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Overview

The Institute of Kidney Diseases provide a complete range of consultative, diagnostic and treatment services for patients with kidney diseases. The spectrum of care encompasses evaluation and management of patients suffering with all stages of kidney disease, from earliest detectable changes in kidney function through end-stage kidney disease, as well as people with high blood pressure, cystic diseases, kidney stones, metabolic disorders and other kidney-related problems including kidney transplantation.


The Institute coordinates the comprehensive kidney transplantation program where all essential departments and laboratory support is available under one roof in conjunction to a state-of-the-art fully-equipped Dialysis Unit highly capable to cater more than 50 patients a day. Our operation-theatres are fully-equipped with high-end technology and latest equipments to provide safe surgical procedures to patients where qualified team of anaesthesiologists, urologists, vascular surgeon work together to deliver a well-planned protocol based post-operative care that facilitates immediate post-operative recovery.

Our Technology

A dedicated unit with most advanced dialysis machines provide supportive care to haemo-dynamically unstable patients who are in the need of Continuous Renal Replacement Therapy (CRRT) for and Continuous Ambulatory Peritoneal Dialysis (CAPD). The dialysis team works closely with the expert team of skilled nephrologists, urologists, nephrosurgeons, Transplant Unit and the paramedical staff to provide comprehensive care and the facilities required for plasmapheresis patients with all the available high-end technology required for kidney problems like:

Dialysis

Volumetric controlled computerised bicarbonate membrane based haemodialysis machines with adjustable sodium facility, double Reverse Osmosis (RO) system for water purification to maintain international standards of water quality ensures patient safety and prevents long term complications of haemodialysis, CRRT machines. We are one of the few centres to provide SLEDD (Sustained Low Efficiency Daily Dialysis) and MARS (Molecular Adsorbent Re-circulating System).

Solid Organ Transplant

State-of-the-art technology and equipments coupled with dedicated modular operation theatre for Transplant Surgeries, dedicated Transplant ICU of international standards managed by professionals specially trained for managing transplant patients, backed by the dedicated and highly qualified Transplant Team comprising fully-trained transplant surgeons, micro-vascular surgeon, assistant surgeons, well-trained anesthetists with experience in transplantation, trained intensivists and social workers cum transplant coordinators to provide acute inpatient care and long-term outpatient care for kidney and kidney-pancreas transplant recipients. They also help in the care of heart, lung and liver transplant recipients who have chronic kidney disease.

Lithotripsy

Extracorporeal shock wave lithotripsy (ESWL), a non-invasive treatment of kidney stones, gallbladder stones and salivary stones helps to manage and remove kidney stones by breaking them through an acoustic pulse without doing any open surgery. This method uses the latest Lithotripsy technology with both X-ray & Ultrasound controls available, positioning, focussing and delivery of shock waves all controlled by advanced computerised system with safety cut-offs to prevent damage caused by human error. This is a day-care procedure that does not require hospitalisation stay.

Flexible scopes and laser lithotripsy for intra-renal stone surgery

Flexible scopes are passed through the urethra and stones are removed after breaking them into smaller pieces by laser.

Laparoscopic Donor Nephrectomy

Now donor can donate one of the kidneys without much pain and discomfort.

Our Services

Urology

Stone In Urinary Tract

Being located in the geographic stone belt of the world, large population in North India is suffering from urinary stone disease. Stones are usually formed in kidneys but may migrate in ureter or bladder and cause symptoms like pain, blod in urine or burning urination.

For Kidney stone PCNL (Per Cutaneous Nephro Lithotripsy) is a minimally invasive urological procedure where through a small key hole (5 mm, Miniperc) in the flank the kidney is aproached and a telescope of pen size is inserted into the kidney and the stone is broken under direct vision using Holmium Laser. These broken stone fragments are then removed through the same passage.

For the stones in ureter or blader, the telescope is inserted through urethra (URS / FLEXIBLE URS) and stones are broken with Holmium Laser and then removed.

Enlargement of Prostate Gland (BPH)

Almost 60% of men at the age of 60 years and almost all the men at the age of 90 years would have some degree of prostatic enlargement. However, only about two thirds of these, would have any symptoms pertaining to enlarged prostate. These symptoms comprise of increased frequency of urination, hesitancy in passing urine, sense of incomplete evacuation of urine.

10 to 20% of symtomatic BPH patients who do not get relief with medicine need surgical removal of prostate. For the last half a century, Trans Urethral Resection of Prostate, popularly known as TURP is minimally invasive surgical method for the treatment of the enlarged prostate gland. now in last decade, Laser Prostatectomy is a novel inovation and is rapidly replacing TURP operations at most advanced urological centres worldwide. Laser prostatectomy using 100 watts Holmium Laser is called HoLEP (Holmium Laser Enucleation of Prostate). Laser treatment of prostate has several advantages over TURP

  • The procedure is almost blood less when compared to the TURP; hence there is no need for blood transfusion even during treatment of very largeprostate glands.

The post operativeduration of indwelling catheter is much less than that required for conventional TURP and hence the patient may be sent home much faster.

  • Early discharge from hospital further fasciliate quicker recovery and earlier resumption of usual productive work.

Tumours (Cancers) of the various organs of urinary tract

Cancers affecting the urinary organs are fairly common. The common cancer of urogenital tract includes:

  • Kidneys
  • Prostate
  • Urinary Bladder
  • Testicles
  • Penis

Most of these cancers require a well planned and executed surgical extirpation as this forms the primary determinant of outcome for the patient. We offer laparoscopic advanced cancer surgery.

Few patients of cancer may require CHEMOTHERAPY in post operative period or early if detected in advanced stage. This ia also available and done under supervision of oncophyscian.

Congenital anomalies (Birth defects) of organs of urinary tract

Some children are born with the structural or functional abnormalities of the urinary tract organs. Common congenital urological disorders are UPJ obstruction, vesico ureteric refux and undeveloped urethra or Hypospadias. These children need careful evaluation and planning of surgical correction of such abnormalities.

Male Infertility

It is now well known that overall in about half the number of infertile couples, males are equally responsible for the failure to reproduce. Therefore, more and more men are being diagnosed with a cause of infertility and they need to be seen by an appropriate specialist, the andrologist. There are some surgically correctable disorders which can restore fertility in males.

Male Sexual Dysfunction

A good andrologist, by conducting a few tests, can arrive at a precized diagnosis in each case and thus plan a proper treatment. The treatment consists of medication and counselling sessions. However, in resistant and difficult cases, surgical implantation of silicone devices (penile implant) may be necessary .These devises can be inflated to provide rigidity of the male organ, enabling it for performance of the sexual act.

Andropause- Male Menopause

Ageing in men and its sequelae vary greatly among different individuals. One major problems that are faced by aging men is sexual dysfunction most commonly loss of interest or decreased libido. This clinical condition though not uncommon, is often missed in the practice. High index of clinical suspicion, which should arise out of the following, is the key to diagnosing Andropause.

Assessment and treatment (replacement of testosterone hormone in form of injection or gel) of these individuals helps in the improving the quality of life and reduce the effects of aging process.

Nephrology
Kidney Transplant
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