RIRS: REMOVAL OF STONE WITH NITINOL BASKET

A 45 year old man presented with a 6 mm residual calculus in the inferior calyx post ESWL therapy.

We prefer to do RIRS in such patients rather than going ahead with the second session of ESWL. In RIRS; a fibre-optic tube is inserted through the urethral meatus into the kidney after passing it through bladder and the ureter. The stone is visualized and is thereafter evaporated by a laser probe. We have a 20 W Holmium LASER(Sphinx). The procedure is usually done under general or spinal anesthesia. Retrograde Intrarenal Surgery (RIRS) allows the surgeon to do surgery inside the kidney without making an incision/ and hole on the body.

In cases like this ; where the patient is prestented the ureter is spacious and allows basketing of relatively bigger stone also through the access sheath.We used nitinol basket rather than Holmium LASER lithotripsy in this patient.

We combine the two modalities of ESWL and RIRS routinely in all patients and give 100% success rate after the procedure for all patients. The combination of these modalities ensure elimination of the need for more invasive procedures like PCNL. This is a special boon for patients having physical deformities like obesity or kyphosis.

DR NAVEENCHANDRA ACHARYA GETS JDDR CERTIFICATE

Because of good reviews and feedbacks from the patients seen in OPD of Ramayya Pramila Hospitals ,Dr Naveenchandra Acharya,Chief Urologist and Andrologist has got JDDR certification endorsed by Amitabh bachchan. 

OUR CHIEF UROLOGISTS INTERVIEW IN "YOU AND I " MAGAZINE

Dr Naveenchandra Acharya , Chief Urologist and andrologist spoke to the journalist of " You and I " magazine regarding the relevent problems in the field of male and female sexual dysfunction prevalent in the city of Hyderabad.He also spoke about the reasons, life style modifications needed to improve potency and the services that Ramayya Pramila hospitals provide to cure such problems. 

SACROCOLPOPEXY AT RAMAYYAS PRAMILA HOSPITALS: SURGERY FOR VAULT PROLAPSE

A 60 year old lady presented with vault prolapse after vaginal hysterectomy.The patient was taken up for sacrocolpopexy ( open Pfannenstiel incision).

The procedure:

The vagina is first freed from the bladder at the front and the rectum at the back. A graft made of permanent synthetic mesh is used to cover the front and the back surfaces of the vagina. The mesh is then attached to the sacrum  as shown in the illustration. The mesh is then covered by a layer of tissue called the peritoneum that lines the abdominal cavity; this prevents the bowel from getting stuck to the mesh. 

T SHAPED SLING MADE UP FROM PROLENE MESH 

DISSECTION OF THE VAULT AFTER PUSHING BLADDER AND RECTUM AWAY 

THE TWO LIMBS OF THE "T" MESH ATTACHED AND ANCHORED TO ANTERIOR AND POSTERIOR VAGINAL WALLS 

Tremendous response for free health camp for kidney diseases at Telephone colony

The Free Urology  Health Camp  was held on 15-04-2013 Sunday at  Telephone Colony; there was a tremendous response to the camp.

The camp was meticulously  planned and well executed.The camp was well attended by the residents of the Telephone colony and adjacent colonies.

Around 100 people were screened during the Camp by Dr.P.Vamsi Krishna and Dr.P.Abdul Fatah. Medicines were provided by the Cipla Pharma Company to the patients at free of Cost.

The Colony Association appreciated Ramayya Pramila Urology Hospital for organizing Health camps and serving Society. Our Doctors were Felicitated by the Colony Association. Eenadu Paper has carried out our news Item in the District Edition.