Dr. Kishore T A

Dr. Kishore T A

Urinary Specialist - Urosurgeon

  Aster Medicity, Kochi, India

  15 Years of experience

BIOGRAPHY

Qualification and Experience

Dr. Kishore T. A is one of the top Urologists in Kerala. He has more than 13 years of clinical experience in the field of Urology. He is currently practicing as a Consultant Urologist and Transplant Surgeon in the Urology department at Aster Medicity Hospital, Kochi. He was also previously associated as an Associate Urologist at MS Ramaiah Hospital and Medical College and as an Associate professor at Amala Cancer Center and Medical College. He completed his MBBS from Government Medical College, Thrissur. Later, he completed his MS in General Surgery and M.Ch. in Urology from the same University. He passed his DNB in General Surgery from the National Board of Examinations in India. Dr. Kishore was awarded a fellowship in Robotic Surgery at Columbia University, in Urologic Oncology and Endourology at the University of Minnesota, USA.

Contribution to Medical Field

Dr. Kishore T. A is highly expertise in Urology and is an expert in Robotic Surgery, Renal Transplant, Advanced Endourology, Laparoscopic Urology, Urological Oncology and in Comprehensive management of complex Genito-urinary diseases. He is the first Urologist to perform robotic-assisted radical Nephrectomy, IVC thrombectomy and NOTES assisted vaginal Nephrectomy in India. Dr. Kishore is an associate editor and author of many journals. He was honored with many awards for his great achievement and work. He also attended many conferences and workshops related to his field and his research has been published in many journals of repute globally. 

Past Experience

  • Associate Urologist, MS Ramaiah Hospital and Medical College
  • Assistant Professor of Urology, Amala Cancer Centre and Medical College, Thrissur
  • Teaching Instructor in Oncology and Sexual rehabilitation, Department of Urology, University of Miami, Consultant Urologist & Transplant Surgeon, Department of Urology, Medical Trust Hospital, Kochi

Qualifications

  • MBBS
  • MS
  • MCh
CERTIFICATIONS (1)
  • Fellowship in Robotic Surgery (Columbia University Division Of Urology, Miami, United States
MEMBERSHIPS (3)
  • Member of the Editorial Board of International Journal of Urology and Nephrology
  • Asian Network for Scientific Information
  • Open Urology and Nephrology Journal?
Procedures
Trans Urethral Resection of Bladder Tumor (TURBT)

Cancer in Bladder can be found to vary depending on the type of its origins. It can arise from the lining of the epithelium which is the inner lining of the urinary bladder or the urothelium. Rare forms of cancer are not of epithelial origins like the sarcoma or lymphoma. Tumours in bladder is found to be the 9th leading type of cancer in United States as per a survey conducted in 2012 with 430,000 new cases and mortality of 165000 deaths annually.

About Trans Urethral Resection of Bladder Tumor

The first and foremost question to ask is where is your bladder located? The sac like muscular urinary bladder is located in the pelvis region above the pelvic bone. It is connected to the kidneys through the two ureters that transfer the urine from the kidney to the bladder for storage. An abnormal growth of cells in the inner lining causes a tumour requiring diagnosis and then followed by a turbt surgery.

In most cases the tumour cannot be assessed in the primary stages. There are hardly any notable evidences found when the patient is harbouring a primary tumour.

The next stage is designated as Oa and categorized as a non invasive type papillary cancer.
In the stage next of the stage 0 or the carcinoma in situ the inner lining of the bladder is affected and is still considered non invasive.
In stage I the cancer has spread into the lining of the bladder further but has not affected the muscular wall of the bladder.
While in Stage II the inside part gets affected including the muscles of the bladder making it now invasive.
And when the cancer has spread enough in muscles and the tissues around the bladder like the reproductive organs it is considered to be in stage III.
And in the final or stage IV the cancer will spread to the lymph nodes affecting the organs around it as well.

Causes of developing a tumour in bladder

The causes of tumour in bladder are not always very clear and well defined but it has been linked with smoking, chemical exposure and radiation or a parasitic infection. The abnormal cells undergo some mutation that allows them to multiply in a non orderly fashion and goes beyond control and they do not die thus giving rise to the tumour.

