When is prostate surgery indicated?

Prostate surgery is indicated when the prostate is larger than 50 gm and the flow if the urine has reduced below 10ml/sec, and the residual urine has increase beyond150ml. Some patients have difficulty in holding urine these patients also benefit from prostate surgery.

What is the recovery period needed from prostate surgery?

Generally three weeks of active rest at home is enough for complete recovery from a laser prostate surgery. The patient can walk inside the house and even climb stairs to walk around in the garden or the roof top of their house. During this period any heavy weight lifting is prohibited like lifting of heavy bucket of water. Also the patient should avoid straining at stools for which they are generally advised to take lady finger and isobgul husk...

Can heart patients be treated with laser prostate surgery?

Since prostate is a disease of the elderly male therefore many of the patients have cardiac issues. Prostate laser surgery is much safer than electroresection of the prostate by TURP. · Lesser bleed therefore less need to stop blood thinners · Lesser cardiac strain since less water is absorbed during laser surgery · Safe in patients on pacemaker since there is no electrical interference So in cardiac cases consult Dr Avishek Mukherjee MS MCh for further care.

What is Laser Prostate Surgery ?

Laser prostate surgery does not use any electrical current and therefore is safer in patients. The bleed is less and therefore the infection rate is less. The patient has a faster recovery. In cardiac cases on blood thinners the patient can be operated safely with little need to stop the blood thinner. In patients with pacemakers the turp electrical surgery can interfere with the pacemaker, since laser does not interfere with the pacemaker, the surgery is safer in patients with pacemakers. Even in patient with poor cardiac ejection fraction the laser does not increase the load on the heart and therefore is safer than TURP.

how to check for prostate cancer?

Prostate cancer is a very common cancer in men above the age of 60. It can be detected by a simple blood test PSA. If the PSA is elevated then the surgeon shall further confirm the diagnosis of prostate cancer with other tests too.

How to confirm prostate cancer?

If the PSA level is elevated and the patient has no infection or retention of urine then the surgeon shall advise for an MRI test. If the MRI shows presence of a high suspicion lesion then the uro cancer surgeon generally advises of a transrectal core needle biopsy.

What is prostate biopsy? Is it essential?

Prostate biopsy is a safe and essential test needed to diagnose the presence of prostate cancer. There is no chance of spread of the cancer due to the biopsy. But without biosy no treatment can be done of the cancer. This biopsy is performed under sedation and is painless and safe.

What is the treatment of prostate cancer?

The best treatment of prostate cancer is radical prostate cancer removal surgery. This is best performed by Dr Avishek Mukherjee MS Mch who is the pioneer of this surgery in eastern India. He performed the first totally laparoscopic radical prostate cancer surgery in Kolkata in the year 2004.

Who is the best prostate cancer surgeon?

Dr Avishek Mukherjee MS MCh is the best prostate cancer surgeon and has treated this complex cancer with great success for the past 25 years. He has performed many laparoscopic radical prostate surgeries and the patients have an excellent quality of life after the surgery.

Which hospital is best for prostate cancer care?

NKPC Kidney clinic is a specialised centre for treatment of urological cancers. Therefore, this is best centre for your prostate cancer care. This centre Is headed by our chief surgeon Dr Avishek Mukherjee MS MCh. This centre was started in the year 2007 with the intention to provide state of the art care for all kidney bladder and prostate patients.

Can prostate cancer be cured?

Prostate cancer can be cured if operated in stage one and two. However even in advanced cases we can provide an excellent quality of life to these patients with combination of radical surgery and also with hormone deprivation therapy.

How can we prevent prostate cancer?

A healthy lifestyle reduces the chance of prostate cancer. Regular sexual activity is also a very important part of prostatic health and helps in reducing the chance of prostate cancer.

What are the symptoms of prostate cancer?

Prostate cancer is initially asymptomatic but in later stages it can present with obstruction to urine flow. Also patient may have bleed in the urine. In more advanced cases the patient may have pain the bones of the body.

