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Department of Urology

The Department of Urology at Rela Hospital is equipped with state-of-the-art facility to diagnose and treat all varieties of urological diseases under one roof.

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Department Overview

The Department of Urology at Rela Hospital is equipped with state-of-the-art facility to diagnose and treat all varieties of urological diseases under one roof. Internationally trained urology doctors at our hospital offer minimally invasive treatments for urological cancers, prostate diseases and stone disease and offer latest treatments for erectile dysfunction and urinary incontinence.

How they are better than others

Our urologists have many years of expertise in their field and the Department of Urology offers treatment on par with international standards. All of the latest treatments are offered by the doctors with international experience and international training.

Our urology hospital in Chennai offers international expertise in laparoscopic urological surgery, prostate disease, urogynecological expertise, reconstructive surgery and paediatric urology.

Super specialization in different urological diseases provides unparalleled personal experience and expertise for our patients. We have engaged in many kidney transplant cases with high success rates.

Rela Hospital is a multispeciality hospital and one of our main strengths is the multidisciplinary approach to a variety of urological condition as specialist from various specialties is available 24 hours a day.

We take pride in prompt interventions, minimal hospital stay and a smoother patient experience.

Achievements

Every hospital has a steady list of achievements. Our biggest achievement is congregating the best doctors, urologists and urological cancer specialists under one single roof. Our other achievements include:

 

Our Experts

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Our Experts

Infrastructure & Technology

  • Urologists available 24 hours a day, 365 days a year
  • 30 Watt Holmium laser for stones
  • 120 watt Thulium laser for prostate surgery
  • Urodynamics including videourodynamics and electromyography (EMG)
  • TRUS or prostate biopsy
  • Flexible ureteroscopy and laser lithotripsy for smaller renal stones
  • Mini-Perc for larger renal stones
  • All advanced laparoscopic procedures offered
  • Advanced Uro-radiology interventional procedures like renal artery embolisation, nephrostomy by a dedicated and experienced interventional radiology team

Treatments and Procedures

The Department of Urology is dedicated to providing expert diagnosis and treatment of treatment for kidney stones in males, all types of kidney diseases, urologic disease treatment, including urology surgery. Our experienced urologists and our dedicated Kidney specialist in Rela Hospital,Chennai are highly skilled in performing the latest leading-edge surgical procedures and treat the full spectrum of urologic conditions.

We are touted to be the leaders in minimally invasive and non-invasive procedures including robotic-assisted surgery and endourology. We offer the following services:

Men’s Sexual Health

  • Penile Prosthesis Insertion
  • Vasectomy and Vasectomy Reversal
  • Erectile Dysfunction
  • Micro Surgical Varicocelectomy
  • Peyronie’s Disease Correction
  • Laparoscopic Varicocele Ligation

Endourological Procedures

  • Transurethral Resection of the Prostate (TURP)
  • Transurethral Resection of Bladder Tumour (TURBT)
  • Internal Urethrotomy
  • Cystolitholapaxy
  • Laser Prostatectomy –ThulEP

Urological Oncology or Cancer Treatment

  • Radical Nephrectomy – Open and Laparoscopic
  • Radical Cystectomy and Orthotopic Bladder/Neobladder & Urinary Diversion
  • Radical Prostatectomy – Open and Laparoscopic
  • Retroperitoneal Lymph Node Dissection [RPLND]
  • Total Penectomy with Perineal Urethrostomy
  • Partial Penectomy
  • Glansectomy With Skin Graft
  • Ilioinguinal Lymph Nodal Block Dissection
  • Radical Orchidectomy
  • NephroUreterectomy – Open and Laparoscopic

Urinary Incontinence Treatment/Surgery

  • TOT/TVT Tapes
  • Male Urethral Slings

Other Procedures

  • Open Prostatectomy
  • Urethroplasty
  • Laparoscopic Pyeloplasty

Stone Treatment

  • PCNL And Mini-PCNL
  • Flexible Ureteroscopy
  • Rigid Ureteroscopy
  • Laser Lithotripsy
  • Cystolitholapaxy
  • ESWL (Extracorporeal Shock Wave Lithotripsy)

Diagnostic Procedures

  • TRUS Biopsy of Prostate
  • Flexible Cystoscopy
  • Uroflowmetry
  • Urodynamics
  • Penile Doppler Ultrasound

Renal Transplantation

Bedwetting

Bedwetting – also called nighttime incontinence or nocturnal enuresis – is passing urine in the night time in the bed while sleeping without realizing it.

The causes are different in adults and children.

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Benign Prostatic Hyperplasia (BPH)

The prostate gland is found only in men. It lies below the bladder. The tube which passes urine from the bladder (the urethra) runs through the middle of the prostate. The prostate’s main function is to produce fluid which protects and enriches sperm.

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Difficulties In Passing Urine In Males

Difficulties in passing urine in males can be due to Urinary tract infections, prostate problems in older people and urethral stricture in younger people and ureteric stones. In some people, more than one condition is present.

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Erectile Dysfunction

Inability to get or sustain an erection sufficient for sexual intercourse is called erectile dysfunction. One in ten men will suffer from this and 1 in 3 diabetic men suffer from it.

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Circumcision

Inability to get or sustain an erection sufficient for sexual intercourse is called erectile dysfunction. One in ten men will suffer from this and 1 in 3 diabetic men suffer from it.

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Having A Trans-Rectal Ultrasound (TRUS) And Prostate Biopsy

The prostate gland is only found in men and lies at the base of your bladder and surrounds your urethra (tube that carries urine and semen out of your body). Its main function is to produce a thick liquid and nutrients, which is mixed with your sperm to become semen.

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Transurethral Resection of The Prostate (TURP)

The prostate gland sits around your urethra (waterpipe) as it leaves the bladder and, when it enlarges, it may block the flow of urine.

