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KARTHIKEYA Speciality Clinics
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General Surgery & Surgical Oncology

Urology & Adrenal Cancer Surgeries

Radical and partial nephrectomy (kidney cancer), radical cystectomy (bladder cancer), retroperitoneal lymph node dissection (testicular cancer), and adrenalectomy.

Clinical Focus: Urological surgical oncology addresses complex malignant tumors of the kidneys, adrenal glands, bladder, and retroperitoneum. Dr. Malyadri Paladugu provides specialized tertiary surgical interventions focusing on nephron preservation (partial nephrectomy), radical urinary tract clearance, and retroperitoneal nodal dissections.

Urological Malignancies Managed

  • Renal Cell Carcinoma (Kidney Cancer): Laparoscopic & Robotic Partial Nephrectomy (preserving healthy functioning kidney tissue) and Radical Nephrectomy for large renal masses with renal vein thrombus.
  • Adrenal Gland Tumors: Minimally invasive laparoscopic and open adrenalectomy for pheochromocytomas, adrenal cortical carcinomas, and metastases.
  • Urinary Bladder Cancer: Transurethral Resection of Bladder Tumor (TURBT) and Radical Cystectomy with urinary diversion (ileal conduit / neobladder reconstruction).
  • Testicular Cancers: High inguinal orchidectomy and post-chemotherapy Retroperitoneal Lymph Node Dissection (RPLND).
  • Penile Malignancies: Partial / total penectomy with bilateral modified inguinal lymphadenectomy (VEIL / Open).

Diagnostic & Staging Protocol

Triphasic Renal CT

Dedicated dynamic multi-detector CT to delineate renal tumor vascular anatomy, arterial supply, and collecting system proximity.

Endocrine Workup

24-hour urinary fractionated metanephrines, serum catecholamines, and aldosterone/renin ratio for adrenal tumors.

Renal Function & GFR Mapping

DTPA / DMSA Nuclear Renal Scans to assess split individual kidney function prior to nephrectomy planning.

Surgical Technique & Nephron Preservation

  1. Zero / Minimal Warm Ischemia Time: Advanced vascular clamping techniques during partial nephrectomy to protect functioning nephrons.
  2. Complete Retroperitoneal Clearance: Systematic removal of primary tumors and associated regional lymphatic drainage basins.
  3. Pre-Operative Alpha Blockade: Strict pharmacological blood pressure optimization prior to pheochromocytoma excision to prevent hypertensive crisis.
  4. Long-Term Renal Function Monitoring: Routine surveillance of serum creatinine, eGFR, and abdominal imaging to maintain long-term renal health.

Why Choose Karthikeya Speciality Clinics

  • Nephron-Sparing Surgical Expertise: Dr. Malyadri Paladugu prioritizes partial nephrectomy whenever feasible to preserve long-term kidney function.
  • Robotic & Laparoscopic Infrastructure: Operating with Da Vinci robotic systems for micro-suturing in renal reconstruction at Yashoda Hospital.
  • Comprehensive Critical Care Support: Dedicated surgical ICU backup for complex adrenal and retroperitoneal surgeries.
  • Multidisciplinary Oncology Coordination: Seamless coordination with medical oncologists for systemic immunotherapy and targeted therapies.

Frequently Asked Questions

Yes. In Partial Nephrectomy (Nephron-Sparing Surgery), only the tumor along with a thin rim of normal tissue is excised, leaving the remaining healthy kidney intact. This is the standard of care for most localized tumors up to 4 to 7 cm.
Painless visible blood in the urine (hematuria) is the most frequent presenting sign. Other signs may include a dull ache in the flank/side or an incidentally detected mass on an ultrasound or CT scan.
Most patients are discharged from the hospital within 2 to 4 days and can resume light daily activities within 1 to 2 weeks, avoiding strenuous exercise or heavy lifting for 4 to 6 weeks.