Uro Oncology Surgery

Department of Uro-oncology was started in 1996. We started with conventional open surgeries but have evolved into a world class centre capable of doing all textbook Laparoscopic and Robotic Uro-Gynae procedures over the years.

 

Cancer is a major health hazard in the world. Number of  cancer patients is increasing all over due to various known and unknown factors. India is not unaffected by this change. We  provide not only  curative  and palliative treatment but also address preventive aspect of cancer. Early detection and timely intervention can change outcomes significantly.

 

Cancer of the urinary tract comprises some of the most common cancers affecting males. With the rising trend of smoking, alcohol consumption, and increased awareness among patients, we see higher number of patients falling under the operable category. Modern health care paradigm emphasizes not just on treating the disease, but also on improving the quality of life of patients while minimising the morbidity and stress of the treatment. We take pride in shouldering the responsibility of pioneering the best in surgical craft for our patients. It is our guiding principle that no patient should have any unmet need once he or she visits RGCI&RC and thus, our infrastructure always stays in evolution in sync with latest times. Presently we have 2 Da Vinci Robotic systems installed, including the latest Xi version, and have performed more than 4000 robotic surgical procedures. RGCI has been designated as epicentre for robotic surgery training in India in recognition of our high volumes and technical expertise, while maintaining an impeccable track record of surgical safety.

 

In India, our centre is credited with the highest numbers of neobladder formation after radical cystectomy. Our own innovation “Pitcher Pot Neobladder” has minimal requirement for clean intermittent catheterization, which is main drawback of conventionally described neobladders. Results proving excellent outcomes consistent over more than a decade have been published in international peer reviewed academic journals

Post prostatectomy urinary incontinence is one of the most dreaded complications of robotic radical prostatectomy. We were the pioneers of the “Retzius sparing technique” in the Indian subcontinent which restores urinary continence early, resulting in better quality of life after prostatectomy. We have the largest published series of some of the most challenging and rare procedures in Uro-oncology such as robotic post chemotherapy retroperitoneal lymph node dissection   and robotic video-endoscopic groin dissection  in the world. We are ably supported by world class laboratory services and have an in-house molecular lab equipped with latest Next generation sequencing platform – ion torrent S5 with chef. We can also perform Nano string, droplet digital PCR, 10 color flowcytometry, and count circulating tumour cells. We were one of the initial practitioners of HIFU and MRI Fusion biopsy in India and have gained the largest experience in the Indian subcontinent over  years.

 

DIAGNOSTIC FACILITIES

TRUS guided Prostate Biopsy

MRI-TRUS Fusion Guided Prostate Biopsy

Flexible Cystoscopy

Flexible Ureteroscopy

INTERVENTION

Hyperthermic intravesical chemotherapy (HIVEC) for Urinary Bladder Cancer

High intensity focused ultrasound (HIFU) for Prostate Cancer

Open/ Robot-Assisted Laparoscopic Prostatectomy for Prostate cancer

Open/ Robot-Assisted Cystoprostatectomy with intracorporeal/extracorporeal ilial conduit/ orthotopic neobladder for Urinary Bladder cancer

Open/ Laparoscopic/ Robot assisted radical nephrectomy/ Nephron sparing surgery for Renal malignancies

Open/ Laparoscopic/ Robot assisted nephroureterectomy with bladder cuff excision for Ureter Malignancy

Robot assisted retroperitoneal lymph node dissection for Testicular tumor

Open/ Laparoscopic/ Robot assisted Adrenelectomy for Adrenal tumor