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Mr. P A Joseph Anthony Purathur's Profile
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I AM NOT A MEDICAL DOCTOR. I AM WORKING AS AN OFFICER ON SPECIAL DUTY AT MPUH NADIAD (WWW.MPUH.ORG), HANDLING MEDIA MANAGEMENT AND TIE-UPS WITH MEDICAL INSURANCE COMPANIES, TPAs AND INTERESTED ORGANISATIONS FOR 'CASHLESS' TREATMENT.
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ANDROLOGY TRAINING WORKSHOP at MPUH Nadiad
MULJIBHAI PATEL UROLOGICAL HOSPITAL, NADIAD
Jayaramdas Patel Academic Centre

ANDROLOGY TRAINING WORKSHOP

The Annual Andrology Training Workshop is being held at the Jayaramdas Patel Academic Centre (JPAC) auditorium, Muljibhai Patel Urological Hospital, Nadiad during March 24-26, 2011. More than 80 Urologists from India and abroad are participating in the Workshop.

The study of andrology deals with a number of problems that are unique to men. These include erectile dysfunction (ED), hydrocele, frenelum breve, infertility, small penis, testicle cancer, testicular torsion, spermatocele, balanitis, and so on.

Dr. Rupin Shah is the Course Director for the 3-day workshop. Other faculty includes Drs. Ajay Nehra, Mahesh Desai, Ravindra Sabnis, Manish Bankar, Ajay Shetty, Anila Mathew and Ashok Rughani.

Besides case discussions and live demonstrations, there will be lectures on all important subjects of Andrology : Male Sexual Dysfunction – Overview; Quick History Format & Evaluation of ED; Pharmacology of erection & oral drug therapy (Rupin Shah); The Princeton III Update; Intra-cavernosal self-injection therapy; Penile prosthesis implantation – indications, types, operative steps, prevention and management of complications; Penile Prosthesis Implantation – live demonstration; Penile rehabilitation after radical prostatectomy; Peyronie’s disease and Congenital Penile Curvature; ED and LUTS; Vacuum Erection Device; New Therapies for ED; Premature ejaculation; Management of priapism; Andropause; Testosterone and Prostate Cancer: Is replacement an option; Female sexual Dysfunction; Phallic enlargement and Neo-phallus reconstruction; Causes of Male Infertility; Evaluation of the subfertile male; Testicular biopsy; Assisted Reproductive Techniques for Male Infertility; Cryopreservation / Donor Insemination; Vaso-Epididymal Anastomosis – overview; TRUS and TURED; Vaso-Epididymal Anastomosis – live demo; Vaso vasal Anastomosis; Management of Varicocele; Sperm retrieval for ART – PESA / TESA / TESE; Management of Azoospermia; Case discussions; Genetic evaluation; Anejaculation; Seminal infections – diagnosis and management; Medical Therapy for OAS; Hypogonadotropic hypogonadism; Chronic orchalgia; Undescended testes; Hematospermia and Microsurgical Varicocelectomy.

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LESS surgery (Laparo-Endoscopic Single site surgery
MULJIBHAI PATEL UROLOGICAL HOSPITAL, NADIAD

JAYARAMDAS PATEL ACADEMIC CENTRE

3rd International Live Operative workshop on
Laparo-Endoscopic Single Site (LESS) Surgery (Hands on)


Jayaramdas Patel Academic Centre (JPAC) at the Muljibhai Patel Urological Hospital (MPUH), Nadiad had organized a successful single port surgery instruction course two years ago. More than 300 delegates then watched an expert multi-disciplinary faculty perform a wide variety of cases. Since then the field, now called LESS surgery, has progressed exponentially, and more than 1000 LESS procedures have been performed world-wide. At MPUH, we have already performed more than 100 cases of LESS surgery. Stimulated by increased interest in LESS technology by surgeons and patients, there has been ongoing improvement and refinements in new technology in access devices and instrumentation.

MPUH is organizing the 3rd International Multi-disciplinary Summit on Laparo-Endoscopic single Site (LESS) Surgery during March 10 – 12, 2011. This Course will feature leading international faculty and will cover the entire field of LESS surgery including state-of-the-art lectures, live operative surgery and ‘hands-on’ workshop wherein delegates will be able to practice with the entire gamut of LESS instrumentation. Delegates will be given video, handouts and published literature.

With the LESS surgery, the minimally invasive surgery has just got further minimal. Experts will be demonstrating removal of large organs and growths through the navel. In LESS surgery, just one small incision is made on the navel. Therefore, pain and recovery period for the patient will be much less.