TURP involves removal of the obstructing, central part of the prostate with telescope(cystoscope) and heat created by electric current(diathermy), creating a wide channel to allow urine to flow more easily.

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Ureteroscopy

You have been advised this operation because of stone in ureter or kidney.

This involves using a telescope (semi-rigid or flexible) passed into yourbladder through your urethra (waterpipe) to fragment and/or removestones from your ureter or kidney. We sometimes need to leave atemporary stent in your ureter after the procedure.

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Blood in Urine

Patients can present to an urologist because they have noticed blood in the urine(visible haematuria), or after being referred by another doctor because urine routine tests have shown blood under the microscope (microscopic haematuria).

There is a poor correlation between the degree of haematuria and the severity of any underlying cause and hence any amount of blood in the urine has to be investigated.

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Holmium Laser Enucleation Of The Prostate

HolEP/ThulEP is a modern alternative to the standard Transurethral Resection of the Prostate (TURP) procedure for bladder outflow obstruction due to prostate enlargement (BPH). It is a minimally invasive treatment for BPH done using laser.

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Loin Pain

The potential underlying causes are extensive (seebelow-list not exhaustive). The most common include UTI, renal or ureteric stones and musculoskeletal problems.

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Frequent Urination

Frequent urination also called frequency means having an urge to pass urine more often than usual. It can disrupt one’s normal routine, interrupt the sleep cycle, and it can be a sign of an underlying medical condition.It is normally only a problem if it affects a person’s quality of life or interferes with your routine work

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Pelvic Floor Exercises In Females

The pelvic floor is a complex layer of muscles and ligaments which stretches like a hammock from the pubic bone at the front of your pelvis to the coccyx at the bottom of your spine

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Prostate Cancer

Prostate cancer is an uncommon disease in the Asian population.

Most cases of prostate cancer develop in older men over the age of 65 years. In many cases the cancer is slow-growing, does not reduce how long the patient lives, and may not need treatment. In some cases, it is more aggressive, spreads to other parts of the body and may benefit from treatment.

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Kidney Stones

Kidney stones in the urinary tract are common, between 8-15% of people will get a kidney stone in their lifetime. They can occur at any point along the urinary tract, but they are most commonly found in the kidney, ureter and bladder. Ureteric stones are discussed differently under ureteric stones.

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Diet And Lifestyle Advice For The Prevention Of Kidney Stones

The function of the kidney is to excrete waste products in the urine from your body. These waste products are in the form of salts like creatinine, sodium, uric acid, oxalate and others. Kidney stones can develop from these waste products in your urine. Large amounts of waste products in small volumes of urine can cause these salts to form crystals, much like how common salt is prepared from sea water by evaporating water under the sun.

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Urine Leakage On Coughing Or Sneezing In Females

It is the complaint of involuntary leakage of urine during coughing or sneezing or any other strain like lifting weight. Stress incontinence is usually the result of the weakening of or damage to the muscles used to prevent urination, such as the pelvic floor muscles and the urethral sphincter.

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Swelling Or Pain In Scrotum

Swelling or pain in the scrotum is one of the common reasons why patients see an urologist. Many times, it may coexist

Causes

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Ureteric Stones

Ureteric stones are very common especially in a hot country like India. Stones form in kidney and may remain there without giving trouble for many years. They can grow and when it becomes sufficient size can drop down into the tube draining urine from kidney (called ureter).

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Urethral Stricture

A urethral stricture is scarring in or around the urethra (urine pipe draining urine out from the bladder) that narrows or blocks the passageway through which urine flows from the bladder.

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Urge Urine Leakage- Unable To Get To Toilet On Time

It is the complaint of involuntary leakage of urine accompanied by or immediately preceded by urgency.Urge incontinence is usually the result of overactivity of the muscles of the bladder (detrusor muscles), which control the bladder.

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Urinary Incontinence

Urinary incontinence is the unintentional passing of urine.

There are several types of urinary incontinence

Stress incontinence – when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh, sneeze, do heavy lifting or exercise

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Urinary Tract Infections

Urinary tract infection (UTI) is an infection from microbes. These are organisms that are too small to be seen without a microscope. Most UTIs are caused by bacteria, but some are caused by fungi and in rare cases by viruses. UTIs are among the most common infections in humans.

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Prostate Specific Antigen (PSA)

PSA (Prostate Specific Antigen) is a small protein molecule which is released from the prostate gland into the bloodstream. As you get older, your prostate slowly enlarges and your PSA gradually increases. The larger your prostate, the higher the PSA.

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Laparoscopic nephrectomy Information leaflet for patients

You have been advised to have a nephrectomy by your urologist. This leaflet explains about the procedure and what to expect from the operation. This information in this leaflet is meant to be a guide only. Your urologist’s advise will be more accurate if there are discrepancies.

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FAQs

PSA, or prostate-specific antigen, is a protein produced by the prostate gland’s normal and malignant cells. The PSA test determines the amount of PSA in the blood. A blood sample is delivered to a laboratory to be analysed for this test.

TURBT is an abbreviation for transurethral resection of bladder tumours. It is a procedure that removes an early stage of bladder cancer. Your kidneys produce urine, which travels down the ureters into the bladder, where it is stored until you need to empty it through the urethra.

Nephrology is a subspecialty of internal medicine focusing on diagnosing and treating diseases affecting your kidneys’ function. There are numerous types of these diseases, many of which are related to hypertension or high blood pressure. Urology, also known as genitourinary surgery, is a specialty of medicine that concentrates on medical/surgical diseases of the urinary tract and reproductive organs.

EXPERT TALKS

All about PSA Test by Dr. Vasantharaja Ramasamy

All about PSA Test by Dr. Vasantharaja Ramasamy

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