The Department of Urology at Medigram Super Speciality Hospital, Saharanpur, provides assessment and treatment for a wide range of urinary tract and male reproductive health conditions. The department’s listed services include the management of kidney and urinary tract stones, prostate disorders, urological cancers, reconstructive urology, female urological conditions, and male infertility.
Urological problems can affect the kidneys, ureters, bladder, urethra, prostate, and other parts of the urinary and male reproductive systems. Symptoms such as painful urination, blood in the urine, frequent urination, difficulty passing urine, urinary leakage, or recurring urinary infections may require medical evaluation. Early assessment can help identify the underlying cause and guide appropriate treatment.
The department is led by Dr. Sharad Agarwal, whose supplied credentials are MS and MCh in Urology from PGI Chandigarh. According to the information provided for this page, he has performed more than 20,000 major surgeries. The department aims to use its clinical experience and available urological instrumentation to select appropriate treatment options based on each patient’s condition.
Comprehensive Urology Services
Urological conditions vary in their causes, symptoms, and severity. Some may be managed with medication or monitoring, while others require endoscopic, laser, laparoscopic, or open surgical procedures. The appropriate approach depends on the diagnosis, the patient’s general health, and the clinical assessment.
Medigram Hospital’s listed urology services cover several areas of urinary and reproductive health, with a focus on evaluating each patient’s needs and discussing suitable treatment options.
Kidney and Urinary Tract Stone Treatment
Kidney and urinary tract stones develop when minerals and salts form hard deposits within the urinary system. Depending on their size, location, and effect on urine flow, stones may cause severe pain, blood in the urine, nausea, or other urinary symptoms. Some stones may pass without a procedure, while others require medical or surgical treatment.
The Urology Department lists advanced laser technology and several procedures for managing urinary tract stones. The aim is to select an appropriate option based on the stone’s location, size, and other clinical factors.
Advanced Stone Management Procedures
- RIRS (Retrograde Intrarenal Surgery): A minimally invasive endoscopic procedure used to reach and treat selected kidney stones through the natural urinary passage, without a skin incision.
- MiniPerc (Mini-Percutaneous Nephrolithotomy): A technique that accesses the kidney through a small skin opening to remove stones. The exact access size and suitability depend on the procedure and the patient’s condition.
- PCNL (Percutaneous Nephrolithotomy): A procedure used to remove selected kidney stones through an access tract created through the skin.
- URS (Ureteroscopy): An endoscopic procedure used to examine and treat stones in the ureter and, in selected cases, the urinary tract.
- ESWL (Extracorporeal Shock Wave Lithotripsy): Uses externally generated shock waves to break selected urinary stones into smaller fragments.
The department’s supplied information also lists CLT; the intended full form should be confirmed before this abbreviation is published.
Not every stone requires the same treatment. A urologist can explain the available options, expected recovery, possible risks, and follow-up requirements after assessing the patient.
Urological Cancer Care
Urological cancers may affect the kidneys, bladder, prostate, testicles, and other parts of the urinary or male reproductive system. Evaluation may involve a clinical examination, laboratory tests, imaging, and other investigations according to the suspected condition.
The department’s supplied service information includes the management of kidney, bladder, prostate, and testicular cancers. It also lists major cancer surgeries and comprehensive care for patients requiring urological cancer treatment.
For selected patients with bladder cancer, the department describes experience with radical cystectomy and urinary reconstruction using a neobladder or ileal conduit. The suitability of either option depends on the patient’s diagnosis, general health, and treatment plan.
Prostate Cancer Screening and Assessment
The supplied information describes a prostate cancer screening program that includes a serum prostate-specific antigen (PSA) blood test, ultrasound, and transrectal ultrasound (TRUS)-guided prostate biopsy.
These investigations have different purposes. PSA testing may help assess prostate-related concerns, while imaging and biopsy may be recommended when further evaluation is needed. PSA results alone cannot confirm or exclude prostate cancer, and screening decisions should be discussed with a qualified clinician based on the individual’s age, risk factors, and medical history.
Patients with persistent urinary symptoms or concerns about prostate health should seek a urological consultation for appropriate evaluation.
Reconstructive Urology
Reconstructive urology focuses on repairing or restoring the function of parts of the urinary system affected by narrowing, injury, structural abnormalities, or previous surgery.
The department’s supplied service list includes several reconstructive procedures:
- Repair of ureteropelvic junction (UPJ) obstruction: Surgery to correct a blockage where the kidney connects to the ureter, when indicated.
- Vesicovaginal fistula (VVF) repair: Treatment of an abnormal connection between the bladder and vagina.
- Ureteral reimplantation: A procedure that reconnects the ureter to the bladder in selected conditions.
- Bladder augmentation: Surgery to increase bladder capacity in certain patients.
- Urethroplasty: Reconstructive surgery to repair a narrowed or damaged urethra.
The supplied information also mentions buccal mucosal graft (BMG) urethroplasty and perineal end-to-end urethroplasty. The appropriate technique depends on the location, length, and severity of the urethral problem, as well as the patient’s individual clinical circumstances.
