Urology and Renal Transplantation

The Urology Department at Amrita Hospital provides top-notch facilities for diagnosing and treating male genitourinary and female urinary diseases across all age ranges. Our team consists of highly skilled and experienced urologists and resident surgeons who are available round-the-clock. We boast the latest cutting-edge technology and equipment to ensure the best possible care. Our faculty specializes in various subspecialties within the field. 

• Uro-oncology (cancers of the urinary tract) 
• Congenital Urological disorders (Children, Adolescents and Adults) 
• Urinary stone diseases (Kidney, Ureteral and Bladder stones) 
• Prostate and Urethral stricture related Urination Problems 
• Urologic trauma and reconstruction  
• Female Urology (Female Pelvic Medicine and Reconstructive Surgery) 
• Neuro-Urology (Urinary problems in Nervous Disorders) 
• Male sexual and reproductive health (Andrology) 
• Renal (kidney) transplantation 
• Gender-Reassignment Surgery 

Uro-oncology 

Expertise in treating cancers of the urinary tract. 

Congenital Urological Disorders

• Specialized care for children, adolescents, and adults with congenital urological conditions. 

Urinary Stone Diseases 

• Advanced treatment for kidney, ureteral, and bladder stones. 

Prostate and Urethral Stricture Related Urination Problems 

• Comprehensive management of urination issues due to prostate and urethral strictures. 

Urologic Trauma and Reconstruction 

• Specialized care for patients with urologic injuries and the need for reconstructive surgery. 

Female Urology

• Expertise in female pelvic medicine and reconstructive surgery. 

Neuro-Urology 

• Treatment of urinary problems related to nervous disorders. 

Male Sexual and Reproductive Health (Andrology)

• Comprehensive care for male sexual and reproductive health issues. 

Renal (Kidney) Transplantation 

• Advanced renal transplantation services. 

Gender-Reassignment Surgery 

• Specialized surgery and care for gender-reassignment procedures. 

• Kidney stones 
• Ureteral stones 
• Bladder stones 
• Prostate cancer 
• Enlarged prostate (Benign Prostatic Hyperplasia) 
• Urethral strictures 
• Kidney cancer 
• Bladder cancer 
• Prostate cancer 
• Testicular cancer 
• Penile cancer 
• Adrenal tumors 
• Urinary tract infections 
• Urinary incontinence 
• Neurogenic bladder 
• Congenital urological disorders (e.g., hypospadias, vesicoureteral reflux, urethral valves) 
• Urological trauma and reconstruction needs 
• Female pelvic medicine and reconstructive surgery conditions 
• Male sexual and reproductive health issues (e.g., erectile dysfunction, Peyronie's disease) 
• Urinary problems associated with nervous disorders (Neuro-urology) 
• Pediatric urological conditions 
• Renal transplantation needs 
• Gender reassignment surgery needs 

• Advanced Surgical Capabilities: Open, laparoscopic, and endoscopic procedures, integrated with robotic and laser technologies. 
• Comprehensive Diagnostic Services: Extensive laboratory and imaging services under one roof. 
• Specialized Departments: Support from Pathology, Microbiology, Biochemistry, Toxicology, Immunology, Genetics, Radiology, Nuclear Medicine, and many more. 
• Holistic Patient Care: Dedicated nursing services, patient movement support, medical social workers, and extensive public relations and secretarial staff. 
• Financial Assistance: Support for patients facing financial constraints through collaborations with governmental and non-governmental funding agencies. 

The outpatient department has facilities to take care of all office urology procedures. It is supported by trained staff including two staff nurses, blood draw facilities, full-fledged procedure rooms, dedicated X-ray machines, ultrasound equipment, etc.

Our state-of-the-art infrastructure and advanced technological capabilities enable us to deliver outstanding medical services. Our team of dedicated professionals, including expert surgeons, compassionate nursing staff, and supportive medical social workers, is committed to providing personalized care. We also offer financial assistance to patients in need, ensuring that everyone has access to quality healthcare. 

