Gentiourinary Oncology

About the Department

The Urology department at Mazumdar Shaw Medical Centre offers a wide range of basic and specialised urological investigations and treatments with sub-specialised world class expertise in all aspect of urological care of patients.

We are one of the few centres in the country which offers highly specialised tests such as video urodynamics for patients with neurological disorders and template prostate biopsy for patients with suspected prostate cancer who have had repeated negative prostate biopsies.

Urological cancer care at our institute provides a holistic approach to cancer care with strict adherence to current well accepted evidence based treatment. Each patient’s cancer treatment is endorsed at our multi-disciplinary tumour board which has representation from urological surgeons, medical oncologists, radiation oncologists, pathologist, radiologist and palliative care medicine experts. We are at the forefront of treatment for penile cancer with the expertise to perform dynamic sentinel lymph node biopsy, which is currently performed at handful centres across the world. With minimally invasive (key-hole) surgery becoming a gold standard in the treatment of urological cancers, this is available for kidney, bladder and prostate cancer at our centre, we have a well established laparoscopy programme and offer laparoscopic nephrectomy, laparoscopic partial nephrectomy and laparoscopic radical prostatectomy for the treatment of kidney and prostate cancer.

With the advent of laser technology the treatment of stone and prostate disease has evolved tremendously, at our institute both rigid and flexible (also called retro grade intra renal surgery) ureteroscopy is available for effective management of ureteric and kidney stones. Holmium laser enucleation of prostate is the only laser technology across the globe which has stood the test of time and this is offered to patients with large prostates where conventional endoscopic surgery may not be feasible, we are one of the few centres in southern India to offer this treatment.

The unit has a very well established laparoscopic donor nephrectomy programme, wherein a minimally invasive approach is used to extract the donor kidney allowing for early recovery of the donor with minimal morbidity. The renal transplant programme is run as a large dedicated multi-disciplinary team involving the urologists, nephrologists, specialised nephrology transplant nurses and in-house transplant co-ordinator. The role of our coordinator brings together the psychological and legal aspects of kidney donation. We were one of the first unit’s to introduce steroid-free immuno-suppression in transplant patients, thereby significantly reducing the risk of steroid-induced infective complications.

Staff

Name :-Dr. Saurabh Bhargava

Designation :-

Consultant

Qualification :-MBBS, MRCS, MD, FEBU (Urology), FRCS (Urology)

About Dr. Saurabh Bhargava

Dr. Bhargava is a graduate from the prestigious Bangalore Medical College, he has undertaken surgical and urological training in the United Kingdom. He has undertaken sub-speciality onco-surgery training at the University hospitals of Nottingham and Leicester. He has been instrumental in bringing some up to date technology in diagnosis and treatment of cancer patients at MSMC. He has particular expertise in surgical aspects of prostate cancer treatment such as nerve sparing surgery and nephron sparing minimally invasive surgery for renal cancer. He has pioneered use of tissue engineered buccal mucosa in urethroplasty and his work is the first report in world literature published in 2004.

Areas of expertise and interest

Minimally invasive uro-oncology and surgical andrology

Research

Currently engaged in defining molecular level aspects of advanced prostate cancer.

Books

  • Clinician’s manual of BPH. S Bhargava and CR Chapple Science Press, London
  • Medical, Behavioural and Minimally Invasive Treatment of Urinary Incontinence.CR Chapple, S Bhargava and KE Anderson Urinary and Faecal Incontinence: An Interdisciplinary Approach Spinger-Verlag, Germany.
  • What is ideal and practicable in the evaluation of patients with BPH. S Bhargava and RJ Lemberger Benign Prostatic Hyperplasia Macmillan’s Medical Communication.

