MIRENA – An Alternative To Hysterectomy In Heavy Menstrual Bleeding

MIRENA – An Alternative To Hysterectomy In Heavy Menstrual Bleeding

Menstrual bleeding is a natural biological function post-puberty until menopause, however, certain women suffer from Heavy Menstrual Bleeding which can lead to a condition known as Menorrhagia. Though not all Heavy Menstrual Bleeding conditions can be diagnosed as Menorrhagia, they still can lead to severe health complications and discomfort in general. One should consult the best gynecologist in Delhi NCR for proper diagnosis.

Heavy bleeding during periods affects around 1 in 5 women in the age group of 30 to 40 years. Heavy menstrual bleeding is a common cause of morbidity among women causing anemia, weakness, chronic fatigue reduced immunity, and weight loss. A comprehensive check-up may be required at the best multispeciality hospital in India.

Symptoms of Heavy Menstrual bleeding

Heavy menstrual bleeding can be easily identified by the excessive menstrual fluid discharge during menstrual periods. Some of the other signs of Heavy Menstrual Bleeding are:
•    Need to use several sanitary pads every hour
•    Requiring double sanitary protection to control your menstrual flow
•    Menstrual discharges for more than a week
•    Discharging blood clots
•    Feeling tired and anemic
•    Constant fatigue along with shortness of breath

In case of heavy menstrual bleeding one is advised to consult a Gynecologist Obstetricians in Delhi immediately.

What is Menorrhagia?

Heavy menstrual bleeding for prolonged periods leading to anemia, severe pain, reduction in hemoglobin due to Iron deficiency is diagnosed as Menorrhagia.

The common causes of heavy menstrual bleeding and Menorrhagia are:

Hormone imbalance. It causes excessive development of the endometrium (the lining of the uterus which sheds during menstruation) eventually leading to heavy menstrual bleeding.  It can be caused by polycystic ovary syndrome (PCOS), obesity, insulin resistance, and other problems such as thyroid problems.

Ovulatory Dysfunction: Non-ovulation during a menstrual cycle leads to the non-production of the hormone progesterone. This can lead to hormone imbalance and resulting in Heavy Menstrual Bleeding.

Uterine fibroids. The uterus fibroids may appear during pregnancy. They may lead to prolonged or heavy menstrual bleeding.

Uterine Polyps:  Small growths on the uterus lining may lead to prolonged or heavy menstrual bleeding.

Uterine Cancer and Cervical Cancer:  It can also cause excessive menstrual bleeding.

Menorrhagia or heavy menstrual bleeding can also be attributed to Adenomyosis, Use of non-hormonal intrauterine devices, pregnancy complications, and other medical conditions. Certain medications can also contribute to heavy or prolonged menstrual bleeding. One should consult a online gynecologist to check for all the possible reasons.

Sometimes the cause of heavy bleeding may remain unknown (idiopathic), in which case a comprehensive diagnosis becomes necessary.

Menorrhagia or Heavy Menstrual Bleeding Diagnosis

Investigations of heavy menstrual bleeding should include Transvaginal Scan, Dilatation & Curettage (D&C), and Endometrial Biopsy, besides the routine Haemogram, Thyroid Function Test, Blood Sugar Check, etc. Heavy menstrual bleeding ven for short periods should not be ignored as they may lead to severe complications, one is advised to get in touch with  the best gynecologist immediately.

Prescribed Treatments for Menorrhagia or Heavy Menstrual Bleeding Diagnosis

Treatment of Heavy Menstrual Bleeding is individualized depending on the age of the patient, need for contraception, desire to retain fertility, nature, and severity of complaints, presence of pelvic pathology outcome of previous treatment, cost of treatment.

Aim of treatment is to offer a healthy future and femininity perseverance.

The first-line treatment of Heavy Menstrual Bleeding is usually drug therapy.

Drug therapy includes NSAIDS, antifibrinolytic agents, oral contraceptives, cyclical progesterone therapy, GnRH analogues. If the results from drug therapy are not favorable then surgical methods are opted.

Surgical methods include endometrial ablation and hysterectomy. Endometrial ablation is a procedure that surgically destroys or ablates the lining of the uterus. Endometrial ablation is not suitable for a very large uterus.

The other surgical option for treatment of Heavy Menstrual Bleeding is ‘Hysterectomy’ It is considered as definitive treatment for heavy menstrual bleeding by Gynecologists, but should be opted upon failure or all other conventional methods.  

