Exclusive Comments: Endourology is the minimal invasive way of doing Surgery for Urology Condition and treating conditions affecting the urinary tract system or male reproductive organs, in which we use telescopes and cameras to look inside the body cavity and perform procedures like stone removal, cancer surgery and reconstructive urology.

These minimal invasive procedures either use the natural orifices like the urethral meatus which is the hole for urination in males and female or utilize very small nicks on the body to gain access to the concerned organ like kidneys, bladder, ureter or prostate. By avoiding large cuts we expedite recovery, reduce post-operative pain and thus ameliorating the need for pain killers. This aids in early return to work and normal life for the individual as also less sick leave and more productivity.

This reduces the chances of wound infection and promotes early healing of wounds since there are no stiches the patients don’t have to come for stich removal.

Minimal invasive urology has been around for decades and urologists have always been at the forefront of the development in minimal invasive surgery. Prostate and stone surgery have routinely been done without any cut using the natural orifice for urination. We employ high quality endoscopes and lasers for these surgeries with the advent of robotic surgery we are now able to do complex procedures like cancer surgery, reconstructive urology and kidney transplant with only small nicks on the tummy without the use of large incisions. This promotes early recovery and avoids big scar marks. Robotic surgery also makes it possible to do tele-surgery. A surgeon sitting in the confines of his office can operate anywhere in the world.

We have come a long way from the days of large incision, painful and prolonged post-operative stay as also complications of open surgery. Minimal invasive procedures have significantly reduced blood loss and the need of blood transfusion. They also make teaching and training easier as everything is visible on screen in HD. With Newer higher resolution endo-vision systems which are ultra HD, 4K and going up to 8K as also 3D we are able to achieve crystal clear vision which adds to the surgeon delivering the best possible results.

These techniques which were only available at centers of excellence in developed nations or in the metro cities in India are now available across the nation. Indian Urologists are outshining their Western counterparts with high level of proficiency and accuracy. Indians lead internationally in minimal Invasive surgery and robotic kidney transplant.

Patients have myths that minimal invasive treatments leave stones behind. This myth is unfounded, and these procedures have very high stone-free rates above 90%, and no procedure, including open surger,y can claim to have 100% stone free rate in every patient.