
“The art of medicine consists in amusing the patient while nature cures the disease”
- Voltaire
Dr. Anvesh A
M.B.B.S , M.S (General Surgery) , M.Ch. (Urology)
“Urologist with passion to serve
every section of society with
precision and compassion”

The Surgical Saga….
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Encrusted DJ Stent
Neglected DJ stent with encrustations at both kidney and bladder ends which was removed intact without any residuals.
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Right Staghorn Kidney stone
Removed endoscopically by PCNL (Percutaneous Nephrolithotomy) - Minimally Invasive Surgery
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The Surgical Saga….
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Renal Hilum
Blood vessels supplying kidney dissected during laparoscopic nephrectomy (removal) for a non functioning kidney
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Multiple End-on Calyceal Punctures
During removal of a large right sided kidney stone via minimally invasive PCNL surgery
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The Surgical Saga….
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Rt PUJ + Calyceal Calculi
Shown with Pictoral Representation
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Laparoscopic Pyeloplasty
Reconstructive Urological Surgery wherein obstruction at the exit of kidney is relieved. In this case there was a crossing vessel which was the cause for obstruction.
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TURP
TransUrethral Reaction of Prostate (endoscopic) done for a Enlarged prostate gland

The Surgical Saga….
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TURBT
TransUrethral Resection of Bladder Tumor (endoscopic) for urinary bladder growth with complete resection - deep muscle layer can be seen post resection which is vital for appropriate staging of the tumor
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Supine PCNL
PCNL for a huge right kidney stone carried out in supine position with single puncture
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URSL
Stone as seen in the ureter cleared by ureteroscopic lithotripsy

The Surgical Saga….
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ECIRS
Endoscopic Combined Intra Renal Surgery-Combination of PCNL+RIRS for complete clearance of very large kidney stones
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Laparoscopic Ureteric Re-Implantation
For PRIMARY OBSTRUCTIVE MEGA-URETER
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Obstructive PUJ Calculus
Complete clearance achieved with single puncture supine PCNL procedure and patient discharged the next day of surgery

The Surgical Saga….
PUJO
Pelvi-Ureteric Junction Obstruction due to lower pole crossing vessel
PYELOPLASTY
Posterior wall anastomosis completed over DJ Stent

The Surgical Saga….
Retro-Caval Ureter
Ureter coursing behind Inferior Vena Cava leading to compression and obstruction corrected laparoscopically by pyelo-ureterostomy

The Surgical Saga….
Uretero-Vaginal Fistula (UVF)
{ Leading to continuous Urinary Incontinence (leak) }
Laparoscopic Ureteric Re-Implantation for Right Uretero-Vaginal fistula

The Surgical Saga….
PERFECT END-ON CALYCEAL PUNCTURE IN PCNL
BOWEL INDENTATION SIGN DURING PCNL !!!!!
BEWARE TO IDENTIFY & OPT FOR A NEW PUNCTURE

“ Testimonials ”