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All Posts in Category: Urological surgery

Best Kidney transplant hospitals in India.

Best Kidney transplant hospitals in India - CMCS Health.

Kidney transplant is needed for those patients where Kidneys have stopped working , the medical condition is called chronic renal failure or end stage renal disease. Hemodialysis is a stop gap arrangement for ESRD or CRF patients, where filtration of toxins is done through dialysis machines and erythropoietin injection are given for rise in hemoglobin and electrolyte balance is to be maintained . But Kidney transplant is permanent cure for ESRD or CRF patients. We are associated with best Indian Kidney transplant specialists at best kidney transplant hospitals in India for ESRD or CRF patients seeking Kidney transplant ( KTP ) in India.

Best Kidney transplant hospitals in India:

Max Hospital - Best cancer treatment hospital in India - CMCS Health.
Max healthcare group hospitals.

Max healthcare is one of the leading healthcare provider in India , with hospitals in major cities like Delhi , Ghaziabad , Gurgaon and Mumbai.

Max Super speciality hospital ,New Delhi , India.

Located in the heart of south Delhi, the 530+ bedded Max Super Speciality Hospital, Saket, is widely considered as one of the best kidney transplant hospitals in India. 

Max Hospital, India adopts advanced technologies for kidney transplants surgeries in India. These include:

  • Advanced ABO-incompatible kidney transplantation procedure
  • Robotic kidney transplantation surgery and  laparoscopic surgeries of the urinary tract.
  • Max Hospital is  equipped with state-of-the-art facilities and eminent nephrologists  and transplant urology surgeons,who have conducted thousands of kidney transplant surgeries.

Manipal group of hospitals

Manipal group of Hospitals.

Manipal Hospitals as an entity came into existence in 1991 with the launch of 650-bed flagship hospital at Old Airport Road, Bangalore.

Today, Manipal group of hospitals are one of India’s leading healthcare groups with over 7600 beds across 27 hospitals.

Manipal Hospital , New Delhi , India

Manipal hospital, New Delhi, has one of the best kidney transplant facilities in India. The kidney transplant team at Manipal hospitals is highly experienced and have shown excellent long term transplant outcomes. The kidney transplant team at Manipal hospitals comprises transplant nephrologists, kidney transplant surgeons, anesthesiologists and critical care experts. 

During kidney transplantation, the surgeon places a new kidney from either a deceased or living donor. The following types of kidney transplant surgery are done at Manipal hospitals:

  • Living related donor kidney transplant
  • ABO-incompatible kidney transplants 
  • Robotic kidney transplants 
  • Deceased Donor (Cadaveric)
  • Combined Liver Kidney Transplant
  • Pediatric Kidney Transplant

Medanta - The medicity

Medanta _Yhe medicity - Best Kidney transplant hospital in India - CMCS Health
Medanta - The Medicity

Medanta Institute of Kidney and Urology is a unique resource for those suffering from diseases of the urinary system, including the kidneys, bladder and prostate gland. As the major tertiary and quaternary care centre in North India, Medanta offer some of the region’s finest experts covering every major urology and nephrology speciality.

Medanta’s doctors at Kidney Transplant Clinic use proven innovations to treat people with chronic kidney disease or end-stage renal disease (ESRD). Experience in using minimally invasive surgery, new medicines to prevent organ rejection and specialised procedures makes Medanta a leader in transplant outcomes in India. Patients for renal transplantation undergo an extensive evaluation to identify factors that may have an adverse effect on the outcome. At Medanta, they have a special committee that meets regularly to discuss the results of the evaluation to identify the best treatment for the patient.

Apollo group of hospitals

Apollo group started their hospital chains in 1983 under Dr Prathap C Reddy . Over a period of time they have established bench marks among the private healthcare providers in India as a leading hospital chain with more than 7000 highly qualified doctors and high end diagnostics professionals.

Indraprastha Apollo hospital , New Delhi

The Apollo Institutes of Transplant program is one of the world’s largest and most comprehensive solid multi-organ transplantation in India .

Indraprastha Apollo Hospital - Best Kidney transplant hospitals in India _ CMCS Health.
Indraprastha Apollo Hospital , New Delhi , India.

Apollo Kidney transplant center in New Delhi , India is one of the pioneer hospitals in India to start kidney transplant in India for ESRD ( end stage renal disease ) or CRF ( chronic renal failure ) patients.

Apollo hospital , New Delhi offers services for kidney biopsies, dialysis and kidney transplantation under one roof. It is a close knit unit which includes highly specialised nephrologists, urologists and transplant surgeons

At CMCS health , we are associated with many other Kidney transplant hospitals in India , offering cost effective Kidney transplant surgery for medical travelers , seeking kidney transplant in India.