30% of women in the reproductive age group suffer from menorrhagia and 60% of these women ultimately end up opting for Hysterectomy (surgical removal of the uterus).

Hysterectomy is the 2nd most frequent surgical procedure in women of reproductive age group and 90% of these are for benign reasons (noncancerous tumor growths). Hysterectomy is a major surgical procedure with a major postoperative complication rate of 3.5% and morbidity rate of 0.38/1000 and it has psychological effects also too. Gynecologists are of opinion that alternative to hysterectomy should be considered.

Alternate Treatment for Menorrhagia or Heavy Menstrual Bleeding

MIRENA is the most recommended alternative to usual treatments offered for Menorrhagia or Heavy Menstrual Bleeding.

It is a T shaped hormone-releasing intra-uterine device loaded with Levonorgestrel (LNG), which is a very safe drug. It releases 20 micros of LNG daily and prevents endometrial proliferation thus reducing bleeding.

The MIRENA insertion procedure is simple, painless, takes, and can be done on an OPD basis with anesthesia in about 10-15 minutes. The cost of the MIRENA insertion procedure is far less than hysterectomy and other oral hormone therapy, which needs to be given for months together.

Post about 10-15 minutes there is an 80% reduction in blood loss in the first 6 months. Periods may become less frequent and the amount of bleeding also reduces.

The MIRENA has known to be effective in moderate-sized fibroids, endometriosis, adenomyosis. It has the additional advantage of producing reversible contraception, at the same time future childbearing ability is also preserved.  Life of MIRENA is about 5 years after which it may be changed or removed depending on the condition of the patient.

Side effects of The MIRENA

The effects of the MIRENA on BP, cholesterol, liver function, bone density, carbohydrates, metabolism, coagulation factor, lipid profile are much less than oral hormone therapy as blood levels of the drug are 4 times lower than oral hormone therapy.

Few problems that may happen sometimes with MIRENA include irregular bleeding for the initial few months after insertion, as it may take 6 months for the full effect of MIRENA to come and during that time additional hormonal treatment may be required. Sometimes there is spontaneous expulsion of MIRENA reinsertion that may be required. Sometimes patients become amenorrheic after inserting MIRENA.Conclusion

Mirena can replace the need for Hysterectomy in 50% of patients. We at the Metro Hospitals have been successfully using MIRENA in our patients. We have been able to prevent Hysterectomy in High-Risk patients such as very obese patients, patients with previous 3 cesareans, multiple surgeries, patients with coagulopathy, and patients on blood thinners. All these patients are doing well post MIRENA procedure.

We at the metro group of hospitals are always committed to realizing the vision of providing world-class healthcare at an affordable cost and to achieve excellence in Healthcare services by offering exceptional care through state-of-the-art technology.

The Metro Group was established in the year 1997 by Padama Vibhusan, Padma Bhusan and Dr. B C Roy National Awardee Dr. Purshotam Lal with the vision to provide world-class healthcare amenities to his countrymen at an affordable cost.

Metro Group of Hospitals are the leading healthcare centers in our country boasting an ultra-modern infrastructure providing multispeciality care by an exceptional team of healthcare professionals under the leadership of world-renowned interventional cardiologist Dr. Purshotam Lal. We at Metro hospitals provide multispecialty care for 35 Chief and Allied-specialities that include Anaesthesiology, Cardiology & CTVS, Dentistry, Gastroenterology & Gastro Surgery, Internal Medicine, Neurosciences, Obstetrics and Gynaecology, Oncology & Onco Surgery, Orthopaedics, Joint Replacement & Spine Surgery, Paediatrics & Neonatology, Physiotherapy Plastic, Cosmetic & Reconstructive Surgery, Pulmonology & Sleep Medicine, Rheumatology, Stem Cell Therapy, Bariatric & Metabolic Surgery, Blood Bank, Dermatology, Endocrinology And Diabetes, ENT & Cochlear Implant, Haemotology, Holistic Medicine, Homeopathy, Interventional Radiology Laboratory, Laparoscopic & General Surgery, Nephrology & Renal Transplant, Nutrition & Health, Ophthalmology, Metro Eye Centre, Psychiatry, Psychology, Radiology, and Urology.

