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Gender Reassignment Surgery (Female to Male)

Gender Correction Surgery, Gender Confirmation Surgery ,Sex Reassignment Surgery (SRS),Gender Affirmation Surgery (GAS) ,Sex Re-alignment Surgery or Sex-change operation.

Most urinary problems, after the surgery, are rectified within one or two months of the procedure. Later after few weeks, neourethra and existing urethra are joined therefore leading to normal urethra.

Penile Implant surgery is well accepted by all our patients. Erection after penile implant placement is painless.

Yes, sensations remains normal in both clitoris and neophallus after the surgery.

Yes, all achieve normal orgasm because the native nerves are left erogenous after surgery.

Yes, the centre will provide you the certificate after phalloplasty stage 1 and that is legally valid.

There is no specific rule when vaginectomy should be done , it is decided by the surgeon and team, however, Stage one phalloplasty is a long time taking and a dedicated surgery hence vaginectomy should not be done along. It can be done with stage 2 phalloplasty.

Scrotoplasty is the creation of scrotum, which can be done along with phalloplasty stage 2.

You will be able to urinate while standing after the urethra reconstruction after a few weeks.

You will definitely start appearing as a male after few months of testosterone therapy.

Yes, you can indulge in normal sexual activities like other males but after your surgeon gives you a green signal.

Penile Implant

When you have been experiencing loss of erection for more than a year and other treatment options like medicines & injections are not responding to your condition. In that case, penile implant is a ray of hope.

Semi rigid implant: simplest of all types with no pump but can be bent downwards and upwards as and when required manually.

Two piece inflatable implant: It includes two cylinders and a pump.

Three piece inflatable implant: It includes a reservoir, two cylinders and a pump. The patients all over the world most commonly prefer this implant.

Usually a penile implant works for upto 12 years.

Patients treated with a penile implant are usually more satisfied in comparison to the other treatment options.

No side effects are associated with penile implant but we cannot ignore certain risks (which are rare) that can happen to a patient like infection, mechanical failure of the device.

Usually insurance companies in India do not pay for penile implants; still you can consult your insurance company for the same.

Generally, recovery time after a penile implant surgery is four to six weeks. You are instructed to avoid sexual activity until then.

Yes a penile implant does not affect your natural orgasm, if you were able to have on before the surgery, you will be should be able to have after the implant surgery too.

Penile implants are customized as per each patient’s anatomy but still we advise you to consult your Andrologist for the same.

The implant is not visibly noticeable. The penis appears relaxed and normal when in the flaccid state, and it is not obvious by mere looking that you have an implant unless you tell this to your partner yourself.

Total Knee Replacement

Total knee arthroplasty or Total knee replacement is a surgical procedure in which parts of the affected knee joint are replaced with artificial parts called as implants or prosthesis.

If you are having trouble getting up to do normal routine activities like going to toilet or walk to your car or finding it difficult to sit on low stool, then you need to consult the orthopaedic surgeon to discuss the plan of treatment for your case.

The surgeon defines line of treatment after thorough examination of the patient. Treatment options may include lifestyle modifications like weight loss management or medical management or injections or arthroscopy before deciding for total knee replacement or TKR.

Surgery involves the replacement of the affected part of the knee joint. The orthopaedic surgeon removes the damaged cartilage and bone surgically and then places the new implant, made of metal, plastic, or both, to restore the alignment and function of the knee.

Yes, Total knee replacement surgery is minimally invasive procedure which is advantageous over the invasive surgery. Various advantages of minimal invasive surgery include less scars, minimal pain, minimal bleeding, shorter hospitalization, faster recovery.

Generally the patient is made to walk the very same day of surgery and physiotherapy starts on the same day to help the patient recover at the earliest. Patient can resume his/her routine activities after 3-4 weeks.

Possible complications include continued pain or restricted movement of the joint due to excess scar tissue and another risk of knee replacement surgery is failure of the artificial joint due to high-impact activities or excessive weight on the operated joint.

Modern surgical techniques have allowed the surgeons to decide the surgical intervention on the grounds of patient’s pain and disability not his/her age solely. However, it is seen that patients usually undergo TKR after the age of 50 years.

