What we do


Prostate gland is a central part of the male reproductive system located just beneath the bladder. Prostate cancer is one of the most common and treatable cancer.

Male hormones cause the prostate gland to grow with age. If male hormone levels are low, the prostate gland will not grow to full size. For old men, the part of the prostate around the urethra often persists in growing. This causes BPH (Benign Prostatic Hyperplasia), resulting in urination problems.

This disease is rare for men below 50 years. The risk of developing prostate cancer increases later and by the time a man crosses 80, more than 50% of men will have some cancerous growth, which may or may not require medical treatment. However there are certain factors associated, which increases the risk of developing prostate cancer.

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Stages of Prostate Cancer

General Information on Staging:

  • Staging is a process by which the physicians categorize the risk of cancer and the extent to which the disease has spread within the body, including the size of the (primary) tumor.
  • By knowing the stage of disease a doctor can easily plan treatment and make an estimate regarding chances of recovery
  • The information acquired by the physician is based on physical examination, imaging studies, and blood tests.
  • The most widely used process is called the TNM System. The TNM staging system is basically categorized on Tumor size (T), whether cancer cells have shift to nearby lymph Nodes (N), and whether Metastasis - spread of cancer

Stage Grouping

The TNM combination is grouped in I (Least advanced) to IV (Most advanced) stages. This is done by combining the categories of T, N and M. Stage grouping helps in determining treatment options and the outlook for survival or cure. The following graphics, produced by the National Cancer Institute, highlights the urologic organs and prostate cancer stages.

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1. Is RARP operation safe?

2. When can RARP be done after biopsy?

3. How is the appointment made for RARP?

4. What are the medical tests carried for the procedure?

5. What is the preparation required before the operation?

6. How much time wills the operation last and what would be the peri-operative experience?

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  • Each year, kidney cancer is diagnosed in about 190,000 people worldwide. Kidney cancer is slightly more common in men and is usually diagnosed between the ages of 50 and 70 years.
  • Kidney cancer is curable in early diagnosis. In case of early detection, a survival rate of a patient would range from 79 to 100 percent.
  • A kidney tumor is an abnormal growth of cells in the kidney.
  • Tumors may be benign (non-cancerous) or malignant (cancerous).
  • The most common kidney tumor is a fluid-filled area called a cyst.
  • Simple cysts are benign, do not turn into cancer and usually do not require follow-up care. Solid kidney tumors can be benign, but are cancerous more than 90 percent of the time.
  • It is possible that kidney cancer can grow into the renal vein and vena cava. The renal vein is the kidney's primary draining vein and the vena cava is the vein that takes blood to the heart.

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1. What is Kidney Robotic Surgery?

2. Why should I have partial nephrectomy rather than total kidney removal?

3. What question should I ask to my doctors before kidney Robotic Surgery?

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At CRS we use state-of-the-art technology to provide our patient ultra-modern treatment. We offer several potential benefits to patients facing kidney surgery, including:

  • Excellent clinical outcomes and cancer control
  • Short hospital stay
  • Low blood loss
  • Precise tumor removal and kidney reconstruction
  • Excellent chance of preserving the kidney, in certain operations
  • Low rate of operative complications

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  • A Foley catheter will drain urine from your bladder.
  • The catheter will be removed after 5 days following surgery.
  • You will be able to resume clear liquids the day after your surgery.
  • Your diet will be advanced as tolerated.
  • You will be encouraged to ambulate starting the day of your surgery. You will be given oral or intravenous pain medication as necessary to relieve pain.
  • You will be discharged home once you are able to tolerate a normal diet, your pain can be controlled by an oral pain medication, and your abdominal drainage tube and Foley catheter has been removed.
  • Your treating doctor will provide discharge instructions.

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Bladder cancer is a type of malignancy arising out of the urinary bladder in which abnormal cells multiply without control. A bladder is a hollow and a muscular organ about the size of a grape fruit that stores urine and is located in the pelvis. Bladder cancer causes blood in the urine.

According to statistics, bladder cancer is the 4th most common cancer in men and 9th most common cancer in women in the world with 350,000 new cases registered every year. It roughly claims of 145,000 lives annually. Men are 3/4th times more prone to bladder cancer compared to women. Genetic factors, family history, lifestyle such as rate of smoking or drinking are some of the issues causing bladder cancer. It is most common among certain ethnic groups such as South and East European countries, parts of Africa, the Middle East and North America. In USA also bladder cancer is the 4th most common cancer among men and 9th most in women.

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1. What are the signs and symptoms of bladder cancer?

2. What types of tests will the doctor conduct to determine if I have bladder cancer?

3. What is a Cystoscopy?

4. What is meant by "staging and grading" a tumor?

5. What types of treatments are available?

6. What is a Trans Urethral Resection of a Bladder Tumor (TURBT)?

7. What is intravesical therapy?

9. What are the types of urinary reconstructions available if I need to have my bladder removed?

10. When is chemotherapy used?

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A robot surgical system provides high definition view to surgeon, urologist or an oncologist, and provides better view for surgery, distinguishes the vital muscles and delicate nerve tissues surrounding the operative area, providing the opportunity to preserve them. With conventional laparoscopic instruments 360 degree movement is not possible, with advance robot surgical system patient gets benefits such as:

  • Marginal harm to vital muscle and gentle nerve tissue as a result of the surgery.
  • A shorter hospital stay
  • Faster return to normal life
  • Fewer visible scars.
  • Reduced risk of blood loss.
  • Rare chances of post-operative infections.
  • Minimized chances of post-operative incontinence or impotence.
  • Minimized chances of other complications commonly associated with cystectomy.
  • Minimal post-operative pain and discomfort.
  • The unprecedented technology of the da Vinci Surgical System which offers surgeons, oncologists and urologists a high-definition, three-dimensional view of the procedure, as well as the assistance of the robot in suturing.

