MULJIBHAI PATEL UROLOGICAL HOSPITAL, NADIAD

 JAYARAMDAS PATEL ACADEMIC CENTRE

‘HARD TALK’ – INSTRUCTION COURSE ON PCNL

Jayaramdas Patel Academic Centre (JPAC) at the Muljibhai Patel Urological Hospital (MPUH), Nadiad is organizing yet another Instruction Course on PCNL (Percutaneous nephrolithotripsy) between 1 - 3 July, 2010.   For the first time in India, we are introducing the German technology “All seeing needle” to do PCN. 

Stone management occupies a major portion of our clinical practice.  Basically most of the stone cases are either neglected or diagnosed late.  Very often they complicate other health problems like diabetes, hypertension, obesity, pregnancy, neurological diseases, CRF, Bleeding Diathesis, etc.  This increases complication or failure to clear all stones.   

‘Hard Talk’ is a unique concept.  15 topics pertaining to PCNL will be covered in the 3-day programme. A renowned faculty will present his views, experience and recommendations on the topic.  Then a critic panel along with audience will critically analyze his views and recommendations.

President of the World Endourology Society, Dr. Paul Van Cangh from Belgium will be the international faculty, and Drs. S.V. Kandasami, Percy Chibber, Mallikarjuna C, Aneesh Srivastava, SK Pal, PP Rao, Jaydeep Date, Hemendra Shah and Rajesh Kukreja will be among the national faculty, besides Drs Mahesh Desai and R B Sabnis.

For the beginners it is always a dilemma how to learn to puncture.  There will be various models available for ‘hands on’ practice to increase the skill.  Around 60 persons are expected to participate in the programme.

Muljibhai Patel Urological Hospital, who are the pioneers in the field of nephro-urology in India, has handled more than 23000 stone cases so far. 

Kidney Stones Overview

The kidney acts as a filter for blood, removing waste products from the body and helping regulate the levels of chemicals important for body function. The urine drains from the kidney into the bladder through a narrow tube called the ureter. When the bladder fills and there is an urge to urinate, the bladder empties through the urethra, a much wider tube than the ureter.

In some people, the urine chemicals crystallize and form the beginning, or a nidus, of a kidney stone. These stones are very tiny when they form, smaller than a grain of sand, but gradually they can grow to a quarter inch or larger. The size of the stone doesn't matter as much as where it is located.

When the stone sits in the kidney, it rarely causes problems, but should it fall into the ureter, it acts like a dam. The kidney continues to function and make urine, which backs up behind the stone, stretching the kidney. This pressure build up causes the pain of a kidney stone, but it also helps push the stone along the course of the ureter. When the stone enters the bladder, the obstruction in the ureter is relieved and the symptoms of a kidney stone are resolved.

P A JOSEPH

OSD, MPUH NADIAD WWW.MPUH.ORG

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