Pioneer in Laser / Robotic Minimal Invasive Urology with over 25+ years of extensive surgical experience.
Has performed over 3000 laser enabled Transurethral prostate procedures (LASER TURP), 2500 laser fragmentation of kidney (RIRS) and ureteric stones(URS).
Has 1000+ Robotic Urology procedures & 2500 kidney transplants to his credit.
Urology emphases on surgical and medical diseases of the male and female urinary-tract system and the male reproductive organs. Being one of the most competitive and highly sought surgical specialties for physicians it has drawn a lot of attention in recent years. Delicate nature of the tissues surrounding common surgical sites has demanded technological innovation and hence laser-assisted surgery, laparoscopic surgeries, and robot-assisted medical procedures came into existence.
There are various procedures that an urologist is most likely to perform depending on the age and current medical status of the patient. Now-a-days with advancement in the technology a lot of procedures are made possible with a low rate of complications. Affordable Urology Surgery in India is one of the key procedures that is been performed in the country since a very long time which is only advanced with time Here are the procedures that can be performed by an urologist:
Among the many fields of medicine, Urology is a field that is focused on treatment and management of diseases or disorders affecting the male and female Urinary Tract. The ailments affecting the male reproductive system also come under the umbrella of Urology; this is because the Urinary system and the reproductive system in males are very closely linked. This is why very often, a disease that affects the Urinary Tract often ends up damaging the Reproductive Tract as well, and vice versa. Owing to this, this field of Urology is sometimes also called as Genitourinary Surgery. The key organs, which are covered under Urology are the Kidneys, Ureters, Urinary Bladder, Adrenal Glands and the Urethra. Also, the male reproductive organs like the Prostate, Testes, Penis, Seminal Vesicles and Vas Deferens, as well.
Not every ailment affecting these highly crucial organs, are possible to cure with medications and other non-surgical techniques. This is where surgical procedures are recommended. There is a very wide spectrum of procedures that are possible today. Earlier these surgeries were mostly open and very invasive in nature, leading to much pain and trauma for the patients. But with time, each and every field of medicine has undergone revolutionary amount of progress. Likewise, Urology too has kept up with this pace of progress and today there are Laparoscopic and Minimally Invasive surgical approaches possible.
Laparoscopic and Robotic surgical approaches are enormously favoured today owing to the huge bunch of benefits that come with them.
Among the enumerable qualified Urology experts that India is blessed with, Dr. Mohan Keshavamurthy is undeniably one of the pioneers. This is owing to his authority over this field and also because he is continually setting new benchmarks. More specifically, Dr. Keshavamurthy is a stalwart figure, when talking about Robotic, Laparoscopic and Minimally Invasive Urology Surgeries. He strongly recommends and boosts the implementation of these procedures, first, for the benefit of the patients and secondly, for the convenience of the surgeons too.
Dr. Mohan Keshavamurthy is one of the most leading and eminent Urologist, Uro-Oncologist, Andrologist and Transplant & Robotic Surgeon in India. With more than 25 years of extensive and all-embracing surgical experience, he is at present associated with the world-renowned Fortis Hospital at Banerghatta Road in Bengaluru. He is looked upon as a forerunner in Laser Urology, highly practiced in complicated Urological surgeries such as Reconstruction of the Urinary Tract and major Uro-oncological procedures, for patients belonging to both adult and paediatric sections.
He has always been a meritorious and award-winning candidate during his academic years. After completing his MS in General Surgery, he attained and topped the M. Ch. in Urology exam, from the esteemed KEM hospital in Mumbai. After this, he completed a Fellowship in Uro-gynaeconcology from the highly recognized Cancer institute, Tata Memorial Hospital Mumbai. Along with these top qualifications, he is also armed with advanced Fellowship in Solid Organ Transplantation from QE II HSX, Halifax nova Scotia, Canada and another Fellowship of American Society of Transplantation, thereafter. In addition to this, he also has a Diploma in Robotic Surgery from the University of Lorraine, France.
As one of the most senior and leading names associated with Urology, Dr. Keshavamurthy is always aimed at pushing and redefining the boundaries of healthcare in India and in other nations too. He puts in the right efforts to keep up with the high-paced progress of this field and is focused on offering the best and most sophisticated treatment and surgical opportunities to his patients.
Urologist in India are exceptionally talented when it comes to the surgical approaches possible in the field of Urology. This field involves dealing with some of the most crucial organs of our body and so it is obvious that the surgeries need utmost meticulousness and precision. In this matter, Dr. Keshavamurthy proficiency and surgical talent have made him a highly sought-after name, not only in India but all across the globe. In fact, he is the initiator of the successful Kidney Transplant Programs in East and West as well as in the Middle East.