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Prostate cancer treatment Indian specialist.

Prostate Cancer treatment in India.

Prostate cancer treatment in India :

Prostate Cancer is a one of the serious and life threatening medical condition affecting prostate. Prostate cancer usually affect elderly and above 65 year old men but it may affect younger men too. Prostate cancer is the second largest cancer in men.Prostate cancer generally metastasizes to bones. Since the growth of prostate cancer is slow it may not affect or diagnosed in early stages but there are instances where the cancerous prostate cells have grown rapidly. We are associated with Best Indian Urology surgeon well versed with da Vinci robotic surgery , Medical oncologist well versed with chemotherapy and immunotherapy and Radiation oncologist for comprehensive and complete Prostate cancer treatment in India.

Who are at risk for prostate Cancer?

Prostate cancer affects men above 50 years of age.Over a period of time the survival rate in prostate cancer have improved dramatically from 30% in 1970's to 80% presently.
Prostate cancer may affect any men above the age of 50 years,but the African or African Caribbean are at a three fold higher risk than white people.The man whose father or brother have been diagnosed with prostate cancer stand two and a half time higher chances than the men who never had a prostate cancer family history.
Black men are at three times higher risk of being diagnosed with prostate cancer as compared to white men.
Some studies suggest that men among the populations where consumption of "red meat" is more common are at a higher risk of developing prostate cancer.
 

Prevention of Prostate Cancer

Certain life style changes may reduce risk of prostate cancer. Quitting smoking and regular physical exercises at least for 30 minutes a day and five days a week can cut down risk of prostate cancer. Reduction in consumption of animal fat or red meat also cut down the risk for prostate cancer. A study although not confirmed that a diet high in tomatoes may also be helpful in reducing the risk of prostate cancer.
 
How Prostate Cancer is diagnosed?
 
Prostate cancer is usually diagnosed through screening as symptoms appear quite late in patients.The usual diagnostic procedures are a blood test called PSA or prostate specific antigen test. A higher PSA test result indicated possibility of prostate cancer. Although it may be non confirmatory too as Prostatitis may also cause elevated PSA levels.
DRE (Digital Rectal examination) may also suggest presence of prostate cancer, where a qualified and experienced doctor puts a gloved lubricated finger inside the rectum of the patient to feel any bump or hard surface on prostate suggesting a cancerous growth.
Transrectal ultrasound (TRUS) or Transrectal ultrasound guided biopsy are more confirmatory and reliable tests for diagnosing the presence of prostate cancer in a patient.
 

Prostate cancer treatment in India:

The treatment options for prostate cancer depend on stage and overall general health of patient.
It may involve watchful waiting or active surveillance.
Prostatectomy the surgical removal of part or whole of prostate.
We offer Laparoscopic or robot assisted surgeries for prostate cancer treatment in India.
Robot assisted prostate surgery are the latest surgical techniques for smaller incision,quicker healing and precise results for prostate cancer . Doctors do consider nerve sparing surgical removal of part or whole prostate that does not affect the normal sexual capacity and active sexual life of patient.
We at CMCS Healthare associated with the most experienced cancer surgeons and well equipped hospitals for prostate cancer treatment in India of our global guests.Expertise of a urological cancer surgeon is very crucial for treatment outcome of prostatectomy.
Other treatment options are Radiation Therapy, it could be external beam radiation therapy. With a 3D conformal radiotherapy assisted with CT scans and MRI for precise results with optimum dose to cancerous cell within the prostate gland.
IMRT or Intensity modulated radiation therapy give more flexibility of dose modulation to Radiation doctors thereby more precise results and avoiding side effect of radiation on bowel and bladder overtime.
Proton therapy is considered superior to external beam radiation therapy for more precise and less side effect associated radiation therapy for prostate cancer treatment.
Brachytherapy for prsoate cancer can be used for patients who want to avoid daily visit to radiation therapy center or do not want to stay in India for long.
The expertise of Radiation Oncology doctor is again vital for treatment outcome. CMCS Health is associated with the most experienced Radiation oncology doctors and hospitals with latest diagnostics and radiation therapy machines for better treatment outcome of prostate cancer for our global guests.
 
Hormonal therapies are also used along with surgical and radiation therapies for better treatment options and results for prostate cancer treatments.
 
Chemotherapy is used for hormone resistant and metastatic or advanced prostate cancer. A combination of chemotherapeutic drugs or single agent therapy are used for better results and lower side effects.
 
Targeted chemotherapy for prostate cancer holds big promise for recurrent and advanced or prolapsed prostate cancer treatment.
 
HIFU is a newly US FDA approved prostate cancer treatment procedure with no surgical incision and better safety profile for prostate cancers which are localized and non metastatic.
 