The International faculty who will be participating in the 3-day Workshop includes Drs Mihir Desai (USA), who is also the Course Director; Jens Uwe Stolzenburg (Germany); Evangelos Liatsikos (Greece); Abhay Rane (UK) and Rene Sotelo (Venezuela). The prominent national faculty includes Drs Prashanth P Rao; Pradeep P Rao; Deepak Dubey and Mahendra Narwaria. From MPUH, Dr. Mahesh Desai, Medical Director & Managing Trustee and Dr. R B Sabnis, Chairman, Department of Urology will be participating along with other Urologists.


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Retrograde Intra Renal Surgery - MPUH Nadiad
MULJIBHAI PATEL UROLOGICAL HOSPITAL, NADIAD


JAYARAMDAS PATEL ACADEMIC CENTRE

Retrograde Intra Renal Surgery

Jayaramdas Patel Academic Centre (JPAC) at the Muljibhai Patel Urological Hospital (MPUH), Nadiad is organizing a two-day programme on ‘Retrograde Intra Renal Surgery (RIRS)’ on 16th & 17th September, 2010. Who will be in the driving seat? PCNL, RIRS, ESWL?

RIRS is a procedure for doing surgery within the kidney using a viewing tube called a fiberoptic endoscope. The scope is placed through the urethra (the urinary opening) into the bladder and then through the ureter into the urine-collecting part of the kidney. The scope thus is moved retrograde (up the urinary tract system) to a position within the kidney (intrarenal).

RIRS may be done to remove a stone. The stone is seen through the scope and can then be manipulated or crushed by a pneumatic probe or evaporated by a laser probe or grabbed by small forceps, etc.

The advantages of RIRS over open surgery are that it is a minimally invasive surgery with the elimination of prolonged pain after surgery, and much faster recovery.

Muljibhai Patel Urological Hospital has handled more than 23000 stone cases so far.

The two-day programme will cover all aspects of RIRS. The participants will also be able to see LIVE surgeries of Flexible URS for Lower Calyceal Stone, Calyceal Diverticular Stone, Ectopic Kidney and Mini/Micro perc for Kidney Stone and Ectopic kidney stone.

Faculty from abroad and India will be participating. They include Drs Olivier Traxer (France), M Prabhakar, Pawan Gupta, Anil Bradoo, PP Rao, and Abhay Khandekar. Medical Director and Managing Trustee of MPUH, Dr. Mahesh Desai; and Chairman of Dept of Urology, Dr. R B Sabnis will also be participating in the programme.

P A JOSEPH



P A JOSEPH

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LAPAROSCOPY, BASICS TO ADVANCED, TO ROBOTICS
MULJIBHAI PATEL UROLOGICAL HOSPITAL, NADIAD
Jayaramdas Patel Academic Centre

Laparoscopy : Are we ready for the prime time?

Jayaramdas Patel Academic Centre at the Muljibhai Patel Urological Hospital, Nadiad is organizing a three-day Instruction Course titled ‘Laparoscopy : Are we ready for the Prime Time’, during July 22 - 24, 2010.

Laparoscopy is progressing rapidly in our country. Everyone has accepted the fact that laparoscopy in Urology is here to stay. Several urologists have acquired the skills of complex lap procedures. From basics we are now looking at advanced laparoscopy, and still further into Robotics. Hence the Course is aptly titled ‘Are we ready for Prime time’?

World renowned urologist, Dr. Thierry Piechaud from France will be present as the main international faculty. Other well known faculty includes Drs. Mihir Desai from USA, P B Singh, Aneesh Srivastava, Rajesh Ahlawat, PP Rao and Jaydeep Date. MPUH Medical Director & Managing Trustee, Dr. Mahesh Desai; Chairman of Department of Urology, Dr. R B Sabnis; and other urologists from MPUH will also be participating in the 3-day programme. Besides informative and practically useful lectures, there will be live transmission of several laparoscopic surgeries performed by the faculty. There will be detailed discussion, and opportunities for hands-on experience in lab.

The scientific programme will cover various topics, such as, lap instruments, port position and energy source; place of laparoscopy in oncological urologic surgery; lap adrenalectomy, lap partial and radical nephrectomy; minitiarization of lap LESS in urology; place of laparoscopy in benign and reconstructive urologic surgery; bladder cancer; lap radical prostatectomy, lap cystectomy; transperitoneal lap donor nephrectomy, LESS donor nephrectomy, lap pyeloplasty; lap nephrectomy extended indications; why move from laparoscopy to robotic in various kinds of indications; robotic partial and radical nephrectomy; and lap complications. There will also be case discussions.

Surgeries are becoming increasingly less invasive, more precise, with faster recovery. MPUH is a leader in laparoscopic uro-surgeries.

P A JOSEPH

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PCNL - HARD TALK - 3-day Course at MPUH Nadiad
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.


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P A JOSEPH
OSD, MPUH NADIAD WWW.MPUH.ORG

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