The primary areas of his specialization include:
Following are the procedures in which he holds supreme expertise:
Radical Nephrectomy: A Radical Nephrectomy is a very effective procedure and is done to remove the entire Kidney. It is either when the Kidney is severely damaged, diseased or in order to get rid of Kidney Cancer. In this, a single big incision is made in the Abdomen or on the side region. This is also known as Open Nephrectomy. The patient is given general anaesthesia and then the incision is made to access the Kidney. After this, the Ureter, blood vessels are disconnected, and the Kidney is removed. In cases of Kidney Cancer, if the tumour is very close to the Adrenal Gland, which is on top of the Kidney, then this gland is also removed.
Laparoscopic Nephrectomy: This is a very safe alternative for the removal of a damaged or diseased Kidney. It is a minimally invasive technique in which there is comparatively less trauma and discomfort, when compared to Open Nephrectomy. The surgery is done under general anaesthesia and three small incisions are made in the Abdomen. A telescope and other small instruments are passed via these three keyhole incisions, through which the surgeon completely disconnects and dissects the Kidney without the need to place his/her hands.
Laparoscopic Partial Nephrectomy: With the help of this procedure, a small Renal Tumour can be removed, and the remaining Kidney can be preserved. This minimally invasive technique gives minimum pain and discomfort to the patients; and the results are similar to when compared to Open Nephrectomy. For this surgery, there are four small incisions that are made in the abdomen, then a telescope and other surgical instruments are passed via the incisions. This allows the surgeon to dissect the tumour without the need to place his hands directly. Once this is done, the defect is mended, the section is sewn with sutures and a specific sealant glue.
PCNL (Percutaneous Nephrolithotomy): This minimally invasive procedure is most preferred for removing Kidney Stones that are of more than two cm in size. Also, those that are located around the pelvic region. The surgery is performed either under spinal anaesthesia or general anaesthetic and takes around 2 to 3 hours. The patient is asked to lie on the operating table on his or her stomach for the surgery. X-ray images and Ultrasound guidance is taken to locate the exact surgery site. The Kidney stones are removed through a small puncture wound of about a cm. A hollow tube is guided to reach the Kidney. With this, the surgeon gets access to the Kidney drainage system, further allowing usage of Laser Fibres, Telescopes, and other specialized instruments to visualize, break and eliminate the Kidney Stones. Lastly, a drainage catheter, also known as a Nephrostomy tube,whose exit is through the skin, is left in the Kidney.
Laparoscopic Radical Cystectomy: A Laparoscopic Radical Cystectomy, also known as Laparoscopic Radical Cystoprostatectomy, is beneficial for those patients who suffer from high-grade and recurrent Bladder Cancers or invasive Bladder Cancers. It is an extremely advanced surgery for organ-confined Urothelial Carcinoma of the Bladder. The surgery is done under general anaesthesia. With the help of a Laparoscope and other thin surgical tools, the surgeon removes the Bladder and the Prostate, via several small incisions. Then a neobladder process is done from the existing tissue. An ileal conduit might be required for the completion of this process. An ileal conduit is actually the new storage area, for urine after the Bladder is removed.
Laparoscopic Radical Prostatectomy: This minimally invasive surgery is fruitful in the removal of a patient’s Cancer-infected Prostate. It is different from the Open-surgical approach with very few and smaller incisions. After the patient is put under general anaesthesia, specialized surgical instruments and another instrument with a camera attached to it, are inserted via the incisions. Once the instruments have reached the surgery site, the surgeon then detaches and removes the Prostate Gland, from the nearby tissue. Then seminal vesicles, which are two small fluid-filled sacs located next to the Prostate, are also detached and taken out. Then the Urethra is reattached to a section of the Bladder known as the Bladder Neck. Depending on the need, the surgeon may also remove the lymph nodes for Biopsy to evaluate for Cancer.
Trans Urethral Resection of Prostrate It is considered one of the most effective remedies for curing an Enlarge Prostate. This surgery is a surgical option for men suffering from moderate to very serious urinary issues caused due to an Enlarged Prostate and haven’t received any relief from other non-surgical methods of treatment. An instrument called Resecto scope is inserted via the tip of the Penis till it reaches the Prostate area. With this instrument, the surgeon is able to trim the tissues from the inner area of the Prostate Gland, on piece at a time. As this process goes on, the irrigating fluid takes these pieces to the Bladder, which are removed after the completion of the surgery.
