPIENT TRANSPLANTATION SURGERY
  • CADAVER ORGAN TRANSPLANT SURGERY

Others

RENAL CYST

  • Open / Lap De- roofing

CHYLURIA (MILKY WHITE URINE)

  • Betadine /Sclerosant Instillation
  • Surgical treatment

MALE STERILISATION

  • Vasectomy for elective male sterilisation
  • TRUS/ USG screening/ prostrate biopsy

UROLOGIC LAPAROSCOPY

This involves performing operations through “Key-Holes”. Previously these operations needed large painful and ugly incisions with associated prolonged hospital stay and period away from work. Good cosmesis, less pain, quick recovery are attractive to the patient and at the same time excellent lighting and magnified vision are advantageous to the urologist.

LOWER TRACT ENDOUROLOGY

Access to the lower urinary system through the natural urinary passage is called endourology. This technique utilizes modern endoscopes and cameras through which urethral strictures, bladder stones, prostate enlargement(BPH treated by TURP) and bladder tumours can be treated with short hospital stay and minimal discomfort.

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UPPER TRACT ENDOUROLOGY

Access to the ureter and kidney is also possible now either through the normal passage such as URS(Ureteroscopy) or RIRS(Retrograde intrarenal surgery with flexible ureteroscope and laser) or through a small “Key- hole” through the skin called PCNL( percutaneous nephrolithotomy). This way once again small and large stones, tumors and other conditions in the upper urinary system can be treated with minimal pain and scar.

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FEMALE UROLOGY

The Leakage of urine(urinary incontinence) is a condition that is very common all over the world . Unfortunately because of the shame and taboo associated with it very few women come forward for treatment. Excellent Urodynamic facilities and a dedicated team of female urologists and gynaecologists with a special interest in incontinence provide an excellent platform to help these unfortunate women. “Key-hole” and minimal invasive surgery is offered for the same.

URORADIOLOGY

Well equipped with SIEMENS Fluoroscopy, GE Multidetector CT scan and PHILIPS MRI and HIFU.

  • Micturating cystourethrogram (MCU)
  • Retrograde Urethrogram (RGU)
  • Intravenous Urography (IVU)
  • Contrast CT Urography
  • Multidetector CT Angiogram for Renal donor evaluation
  • MR Urography
  • MR Spectroscopy for Prostate Cancer

RENAL TRANSPLANTATION

Renal transplantation services are currently in the preparatory phase. Dialysis, vascular access surgery (arteriovenous fistula creation), CAPD catheter insertion facilities are available. The necessary accreditation to commence renal transplantation is being sought as the hospital was commissioned only recently. A component blood bank and state of the art Renal transplant operation theatre and postoperative ICU will be commissioned shortly.

NEUROLOOGY AND URODYNAMICS

  • Cystometry
  • Cystometry with EMG.
  • Uroflowmetry
  • Surgical correction of incontinence in Females like TVT, TOT, Slings.
  • Pelvic floor repair for Cystocele and bladder prolapse.
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ADVANCED TECHNOLOGIES IN THE DEPARTMENT OF UROLOGY

Laparoscopic Urology procedures in the management of;

  • Urological Cancers
  • Kidney stones
  • Congenital Kidney diseases

PENILE SURGERIES

  • Peyronnies Disease correction
  • Congenital Curvature correction
  • Corporotomy and closure of Penile fractures.
  • Circumcision, Meatoplasty, Frenuloplasty

Surgical Management of Urinary tract stones (Endourology & Laparoscopy)

  • Percutaneous Nephrolithotomy (PCNL)
  • Laparoscopic Pyelolithotomy
  • Ureterorenscopy (URS).
  • Cystolitholapaxy
  • Percutaneous Cystolitholapaxy (PCCL)

Surgical management of Genitourinary Trauma.

  • 1. Renal parenchymal injuries
  • 2. Laparoscopic and open ureteral reimplantations, Ureterouretestomies.
  • 3. Urethroplasties
  • 4. Progressive perineal repair.
  • 5. Penile fractures

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