Symptoms of the TURBT

A person suffering from a tumour will experience mild sensation of burning and discomfort in the times of urination for quite a few days. The force of the urinary stream may also undergo significant changes which can be observed for a week to a fortnight. Usually there could be none of the symptoms and in certain cases all symptoms even if experienced may not lead to the conclusion that it is a bladder cancer. There can be blood or clots of blood in the urine along with a tendency of urinating too frequently. Tendency of urinating at night may be felt more but there can be general problems in urine passing. Associated along with this the patient can experience pain on either side of the body.

What is transurethral resection of bladder tumour?

This procedure aims at removing bladder tumours at an early stage by inserting a scope through the urethra leading to the bladder. In the TURBT procedure bladder cancer can be detected by the urologist and potentially allow the urologist to treat various other kinds of bladder related disorders. But 75% of the cancer of bladders that are detected are superficial in nature causing growth only on the surface of the walls of the bladder and does not get very deep. So this facilitates the surgeon to have the tumour removed at the bladder wall level causing no damage to the deeper layers of the organ. The information that is collected while executing the procedure will help the surgeons to decide the type of the abnormality of the tumour and the extent of the tumour. This later allows the urologist surgeons to decide whether further treatments will be required or not.

What are the alternatives for TURBT procedure?

Some of the other treatment alternatives for TURBT are being worked upon while some of them have tremendous side effects

Blue light fluorescent cystoscopy : Enhanced tumour visualization is possible and detection of tumour chances are increased by almost 20 to 25% with this method where an ultraviolet blue light is used. A dye is injected an hour prior to the procedure.

Adjuvant bladder cancer therapy: TURBT is not suitable for many who have high chances of suffering a recurrence within 12 months from the treatment. In this case adjuvant therapy is recommended. It includes intravesicle chemotherapy. Chemotherapy for bladder cancer includes giving medication to curb the abnormal growth of cells. But it also has its sets of side effects like experiencing irritation in bladder and loss of hair, nails and feeling debilitated for a very long period of time.

Trans Urethral Resection of Prostrate (TURP)

The enlarged prostate gland can become a subject of concern after a certain age in men. It causes trouble while urinating and that is one of the main reason why such men are advised to undergo trans urethral resection of prostate (TURP) surgery.

What is Trans-Urethral Resection of Prostate (TURP)?

The prostate gland goes through two phases as a man grows old. The growth phase occurs during puberty when the gland assumes double its size. The second phase of growth takes place after a man has attained the age of 25. This final size at this stage continues to remain the same throughout the life. But when men suffer from benign prostatic hyperplasia, the prostate gland gets further enlarged.

When the gland enlarges, it squeezes the urethra and as a result, the wall of the bladder grows thick. With time, the bladder grows weak and loses its ability to empty the urine completely. This allows some urine to stay back in the bladder at all times. Along with this, the urethra also narrows and hence, all the problems associated with urination keep coming back.

As of now, it is not totally clear why most men develop BPH but it mainly indicates an imbalance of hormones and sexual activities with advanced age. Apart from that, there can be urinary tract infection, narrowing of the urethra known as urethral stricture, inflammation of the prostate, bladder or stones in the kidney, nerve problems in controlling the bladder, or scarring in the neck of the bladder as a result of previous surgery.

The following are some of the symptoms of BPH:

  • Frequent urge to urinate

  • Difficulty in initiating urination
  • The urine stream that flows is weak and stops and starts in the session
  • At the end of urination, dribbling is often experienced
  • Straining is felt at the time of urination
  • Blood in the urine
  • Inability to completely empty the bladder
  • Infection in the urinary tract

Some of these above symptoms can occur even in men whose prostate has not enlarged significantly.

Frequently Asked Questions
What area of specialization does Dr. Kishore T A have?
Dr. Kishore T A is specialized in India and of the most sought after doctors in Urinary Specialist.
Does Dr. Kishore T A offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Kishore T A have?
Dr. Kishore T A is one of the most sought after specialists in India and has over 15 Years years of experience.
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