URO – SURGEON
Urology
Avishek Mukherjee MS AIIMS, MCH PGI Chandigarh
Head of department of
Uro-surgery
Uro onco-surgery
Transplant surgery
Minimal invasive uro-surgery
Dr Avishek Mukherjee has been associated with our kidney hospital since the inception of this unit. He brings with him an immense pool of knowledge, experience and caring for patients.
He received his bachelors degree in MBBS from All India Institute of Medical Sciences, from the year 1991 to 1996. He passed the degree with distinction and then was selected for Masters course in general surgery, again from the esteemed All India Institute of Medical Science. He completed his general surgery training in the year 2000.
Then he was selected for the doctoral course at PGI Chandigarh on Urosurgery. He completed his super-specialized training in Uro-surgery in the year 2003.
After completing his medical and surgical training from these institutes of national importance, he then came to the city of Kolkata and joined as consultant Urosurgery in the Wockhardt hospital and Kidney institute. Where he joined the team led be senior and highly experienced surgeons like Dr Shibaji Basu MS FRCS, Dr Kalyan Kumar Sarkar MS FRCS, Dr R K Gopal Krishan MS FRCS, Dr Amlan Chakraborty MS FRCS, and Dr P K Mishra MS MCH.
After working with this stellar team of surgeons he then joined the team at NKPC Kidney, in the year 2010. Since then, he works exclusively in the NKPC Kidney Clinic. He has spearheaded the following programs at the NKPC Kidney Clinic.
· Advance kidney stone laser endosurgery
· Laser prostate surgery
· Laparoscopic prostate cancer surgery
· Laparoscopic bladder cancer surgery
· Laparoscopic kidney cancer surgery and nephron sparing surgery
· Kidney transplant surgery
· Laparoscopic gall stone surgery
· Laparoscopic hernia surgery
· Penile prosthesis surgery form erectile dysfunction
We hope under his able guidance NKPC Kidney Clinic can soon become a hub for excellence in uro-surgery, uro-cancer surgery and transplantation.
Areas of special interest
Kidney transplant surgery
Dr Mukherjee has performed 312 kidney transplants till date. He is an pioneer in the laparoscopic kidney donor harvest for kidney transplantation. This allows the kidney donor to recover safely and rapidly from the surgery.
Dr Avishek Mukherjee is also highly skilled in the vascular surgery needed to join the graft kidney vein and artery to the iliac artery and vein of the recipient.
With Kidney transplant we can provide dialysis free life to 19 out of 20 patients who have undergone kidney transplantation.
Urethroplasty
Urethra is often neglected but is an essential organ for the patient for the rest of his life. The urethra can stricture due to various diseases. These strictures are best managed by urethroplasty.
Dr avishek mukherjee is one of the pioneers in the field of urethroplasty. This can be performed by harvesting a part of the buccal mucosa, the red wet skin inside our cheeks, and then using this mucosal graft to recreate the urethra.
However, in many cases he also performs urethral augmentation by attaching the splayed urethra to the corpora cavernosa. This procedure has excellent recovery and long-term function.
Areas of special interest
Kidney and ureter stone surgery
Kidney stone surgery has had major changes in the last few years. Today with the availability of holmium laser we can use finer instruments and also flexible instruments to deliver the laser energy and destroy the stone, in situ. Dr Avishek Mukherjee has been treating stone diseases for the past 23 years. He provided complete end to end solution for the stones of the urinary tract.
Ureteroscopic stone surgery-treating larger ureteral stones with laser energy. Ureter is the tube which conveys the urine from the kidney to the urinary bladder.
PCNL surgery-for large kidney stones, larger than 20mm, we use percutaneous nephrolithotomy. Wherein even staghorn stones can be cleared in one or two sittings.
Mini Perc surgery-this Is a mini version of the PCNL, where in the scope used is just 12 french and therefore the trauma to the kidney is reduced and the patient can recover much faster.
RIRS surgery-for stones smaller than 10mm located within the kidney we can use the flexible uretero-renoscope. Which allows the surgeon to visualize each calyx clearly and destroy renal stones, with laser, via an instrument passed from the urine passage into the kidney.
Laser prostate surgery
Prostate is the gland which produces semen, and is therefore a reproductive organ. Prostate enlargement can cause obstruction to the urine passage, since it surrounds the urethra at the base of the bladder.
When prostate is enlarged it needs to be removed. Earlier we used to use TURP as the method to remove the prostate. But now the latest method is removal of the benign prostate by holmium laser. The Holmium laser surgery of the prostate is called HOLEP. It is better than the TURP since the bleeding is less and therefore the clearance of the prostate is better.
Laparoscopic surgery for cancer of the prostate
Prostate cancer is a common problem among men more than 60 years of age. Prostate cancer can be safely and effectively treated with laparoscopic surgery of the prostate cancer. This surgery means removal of the entire prostate with the seminal vesicles and the lymph nodes which drain the prostate, which can also harbor the cancer.
Laparoscopy allows the surgeon to operate with very high magnification camera, and therefore very fine dissection and removal of cancer is possible. Since the entire surgery is performed via small key hole incisions, therefore the patient has very less trauma and can return to work within one month of the surgery. Dr Avishek Mukherjee did the first totally laparoscopic radical prostate surgery in eastern India in the year 2005.
Laparoscopic surgery for kidney cancer
Kidney cancer is very common in men after the age of 50. Surgical removal of these cancers remains the mainstay of the treatment of these patients. Earlier we needed to place large incisions to remove the cancer. But nowadays we are
able to perform this surgery with very high precision using machine driven laparoscopic surgery.
This surgery reduces the bleed and the trauma to the patient and therefore we can give cancer freedom with less pain
Today for cancers smaller than 4cm, we can provide nephron sparing surgery. Which spares the functioning kidney while the cancer can be cured. This advanced surgery can also be performed by laparoscopy, and Dr Mukherjee is a pioneer in this surgery in easter India.
