Centre of Urology  - Apollo Hospitals Chennai

The Centre of Urology at Apollo Hospitals Chennai provides diagnostic and surgical services for all genitourinary disorders. Areas of expertise include Renal Transplantation, Uro-oncology (urological cancers), Reconstructive Urology, Endo-urology for stone diseases (including Flexible Ureteroscopy, Percutaneous Nephrolithotomy and Laparoscopic Nephrectomy), Neuro-Urology with urodynamic facility, Andrology for treatment of male infertility and erectile dysfunction (including prosthetic surgery), female urology and Paediatric Urology.

Urologic Oncology
The Centre offers specialized treatment of urologic malignancy with emphasis on the management of patients with cancer of the Kidney (radical nephrectomy), bladder (radical cystectomy), prostate (radical prostatectomy), testis and penis. Patients benefit from innovative surgical techniques for treatment of pelvic and retroperitoneal malignancy as well as reconstructive efforts including “neo bladder”. A multidisciplinary approach is used with all cancer patients, with regular interactions with faculty from both Medical Oncology and Radiation Therapy.

Reconstructive Surgery
The Centre has expertise in all areas of urinary tract, pelvic and genital reconstruction, including treatment of abnormalities resulting from injury, disease or surgical therapy. Faculty members have extensive experience in both upper and lower urinary tract reconstruction (complex urethral strictures using buccal mucosa).

Laparoscopy (Surgery through a “Keyhole”)
The Centre has a rapidly developing program in laparoscopic urologic surgery ranging from ablative and reconstructive renal surgery. Traditional surgery usually requires long, deep incisions and a lengthy recovery period. Minimally invasive surgery uses a thin, telescope-like instrument called an endoscope, which is inserted through a small incision. Laparoscopic nephrectomy (Removal of kidney through key hole) is replacing open nephrectomy throughout the world.

Endourology
Patients have access to a full spectrum of urologic endoscopic equipment and techniques including both flexible and rigid instrumentation. Techniques include trans-urethral surgery of the urethra, prostate, bladder, ureter and kidney, and percutaneous renal surgery. Kidney stones are removed through keyhole (percutaneous nephrolithotomy) and ureteric stones are removed through “microsurgery” (telescopic surgery). The latest methods of minimally invasive stone surgery are also available, with instrumentation for Ultrasonic Lithotripsy and Pneumatic lithotripsy.

Andrology
Our urologists specialize in the diagnosis of impotence, reconstructive microvascular surgery, and pharmacological treatment for sexual dysfunction. A variety of treatment options, such as oral agents, Caverject (an injectable therapy), and a prosthetic inflatable penile implant, are used and tailored to fit both the patient's underlying patho-physiology and lifestyle. Assessment and treatment for male infertility is also provided, and microsurgical procedures (reverse vasectomy), vasectomy and epididymal aspiration are performed. Our urologists offer the most advanced treatment available for Benign Prostatic Hyperplasia, commonly called BPH or enlarged prostate.

Neuro-urology
Neuropathic bladders secondary to trauma (Spinal cord trauma) and neurologic diseases like stroke and Parkinson’s disease are evaluated and managed. Assessment may include complex neuro-urodynamic evaluation to better characterize the urine continence dysfunction. Treatment options include medical, surgical and/or prosthetic alternatives.

Female urology
The subspecialty of female urology is concerned with the diagnosis and treatment of those urinary tract disorders most prevalent in women. These include urinary incontinence and pelvic floor prolapse, voiding dysfunction, recurrent urinary tract infection, urethral syndrome and interstitial cystitis.

Pediatric Urology
The Pediatric Urology Service treats congenital abnormalities of the genitourinary system in children. Reconstructive surgery for hypospadias, cryptorchidism, and other genital abnormalities is usually performed on an ambulatory surgery or short-stay basis.