Original / Review articles

  • Tissue-engineered buccal mucosa for substitution urethroplasty. S Bhargava, CR Chapple, AJ Bullock, C Layton and S MacNeil. BJU Int. 2004 Apr;93(6):807-11.
  • A rational approach to benign prostatic hyperplasia evaluation: recent advances. S Bhargava, A Erdem Canda and CR Chapple Current Opinion in Urology. 2004 Jan. 14(1): 1-6
  • Buccal mucosa urethroplasty: Is it the new gold standard? S Bhargava and CR Chapple BJU Int. 2004 Jun; 93(9): 1191-93
  • Rising awareness of complications of synthetic slings. S Bhargava and CR Chapple Current Opinion in Urology. 2004 Nov. 14(6): 317-322
  • Urethral stricture disease. S Bhargava and CR Chapple Surgery 2005 Apr. 23(4): 141-145
  • Challenge of Percutaneous nephrolithotomy in patients with spinal neuropathy Symons S, Bhargava S, Biyani CS, Joyce AD, Browning AJ Int J Urol 2006 Jul;13(7): 874-879
  • Tissue-engineered buccal mucosa urethroplasty – clinical outcomes. S Bhargava, Patterson JM, Inman RD, Macneil S and Chapple CR Eur Urol 2008 Jun; 53(6): 1263-1271
  • Management of the failure of the permanently implanted urethral stent – a therapeutic challenge. Eur Urol 2008, Sep; 54(3): 665-70. CR Chapple and S Bhargava
  • Efficacy of KTP/Nd:YAG hybrid laser prostatectomy – does it last long enough? S Bhargava, R Chahal, NK Gogoi and SK Sundaram. BJU International. 2002 Jun. 90(s1): 42
  • Continent catheterisable conduit in adult urological practice. DR Basavaraj, S Bhargava, A Burns and SCW Harrison BJU International. 2002 Jun. 90(s1): 68
  • The challenge of PCNL in patients with spinal neuropathy. SJ Symons, S Bhargava, S Biyani, J Ellingham, SN Lloyd, AD Joyce and AJ Browning Journal of Endourology. 2002 Sept. 17(s1): 179
  • Tissue-engineered buccal mucosa for substitution urethroplasty. S Bhargava, CR Chapple, AJ Bullock and S MacNeil BJU International. 2003 Jun. 91(s2): 22
  • Development and characterisation of tissue-engineered buccal mucosa for substitution urethroplasty. S Bhargava, CR Chapple, AJ Bullock, C Layton and S MacNeil European Urology. 2004 Mar. 74(s1): 35
  • In vitro stress testing and contraction of tissue-engineered buccal mucosa. European Urology. 2004 Mar. 74(s1): 36
  • Tissue-engineered buccal mucosa for urethroplasty – Development and Characterisation. S Bhargava, CR Chapple, AJ Bullock and S Macneil. J Urol. 2004 Apr.
  • Clinical outcomes with tissue engineered buccal mucosa in substiution urethroplasty , S Bhargava, S Macneil and CR Chapple Eur Urol. 2006 April
  • Metastatic rectal cancer to urinary tract – A case report, BJ Sherwood, DR Harriss and S Bhargava British Journal of Medical and Surgical Urology, Jun 2009
  • Micropapillary TCC of the bladder – UK experience, S Bhargava, L Griffiths and JK Mellon, Accepted for publication British Journal of Surgery 2011
  • Urethral Amyloid – Case report and Review, S Bhargava and OJ Cole (In press)
  • Testicular mesothelioma – diagnostic dilemma, S Bhargava and RJ Lemberger (In press)
  • Sperm banking in testicular cancer – should it be done pre or post orchidectomy? S Bhargava and RJ Lemberger (In press)

 

Consultant

Name :-Dr. Hasit Mehta

Designation :- Senior Consultant

Qualification :-MBBS, MS, DNB (Urology)

About Dr. Hasit Mehta

Dr. Mehta is a graduate from the MP Shah Medical College, Jamnagar. He established the Urology department at the MSMC and has extensive clinical experience in managing both benign and malignant urological conditions. He has excellent academic credentials having been awarded gold medals through his undergraduate and post-graduate training.

Areas of expertise and interest

Oncological Urology and Reconstructive Urology

Awards

MNAMS awarded by the National Academy of Medical Sciences

Name :-Dr. Prashanth Kulkarni

Designation :-Consultant

Qualification :-MBBS, MS, DNB (Urology)

About Dr. Prashanth Kulkarni

Dr. Kulkarni completed his surgical training from JJM Medical College, Davengere. He completed his urological training from the Amritha Institute of Medical Sciences, Kochi and then worked with one of the leading urological surgeons at Puttaparthy before joining MSMC. Dr Kulkarni is well adapt at minimally invasive surgery and is also an integral part of the laparoscopic renal transplant unit. He has actively presented at both regional and national urological meetings over the past years. He is actively engaged in post-graduate training.

Areas of expertise and interest

Laparoscopic and Reconstructive Urology

Services and Facilities

  • Andrology - Medical treatments and Psychosexual Counselling, Penile Prosthetic Surgery, Penile Straightening Surgery, Microscopic Surgery for Infertility
  • Female Urology - Treatment of recurrent Urinary Tract Infections, Minimally Invasive Surgery for Stress Incontinence (Synthetic Slings)
  • Neuro-Urology - Evaluation with Video Urodynamics (One of the Few Centres in South India), Intravesical Botulinum Toxin Injections under Local Anaesthesia (Only Centre in India), Artificial Urinary Sphincter Insertion
  •  
  • Reconstructive Urology - Laparoscopic Pyeloplasty, Buccal Mucosa Urethroplasty for Urethral Strictures, Neobladder Reconstruction and Bladder Augmentation
  • Renal Transplantation - Laparoscopic Live Donor Nephrectomy Programme
  • Stone Treatments - Endoscopic Ureteric and Renal Stone Surgery with Laser Key Hole Surgery For Renal Stones
  • Prostate Diseases - Endoscopic Prostate Surgery (Conventional and Holmium Laser)
  • Uro-oncology - Kidney Cancer - Laparoscopic Nephrectomy and Laparoscopic Partial Nephrectomy, Bladder Cancer - Transurethral Bladder Tumour Removal and Radical Cystectomy (Open and Laparoscopic), Prostate Cancer - Radical Prostatectomy (Open and Laparoscopic), Testis Cancer - Retroperitoneal Lymph Node Dissection (RPLND), Penile Cancer - Penile Conserving Surgeries with Reconstruction and Dynamic Sentinel Lymph Node Biopsy (Only Centre in India)

Achievements of the Department

The Urology department takes exceptional pride in delivering evidence based patient centric care, with the support of junior and middle grade medical staff ably supported by the urology specialist nurses our biggest achievement is recognition from patients feedback who have time and time again rated us as a efficient, understanding and cohesive unit which delivers excellent clinical care. We not only focus on the initial aspects of disease treatment but have a robust proactive follow-up care management system for patients, which is fundamental to the long-term treatment of urological cancers.