The Department of Urology at Kasturba Hospital offers full-fledged Urology care to patients along the Konkan Coast from Calicut to Goa.  The department provides comprehensive treatment for common urological problems like prostate diseases, urinary stones, infections, malignancies, and strictures of the urethra.

The department is widely recognized and specializes in Radical Cancer Surgeries such as Radical Nephrectomy, Radical Cystectomy and Retro peritoneal lymphadenectomy. Different types of complex urinary diversions including continent pouches are also performed here.

The department also has facilities  for the diagnosis and treatment of all problems in Paediatric Urology. The range of paediatric endoscopes makes endo-urological procedures feasible in children. The Department performs complex surgical procedures such as  Intra renal Surgery, Nephron-sparing Surgery for Renal Cell Carcinoma and Anatrophic Nephrolithotomy exploiting  hypothermia and regional vascular control.  Ablative & Reconstructive Lap urology has already started.

The Department of Urology is one of the oldest departments in this region with experienced faculty available for consultation full time.  The department is part of the Manipal system which is renowned for imparting medical education for the last six decades. The emphasis on bedside teaching, imparting practical skills and excellent library both physical and internet make learning at Manipal easy. The department itself practices all aspects of clinical Urology and the student has access to a vast and varied clinical material  through the attached 2032 bed Kasturba Hospital, Manipal. The learning process is facilitated and mentored by a dedicated faculty and support staff. The department has 3 exclusive dedicated operation theatres. 

Key Features

• MCh course was started in 1977-78
• Merit based entry
• Teaching through seminars, case discussions, bedside clinics and supervised of practical training.
• Students from all over India
• Infrastructure to facilitate learning
• Kidney transplant facility
• Intra-departmental discussion with Departments of Nephrology, Pathology & Radiology

Collaborations

Recognised by Medical council of India for MCh in Urology 

About the Area of Study

Urology is the surgical speciality that focuses on the urinary tracts of males and females, and on the reproductive system of males. Medical professionals specializing in the field of Urology are called Urologists and are trained to diagnose, treat, and manage patients with urological disorders. The organs covered by Urology include the kidneys, ureters, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis).

In men, the urinary system overlaps with the reproductive system, and in women the urinary tract opens into the vulva. In both sexes, the urinary and reproductive tracts are close together, and disorders of one often affect the other. Urology combines management of medical (i.e. non-surgical) problems such as urinary tract infections and benign prostatic hyperplasia, as well as surgical problems such as the surgical management of cancers, the correction of congenital abnormalities, and correcting stress incontinence.

Urology is closely related to, and in some cases overlaps with, the medical fields of Oncology, Nephrology, Gynaecology, Andrology, Paediatric Surgery, Gastroenterology and endocrinology.

As a discipline that involves the study of many organs and physiological systems, Urology can be broken down into sub-fields. At larger centres and especially university hospitals, many Urologists sub-specialise within a particular field of Urology.

Endourology is the branch of Urology that deals with minimally invasive surgical procedures. As opposed to open surgery, Endourology is performed using small cameras and instruments inserted into the urinary tract. Traditionally, transurethral surgery has been the cornerstone of Endourology. Via the urethra, the complete urinary tract can be reached, enabling prostate surgery, surgery of tumours of the urothelium, stone surgery, and simple urethral and ureteral procedures.

Laparoscopy is a rapidly evolving branch of Urology and has replaced some open surgical procedures. Robotic assisted surgery of the prostate, kidney, and ureters has been expanding this field. Today, most prostatectomies in the U.S. are carried out by robotic surgery. The machines are very expensive, require a dedicated surgical team, have high maintenance costs, and to date the only proven benefit of a robotic prostatectomy to an open one is less blood loss.

Urologic oncology concerns the surgical treatment of malignant genitourinary diseases such as cancer of the prostate, adrenal glands, bladder, kidneys, ureters, testicles and penis. The medical treatment of advanced genitourinary cancer is managed by either a Urologist or an Oncologist depending on the cancer.

Neurourology concerns nervous system control of the genitourinary system, and of conditions causing abnormal urination. Neurological diseases and disorders such as multiple sclerosis, Parkinson's disease, and spinal cord injury can disrupt the lower urinary tract and result in conditions such as urinary incontinence, detrusor overactivity, urinary retention, and detrusor sphincter dyssynergia. Urodynamic studies play an important diagnostic role in neurourology. Therapy for nervous system disorders includes clean intermittent self-catheterization of the bladder, anticholinergic drugs, injection of Botulinum toxin into the bladder wall and advanced and less commonly used therapies such as sacral neuromodulation.

Less marked neurological abnormalities can cause urological disorders as well—for example, abnormalities of the sensory nervous system are thought by many researchers to play a role in disorders of painful or frequent urination (e.g. painful bladder syndrome, formerly known as interstitial cystitis).

Paediatric urology concerns urologic disorders in children. Such disorders include cryptorchism (undescended testes), congenital abnormalities of the genitourinary tract, enuresis, underdeveloped genitalia (due to delayed growth or delayed puberty, often an endocrinological problem), and vesicoureteral reflux.

Andrology focuses on the male reproductive system. It is mainly concerned with male infertility, erectile dysfunction and ejaculatory disorders. Since male sexuality is largely controlled by hormones, andrology overlaps with endocrinology. Surgery in this field includes fertilization procedures, vasectomy reversals, and the implantation of penile prostheses. Vasectomies may also be included here although most Urologists perform this procedure.

Reconstructive urology re-establishes functionality of the genitourinary tract. Strictures of the urethra or the ureter often require reconstructive surgery. Another frequent procedure is the reconstruction of the urinary bladder from small bowel in conjunction with cancer surgery. Cosmetic surgery such as penis enlargement is rarely done in urology.

Female urology is a branch dealing with overactive bladder, pelvic organ prolapses, and urinary incontinence. Thorough knowledge of the female pelvic floor together with urodynamic skills are necessary to diagnose and treat these disorders.