At Amrita Hospital, Kochi, we provide a wide array of advanced healthcare services. Our surgical capabilities cover a broad spectrum, including open, laparoscopic, and endoscopic procedures for both upper and lower urinary tract conditions.  

We integrate cutting-edge robotic and laser technologies to enhance precision and patient outcomes. Our facility houses nearly all diagnostic laboratory and imaging services, supported by specialized departments such as Pathology, Microbiology, Biochemistry, Toxicology, Immunology, Genetics, Radiology, Nuclear Medicine, and more. Our comprehensive approach ensures that every patient receives holistic and specialized care under one roof. 

Endourology

Endoscopic treatment of stones and diseases of the kidney, ureter, bladder, prostate and urethra is performed through natural openings in the body avoiding the pain associated with open operations.

Laparoscopic Urology 

Key – hole surgery to remove and reconstruct urinary organs avoiding pain and long bed rest associated with open surgery. Nephrectomy, radical and partial nephrectomy, stone extraction, correction of hydronephrosis due to PUJ obstruction and re-implantation of the ureters are performed. More than 200 laparoscopic live donor nephrectomies and over 130 (the largest Indian experience) laparoscopic adrenalectomies have been successfully performed. We are one of the few centres in India who perform laparoscopic radical prostatectomy regularly for organ confined prostatic cancer.

Urological Oncology 

The Department of Urology has a separate division for urological malignancies. The cancers of kidney, bladder, prostate, ureters, adrenals, testis and penis are taken care by this section. A subspecialty clinic in Uro-oncology is a unique venture in India. In cases where multimodality treatment is required, our institution has medical oncologists, radiation oncologists, state-of-the-art radiology, pathology and nuclear medicine departments, all under one roof. There are facilities for brachytherapy, conformal radiotherapy, Intensity-Modulated Radiation Therapy (IMRT) and therapeutic nuclear medicine procedures. The Uro-oncologists, radiation oncologists, medical oncologists and Uro-pathologists discuss the cases and make combined decisions on the management of all the cases at the Tumour Board. Follow up and further management are done as per the current protocols.

Kidney Cancer 

Surgeries like laparoscopic and open radical nephrectomies are the mainstay of treatment in kidney cancer. Complicated surgeries that require IVC exploration in locally extensive kidney cancers, open and laparoscopic partial nephrectomies (nephron sparing surgeries), and immunotherapy for advanced renal cancers are regularly done.

Prostate Cancer 

Diagnosis of prostate cancer by TRUSS-guided multicore biopsy, and staging by bone scan, PET CT, 1.5 Tesla MRI, MD CT have greatly improved the detection of early disease and improved the outcome. Laparoscopic prostatectomy, conformal radiotherapy, IMRT (Image modulated radiotherapy) and brachytherapy all are routinely performed here.

Bladder Cancer 

The gold standard for the treatment of advanced bladder cancer is radical cystectomy with orthotopic neobladder reconstruction. After removal of the diseased bladder, the bladder is reconstructed with a loop of intestine in the same sitting so that the patient is able to pass urine naturally. The quality of life is greatly improved as the patient is free from using a pouch to collect urine and the resultant social embarrassments. In a certain subset of patients, bladder preservation is done with the help of chemo radiation after endoscopic resection of the tumour.

Testicualr Cancer 

The gold standard for the treatment of advanced bladder cancer is radical cystectomy with orthotopic neobladder reconstruction. After removal of the diseased bladder, the bladder is reconstructed with a loop of intestine in the same sitting so that the patient is able to pass urine naturally. The quality of life is greatly improved as the patient is free from using a pouch to collect urine and the resultant social embarrassments. In a certain subset of patients, bladder preservation is done with the help of chemo radiation after endoscopic resection of the tumor.

