Pressure Flow

This is a more detail study of the bladder. This is carried after inserting pressure transducers in the bladder and rectum to measure pressures and a filling line in the bladder. In this study, the urologist finds out how the bladder behaves to different volumes of filling.

The study is in two phases the filling phase and voiding phase and the parameters studied are bladder volume, sensations, detrusor compliances and stability during filling phase and detrusor contraditiy and evidence of obstruction during voiding.

By compiling this test with EMG we can find detrusor ext. sphincter dysynergia. This pressure flow test is done in patients with prostatic enlargement, neurological problems spinal injuries, incontinence patients.

Andrology & Sex Clinic

We have very advanced gadgets to investigate problems of erectile dysfunction. The basic test is the Rigi scan.

Rigiscan is a highly advanced gadget which records the different events that accompany erection. It is a very useful tool to differentiate between functional and organic ED.

In the OPD we have facilities to carry out a provocative Rigiscan where we give a visual stimulus in form of erotic movies. This we combine with oral medications to increase the efficiency of the test. It is a helpful if the patient takes this test in company of his female partner.

We also have facilities for intra cavernosal injections, vacuum pump and colour Doppler studies. We also provide facilities for implantation of artificial prostesis for patients where conservative management fails.

Stone Management

This department is one of very few in the country which can boast of having all modalities of stone management under one roof.

ESWL

It stands for Extra coporal shock wave Lithotripsy. In short it means fragmentation of stone with shock waves generated outside the body which pass through the intact skin and break the stone without damaging the kidney or other organs.

The machine consists of a shock wave generator, coupling device and focusing apparatus

We have a Dornier Compact S lithotripter which is a third generation lithotripter having a electromagnetic shock wave generator, a balloon for coupling and both fluoroscopy as well as ultrasound for localization of the stone due to which both radio-opaque as well as radiolucent stones can be treated.

No admission and analgesics are required for this treatment which can be done on outpatient basis.

Ureterorenoscopy

This is used to treat ureteric stones with help of a lithosclast. 

We have scopes from sizes 7.5 to I OF with help of which we can reach almost all the ureteric stones.

Once the stone is identified it is fragmented with a contact lithoclast and the fragments drain by themselves by the side of the stent.

This procedures requires a hospital stay of about 2 days.

We also have flexible ureteroscope with help of which we treat calyceal stones.

PCNL

(Per Cutaneous Nephro Lithotomy); It is a key hole surgery for the renal stones. In this surgery access is gained to the kidney through a one centimeter incision in the flank. The stone is identified and fragmented with a contact lithoclast and fragments evacuated. The patient stays in hospital 4 days. The advantage is a cosmetic scar, and early mobilization.