Dr. Deepak Singla - Medical Oncologist is Unit Chief and consultant Medical Oncologist at Dept. of Medical Oncology at Paras Hospitals,Gurgaon,Haryana,India.
 
 
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Robotic prostatectomy for prostate cancer treatment- Dr. Prof. Anant Kumar.

Pyeloplasty – UPJ obstruction treatment.

Dr ( Prof.) Anant Kumar - Urologist | Kidney Transplant Surgeon is regarded as the best and most experienced Kidney Transplant Surgeon of India and Director-Urology,Kidney Transplantation and Robotics at Max Hospital,Saket,New Delhi,India.

What is Uretero-pelvic junction Obstruction?

Uretero-pelvic junction obstruction occurs when the flow of urine from the renal pelvis to proximal ureter have an obstruction. The condition may lead to Hydronephrosis. Hydronephrosis is a medical condition ,where the kidneys are swollen with urine because of narrowing or blocking of ureters. Ureters empty the urine from kidneys into urinary bladder. The resultant back pressure within the renal pelvis may cause progressive kidney damage or deterioration of kidney function.

Uretero-pelvic junction obstruction may appear in children due to a congenital abnormality or even in adults following any previous surgery or any other medical condition that causes inflammation of upper urinary tract.

What causes pediatrics UPJ Obstruction ?

The exact cause of pediatrics uretro pelvic junction obstruction is still not known. Many times the defect is present in an unborn baby and is termed as congenital defect. It is diagnosed during routine prenatal ultrasound.

There may be many reasons for UPJ obstruction during the gestation period. some of them are:

  • During the developing phase the child's ureter is not fully formed resulting in a narrowed section of ureter which may be blocked later on.
  • A faulty muscle in ureter wall which may not squeeze normally.
  • Formation of a "Crossing Vessel" ,i.e., an additional artery feeding the kidney of developing fetus. This may result in kinking or blocking of the ureter.

It can have a genetic component,i.e., it runs in families .Although the responsible gene is not identified yet.

What are symptoms for pediatrics UPJ Obstruction?

Sometimes a UPJ Obstruction in a child does not have any symptoms. A UPJ Obstruction in a developing fetus is usually observed during a routine prenatal ultrasound. It is detected because of hydronephrosis. In majority of cases it is corrected on its own after the child birth.

But in moderate to severe condition the following symptoms may occur and they do need a medical attention as if left untreated,it may cause a permanent damage to kidney or urinary system of child.

  • The renal pelvis or kidneys or both are dilated (hydronephrosis).
  • Abdominal,back or flank ( sides) pain.
  • Frequent UTIs ( Urinary tract infections).
  • Edema
  • Swelling around eyes.
  • Lump in abdomen ( Abdominal mass).
  • Poor or retarded growth in infants.
  • Fever.
  • Rashes.
  • vomitting.
  • Bloody urine or diarrhea.
  • Abnormal urine output.

How UPJ Obstruction is diagnosed?

If Hydronephrosis is observed in a developing fetus during a routine prenatal ultrasound , doctor in charge for delivery of child will do more periodic ultrasound to keep a close vigil on any complications arising of the present medical condition.

Many times this medical condition is resolved on it's own ,once the child is born. But the doctor may do following tests after a few week of birth of child.

  • Creatinine clearance.
  • BUN ( Blood urea Nitrogen).
  • CT Scan.
  • Electrolytes.
  • CT- Urogram.
  • Nuclear scan of Kidneys.
  • Voiding cystourethrogram.
  • Ultrasound.

What causes UPJ Obstruction in adults?

The reasons for UPJ obstruction in adults may be due to scar tissues,infection,any previous surgery or renal calculi (Kidney Stones).

The other reasons may be:

  • A previous renal pelvic trauma.
  • Obstructing calculus immediately distal to PUJ.
  • Previous pyelitis with scarring.
  • Intrinsic malignancy,e.g. upper tract urothelial carcinoma.
  • Extrinsic ureter compression due to

 

1. Fibrosis.

2. Crossing vessel at PUJ.

3.An underlying malignancy.

Symptoms of UPJ Obstruction in adults:

Adults may experience following symptoms because of UPJ Obstruction:

  • Renal colic.
  • Chronic back pain.
  • Other non specific signs may be hematuria,Urinary tract infections and pyelonephritis.

Treatment Options:

Treatment line depends on presence of underlying cause.In Majority of congenital cases,no intervention is required and the condition subsides after some time however in case of a definite structural obstruction ,surgical intervention in the form of pyeloplasty or stenting may be needed.

Surgery is also inevitable in case of deterioration of renal function or when associated symptoms are severe and progressive.Aim of treatment is to normalize renal drainage and if possible,improve if  reversing the damage to kidneys is not possible.

 

 

 

 

 

 

 

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