Adrenal Tumors 

Key hole surgery has replaced open adrenelectomy as there is better visualisation and enhances early recovery. We have the largest series of laparoscopic adrenalectomies in India . Retroperitoneoscopic adrenelectomy is done only in a handful of centres in the world with Amrita Hospital being one.

Penile Cancer 

Partial or total penectomy and radical lymph node dissection is the standard treatment in carcinoma of penis. Recent advances in the treatments have reduced the treatment morbidity considerably. With the help of plastic surgery team, penis can be reconstructed with forearm flap which makes the life of these unfortunate people comfortable. They can have a normal sexual life with the help of penile implants.

Laparoscopic Surgeries in Uro-oncology 

The laparoscopic surgery has changed the surgical concept in Uro-oncology. Most of the open surgeries like radical nephrectomy, nephroureterectomy, radical prostectomy and radical cystectomy are now done more and more with minimum morbidity and early return to work.

Paediatric Urology 

Expertise for the surgical reconstruction of congenital defects of the urinary tract either by open surgery or laparoscopy is available. Hypospadias, vesico ureteric reflux, hydronephrosis, stone disease, urethral valves, etc. are routinely corrected at Amrita Hospital. The neonatal anaesthesia and ICU support facilities are excellent. We are the only centre in South India who has an active paediatric laparoscopic urology program.

Renal Transplantation and Access Surgery

Renal transplantation is routinely performed once or twice a week with a dedicated transplant ICU. Laparoscopic kidney retrieval, vascular access and fistula creation are also done routinely. The hospital is involved in cadaveric multiorgan retrieval and transplantation program in association with SORT (Society for Organ Retrieval and Transplantation), a voluntary NGO in Kerala.

Female Urology and Neuro-urology

Treatment of women with incontinence of urine and management of urinary problems in patients with neurological disease or injury is practiced as a sub-specialty. “Life tech Janus IV” urodynamic equipment available at the center correctly aids in managing these unfortunate patients. Expertise for sling operations, TVT (TransVaginal Tape), TOT (TransObturator Tape), SPARC (SupraPubic Arc sling) and augmentation and continent urinary diversion procedures are available.

Andrology

Evaluation methods for erectile dysfunction including pharmacocavernosometry, pharmacocavernosography and procedures like penile implantation surgery are done regularly.

General Urology

Stones in the kidney, ureter, bladder, common diseases of the urethra (stricture), prostate (cancer, enlargement) and bladder are routinely treated. All the advanced treatment options for stones in the kidney and other parts of the urinary tract are available. The latest “Dornier Compact Delta” ESWL machine is available for the most effective crushing of stones without surgery.

Ancillary Services

Advanced urological imaging, pathology, microbiology, nuclear medicine, anaesthesia, cardiology, nephrology, oncology and paediatric services contribute to complete team approach to our patients.

Procedures performed

• Laparoscopic Urology

The department is recognized as one of the apex centres in laparoscopic urology. Both laparoscopic and retroperitoneoscopic surgeries including:

• Laparoscopic and retroperitoneoscopic adrenalectomy
• Laparoscopic and retroperitoneoscopic nephrectomy and radical nephrectomy, laparoscopic nephron sparing surgeries
• Laparoscopic pyeloplasty
• Laparoscopic radical prostatectomy
• Laparoscopic donor nephrectomy
• Endo Urology
  • Ureteroscopy
  • Flexible ureteroscopy and laser lithotripsy
  • Transurethral Resection of the Prostate TURP
  • Transurethral Resection of Bladder Tumour TURBT
  • Endopyelotomy and retrograde endopyelotomy
• Onco Urology

Prostate Cancer

• Open and laparoscopic radical prostatectomy
• Intensity Modulated Radiation Therapy (IMRT) and Conformal Radiotherapy
• Hormonal treatment
• Chemotherapy
• Radio isotope treatment

Kidney Tumours

• Radical nephrectomy: open and laparoscopic
• Nephron sparing surgeries: open and laparoscopic
• Radiofrequency Ablation (RFA)
• Immunotherapy