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  • After the operation, patient is usually kept in the postoperative ICU for 48 to 72 hours.
  • The patient is actively monitored during this period for any complications.
  • Usually we advise patient to move lower limbs and actively do chest physiotherapy exercises within the same evening.
  • The patient is asked to sit on the next postoperative day.
  • He is ambulated fully on the second postoperative day.
  • Depending on the abdominal fullness, the tube that is placed in the stomach through the nostrils is removed on either 2nd or the 3rd postoperative day.
  • The bladder catheter tube is washed with saline water to get rid of mucus every eight hourly interval.
  • Once the patient is comfortable, he is shifted out of the ICU and kept in the rooms before discharge.
  • A drain is monitored for output and is generally removed once the output is less than 100 ml.
  • Usually patient starts tolerating food on the 3rd day. If the treating surgeon delays it, then he/she is supplemented with intravenous energy fluids.
  • The patient normally goes out of the hospital with a bladder tube on 5th or 6th postoperative day.
  • The catheter remains for a period of 3 weeks and then is removed after a small procedure under fluoroscopy.
  • We ask the patient to be admitted for a day or two after catheter removal in the 3rd postoperative week. Patient is again monitored for normal voiding and any deviation thereby.

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Robotic-assisted minimally invasive surgery is now slowly being accepted worldwide. The da Vinci surgical system (Intuitive Surgical) provides delicate tele-manipulation, with three-dimensional visualization and superior magnification.

It has bridged the gap between laparoscopy and open surgery. Nonetheless, a confident understanding of pure laparoscopy is paramount in the event that mechanical malfunction is experienced.

Robotic pediatric urologic procedures such as :

  • Pyeloplasty,
  • Ureteral re-implantation,
  • Abdominal testis surgery and
  • Partial or total nephrectomy with or without ureteral stump removal are routinely performed at select centers offering robotic expertise.

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1. How does pediatric robotic surgery work?

2. Which urological procedures are being done robotically at MPUH Nadiad?

3. What are the advantages of pediatric robotic surgery?

4. How long will the kid be in the hospital?

5. What is the age of the youngest child being operated at Nadiad?

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At our centre we have done pediatric robotic procedures in children as young as 3 months of age.

The aim of any minimally invasive surgery is to offer comparable outcomes to open surgery with added benefit of cosmesis. Robotic assisted laparoscopic surgery offers this benefit, even in pediatric population.

The well-known advantages of robotic surgery are motion scaling, absence of physiological tremors, 3D and high definition vision.

Robotic pediatric surgery befits the dictum “What one sees better, it is done better”. This holds true particularly in pediatric population wherein majority of surgeries require precise and accurate suturing.

The varieties of pediatric robotic procedures that have taken place include pyeloplasties, ureteric re-implantation, and augmentation cystoplasties. All these require accurate suturing. Robot helps exactly in this aspect.

Recently the application of robot has been shown in procedures such as mitrofanoff procedures used in neurogenic bladders.

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The post-operative course after robotic pediatric surgery is dictated depending on the type of surgery done.

In pediatric pyeloplasties an indwelling catheter placed introperatively is removed on day 1 and the patient is discharged on day 2. The same post operative course applies for ureteric re-implantation

In other major procedures such as robotic augmentation the patient remains hospitalized for approximately 4 to 5 days.

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Testimonial 4

Lt Col ( Retd) Sirajuddin sent a message using the contact form at http://www.mpuh.org/feedback. quote I would like to convey my sincere appreciation to Dr Mahesh Desai and his team at MPUH for all the compassion and professionalism that I came across during my visit to the hospital in connection with my enlarged prostate problem. View Full →
- Lt Col ( Retd) Sirajuddin , Udaipur (Rajasthan)-

Testimonial 1

Firstly, the infinite care that was given to my husband, Courtney. Shields Ferguson, was awesome. No problem or pain was over-looked and the most important point that I want to commend the doctors on is this fact. It was not just one man’s opinion but it was the whole team that discussed each case and View Full →
- Gail and Courtney Ferguson

Testimonial 2

I take this opportunity to thank you all for your invaluable support and excellent care during my stay at MUPH. My special thanks goes to Mr. Naji A. N. Said, Consultant Urological Surgeon, The Aga Khan Hospital, Nairobi for his rightful referral to MUPH, Dr. Mahesh Desai for his prompt response to my call for View Full →
- Abdulkadir Hashim , Nairobi, Kenya-

Testimonial 3

17/4/2012 Patient Name: Maj.Gen.(Rtd.) Barrack O.C. Onyango, Nairobi, Kenya Major General Onyango underwent a robotic-assisted surgery at MPUH, Nadiad. He was impressed with the total commitment, punctuality and dedication of not just the doctors at MPUH but the entire hospital staff also, e.g. nurses, attendants, support staff, etc. He said that MPUH (India) was recommended View Full →
-Maj.Gen.(Rtd.) Barrack O.C. Onyango , Nairobi, Kenya-