Urology

अखिल भारतीय आयुर्विज्ञान संस्थान, बिलासपुर, हिमाचल प्रदेश

ALL INDIA INSTITUTE OF MEDICAL SCIENCES, BILASPUR, HIMACHAL PRADESH

Introduction

The Department of Urology was established in June 2022 with the joining of Dr. Uma Kant Dutt as Assistant Professor, who was later promoted to Associate Professor. The department initially commenced with outpatient consultation services and gradually expanded to inpatient admissions and operative services from February 2023 onward.

Despite functioning with limited faculty strength, the department has rapidly evolved into a comprehensive tertiary care superspecialty center delivering advanced clinical, surgical, transplant, academic, and research services in urology.

The early growth of the department was strongly supported by dedicated non-academic junior residents who contributed significantly toward building the department’s clinical and operational framework.

Currently, the department conducts OPD services three times weekly with an average attendance of approximately 100–150 patients per OPD session.

The department presently operates three elective operation theatre days weekly under general/regional anesthesia and three dedicated local OT sessions weekly for daycare and minor procedures.

The department currently has 20 operational beds, with future plans for expansion.

The department caters to patients from Himachal Pradesh, Punjab, Haryana, Uttarakhand, Jammu & Kashmir, and Ladakh.

Vision Statement

“To establish a center of excellence in advanced urological care, minimally invasive surgery, renal transplantation, robotics, academics, innovation, and research.”

Future Vision

The department aims to further expand into Robotic Urological Surgery, AV Fistula Surgery, Advanced Reconstructive Urology, High-volume Renal Transplantation, Functional Urology, Andrology, and Multicentric Academic Research Collaborations.

The ultimate vision of the department is to evolve into one of the leading urology departments across India and globally, recognized for excellence in patient care, academics, surgical innovation, research, and training.

Mission Statement

To provide affordable and comprehensive urological care.
To promote excellence in minimally invasive and reconstructive surgery.
To expand renal transplantation and robotic surgery services.
To foster high-quality superspecialty education and research.
To enhance community awareness regarding urological diseases.

Faculty

Faculty Details

Photo	Name	Designation	Qualification	Joining	Areas of Interest
	Dr. Uma Kant Dutt	Associate Professor	M.Ch Urology	June 2022	Renal Transplantation Robotic Urology Advanced Laparoscopic Urology Reconstructive Urology Andrology & Endourology

Senior Resident Academic Team Overview

Sr. No.	Name	Designation	Qualification	Joined
1	Dr. Vivek Rajana	Senior Resident (Academic)	M.S. General Surgery	July 2025
2	Dr. Kajari Ashtaputre	Senior Resident (Academic)	M.S. General Surgery	February 2026

Services

Clinical Services

The department provides comprehensive management across all major subspecialties of urology including Endourology, Stone Disease Surgery, Advanced Laparoscopic Urology, Reconstructive Urology, Uro-oncology, Renal Transplantation, Andrology, Functional Urology, and Emergency Urology.

Endourology and Stone Services

The department routinely performs a wide spectrum of minimally invasive endourological procedures including TURP, HoLEP, RIRS, Mini-PCNL, URSL, DJ stenting, and advanced endoscopic stone procedures.

The department has developed expertise in managing complex stone disease using contemporary minimally invasive technology.

Advanced Laparoscopic and Open Surgery

The department regularly performs both basic and advanced laparoscopic procedures including Simple Nephrectomy, Radical Nephrectomy, Complex Nephrectomy, Partial Nephrectomy, Radical Cystectomy, Pyeloplasty, and Ureteric Reimplantation.

The department also performs major open and reconstructive procedures including Open Nephrectomy, Open Cystectomy, Urethroplasty, Orchidectomy, and Varicocele Surgery.

High-Risk Surgical Care

The department routinely performs major urological procedures in high-risk patients, including individuals with severe cardiac comorbidities and low ejection fraction, in close coordination with anesthesia, cardiology, and critical care teams.

Renal Transplant Programme

A major milestone in the department’s journey was the initiation of the Kidney Transplant Programme in October 2024.

Since its inception, the department has successfully completed 14 kidney transplants with encouraging outcomes, significantly improving access to advanced renal replacement therapy in the region.

Functional Urology and Andrology

The department is equipped with Video Urodynamic Study (Video UDS) systems and Uroflowmetry services. The department is also in the process of procuring ESWT for andrology services.

Infrastructure and Technology

100 W Holmium Laser System
2D Laparoscopic System
C-arm Fluoroscopy Unit
BK 5000 Ultrasound Machine
Flexible Ureterorenoscope
Upper Tract Endoscopic System
Lower Tract Monopolar and Bipolar Endoscopic Systems
ShockPulse Lithotripter
Pneumatic Lithotripsy System
Video UDS System
Uroflowmetry Services

Upcoming Technological Advancements

3D Laparoscopic System
Rezum Therapy System
Thompson Retractor System
Robotic Surgical Platform
ESWL System
Thulium Laser System
ESWT for Andrology

Statistics Courses & Short Term Trainings

Academic Programme and Resident Training

The academic programme commenced with the initiation of the MCh Urology residency programme in July 2025. The department currently has an intake of two MCh residents per year.