Dr. Purshotam Lal is an internationally acclaimed Interventional Cardiologist who epitomizes the best in professional excellence and service to humanity, especially the poor and the needy.

Dr. Lal was trained at world renowned medical institutions in the UK, Germany, and the USA. He is fellow of American College of Cardiology, American College of Medicine, Royal College of Physician (Canada), British Cardiovascular Interventional Society, German Society of Cardiovascular Research, Fellow of Society of Cardiac Angiography and Interventions, USA, etc. He has the unique distinction of pioneering the largest number of procedures in the field of Interventional Cardiology for the first time in the country such as Slow Rotational Angioplasty, Atherectomy, Rotablator, Stenting, Heart hole closure, etc.

He has developed techniques of Aortofemoral bypass support (partial artificial heart), Opening of tight heart valves with echo without cath lab. He has performed the first case of Non-surgical heart hole closure (ASD) with monodisc device and the first case of Non-surgical aortic valve replacement with core valve, both being the first time in the world. He is the first investigator of Inoue Balloon Mitral Valvuloplasty in the Country and his name has been listed in the ‘Limca Book of World Records’.

A crusader against unethical commercialization of medical services, he has committed himself to provide to the middle class, poor and the needy the latest cardio-vascular procedures at the most affordable cost. In pursuance of his mission, he has established thirteen state-of-the-art Hospitals and three satellite units. Such is Dr. Lal’s commitment to his mission that an ever-increasing number of poor patients have been treated either free of cost or at concessional rates and ‘No patient is ever turned back for want of money’. He has been named as ‘Creator of Affordable Healthcare’ by ‘Express Healthcare’, a leading health magazine and has been a trendsetter for NRIs to return to India to serve the needy people.

Dr. Lal has been decorated with several prestigious awards:–

•    2nd Jawaharlal Nehru International Excellence Award (1990), Rajiv Gandhi Award (1991), Dr.V.V.Shah Oration Gold Medal by Cardiological Society of India (1992) for his pioneering contributions in Interventional Cardiology.

•    Distinguished Achievement Award of Highest Order by the National Forum of Indian Medical Association (2006-07) for performing the largest number of angioplasties/stenting as a single operator in the country.

•    ‘Life Time Achievement Award’ by Shri Arun Jaitley on behalf of Delhi Medical Association and ‘Life Time Achievement Award’ by Dr. Lilly Engineer, Professor of Harvard University on behalf of ‘Times of India’.

•    Padma Bhushan (2003), prestigious Dr. B.C.Roy National Award (2004) and Padma Vibhushan (2009) by the President of India.

He has contributed over one hundred research papers, articles, chapters and authored a book “Cause and Prevention of Heart Diseases”. He has been a Member at  Central Council of Health and Family Welfare, Expert Committee for medical devices, Ministry of Health, Govt. of India, Delhi Medical Council, Standing Committee ESI Corporation – Ministry of Labour & Employment, Govt. of India and Member Board of Governors, Medical Council of India from May 2011 to May 2013.

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Select Specialities provided by Metro Group Hospitals
  • Anaesthesiology
  • Bariatric & Metabolic Surgery
  • Blood Bank
  • Cardiology & CTVS
  • Dentistry
  • Dermatology
  • Endocrinology And Diabetes
  • ENT & Cochlear Implant
  • Gastroenterology & Gastro Surgery
  • Haemotology
  • Holistic Medicine
  • Homeopathy
  • Internal Medicine
  • Interventional Radiology
  • IVF
  • Laboratory
  • Laparoscopic & General Surgery
  • Liver Transplant
  • Nephrology & Renal Transplant
  • Neurosciences
  • Nuclear Medicine
  • Nutrition & Health
  • Obstetrics and Gynaecology
  • Oncology & Onco Surgery
  • Ophthalmology, Metro Eye Centre
  • Orthopaedics, Joint Replacement & Spine Surgery
  • Paediatrics & Neonatology
  • Physiotherapy
  • Plastic, Cosmetic & Reconstructive Surgery
  • Psychiatry
  • Psychology
  • Pulmonology & Sleep Medicine
  • Radiology
  • Rheumatology
  • Stem Cell Therapy
  • Urology


Best Anaesthesiology

We’ve got the best Anaesthetics and Critical Care experts coupled with latest anesthesia machines ensuring adequate gas mixture delivery to the patient, Anesthetic gas monitors who ensure extreme economy and negligible theatre pollution. The department has long experience of giving successful anaesthesia in various thoracic, vascular and congenital heart disease cases.

