Urology

An Arteriovenous (AV) Fistula Formation is an uneven connection between an artery and a vein. Typically, blood travels from the arteries to the capillaries, then to the veins—the capillaries in the blood transport nutrients and oxygen to the body's tissues.

Blood travels straight from an artery into a vein through an arteriovenous fistula, skipping some capillaries. As a result, less blood is delivered to the tissues below the avoided capillaries.

Although they can form anywhere in the body, arteriovenous fistulas typically affect the legs. For use in dialysis, an arteriovenous fistula may be surgically constructed in patients with severe renal disease.

The location of an arteriovenous fistula in the body affects the symptoms it produces. Serious consequences might arise from a sizable arteriovenous fistula that is left untreated. Arteriovenous fistulas can be treated with monitoring, compression, catheter-based techniques, and occasionally surgery.

Heritage Hospitals should be your first choice if you or someone close is advised for an AV Fistula Surgery in Varanasi. With our trained staff and the latest diagnostic aids, we strive to provide the best results.

A Permcath is a kind of catheter used for chemotherapy administration or bone marrow transplantation in individuals with haemophilia. It is also used for short-term dialysis treatment in patients with impaired kidney function. During a permcath procedure, a specific intravenous line is inserted into a blood artery in your neck or upper chest, right below the collarbone. This is termed as PERMACath Insertion.

The permcath is inserted by puncturing the neck's primary vein with a needle under the guidance of ultrasonography. With the aid of X-rays, a guidewire is inserted through the needle and into the main vein that leads to the heart. The vascular surgeon will then insert the dialysis catheter into your right atrium and cut the wire. The catheter's opposite end is inserted through a skin tunnel and emerges from the chest wall. Because of tunnelling, the catheter can stay in place for longer (1–12 months), significantly lowering the infection risk. 

Permcath insertion has modest general hazards, which are possible with every surgical operation. Some complications are:

• Infection danger

• Bleeding Pain

• Wound Breakdown

• Deep Vein Thrombosis

Heritage Hospitals should be your first choice if you or someone close is advised for a PERMA Cath Insertion in Varanasi. With our trained staff and the latest diagnostic aids, we strive to provide the best results.

Normally, our kidneys filter the blood, removing waste materials and extra fluid. If your kidneys have failed, Continuous Ambulatory Peritoneal Dialysis (CAPD) can replace your kidney function by utilising the peritoneum, the membrane that covers your internal organs.

The peritoneum, which borders your body's peritoneal (or abdominal) cavity, is a natural filter and is abundantly supplied with microscopic blood arteries (capillaries). One to three litres of fluid are injected into the area during peritoneal dialysis using a catheter, a long, permanent soft tube of flexible plastic linked to your belly. Waste materials then move into the fluid (dialysate) through the capillaries over many hours. Then it is poured into an empty bag and discarded.

A dialysis "session" or "exchange" introduces new liquid and drains away spent liquid. It is typically done four times daily, and each session lasts around 40 minutes.

Heritage Hospitals should be your first choice if you or someone close is advised for a Peritoneal Dialysis in Varanasi. With our trained staff and the latest diagnostic aids, we strive to provide the best results.

The recommended method for treating bigger kidney stones inside the kidney that are above 2 cm in diameter is Mini Percutaneous Nephrolithotomy (PCNL). The procedure entails keyhole surgery through a 1 cm skin incision. Because it has smaller cameras, more effective stone lasers, and specialised tools, a mini-PERC takes a similar strategy but refines it. The technique is safer and allows for a speedier patient recovery thanks to the tiny incision created in the skin.

The advantages of PCNL include the following-

• Allows for the minimally invasive treatment of big or complex stones, which in the past would have required a major incision and a lengthier hospital stay.
• The current hospital stay is between two and four days, and the recuperation period after discharge is far shorter than with open surgery, as was done in the past.
• Back to work sooner.

To enable the surgeon to more precisely "roadmap" the stone, you will be needed to have certain imaging. In addition to marking out the neighbouring structures around the kidney so they may be avoided, the surgeon can gain a 3-dimensional connection of the stone within the kidney. The surgeon will then be able to arrange the optimal access point(s) into the kidney for efficient stone removal.

Heritage Hospitals should be your first choice if you or someone close is advised for a Kidney Stone Treatment in Varanasi. With our trained staff and the latest diagnostic aids, we strive to provide the best results.
 