How can we detect prostate cancer?

Prostate cancer can be detected by evaluation by a uro-cancer surgeon. Initially a PSA test is ordered which is prostate specific antigen. If the results are out of range then a MRI of the prostate is ordered. If the suspicion of cancer is high then the surgeon will perform a prostate biopsy. This is the confirmatory test for prostate cancer detection.

What is the best treatment for prostate cancer?

The best treatment for prostate cancer is complete curative laparoscopic resection of the cancer affected prostate along with removal of the draining lymph nodes. This surgery is relatively blood less and pain less and the patient can return to normal life after a period of one month.

Which hospital is best for treatment of prostate cancer?

NKPC Kidney clinic is the best centre for treatment of prostate cancer in eastern India. It has a specialised team dedicated to management of this complex cancer and therefore the results are the best.

Who is the best doctor for prostate cancer?

Dr Avishek Mukherjee MS MCH has been trained at AIIMS New Delhi and PGI Chandigarh is the best surgeon for the management of prostate cancer cases. He has more than 25 year experience in treating this cancer. Do seek his consultation at NKPC Kidney Clinic only.

How much time is needed for recovery from this treatment?

Generally, the patient can resume normal life after three weeks of the surgery. The surgery performed by total laparoscopy is less painful and the blood loss is minimal therefore recovery is very fast.

What is the quality of life after this treatment?

Patients generally have very good quality of life after this surgery. They are advised to lead complete functional work and personal life.

How to prevent prostate cancer?

Prostate is a reproductive organ and therefore maintaining a healthy and normal sexual life is essential in preventing prostate diseases. Along with this a healthy and physically active life is essential for prevention of prostate cancer.

For any further queries please consult Dr Avishek Mukherjee MS MCH head of uro-onco-surgery at NKPC Kidney Clinic.

What causes bladder cancer?

Bladder cancer can develop more often in smokers. Although even non smokers can develop the cancer. Presence of obstruction and long standing bladder stones can predispose a person to development of the cancer.

What are the symptoms of bladder cancer?

Bladder cancer in the initial stages is symptoms free but in later stages the cancer can present with bleed in the urine and infection in the urine. Even later stages can present with lower abdomen pain and retention of urine.

How can we detect bladder cancer?

Initially the bladder masses can be detected by ultrsonography but the best test to detect the bladder cancer is cystoscopy to evaluate the bladder. However to confirm the bladder cancer it is important to perform a bladder biopsy. To assess the extent of spread of the disease we can perform a whole body ct scan to assess the presence of distant spread.

Can bladder cancer be cured?

In case of superficial bladder cancer the treatment is laser resection of the bladder tumor. However these tumors will tend to recur and therefore the patient is kept under cystoscopic surveillance for atleast ten years. The patient however has excellent quality of life and can lead a perfectly normal professional and domestic life. In case the tumor is muscle invasive then we need to remove the entire bladder and the prostate by radical laparoscopic surgery and then we reconstruct a new passage for the urine to pass which is called ilial conduit or a neo urinary bladder is constructed. After the resection of these cancers the patient can have a very good quality of life.

Which is the best hospital to cure bladder cancer?

Nkpc kidney clinic a speciality kidney and bladder and prostate cancer care center and we have the best team to treat these cancers therefore NKPC Kidney clinic is your best centre to treat bladder cancer cases

Who is the best surgeon for bladder cancer?

Dr Avishek Mukherjee MS MCH has treated bladder cancer cases for the last 25 years and with his experience and leadership the team at NKPC Kidney clinic is best suited to treat and cure this cancer.

What is kidney cancer?

Cancer cells are mutated cells of the body which attack and destroy normal tissue of the body. Kidney cancers are a very common variety of cancer which occurs more in men. Smoking is an important risk factor for cancer formation in the kidneys.

What are symptoms of kidney cancer?

