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urology

Urology

Urology is a field of surgical specialty that deals with the diagnosis, prevention and treatment of male and female urinary tract disorders. The organs of urinary track include kidney, bladder, ureters and urethra. Urology also includes the study, diagnosis and treatment of male reproductive organs. 

The department of Urology at RMI specialises in the diagnoses and treatment of conditions involving the female and male urinary tracts and male reproductive organs. RMI provides urological facilities to patients and to educate under and post graduate students pursuing the discipline of Urology. In certain conditions such as cancer of the urinary tract, the Urology Department at RMI provides a multidisciplinary team approach in conjunction with Oncologists or Radiotherapists. They also collaborate with Nephrologists, Gynaecologists and Endocrinologists. 

  • Dr. Ata ur Rahman Khan- Consultant and Professor
  • Dr. Nasir Orakzai- Consultant and Professor
  • Dr. Mohammad Shahzad- Consultant and Associate Professor
  • Dr. Nazim Mohayuddin - Consultant

RMI's Urologists are trained to take care of urinary tract problems of adult males and females, as well as children. Urology also covers the reproductive system in the male, thus enabling us to treat problems of infertility as well as sexual dysfunctional.

Common diseases we treat in the Department of Urology at RMI

Hematuria is a condition in which blood is present in urine, which can be seen by naked eye or otherwise. It is one of the most common diseases seen at the Urology Department. Hematuria can be both painful and painless. In both cases, urgent medical attention is required. An ultrasound KUB, a urine R/E, urine culture, FBC and PT/INR are the initial investigations that are required for the diagnosis. 

A variety of conditions can lead to retention of urine most common among which are prostate diseases in men, trauma and stones. Patient usually have pain and are unable to pass urine. However, in elderly individuals it is a painless retention which is of chronic nature. A detailed history and an ultrasound KUB usually suffice in reaching the diagnosis. 

Male sexual disorders and infertility are common diseases dealt by Urologists. It usually involves psychosocial counselling, collaboration with the endocrinologists and also gynecologists, for the evaluation of the female partner. A detailed history, series of tests and hormonal assays are essential for diagnosis and evaluation. 

Acute pain and swelling in the scrotum usually occur in both children and adults. Initial tests include ultrasounds of the scrotum, color doppler ultrasound, urine routine examination, urine culture and sensitivity. 

Urolithiasis refers to stones in any part of the urinary tract. Pain and heaviness in flanks, burning during urination, dysuria, fever, nausea and vomiting are common symptoms. Ultrasound KUB, CT-KUB, Urine R/E and urine C/S are tests conducted for diagnosis.

Urothelial Cancer is a fairly common and usually presents with painless hematuria and weight loss. Consulting a doctor is essential if you are elderly, a smoker or have observed blood in your urine. Initial investigations that are required include a urine R/E, urine C/S, Ultrasound KUB and a flexible cystoscopy. 

  • Urology department at RMI is equipped with all necessary high-tech equipment to carry out the following procedures: 
  • Endoscopic Diagnostic Procedures including Ferrante cystoscopy 
  • Endourological Surgical Procedures 
  • Adult and Pediatric Urologic Surgery 
  • Urodynamics Testing and Treatment of Incontinence  
  • Endoscopic Management of Stones including:  
  • Standard and Mini Percutaneous nephrolithotomy (PCNL),  
  • Flexible Ureteroscopy (URS) 
     
  • Extracorporeal Shockwave Lithotripsy (ESWL) Machine 
  • Intracorporeal Pneumatic Lithotripter 
  • Ultrasonic Lithotripter 
  • Laser Lithotripter, Holmium: YAG (Yttrium-Aluminium-Garnet) Laser. 
  • Trilogy LithoClast 
     
  • Live Donor Kidney Transplant Program 
  • Establishment of Urology department aiming at starting postgraduate residency program 
  • Recognition from College of Physicians and Surgeons Pakistan (CPSP). 
  • Challenging/Highlighted Cases 
  • Urinary Bladder Leucoplakia 
  • Partial Nephrectomy for Right Renal Tumor Less Than 3cm In Size. 
  • Single Functioning Kidney with Tumors in Upper and Lower Pole. 
  • Open Donor Nephrectomy for Renal Transplant. 
  • PCNL with Balloon Dilatation Technique.
     
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