Testis- High inguinal Orchidectomy, RPLND- Standard, Nerve sparing, Salvage, Desperation.
Ureter-Nephrouretrectomy with bladder cuff excision.
Urethra- Total/Radical urethrectomy.
Sperm head shaped Neobladder was designed and developed at Cancer Institute. It
is the routine neobladder reconstruction done after radical cystectomy for
Urethral Suture Technique : A simple new and safer technique to take urethral
sutures for neobladder reconstruction and radical prostatectomy was developed
in cancer institute Adyar.
Sentinel Lymph Node Biopsy for Carcinoma Penis : One of the few centres
practising sentinel node biopsy for clinically node negative patients. This
procedure leads to dramatic decrease in the incidence of would and limb
complications associated with an inguinal lymph node dissection. The
identification rate and negative predictive value is comparable with that
published in world literature.
Nerve sparing RPLND in Post Chemotehrapy Setting : For limited small volume
disease on the contralateral side the nerves are preserved. Preservation of
nerves results in increased incidence of anterograde ejaculation. Patients have
even fathered children with this technique.