Complete Index of Surgeries by Dr Sadashiv Bhole

1. Advanced Endourology & Stone Surgery

Minimally invasive endoscopic management of simple and complex urinary tract stone disease and interior urinary tract conditions.

• RIRS (Retrograde Intrarenal Surgery): Advanced flexible endoscopic procedure utilizing laser energy to break down and clear kidney stones without external incisions.
• PCNL (Percutaneous Nephrolithotomy): Minimally invasive surgical removal of large, complex, or staghorn kidney stones through a small keyhole access channel in the back.
• URS (Ureteroscopy): Endoscopic procedure navigating the ureter to inspect, fragment, and extract ureteric stones using laser lithotripsy.
• Cystolitholapaxy: Endoscopic fragmentation and removal of bladder stones using specialized lithotriptors and laser technology.
• Cystoscopy & Diagnostic Endoscopy: Direct visualization of the interior lining of the bladder and urethra for diagnostic evaluation and minor interventions.
• Internal Urethrotomy (VIU): Minimally invasive endoscopic release of urethral strictures (narrowing).

2. Laser Urology & Prostate Surgery (BPH)

State-of-the-art endoscopic enucleation and vaporization techniques for Benign Prostatic Hyperplasia (BPH) and lower urinary tract symptoms.

• HoLEP (Holmium Laser Enucleation of the Prostate): Precision laser enucleation enabling the complete removal of obstructing prostate tissue regardless of gland size, with minimal bleeding and rapid recovery.
• THUFLEP (Thulium Fiber Laser Enucleation of the Prostate): Advanced high-efficiency laser enucleation utilizing Thulium Fiber Laser technology (such as the Uro-LasT SP+) for smooth cutting and hemostasis.
• DILEP (Diode Laser Enucleation of the Prostate): Specialized diode laser procedure for effective management of enlarged prostate tissue.
• TURP (Transurethral Resection of the Prostate): Standard endoscopic resection of prostate tissue causing bladder outlet obstruction.
• Transurethral Incision of the Prostate (TUIP): Alternative minimally invasive incision technique for smaller prostate glands.

3. Laparoscopic Urology

Minimally invasive keyhole surgical techniques for upper tract renal and ureteric pathologies.

• Laparoscopic Nephrectomy: Minimally invasive removal of a non-functioning or diseased kidney.
• Laparoscopic Pyeloplasty: Reconstruction of the renal pelvis to correct pelvi-ureteric junction (PUJ) obstruction.
• Laparoscopic Ureterolithotomy: Surgical removal of large or impacted ureteric stones via laparoscopy when endoscopic approaches are less suitable.
• Laparoscopic Cyst Decortication: Minimally invasive unroofing and management of symptomatic renal cysts.

4. Robotic Urology

Advanced robotic-assisted surgical procedures providing high-definition 3D visualization and wristed instrument articulation for complex pelvic and upper tract urological reconstruction and oncology.

• Robotic-Assisted Prostate Surgery: Precision robotic management for localized prostate conditions.
• Robotic-Assisted Kidney Surgery: Robotic partial or radical nephrectomy for precise tumor excision and renal preservation.
• Robotic Pelvic & Reconstructive Surgery: Minimally invasive robotic approaches for complex pelvic pathologies and reconstructive challenges.

5. Reconstructive Urology

Specialized surgical repair and restoration of normal urinary tract anatomy compromised by strictures, trauma, or congenital anomalies.

• Urethroplasty (Anastomotic & Augmentation): Open surgical reconstruction of complex or recurrent urethral strictures using tissue grafts or primary re-anastomosis.
• Ureteric Reconstruction & Reimplantation: Repair of ureteric strictures, injuries, or severe vesicoureteral reflux.
• Hypospadias & Congenital Reconstruction: Surgical correction of congenital anomalies of the lower urinary tract.

6. Uro-Oncology

Surgical management and minimally invasive resection of malignancies affecting the urinary and male reproductive systems.

• Radical & Partial Nephrectomy: Surgical excision of renal cell carcinomas with a focus on preserving healthy renal parenchyma when clinically feasible.
• Radical Cystectomy & Urinary Diversion: Comprehensive surgical management of muscle-invasive bladder cancer, including continent or incontinent diversion techniques.
• Radical Prostatectomy: Surgical removal of the prostate gland for localized prostate cancer.
• Testicular & Penile Cancer Surgery: Specialized oncological resections and lymph node management.

7. Andrology & Male Reproductive Surgery

Surgical interventions addressing male reproductive health, structural conditions, and genital health.

• Varicocelectomy: Microsurgical or laparoscopic ligation of enlarged testicular veins to improve fertility parameters and relieve discomfort.
• Circumcision & Preputial Surgery: Surgical management of phimosis, paraphimosis, and redundant prepuce.
• Hydrocelectomy: Surgical correction and fluid drainage of hydroceles.
• Surgical Sperm Retrieval (TESA / PESA / Micro-TESE): Specialized sperm extraction procedures for assisted reproductive techniques.

Patient Care & Clinical Pathway