During the initial stages of the cancer there are no symptoms but in later stages the kidney cancer can bleed and can cause pain and heaviness too. Very late cases can present with fever and lack of appetite due to metastasis to distant organs.

How can we screen for kidney cancer?

The best initial test to diagnose early kidney cancer is an ultrsonography of the kidneys since ultrasound is inexpensive and harmless therefore it is the best initial test. This allows the surgeons to detect early cancers which can then be treated while even sparing the rest of the kidneys.

What is the best treatment for kidney cancer?

Kidney cancers are best treated by surgery to remove the cancer. When the cancer is larger than 4cm and has destroyed more than 50% of the affected kidney then the best treatment is laparoscopic radical surgery to remove the cancer. In this surgery we remove the damaged kidney along with the cancer. This is a lifesaving surgery. And in cases where there is no spread to the rest of the body the patient can lead an excellent quality of life.

What is nephron sparing surgery for kidney cancer?

When the cancer is smaller than 4cm and more than 50% of the kidney is yet functioning then the best treatment is to remove the cancer with a margin of normal kidney tissue but sparing the rest of the functioning kidney. This surgery is called nephron sparing surgery. This surgery is performed by laparoscopy by Dr Avishek Mukherjee MS MCh at NKPC Kidney Clinic.

Who is the best doctor for kidney cancer treatment?

Dr Avishek Mukherjee MS MCh is the best surgeon for kidney cancer treatment in eastern India. He has treated many patients with excellent cure rates. He is the pioneer of nephron sparing surgery in eastern India. He has also started the program of laparoscopic radical cancer surgery for kidney cancer in eastern India.

Which is the best hospital in eastern India for kidney cancer treatment?

NKPC Kidney clinic is the best centre for cancer treatment of the kidney cancer in eastern india. We have a dedicated team with Dr Avishek Mukherjee MS MCh heading the team. We have an excellent record in treating successfully this cancer.

How to prevent kidney cancer?

The best way to prevent kidney cancers is to quit smoking since smoking and sedentary lifestyle and obesity are the primary risk factors for development of kidney cancers.

Why are kidney stones formed?

Kidney stones are formed by deposition of calcium oxalate crystals within the urine. Calcium oxalate is normally present in urine and is kept in solution by the presence of citric acid which keeps the calium oxalate dissolved. If the citric acid is deficient in urine then the calcium crystals accumulate and stones are formed.

How can we diagnose kidney stones?

The first screening test for kidney stones is an ultrasonography. However to diagnose and plan the treatment accurately we always rely on a 32 slice CT scan of the kidney and ureter and bladder.

How can we prevent kidney stones formation?

Kidney stones can be prevented by adequate water intake and also by intake of citrus fruits like musambi and oranges on a daily basis.

What is the prostate gland?

The prostate gland is a reproductive gland located below the urinary bladder and surrounds the urinary outlet passage. When the prostate enlarges, it causes obstruction to the flow of urine.

What are the symptoms of prostatic illness?

Initially, patients may be asymptomatic. As the disease progresses, patients develop increased frequency and urgency of urination. In advanced stages, poor urinary flow and bleeding in urine may occur.

When is surgery needed?

Surgery is required when patients do not respond to oral medication, when urine flow reduces below 10 ml/sec, residual urine volume increases, prostate size exceeds 40 grams, or when bleeding in urine occurs. In such cases, laser prostate surgery is the best option.

Why are lasers better for prostate surgery?

Laser surgery clears prostatic obstruction with minimal bleeding and significantly less strain on the heart. It is currently the safest and most advanced method for prostate surgery. At NKPC Kidney Clinic, Dr. Avishek Mukherjee has extensive experience with excellent outcomes in laser prostate surgery.

Why choose NKPC Kidney Clinic for prostate surgery?

NKPC Kidney Clinic is a specialized center dedicated to prostate care. Under the leadership of Dr. Avishek Mukherjee, the team is equipped to deliver superior results using advanced laser technologies such as HOLEP and HOBNI.

