Holmium laser syste

The Holmium laser is widely regarded as the gold standard for treating urological conditions without open surgery. At Sanyra Hospital, Bangalore, our urologists use the Holmium laser system for two primary indications: Retrograde Intrarenal Surgery (RIRS) for kidney stones and Holmium Laser Enucleation of the Prostate (HoLEP) for benign prostatic hyperplasia (BPH).

RIRS allows our surgeons to navigate a thin, flexible ureteroscope all the way into the kidney and use laser energy to fragment stones into fine dust – eliminating the need for cuts or incisions. It is effective for stones of all sizes and compositions, including calcium oxalate, uric acid, and struvite stones. Most patients go home the same day or within 24 hours.

HoLEP is a minimally invasive procedure that precisely removes excess prostate tissue obstructing urine flow. Compared to traditional TURP, HoLEP offers lower re-operation rates, less blood loss, and a shorter catheter duration, making it the preferred choice for patients with large prostates.

Robot-assisted urology

Sanyra Hospital is equipped with advanced robotic surgical technology that brings the precision of a specialist’s hands to a microscopic level. Robotic-assisted urology is particularly transformative for two high-stakes procedures: radical prostatectomy (removal of the prostate for cancer) and nephrectomy (removal of part or all of the kidney).

The robotic system provides the surgeon with a 10× magnified, high-definition 3D view of the operative field – far superior to the naked eye or even standard laparoscopy. The robotic arms translate the surgeon’s natural hand movements into precise, tremor-free micro-movements inside the body. This level of control is critical in prostate surgery, where protecting the neurovascular bundles responsible for erectile function and urinary continence is paramount.

For patients with kidney tumours, robotic partial nephrectomy allows surgeons to remove only the cancerous portion of the kidney while preserving as much healthy tissue as possible – protecting long-term kidney function in a way that open surgery often cannot match.

Flexible ureteroscopy

Flexible ureteroscopy has transformed the way kidney stones are treated in the 21st century. At Sanyra Hospital, Bangalore, our endourology specialists use ultra-thin, steerable flexible scopes to navigate the entire urinary tract – from the urethra through the bladder, up the ureter, and directly into every part of the kidney – without a single external incision.

Combined with Holmium laser energy, this technique – known as Retrograde Intrarenal Surgery (RIRS) – allows our urologists to precisely fragment and remove kidney stones of all sizes in a single sitting. Unlike Shock Wave Lithotripsy (SWT), RIRS is effective for stones in difficult anatomical positions (lower pole calyx, horseshoe kidney) and for harder stone types that resist shock waves.

Patients who choose flexible ureteroscopy at Sanyra benefit from a truly daycare procedure: no cuts, no stitches, minimal post-procedure pain, and discharge within 24 hours. For working professionals and busy individuals in Bangalore, this translates to virtually no disruption to their daily lives.

Male fertility & sexual health

Male infertility is a factor in nearly 50% of couples struggling to conceive, yet it remains significantly underdiagnosed and undertreated. Sanyra Hospital’s andrology programme in Bangalore offers a complete, evidence-based diagnostic and treatment pathway for men facing fertility challenges or sexual health concerns.

Our workup begins with a detailed semen analysis and hormonal profiling (FSH, LH, testosterone, prolactin) to identify the root cause of infertility. Where a genetic cause is suspected, karyotyping and Y-chromosome microdeletion testing are arranged. Anatomical causes such as varicoceles – enlarged veins in the scrotum that raise testicular temperature and impair sperm production – are detected using colour Doppler ultrasound and corrected through microsurgical varicocelectomy, which has been shown to improve sperm parameters in 60–70% of cases.

For men with non-obstructive azoospermia (no sperm in ejaculate), our andrology team offers Testicular Sperm Aspiration (TESA) and micro-TESE to retrieve viable sperm directly from testicular tissue for use in IVF/ICSI programmes. Sexual health concerns including erectile dysfunction and hypogonadism are managed with a combination of lifestyle counselling, hormonal replacement therapy, and pharmacological treatments.

Organ-sparing cancer surgery

A cancer diagnosis does not have to mean losing an organ. Sanyra Hospital’s uro-oncology programme in Bangalore is built on the principle of maximum cancer control with minimum harm to healthy tissue. Our urological oncologists are trained in the latest organ-sparing techniques for kidney and bladder cancers – the two most common urological malignancies.

For kidney cancer, robotic partial nephrectomy is our preferred approach wherever oncologically feasible. The procedure removes only the tumour and a small margin of surrounding tissue, leaving the rest of the kidney intact and functioning. Preserving kidney function is critical – patients with chronic kidney disease face higher cardiovascular risk, and every functioning nephron matters. Our team achieves this with warm ischaemia times consistently under 20 minutes, minimising damage to the remaining kidney.

For bladder cancer, Sanyra offers Blue Light Cystoscopy (BLC) using hexaminolevulinate (HAL) – a technology that makes cancer cells fluoresce bright pink under blue light, revealing flat tumours (carcinoma in situ) that are completely invisible under standard white light. This dramatically improves detection rates and reduces the risk of recurrence after TURBT. Research shows BLC detects up to 16% more carcinoma in situ compared to white light alone.

Kidney transplant programme

End-stage kidney disease (ESKD) affects millions of Indians, and kidney transplantation remains the gold-standard treatment – offering better quality of life, longer survival, and reduced dialysis dependence compared to haemodialysis alone. Sanyra Hospital’s dedicated transplant programme in Bangalore provides a complete kidney transplant journey, from evaluation to long-term immunosuppression management.

Our transplant team performs both living donor (from a healthy relative or spouse) and deceased donor (cadaveric) kidney transplants. The programme follows a structured pre-transplant workup that includes immunological matching (HLA typing, crossmatch), cardiac evaluation, infection screening, and psychosocial assessment for both donor and recipient. This comprehensive approach minimises the risk of rejection and post-operative complications.

Post-transplant care at Sanyra includes a meticulous immunosuppression protocol, regular kidney function monitoring, infection surveillance, and long-term nephrology follow-up. Our dedicated transplant coordinators guide patients and families through every step – from listing to discharge and beyond – ensuring continuity of care that significantly impacts graft survival.