Green Light Laser Prostatectomy: Green Light Laser Prostatectomy is a very effectual alternative treatment used to cure the Benign Prostatic Hyperplasia (BPH). In this issue, there is enlargement of the Prostate Gland leading to Urethral Restriction. During the surgery, a scope and a laser combination instrument is used and is inserted into the Urethra from the tip of the Penis. Once the instrument reaches the Prostate, Green Light laser in used vaporise the Prostate tissue, which is obstructing the flow of urine. The laser facilitates the vaporization of blood vessels, thus, there is hardly any bleeding.
Bladder Neck Incision: This surgical procedure called Bladder Neck Incision is done to better the flow of urine as well as to get relief from urinary pressure in the Bladder. The patient is given general or spinal anaesthesia and then an instrument called Resectoscope is inserted via the Urethra. After this, a cutting instrument is attached to the Resectoscope in order to make a tiny incision in the wall of the Bladder Neck. Then the obstruction is removed with the help of the Resectoscope. The success rate of this procedure is very high and only if it doesn’t help then an Open surgical approach is suggested.
Urethrotomy: Also referred to as Direct Vision Urethrotomy, this procedure is effective in treating Urethral Stricture Disease. It is performed under general or spinal anaesthesia. In this, the surgeon inserts a Urethrotome or a Cystoscope, with a surgical knife attached to it, into the patient’s Urethra. The strictured area is opened up with the knife and then the area is assessed to find out if it can be easily accessed. If not, then few more incisions are required. After this, the Bladder is totally emptied of urine and filled with irrigation fluid. A Catheter is placed in the Bladder to empty the irrigation fluid.
Laparoscopic Pyeloplasty: There is a tube, which drains urine from the Kidney to the Bladder and this tube is attached to the Kidney. Laparoscopic Pyeloplasty is a minimally invasive surgery or a reconstructive surgery is done, when there is an abnormality known as Ureteropelvic Junction. In this, there is very poor and sluggish urine drainage from the Kidney. In this procedure, a stent and a telescope are passed via Urethra into the Bladder. Then 3-4 incisions are made below the ribs and with the help of apt surgical instruments, a fresh joint between the Ureter and the Kidney is created by eliminating the narrow portion of the junction. For the same condition, Robotic-assisted technique is also possible and is performed widely.
Laser Cystolithotripsy: This one is a very effective and safe procedure for getting rid of larger Bladder stones, without damaging the Urethra or excess blood loss. A minimally invasive procedure and therefore a very favoured technique, used to crush and remove Bladder Stones. In Laser Cystolithotripsy, a small Cystoscope with a light and camera attached, is passed via the Urethra into the Urinary Bladder. Then, a basket device is used to pick and trap the stones from the inner walls of the Bladder and then these are removed. But the stones that larger in size and cannot be eliminated this way, for them laser rays are used, which are emitted from an instrument placed inside the Cystoscope. The laser rays turn the stones into fragments and then these are removed from the Bladder.
Trans Urethral Resection of Bladder Tumour : After the anaesthetic agent is administered, a thin and flexible tube known as Cystoscope is inserted into the Urethra. The Cystoscope helps the surgeon to view the inside of the Bladder, and then other surgical tools are also inserted for the removal of tumours. Then a probe is used to cauterize to control the bleeding at the surgery site. A Catheter is placed to drain the urine in a bag. Ureteroscopic Removal of Stone.
Robotic Ureteric Reimplantation: The place where the Ureter inserts into the Bladderis known as Ureterovesical Junction. But there are patients in whom this junction is not developed properly before birth and therefore, urine goes back up towards the Kidneyinstead of going down and out of the Bladder. This is known as Vesicoureteral Reflux and is usually detected in childhood after repeated Kidney Infections or Urinary Tract Infections. If Bladder Injections and medications don’t help then, surgical repair becomes necessary. This surgery is known as Ureteral Reimplantation and in suitable patients this surgery can be performed as a Minimally Invasive Robotic-assisted procedure. In this, the end of the Ureter and some of the muscles are detached from the Bladder. After this, a tunnel will be formed for the Ureter to be positioned inside. Then the Ureter is moved to the new place in the Bladder and inserted into the tunnel.
Each and every surgical procedure can have its own share of risks and complications. However, according to Dr. Keshavamurthy, these complications can be taken care of with utmost meticulousness on the part of the surgeon and careful choice of treatment approach. Also, the aftercare matter to a huge extent, which can affect the surgical, outcome. Furthermore, the patients too need to very wary on their part by following the surgeon’s instructions such as:
An acknowledged expert in all of these above intricate procedures, he has more than 3,000 Laser enabled Transurethral Prostate Procedures (LASER TURP); 2,500 Laser Fragmentation of Kidney (RIRS) and Ureteric Stones (URS); 2,500 Kidney Transplants and more than 75 Pancreas Transplant, to his credit. With such amazing numbers, no wonder, he has emerged to be one of the most preferred Urologists of India.