Who is the best surgeon for prostatic illness?

Dr. Avishek Mukherjee has over 25 years of experience in treating prostate diseases. He is a pioneer in laser prostate surgery in Eastern India and is widely regarded as the best surgeon for comprehensive prostate care.

What are kidney stones?

Kidney stones are calcium crystals which accumulate in urine and the cause obstruction and infection and damage to the kidneys and the ureters.

When do they need treatment?

Any stone larger than 5mm should be treated since they can caise damage to the kidney and the ureter

Which stones can be medically managed?

Stones smaller than 5mm which have come down to the lower ureter can be selected for medical care. However these cases need careful follow up and if the stone does not pass in 2 weeks it is safest to opt for laser sugery. Beer intake and very high intake of water can be counterproductive to stone passage.

When is surgery needed?

Surgery is needed when the stones are too large to pass or infection and obstruction have started which can cause danger to the kidneys.

What is laser stone surgery?

Lasers are highly focussed light energy with which we can vaporise stones. Since the surgeon can focuss the beams on to the stone, damage to the kidney and ureter is minimum. Therefore these are the best option for stone care.

What is RIRS?

When the stone is located within the kidneys then we can treat them today with no cut surgery. This surgery is called laser stone surgery by RIRS. The surgeon accesses the kidney from the urinary passage with no cut, pain or bleed. This is the most modern care for stone disease today.

When is PCNL needed?

When stones are super large then we need to make a small puncture in the back of the patient to acess the stone inside the kidney. This is minimally invasive and painless surgery.

Who is the best surgeon for kidney stones?

Dr Avishek Mukherjee MS Mch is highly experienced surgeon for kidney stone disease. He is the best kidney stone and RIRS surgeon in Eastern India.

Which is the best hospital for kidney stone care?

NKPC Kidney clinic is a focussed kidney care centre of excellence. It is the best centre for stone disease care. Choose NKPC Kidney Clinic for all your kidney stone issues.

Which is the most economical centre for stone disease care?

NKPC kidney clinic is designed to give clinical excellence at most economic costs. The surgeries here often cost a fraction of the cost at any large centre. But since we have focussed at clinical excellence always we provide state of the art care for stone disease management.

What are hernias?

The contents of the abdomen are encased within a wall of muscles. These protect the content from any trauma. However whenever these muscles are torn then the intestines can bulge out and can be damaged This is called a hernia. The most common hernias are groin hernia. But hernias can also develop in the umbilicus and also when a surgical scar hasnt healed properly then a incisional hernia can develop.

What are the symptoms of hernia?

Hernias are initially discovered by the patient as a soft ball like bulge which is more evident when the patient is standing or straining at stools or while coughing. However in later cases there may be pain and in evem later cases the intestine camln get obstructed and strangulated within the hernia, this is a life threatening complication of hernia.

How are they diagnosed?

Hernia are best diagnosed by clinical examination by a surgeon. However they can also be diagnosed by ultrasonography and also by CT scan.

What is the best treatment for hernia?

Hernias are always best treated by surgery. There is no medical management. Under no circumstances should a hernia be tightly compressed by a hard material since the intestinal contents of the hernia may be damaged. The latest care today is robotic surgical repair of the hernia. This is performed by the assistance of a surgical robot. The surgeon places a mesh which is a synthetic permanent augmentation of the muscular defect. Since the robot provides much more dexterity like the himan hand therefore this complex surgery can be completed by just using small 1mm incisions.

Which is the best hospital for hernia treatment?

NKPC Kidney clinic has a dedicated team headed by our chief robotic surgeon Dr Avishek Mukherjee MS MCH. It has an excellent track record and a 99% cure rate for hernias.

Who is the best surgeon for hernia?

Dr Avishek Mukherjee MS MCH is the best and most experienced surgeon for the management of hernia cases by advanced robotics. Patients have minimal pain and no blood loss and can return to work within sevem days of the surgery.