MPUH- CRS is a super specialty Urology hospital in India specialized in Robotic Assisted Surgery, Kidney Prostate and Bladder cancer Treatment from Specialist team of surgeon through da vinci robot System.
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Centre for Robotic Surgery is an initiative of Muljibhai Patel Urological Hospital (MPUH), Nadiad, Gujarat – India. It is the first super specialty hospital in India dedicated to Urology. We serve our patients for more than 35 years and we are popularly known as "Nadiad Kidney Hospital".
We have more than 35 years of experience in the field of Urology. Our expert teams of doctors are specialized in Robotic Surgeries. Our Medical Director and Managing Trustee is Dr. Mahesh Desai who is current president of Endourology Society and immediate past president of Société Internationale d'Urologie (SIU)
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.
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
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.
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.
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.
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 :
Abdominal testis surgery and
Partial or total nephrectomy with or without ureteral stump removal are routinely performed at select centers offering robotic expertise.
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.
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)-
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
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-
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 →