Urinary issues brought on by an enlarged prostate are treated surgically by Bipolar transurethral resection of the prostate (TURP). Through the tip of your penis, a device known as a resectoscope is placed into the urethra, which drains urine from your bladder. Your doctor can see and remove extra prostate tissue that is obstructing urine flow with the use of a resectoscope.

Men with moderate to severe urinary issues which have not found relief from medicines are often considered candidates for TURP. While TURP has traditionally been seen to be the most successful therapy for an enlarged prostate, alternative, less invasive techniques are showing increasing promise. Compared to TURP, these operations often result in fewer problems and a shorter recovery time.

TURP lessens the following benign prostatic hyperplasia (BPH) urine symptoms:
 

• The frequent and pressing desire to urinate
• Difficulty beginning to urinate
• Taking a long time to urinate
• Increased frequency of nighttime urination
• Urinating repeatedly while pausing and resuming again
• A sense that your bladder is partially empty
• Infections of the urinary tract

Heritage Hospitals should be your first choice if you or someone close is advised for a Bipolar TURP Surgery in Varanasi. With our trained staff and the latest diagnostic aids, we strive to provide the best results.
 

 A whole bladder is removed during a treatment known as a radical cystectomy. This often involves the prostate and seminal vesicles being removed in males. The uterus, ovaries, fallopian tubes, and a portion of the vagina are frequently removed during a radical cystectomy on a female patient.

Your surgeon must design a new system to retain your pee and enable it to exit your body after removing your bladder. We refer to this as urine diversion. The choices for urine diversion that may suit you will be discussed with your surgeon.

A radical cystectomy is carried out to treat bladder cancer that has spread to the muscular tissue or recurring noninvasive bladder cancer. Although it is infrequently done, a partial cystectomy removes a malignant tumour from a specific bladder area. A straightforward cystectomy, which involves merely removing the bladder, may be used to treat noncancerous (benign) diseases.

Your doctor may advise Cystectomy to treat:

• Bladder cancer that develops or spreads
• Urinary system abnormalities were seen at birth
• Inflammation or neurological conditions that influence the urine system

Your choice of cystectomy and reconstruction will rely on several factors, including the purpose of surgery, your general health, your preferences, and your needs for care.

Heritage Hospitals should be your first choice if you or someone close is advised for a Radical Cystectomy in Varanasi. With our trained staff and the latest diagnostic aids, we strive to provide the best results.
 

Surgery on the urethra, a component of the urinary system, is known as urethroplasty. Urine is transported from the urinary bladder to the body's exterior via the urethra. The urethra in males also transports semen outside of their bodies.

When scar tissue develops inside the urethra, urethroplasty is performed to replace or repair it. After removing the scar tissue, your surgeon joins the two ends of your urethra together. Alternatively, your surgeon may use tissue from another part of your body to repair the blocked piece of your urethra.

If you have a urethral stricture, you could require urethroplasty. 

• This indicates that your urethra has narrowed in certain areas, preventing urine flow. Men are significantly more likely than women to get urinary strictures.
• Your urethra was fixed as a youngster, but you have either epispadias or hypospadias, congenital diseases. Blockages are more prevalent in urethras that have undergone reconstruction.
• You underwent gender-affirming surgery.

Heritage Hospitals should be your first choice if you or someone close is advised for a Urethroplasty in Varanasi. With our trained staff and the latest diagnostic aids, we strive to provide the best results.
 

A tunnel-like hole forming in the vaginal wall is a vaginal fistula. Your vulva (outside female genitalia) and cervix, the opening of your uterus, are connected by a muscular tube called your vagina.

Your vagina and a digestive or urinary system organ become connected by a vaginal fistula. A hole appears where it shouldn't be in your vaginal wall due to tissue damage.

Genitourinary vaginal fistulas develop between the female reproductive system's vagina and uterus and the urine system's organs. Your genitalia and urine system is referred to as genitourinary.

A vesicovaginal fistula is the most typical variety, which occurs when an opening forms between your vagina and bladder (the organ that stores pee). Among the other genitourinary vaginal fistulas are:

• The tubes that convey urine from your kidneys to your bladder are called ureterovaginal fistulas, and they connect your vagina and ureters.
• Fistulas between your vagina and urethra, the tube that exits your body when you pee, are known as urethrovaginal fistulas.

Heritage Hospitals should be your first choice if you or someone close is advised for a Vaginal Uretero Fistula Repair in Varanasi. With our trained staff and the latest diagnostic aids, we strive to provide the best results.