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Dr. Madhu Sudan Agrawal Senior Consultant Urologist.
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Specialization
Procedures
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Patient's Awareness
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Contact Us
Location
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Percutaneous nephrolithotomy (PCNL) is a surgical procedure to remove stones from the kidney by a small puncture wound (up to about 1 cm) through the skin. It is most suitable to remove stones of more than 2 cm in size and which are present near the pelvic region. It is usually done under general anesthesia or spinal anesthesia. A retrograde pyelogram is done to locate the stone in the kidney. With a small 1 centimeter incision in the loin, the percutaneous nephrolithotomy (PCN) needle is passed into the pelvis of the kidney. The position of the needle is confirmed by fluoroscopy. A guide wire is passed through the needle into the pelvis. The needle is then withdrawn with the guide wire still inside the pelvis. Over the guide wire the dilators are passed and a working sheath is introduced. A nephroscope is then passed inside and small stones taken out. In case the stone is big it may first have to be crushed using ultrasound probes and then the stone fragments removed. The most difficult portion of the procedure is creating the tract between the kidney and the flank skin. Most of the time this is achieved by advancing a needle from the flank skin into the kidney, known as the 'antegrade' technique. A 'retrograde' technique has recently been updated wherein a thin wire is passed from inside the kidney to outside the flank with the aid of a flexible ureteroscope. This technique may reduce radiation exposure for patient and surgeon. |
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Transurethral resection of the prostate (commonly known as a TURP, plural TURPs, and rarely as a transurethral prostatic resection, TUPR) is a urological operation. It is used to treat benign prostatic hyperplasia (BPH). As the name indicates, it is performed by visualising the prostate through the urethra and removing tissue by electrocautery or sharp dissection. This is considered the most effective treatment for BPH. This procedure is done with spinal or general anaesthetic. A triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. Outcome is considered excellent for 80-90% of BPH patients |
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RIRS (Retrograde Intrarenal Surgery) Retrograde intrarenal surgery (RIRS) is a procedure for doing surgery within the kidney using a viewing tube called a fiberoptic endoscope. In RIRS the scope is placed through the urethra (the urinary opening) into the bladder and then through the ureter into the urine-collecting part of the kidney. The scope thus is moved retrograde (up the urinary tract system) to within the kidney (intrarenal). RIRS may be done to remove a stone. The stone is seen through the scope and can then be manipulated or crushed by an ultrasound probe or evaporated by a laser probe or grabbed by small forceps, etc. RIRS is performed by a specialist, a urologist (endourologist) with special expertise in RIRS. The procedure is usually done under general or spinal anesthesia. The advantages of RIRS over open surgery include a quicker solution of the problem, the elimination of prolonged pain after surgery, and much faster recovery. |
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Minimal-invasive PCNL (Mini-Perc) Standard percutaneous nephrolithotomy is an extremely effective procedure that helps to remove renal calculi. However, this procedure results in significant morbidity. A major disadvantage of this procedure is that it results in a huge increase in health care expenses. Mini-percutaneous nephrolithotomy, performed using a 13F ureteroscopy sheath, tremendously reduces the morbidity associated with standard percutaneous nephrolithotomy and at the same time maintains the effectiveness of stone removal. |
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Plasmakinetic Resection PK or Button resection uses ionized vapor that heats up by low voltage electricity a semi-spherical button to vaporize the prostate tissue from inside. This is considered to be the least intrusive of all current techniques. It also features fewer post-op complications and shorter healing time. |
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Plasmakinetic Resection PK or Button resection uses ionized vapor that heats up by low voltage electricity a semi-spherical button to vaporize the prostate tissue from inside. This is considered to be the least intrusive of all current techniques. It also features fewer post-op complications and shorter healing time. |
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Academic Qualification
1. M.B.B.S. 1979 M L B MedicalCollege, JHANSI(KanpurUniversity) |
Professional Experience
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Designation | Name of Organization | Period |
Lecturer | S N Medical College, Agra | April '85 - Aug ‘89 |
Assistant Professor | S N Medical College, Agra | Aug '89 - March ‘99 |
Associate Professor | S N Medical College, Agra | March ’99 - Sept ‘06 |
Professor | S N Medical College, AGRA | Sept ’06 – March ‘09 |
Awards and Honours
Gold Medals during MBBS:
AcademicHonours during MBBS:
BEST STUDENT OF THE YEAR award during MBBS
Extra-curricular activities during MBBS:
Awards in various Conferences:
Gold Medals during MBBS:
AcademicHonours during MBBS:
BEST STUDENT OF THE YEAR award during MBBS Extra-curricular activities during MBBS: Awards in various Conferences:
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Membership of National/International Bodies
international:
national:
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Special Positions
Organizing Secretary, ‘CUE / Workshopon Urolithiasis’, North Zone Chapter of Urological Society of India, Agra, 19th November 1995. Visiting Fellow to Department of Urology, St. Vincent’s Hospital, Melbourne,Australia, 18-25 November 1996. Convenor, Workshop on ‘Holmium: Yag Laser for Urology Applications’, North Zone Chapter, Urological Society of India, Agra, 28th October 1999. Co-chairman, Organizing Committee—4th Live Workshop on Hypospadias,Asopa Hospital & Research Centre, Agra, 24th& 25th March 2007. Organizing Secretary, USICON 2010, Annual conference of Urological Society of India, Agra, 4-7 Feb,2010. Recipient of PVankateswara Rao Oration & Gold Medal of Urological Society of India for year 2006-2007. Recipient of P N Kataria Memorial Oration & Gold Medal of North Zone Chapter of Urological Society of India for year 2011. Recipient of Marudhara Jodhpur Urology Oration award of North Zone Chapter of Urological Society of India for the year 2013-2014. Recipient ofPresident’s Gold Medal of Urological Society of India for the year 2015-2016
Reviewer for :
International
National
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