~A 48-year-old patient suffering from advanced tuberculosis of the Urinary Tract underwent laparoscopic reconstruction of a shrunken bladder and left ureter~
CHENNAI: Fortis Hospital, Kolkata successfully conducted India’s first Laparoscopic reconstruction of the kidney tube (Ureter) and Urinary bladder (Laparoscopic augmentation cystoplasty with ileal ureter replacement) on a patient with advanced tuberculosis (TB)of the urinary tract. Dr. R. K. Gopalakrishna, Laparoscopic Urosurgeon, Fortis Kolkata along with his team performed an extremely critical and challenging surgery on a 48-year-old patient. As per the available medical records, this is the first of its kind surgery performed in India.
Patient Ashim Kumar Saha, a resident of Durgapur was undergoing treatment for advanced TB of the urinary tract for the past six months at Fortis Kolkata. The disease had affected his kidneys, urinary bladder and ureter which had fibrosed and shrunken, leading to complete obstruction of the left kidney. While the normal capacity of a bladder is around 400 ml to 500 ml, his urinary bladder had shrunken to a capacity of 150 ml, which is about ⅓ of its original size. The patient had difficulty passing urine, with frequent urination in the night - almost eight times, along with painful urination. His left kidney tube was obstructed, with only his right kidney functioning normally. Earlier, while reconstructing the ureter and bladder for a condition like this, doctors across have so far adopted a traditional method of open surgery, as it is a complex and critical reconstruction. However, Doctors at Fortis Kolkata took a new approach by undertaking a minimally invasive method of Laparoscopy.
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