Testicular Tumors

• Inguinal orchiectomy
• Retroperitoneal lymph node dissection
• Chemotherapy and radiotherapy

Bladder Cancer

• Radical cystectomy and conduit
• Orthotopic neobladder
• Bladder preservation

Penile Cancer

• Penectomy and penile reconstruction
• Reconstructive Urology 
  • Vescico ureteric reflux : STING therapy, laparoscopic and open ureteric reimplanation.
  • Urethral stricture : Perineal urethroplasty, Buccal mucosal graft urethroplasty, Transpubic urethroplasty.
  • Pelvi uretric obstruction : Laparoscopic and open pyeloplasty Endopyelotomy.
  • Female urology : TVT (TransVaginal Tape), TOT (TransObturator Tape), SPARC (SupraPubic Arc sling)  surgery, Reconstructive surgery for Vesicovaginal fistula (VVF) and Urovaginal fistula (UVF).
• Andrology 
  • Pharmaco cavernosography and cavernosometry
  • Penile prosthesis implantation
  • Penile vascular reconstruction
  • Surgeries for Peyronie’s Disease
• Paediatric Urology 
  • Paediatric pyeloplasty: Lap/open
  • Paediatric adrenalectomy: Lap/open
  • PUV fulgration
  • Ureteric reimplanation: ( Lap/open) and STING surgery
  • Hypospadias repair

Our philosophy is rooted in providing compassionate, holistic, and high-quality healthcare. We believe in integrating advanced medical technologies with a patient-centered approach, ensuring that every individual receives personalized and comprehensive care. Inspired by the selfless dedication of Shri Mata Amritanandamayi Devi, we are committed to serving our community with love, respect, and empathy. Our goal is to heal, support, and uplift our patients, ensuring their well-being and enhancing their quality of life. 

• Modern Operating Theatres: Equipped with the latest surgical tools and technologies. 
• Advanced Imaging Centres: Comprehensive radiology services including MRI, CT, and ultrasound. 
• Well-Equipped Laboratories: State-of-the-art facilities for pathology, microbiology, biochemistry, and more. 
• Robust Support Services: Anaesthesia and Intensive Care, Infectious Diseases, Nephrology, Physical Medicine, Plastic and Reconstructive Surgery, Endocrinology, Neuro-Sciences, Radiation and Medical Oncology, and many more. 
• Dedicated Patient Care Areas: Comfortable inpatient wards, specialized units for paediatrics, geriatrics, gynaecology, and pain and palliative care. 
• Comprehensive Rehabilitation Services: Physical medicine and rehabilitation services to support patient recovery. 
• Uro Radiology

Ultra sound machine: The department has its own B-K ultrasound machine apart from the facility available in Radiology to do ultra sound guided procedures like TRUSS guided prostate biopsy, percutaneous nephrostomy, ultrasound-guided aspirations, etc. It has a dedicated TRUSS probe for an accurate prostate biopsy to diagnose prostate cancer. The department has a separate radiology suite for doing procedures like MCU (micturating cystourethrogram) and RGU (retrograde urethrogram). It is supported by a radiology department with all modern equipment including:

CT: MD CT ( Seimens sensation 64) , Seimens CT scan

MRI: GE HD xT, Magnotom symphony classic

Most modern invasive radiology suite

Ultra sound section having 4 ultra sound machine

A mobile USG and X ray unit

Image guided radiofrequency ablation equipment

Seimens double head Gamma camera: Used for all procedures including diagnostic services like bone scan, DTPA scan, DMSA scan, MAG3 and therapeutic procedures in carcinoma prostate.

• Uro Dynamics

Two uroflow meters and Labourie Janus urodynamics machines are used for assessing the urine flow and evaluating neurogenic bladder

• Flexible Cystoscopy

Two Karl Storz flexible cystoscopes are used in the evaluation of hematuria to rule out bladder malignancies and in the follow up of bladder cancer to diagnose early recurrence. They help to avoid anaesthesia during routine cystoscopy as the procedure is painless.

