“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….

  • Encrusted DJ Stent

    Neglected DJ stent with encrustations at both kidney and bladder ends which was removed intact without any residuals.

  • Right Staghorn Kidney stone

    Removed endoscopically by PCNL (Percutaneous Nephrolithotomy) - Minimally Invasive Surgery

  • Vesico-Vaginal Fistula (VVF)

    Connection between urinary bladder & vagina leading to continuous urine leak repaired laparoscopically.

The Surgical Saga….

Laparoscopic BMG Ureteroplasty

for long segment upper ureteric stricture

Laparoscopic Partial Nephrectomy

for exophytic renal tumor

The Surgical Saga….

Laparoscopic Nephrectomy

for Non-Functioning Kidney due to lower ureteric stricture

Laparoscopic Partial Cystectomy

for Adenocarcinoma Bladder/Urachus

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….

Laparoscopic Radical Nephrectomy

for Renal tumor

BMG Urethroplasty

for Urethral Stricture

The Surgical Saga….

Pelvi-Ureteric Junction Obstruction due to crossing vessel

PUJO

Pelvi-Ureteric Junction Obstruction due to lower pole crossing vessel

PYELOPLASTY

Posterior wall anastomosis completed over DJ Stent

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

The Surgical Saga….

  • ECIRS

    Endoscopic Combined Intra Renal Surgery-Combination of PCNL+RIRS for complete clearance of very large kidney stones

  • Laparoscopic Ureteric Re-Implantation

    For PRIMARY OBSTRUCTIVE MEGA-URETER

  • Obstructive PUJ Calculus

    Complete clearance achieved with single puncture supine PCNL procedure and patient discharged the next day of surgery

The Surgical Saga….

  • Rt PUJ + Calyceal Calculi

    Shown with Pictoral Representation

  • 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.

  • TURP

    TransUrethral Reaction of Prostate (endoscopic) done for a Enlarged prostate gland

The Surgical Saga….

VESICAL CALCULUS (BLADDER STONES)

Removed by Cystolithotripsy / PCCL

The Surgical Saga….

  • 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

  • Supine PCNL

    PCNL for a huge right kidney stone carried out in supine position with single puncture

  • URSL

    Stone as seen in the ureter cleared by ureteroscopic lithotripsy

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