Advanced Laparoscopic Urology
Laparoscopic urology uses specialised instruments and small incisions to perform selected operations within the urinary system. Depending on the procedure, this approach may help reduce incision size compared with conventional open surgery, although recovery and outcomes vary between patients.
The department lists advanced laparoscopic procedures, including pyeloplasty, vesicovaginal fistula repair, ureteric reimplantation, and selected ablative surgeries.
Pyeloplasty may be used to correct a UPJ obstruction, while ureteric reimplantation can help address certain problems involving the ureter’s connection to the bladder. The recommended surgical approach depends on the diagnosis and the patient’s overall health.
Female Urology
Female urological conditions can affect bladder function, urinary control, and everyday comfort. Symptoms may include frequent urination, a sudden urge to urinate, urine leakage, difficulty controlling the bladder, or recurring urinary tract infections.
The department lists assessment and management of:
- Overactive bladder
- Stress urinary incontinence
- Urge urinary incontinence
- Urinary frequency and urgency
- Urinary tract infections
- Selected pregnancy-related urinary problems
Stress urinary incontinence refers to urine leakage that may occur during activities such as coughing, sneezing, or exercising. Urge incontinence involves leakage associated with a sudden, difficult-to-control need to urinate. Overactive bladder may cause urgency and frequent urination, with or without leakage.
The supplied information states that female urological problems are evaluated in coordination with a gynaecologist when appropriate. A proper assessment helps determine the likely cause and identify suitable treatment options.
Prostate Enlargement and Other Prostatic Conditions
The prostate is a gland located below the bladder in men. As it enlarges, it may narrow the passage through which urine flows and cause symptoms such as a weak urinary stream, difficulty starting urination, frequent nighttime urination, or a sensation of incomplete bladder emptying.
The department lists assessment of urinary symptoms and several procedures for treating selected cases of enlarged prostate.
- TURP (Transurethral Resection of the Prostate): Removes obstructing prostate tissue through an instrument passed into the urethra.
- Bipolar resection (TURIS): A bipolar technique used for transurethral resection of prostate tissue.
- Holmium laser procedures: Laser-based techniques used in selected prostate conditions, depending on the clinical indication.
The department’s supplied information also lists HoLEP, or holmium laser enucleation of the prostate, under day-care urology procedures. The choice of treatment depends on prostate size, symptoms, other medical conditions, and the urologist’s assessment.
Male Infertility and Andrology
Andrology focuses on male reproductive health, including concerns related to fertility and certain penile conditions. Male infertility can have several possible causes, and assessment may involve a medical history, physical examination, semen analysis, hormonal tests, or other investigations when indicated.
The supplied department information includes assessment of male infertility, microscopic varicocelectomy, and a procedure abbreviated as VEA. The full form of VEA should be confirmed before publication.
The department also lists surgery for Peyronie’s disease and penile prosthesis procedures. Peyronie’s disease can cause penile curvature due to scar tissue, while penile prosthesis surgery may be considered for selected patients with erectile dysfunction after appropriate evaluation.
Treatment decisions should be individualised following a discussion of the diagnosis, available options, expected benefits, risks, and recovery.
Day-Care Urology Procedures
Some urological procedures may be performed in a day-care setting, allowing suitable patients to return home without an overnight hospital stay. Whether this is possible depends on the procedure, the patient’s health, recovery after treatment, and the treating team’s assessment.
The department’s supplied list of day-care procedures includes:
- HoLEP (Holmium Laser Enucleation of the Prostate)
- TUIP (Transurethral Incision of the Prostate)
- PUV fulguration
- Laser endopyelotomy
- RIRS
- URS
These procedures address different urological conditions. For example, TUIP may be considered for selected cases of prostate-related urinary obstruction, while PUV fulguration is used to treat posterior urethral valves in appropriate patients.
The department describes its approach as focused on using available laser technology and selected minimally invasive procedures to help reduce hospital stay or blood loss where clinically appropriate. Actual recovery requirements vary, and not every patient will qualify for day-care treatment.
Urology Care at Medigram Hospital, Saharanpur
Urological symptoms can affect health, comfort, sleep, work, and quality of life. Persistent urinary difficulties, recurring infections, blood in the urine, kidney stone symptoms, or concerns about prostate or reproductive health should be discussed with a qualified medical professional.
Medigram Super Speciality Hospital’s Urology Department lists services covering urinary stones, urological cancers, reconstructive procedures, laparoscopic urology, female urology, prostate conditions, male infertility, and selected day-care procedures.
Patients can contact the hospital to enquire about a urology consultation, available investigations, and suitable treatment options. The recommended plan will depend on the patient’s diagnosis, medical history, and individual needs.
Book a Urology Consultation
If you are experiencing urinary symptoms or need an assessment for a urological condition, contact Medigram Super Speciality Hospital, Saharanpur, to enquire about an appointment with the urology team.
Medical disclaimer: This page provides general information about urological conditions and procedures. It does not replace professional medical advice, diagnosis, or treatment. The suitability, availability, risks, and expected outcomes of any procedure must be discussed with the treating urologist.