• Extracorporeal Shock Wave Lithotripsy (ESPWL)

A Dornier compact sigma lithotripter is used for extra corporeal lithotripsy

• Kerala’s first Centre to start Retroperitoneoscopic kidney surgery
• Kerala’s first pelvic dysfunction clinic.
• Kerala’s first Robot-assisted Retroperitoneoscopic lymph node dissection for testicular malignancy.
• First in Kerala to offer BMG (Buccal mucosal graft) urethroplasty for women for treating female urethral stricture (narrowing of the urethra) in 2022

Laparoscopic Urology 

• The department is recognized as one of the apex centres in laparoscopic urology. Both laparoscopic and retroperitoneoscopic surgeries including: 
• Laparoscopic and retroperitoneoscopic adrenalectomy 
• Laparoscopic and retroperitoneoscopic nephrectomy and radical nephrectomy, laparoscopic nephron sparing surgeries. 
• Laparoscopic pyeloplasty 
• Laparoscopic radical prostatectomy 
• Laparoscopic donor nephrectomy 

Endo Urology 

• Ureteroscopy 
• Flexible ureteroscopy and laser lithotripsy 
• Transurethral Resection of the Prostate TURP 
• Transurethral Resection of Bladder Tumour TURBT 
• Antegrade and retrograde Endopyelotomy 

Robotic Assisted Laparoscopic Surgery 

• Radical prostatectomy and other prostate surgeries 
• Radical cystectomy and other bladder surgeries 
• Retroperitoneal lymphadenectomy 
• Adrenal surgeries 
• Partial Nephrectomy 
• Pyeloplasty 
• Ureteric reimplantation 
• Sacrocolpopexy 
• Radical inguinal lymphadenectomy 
• Vesico-vaginal fistula repair 

Uro-oncology 

• Prostate Cancer 
  • Open, laparoscopic and robotic assisted radical prostatectomy 
  • Intensity Modulated Radiation Therapy (IMRT) and Conformal Radiotherapy 
  • Hormonal treatment 
  • Chemotherapy 
  • Radio isotope treatment 
• Kidney Tumours 
  • Radical nephrectomy: open and laparoscopic 
  • Nephron sparing surgeries: open and laparoscopic. 
  • Radiofrequency Ablation (RFA) 
  • Immunotherapy 
• Testicular Tumours 
  • Inguinal orchiectomy 
  • Retroperitoneal lymph node dissection 
  • Chemotherapy and radiotherapy 
• Bladder Cancer 
  • Radical cystectomy and conduit 
  • Orthotopic neobladder 
  • Bladder preservation 
• Penile Cancer 
  • Penectomy and penile reconstruction 
  • Video-assisted and open inguinal lymphadenectomy 

Reconstructive Urology  

• Vesico-Ureteric Reflux: STING therapy, laparoscopic and open ureteric reimplantation. 
• Urethral stricture: Perineal urethroplasty, Buccal mucosal graft urethroplasty, Trans pubic urethroplasty. 
• Pelvi ureteric obstruction: Laparoscopic and open pyeloplasty Endopyelotomy. 

Female urology 

• Rectus sheath/Tensor fascia lata pubovaginal sling 
• TVT (Tension-free Vaginal Tape) 
• TOT (Transobturator Tape) 
• Reconstructive surgery for Vesicovaginal fistula (VVF)  
• Uretero-vaginal fistula (UVF) 
• Laparoscopic/robotic/open sacrocolpopexy 
• Anterior colporrhaphy 

Andrology  

• Pharmacocavernosography and cavernosometry 
• Penile prosthesis implantation 
• Penile vascular reconstruction 
• Surgeries for Peyronie’s Disease 
• Epididymal and Testicular sperm aspiration for in-vitro fertilisation 
• Microscopic varicocelectomy 

