PRAMODINI UROLOGY FOUNDATION Dornier Lithotripsy And Laser Centre
Pramodini urology foundation is the leading urology care hospital in maharashtra. It has grown leaps and bounds in last 19 years with overwhelming support from all the doctors and the general population.
We were proud to install the first individual dornier lithotripsy machine in pune in 2002. We were also proud to start the first plasma kinetic energy, in maharashtra, for turp using acmi (using normal saline as irrigating medium) in 2004. Subsequently it was upgraded to gyrus pk machine in 2006.
In 2010 the latest laser machine used for prostate operation namely thulium latest 120 watt was installed (quanta ,italy). This was the first 120 watt thulium laser machine in india. Dr ketan vartak is a pioneer in thulium laser education of prostate surgery in india. He has published papers related to this technique in international journals. He has also demonstrated the technique of thulium laser in many live operative workshops and urological conferences in india.
Treatment of Urinary Stones Without Surgery & Anaesthesia
He has performed approximately 4000 surgeries for bph by thulium laser technique. Thulium laser is the latest technology useful for the treatment of benign prostatic hyperplasia, bladder cancer, stricture urethra etc. It resects the prostatic tissue by enucleation as well as evaporation.
Enucleation can resect prostate in toto with very minimal bleeding. As normal saline is used for irrigation, there is no risk of the life threatening turp syndrome. As thulium laser can also be used for evaporation of prostate, it is very useful tool for the patients of bph who are on ecosprin and clopidogrel, as there is no risk of bleeding by evaporation technique also there is no sloughing of necrotic tissue as seen in the green light laser.
Pramodini urology foundation also harbours 35 watt evo holmium laser machine (quanta, italy) which is the latest and most advanced holmium laser machine used for urinary stones all over the world. Holmium laser evaporates the stone without any mechanical power, thereby reducing the chances of migration of stones during ureteroscopies & also reduces the requirement of stent, thereby avoiding the long term postoperative discomfort and pain of the stent and also avoiding another procedure of stent removal.
We started pune’s 1st 7.5 french flexible ureteroscope (by carl storz – the flex ex ii) for retrograde internal surgery in 2010 by easy access of the pelvicalyceal system through urethra. Another milestone was achieved in 2020 when disposable flexible ureteroscopy was started using biorad disposable ureteroscope. It has enhanced the accessibility and the surgery into different cycles of kidney (branches) to clear the renal stones. It has superb clarity of vision and great maueverability. It can reach almost every calyx of the kidney and the laser can evaporate the stone
To access all these hitech equipment, one needs an endocamera with very high resolution. The latest striker 1688 3 chip hd camera was installed in early 2021.
Now the latest dornier sigma machine is installed since 2019 for better success rates of clearing the urinary stones without any surgery and anaesthesia
To assist all this hitech equipments, we have all the accessories like richard wolf morcelator (first in maharashtra) to remove enucleated prostatic tissue within a few seconds, we also have the latest richard wolf resectoscopes, nephroscope. Semirigid 6/7.5 urs, morsoscope etc.
Comparision of Dornier Beta Lithotriptor with others
Dornier Lithotriptor
- Electromagnetic energy
- Minimal Pain
- More effective stone breakage
- creates finer stone fragments for easy passage
- Minimal damage to kidneys
- Excellent stone clearance rate
Lithotriptor
- Electrohydraulic energy
- Painful
- Less effective
- Bigger Stone fragment
- More Damage
- Poor Clearance Rates