A Landmark Case in Advanced Surgical Care
The Department of Urology at Kurnool Medical College has achieved another significant milestone in uro-oncological care, successfully performing a complex radical cystoprostatectomy in a high-risk patient with multiple comorbidities. This case demonstrates the institution’s capability to handle exceptionally challenging cases that other tertiary care centers deemed inoperable.
Patient Profile: A Complex Medical Challenge
Multiple High-Risk Factors
The patient presented with several critical complications:
- Massive bladder tumor measuring 13cm
- Advanced chronic kidney disease (CKD)
- Serum creatinine: 3.2
- Required bilateral percutaneous nephrostomy (PCN)
- Severe cardiac complications
- Post-PTCA status
- Critically low ejection fraction (30%)
- Previously deemed inoperable by four major tertiary hospitals
The Surgical Achievement
Revolutionary Surgical Approach
Kurnool Medical College performed a comprehensive surgical intervention including:
- Radical Cystoprostatectomy
- Complete tumor removal
- Precise surgical technique
- Minimal tissue trauma
- Bilateral Pelvic Lymph Node Dissection
- Thorough lymph node clearance
- Enhanced cancer staging
- Improved prognostic assessment
- Ileal Conduit Creation
- Urinary diversion
- Functional reconstruction
- Long-term solution
Exceptional Surgical Metrics
The procedure achieved remarkable outcomes:
- Duration: 3 hours (versus typical 6-7 hours)
- Blood loss: 200ml (versus typical 600-700ml)
- Successful management of dense perivesical stranding
Why This Case Matters
Technical Excellence
- Risk Management
- Successfully operated despite severe comorbidities
- Effective cardiac risk mitigation
- Optimal renal function preservation
- Surgical Innovation
- Reduced operative time
- Minimized blood loss
- Enhanced recovery protocols
- Patient Outcomes
- Stable postoperative course
- Successful cancer control
- Improved quality of life
Expert Team Collaboration
Multidisciplinary Approach
Our success resulted from seamless coordination between:
- Urological surgical team
- Anesthesia specialists
- Critical care experts
- Nursing professionals
Advanced Training Impact
The surgical expertise demonstrated reflects:
- Training from Tata Memorial Cancer Hospital
- Implementation of latest surgical techniques
- Knowledge transfer to regional healthcare
Future of Uro-Oncological Care
Advancing Treatment Standards
This case establishes new benchmarks in:
- Complex cancer surgery
- High-risk patient management
- Surgical efficiency
- Patient safety protocols
Patient Resources
For more information about our uro-oncological services:
Contact Information
To learn more about our advanced surgical programs:
- Visit: www.urologistinkurnool.com
- Email: info@urologistinkurnool.com
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