Patient can normally drive again after 4 weeks and return to work after 6 to 8 weeks. However, It can take up to 3 months to recover completely from a knee replacement surgical procedure.

Typically a patient can walk without support after a week of knee replacement surgery if done on a single joint but in case of both sides, it is advised to walk with support till approximately 3-4 weeks.

Usually life span of knee replacement surgery is upto 20 years provided the surgeon opts advanced implants with better biocompatibility and longevity.

A patient after knee replacement surgery is instructed to continue physiotherapy for few weeks. Also he/she is instructed to follow certain instructions including maintaining low body weight and staying active. Most patients get back to their normal life within 4-6 weeks after the procedure.

Urethroplasty

Urethra is a tube that carries urine from the bladder out of body. A condition when urethra is narrowed causing difficulty with urination is known as Urethral stricture or sometimes called as tricture urethra.

The possible signs and symptoms of urethral stricture include the following:

  • Decreased urine flow rate
  • Long time needed to empty the bladder completely
  • Frequent urination
  • Sudden urge to urinate
  • Feeling of incomplete emptying of bladder
  • Urinary infections
  • Urinary retention-inability to pass urine

Common causes of urethral stricture include:

  • Straddle trauma injury to the urethra, Urethra can be injured in case of a pelvic fracture.
  • Men with Lichen Sclerosis can develop strictures involving the meatus alone, or longer strictures.
  • Hypospadias surgery if not done by an expert can become complicated by formation of urethral stricture development.
  • Sometimes after prostate surgery, stricture develop in urethra as a complication.
  • Complete physical examination by the urologist
  • Cystoscopy
  • Urethral X-Ray Imaging called Retrograde urethrogram or RGU
  • Bladder scan to measure the Post Void Residual volume
  • Uroflowmetry to measure the pressure of urine flow
  • Ultrasound and MRI of the urethra in some cases can be suggested

Treatment of urethral stricture is defined on the basis of the cause and length of Stricture. Treatment options include Urethroplasty, Urethral dilatation, Urethral stent.

Urethral dilatation : Urologist inserts thin rods into urethra from tip of penis in virtue of dilating or stretching the narrowing of urethra. Dilatation of urethra is followed by catherization for atleast 72 hours. It may be required to repeat this procedure time to time as stricture may not be managed with dilatation.

Urethral stent placement: In this, the Urologist passes a stent through endoscope on site of stricture. As the urologist finds the stent has reached at correct location, he opens the stent to form a channel for urine to flow. It is outdated method for treating stricture urethra but urethral stent may be helpful in patients who are too sick to undergo surgery.

Urethroplasty: is an open surgery and is considered as the gold standard treatment option for urethral stricture. Because of its long-term success urethroplasty is considered as the best and most preferred option for treating Stricture Urethra. Urologists in case of long strictures usually prefer buccal mucosa urethroplasty.

Treatment for urethral stricture is defined after a proper diagnosis. Our Reconstructive Urologists educate the patient about all the options, risks and benefits of each. We advise you to consider the long-term solution for your case.

Urethroplasty is considered as the gold standard treatment option for urethral stricture because of its proven results in cases of urethral stricture. We advise to consult a reconstructive urologist who has been performing urethroplasty frequently with good success rate for a better result.

Urethroplasty has higher success rates when compared to other treatment options for urethral stricture.

Technique of Urethroplasty has evolved overtime and various factors like Surgeon’s skills, Set up (operation theatre), post-operative care to decide the clinical outcome play an essential role in deciding the clinical outcome of surgery.

Strictures can be resolved in more than 90% of cases in first attempt if done by a skilled Reconstructive Urologist. Urethroplasty helps the patient to accept his life in a better way and live respectfully in society.

In a few complex cases, stricture come back after urethroplasty surgery which is not exactly similar to the condition it was before surgery. At times it can be treated internally by cutting the stricture with a scope procedure. While a few cases of failed urethroplasty are too dense that may require re do urethroplasty surgery or known as second stage urethroplasty.

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