Paediatric Urology  

• Paediatric pyeloplasty: Lap/open 
• Paediatric adrenalectomy: Lap/open 
• PUV fulguration 
• Ureteric reimplantation: (Laparoscopic/open) and STING surgery 
• Hypospadias repair 

Endourology 

• Endoscopic treatments for stones and diseases of the kidney, ureter, bladder, prostate, and urethra 

Laparoscopic Urology 

• Nephrectomy (kidney removal) 
• Radical and partial nephrectomy 
• Stone extraction 
• Correction of hydronephrosis due to PUJ obstruction 
• Ureteral re-implantation 
• Laparoscopic live donor nephrectomies 
• Laparoscopic adrenalectomies 
• Laparoscopic radical prostatectomy for organ-confined prostatic cancer 

Urological Oncology 

• Multimodality treatment for urological cancers 
• Brachytherapy 
• Conformal radiotherapy 
• Intensity-Modulated Radiation Therapy (IMRT) 
• Therapeutic nuclear medicine procedures 

Kidney Cancer 

• Laparoscopic and open radical nephrectomies 
• IVC exploration for locally extensive kidney cancers 
• Open and laparoscopic partial nephrectomies (nephron sparing surgeries) 
• Immunotherapy for advanced renal cancers 

Prostate Cancer 

• TRUS-guided multicore biopsy 
• Bone scans, PSMA PET CT scans, 1.5 and 3 Tesla MRI for staging 
• Laparoscopic prostatectomy 
• Conformal radiotherapy 
• IMRT (Image Modulated Radiotherapy) 
• Brachytherapy 

Bladder Cancer 

• Radical cystectomy with orthotopic neobladder reconstruction 
• Chemo-radiation following endoscopic tumour resection for bladder preservation 

Testicular Cancer 

• Surgical removal of the testicle (orchiectomy) 
• Retroperitoneal lymph node dissection (RPLND) 
• Chemotherapy or radiation therapy 
• Open or robot-assisted laparoscopic RPLND 

Adrenal Tumors 

• Keyhole surgery (laparoscopic adrenalectomy) 
• Retroperitoneoscopic adrenalectomy 

Penile Cancer 

• Partial or total penectomy 
• Radical lymph node dissection 
• Penile reconstruction using a forearm flap 
• Penile implants 

Pediatric Urology 

• Surgical correction of congenital urinary tract defects (e.g., hypospadias, vesicoureteric reflux) 
• Neonatal anesthesia and ICU support 
• Paediatric laparoscopic urology 
• Renal transplantation for children 
• Upper and lower endourologic procedures 

Renal Transplantation 

• Regular renal transplantation procedures 
• Laparoscopic donor nephrectomies 
• Cadaveric multiorgan retrieval and transplantation initiative in collaboration with SORT 

Female Urology and Neuro-Urology 

• Treatment of urinary incontinence 
• Management of urinary issues in patients with neurological conditions 
• Rectus sheath pubovaginal sling operations 
• TVT (Tension-free Vaginal Tape) 
• TOT (Trans-Obturator Tape) 
• Augmentation cystoplasty and continent urinary diversion procedures 
• Robotic or laparoscopic sacrocolpopexy 
• Urethrolysis and removal of synthetic slings 

Andrology 

• Penile doppler, pharmacocavernosometry, and pharmacocavernosography 
• Penile prosthetic implantation surgery 
• Artificial urinary sphincter (AMS 800) insertion for severe male urinary incontinence 

Sex Reassignment Surgery 

• Urological aspects of gender confirmation surgery 

General Urology 

• Treatment of kidney, ureteral, and bladder stones 
• Management of common urethral diseases (e.g., strictures) 
• Treatment of prostate conditions (e.g., cancer, enlargement) 
• Advanced treatment options for urinary tract stones using "Dornier Sigma" ESWL machine 

Phone: 0484-2851320, 0484-6681320 

Email: urology@aims.amrita.edu