Regular academic activities include resident teaching classes, bedside clinics, seminars, journal clubs, case discussions, and hands-on operative training.

Residents receive extensive exposure to the full spectrum of urological diseases and surgeries due to the diverse case mix and increasing surgical workload.

Workshops and Academic Contributions

The department actively participates in national and regional academic activities through faculty and resident conference presentations, research paper presentations, surgical workshops, and academic collaborations.

Recently, the department successfully organized a live operative workshop, the first of its kind in the institute’s history, which was highly appreciated across multiple specialties and departments within the institute.

Community Outreach and Public Awareness

The department remains actively engaged in community outreach programmes including health awareness camps, radio awareness programmes, television live discussions, and public education initiatives.

Research & Publications

Research Activities

The department is actively involved in clinical and academic research with ongoing work in prostate diseases, bladder malignancy, urolithiasis, endourology, functional urology, and renal transplantation.

Faculty and residents regularly participate in scientific conferences and contribute through oral presentations, poster presentations, and academic discussions at regional and national levels.

Publications

S. No.	Publication Details
1	Dutt UK, Kumar S, Dorairajan LN, Badhe BA, Manikandan R, Singh S. Effect of preoperative finasteride on perioperative blood loss during transurethral resection of the prostate and on microvessel density in patients with benign prostatic hyperplasia: An open-label randomized controlled trial. Urol Ann. 2021;13(3):199-204.
2	Kumar S, Dutt UK, Singh S, Dorairajan LN, Sreerag KS, Zaphu T, Manikandan R. Prospective audit of complications after ultrasonography-guided percutaneous nephrostomy for upper urinary tract obstruction using modified Clavien classification system. Urol Ann. 2020;12(1):31-36.
3	Dutt UK, Manikandan R, Dorairajan LN, Srinivas BH. Biphasic renal synovial sarcoma with extensive venous tumor thrombosis: A rare presentation. Urol Ann. 2018;10(3):339-341. doi:10.4103/UA.UA_9_18
4	Kumar S, Dutt UK, Navriya SC, Mammen KJ. Ileal ureteral substitution after panureteral damage: A devastating complication of forgotten double-J stent. J Endourol Case Rep. 2020;6(3):217-219. doi:10.1089/cren.2019.0156
5	Khelge V, Kalra S, Dorairajan LN, Manikandan R, Dutt UK. Laparoscopic Mainz II approach for single system ectopic ureter with bladder agenesis. J Endourol Case Rep. 2019;5(4):164-166. doi:10.1089/cren.2019.0062
6	COVIDSurg Collaborative; GlobalSurg Collaborative. Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study. Anaesthesia. 2021;76(6):748-758. doi:10.1111/anae.15458
7	COVIDSurg Collaborative, Glasbey J, Ademuyiwa A, Adisa A, AlAmeer E, Arnaud AP, Ayasra F, Azevedo J, et al. Effect of COVID-19 pandemic lockdowns on planned cancer surgery for 15 tumour types in 61 countries: an international, prospective cohort study. Lancet Oncol. 2021;22(11):1507-1517. doi:10.1016/S1470-2045(21)00493-9
8	Kumar S, Dutt UK, Singh S, Dorairajan LN, Manikandan R, Sampath E, Zaphu T. Salvage procedures for failing arteriovenous fistula: An institutional experience. Indian J Vasc Endovasc Surg. 2019;6(1):23-27. doi:10.4103/ijves.ijves_50_18
9	Dutt UK, Kumar S, Muruganandham K, Dorairajan LN, Pillai AA. Internal iliac artery pseudoaneurysm communicating with orthotopic neobladder: A rare complication of radical cystectomy. Indian J Vasc Endovasc Surg. 2019;6(3):198-200. doi:10.4103/ijves.ijves_3_19
10	Mukherjee P, Goyal A, Dutt UK, Newton N, Bernard A. Manual paper logbook-based stent registry for prevention of forgotten ureteral double J stents: A prospective interventional study. CHRISMED J Health Res. 2025;12(1):72-75. doi:10.4103/cjhr.cjhr_53_25

Department Operational & Statistics Overview

Department Operational Overview

Service Component	Details
OPD Services	3 Days Weekly – Tuesday, Thursday and Friday
Operation Theatre (OT)	3 Elective OT Days per Week
Minor OT / Local OT	3 Minor OT Sessions Weekly
Total Surgeries Done	Approx. 1500
Emergency Urological Care	24×7 Emergency Urology Services Available