Bariatric & Metabolic Surgery

Best Bariatric & Metabolic Surgery

Metro Centre for Bariatric & Metabolic (diabetic) Surgeries is an advanced set-up having complete diagnostic and surgical facilities. We provide a relaxing and satisfying experience to every patient and help them achieve their weight-loss goals.

Blood Bank

Best Blood Bank

Our Blood Bank is committed to provide high quality services by assuring the supply of safe and quality blood and its products to the patients. The blood bank adopts most modern technology and equipment. We’ve fully automatic ELISA processor, blood grouping and cross matching and blood component equipments. All the records and standard operative procedures (SOPs) are maintained and followed as per National and International standards.

Cardiology & CTVS

Best Cardiology & CTVS

Department of Cardiology is headed by Padma Vibhushan & Dr. B C Roy National Awardee Dr. Purshotam Lal, a pioneer in Interventional Cardiology consisting of a team of highly qualified and skilled interventional Cardiologists. Under his leadership, the centre has grown into the most specialized centre for angiography and angioplasty.


Best Dentistry

Metro Dental And Implant Centre has delivered millions of smiles over the years. The centre offers state-of-the-art dental services both through general out-patient and private OPD.


Best Dermatology

The centre provides a holistic, scientific and a technologically advanced approach for all dermatological and cosmetic conditions. Consultations with our experienced dermatologists ensure that the patients get the best advice, be it for skin diseases or cosmetic interventions. Our specialized services include- Pimples / Acne – Pigmentation Treatment, Cosmetic Peels, Non-surgical removal of warts, Laser treatment, as more.

Endocrinology And Diabetes

Best Endocrinology And Diabetes

Department of Endocrinology and Diabetes is a full-fledged facility involved in evaluating and treating patients for diabetes, Obesity, Sexual disorders, Hirsutism, PCOD, Osteoporosis, Adrenal disorders, other endocrine disorders. We offer a wide range of treatment options for endocrine and metabolic diseases. Our specialists are the most experienced one having a long track record of successful treatment of the patients.

ENT & Cochlear Implant

Best ENT & Cochlear Implant

We provide the complete diagnostic and treatment of disease and conditions associated with the ear, nose and throat. We are well experienced in treating everything from a basic disease to doing a complicated surgery involving Otolaryngologists, Audiologists, Speech-language pathologists and other medical professionals. Services include Endoscopic Sinus Surgery, Micro-Surgery of Ear, Cochlear Implant, Rhinoplasty, Head & Neck Surgeries, and more.

Gastroenterology & Gastro Surgery

Best Gastroenterology & Gastro Surgery

Metro Centre for Liver & Digestive Diseases (Gastroenterology & GI Surgery) has combined medical and surgical department. The team of doctors has received super speciality training in their respective field which ensures high quality of care. The combined setup of Gastroenterology and GI Surgery allows quick assessment and treatment of the patient. Our surgical services include the performance of specialized and complex GI surgical procedures for the management of diseases of various parts of the GI tract.


Best Haemotology

Clinical Haematology unit headed by very senior clinical haematologist . To support this, Metro Path Labs are well equipped and advanced labs to handle relevant investigations related to blood, lymphnode and spleen disorders like Leukemia, Thalassemia, multiple myeloma, etc. Routine procedures done here are Bone Marrow Aspiration, Bone Marrow Biopsy, Peripheral Smear Study, Reticulocyte count.

Holistic Medicine

Best Holistic Medicine

The department aims at healing the person completely - body, mind, spirit, and emotions aimed at optimal health and wellness. This is achieved with the help of specialists and by gaining proper balance in life. Our specialists use all forms of healthcare ranging from conventional medication to alternative therapies, to treat a patient. Our doctors use the combinations of drugs and lifestyle modifications to address any condition.


Best Homeopathy

We bring you the convenience of getting quality homeopathic treatment for all your chronic and long standing illnesses. We are committed to provide you the best of the information and constitutional homeopathic treatment. Diseases Treated by Homoeopathy are Infectious Diseases, Viral Diseases, Diseases of Infancy and Childhood & Allergic Disorder.

Internal Medicine

Best Internal Medicine

The Department of Internal Medicine is a full-fledged facility offering comprehensive care for general and preventive medicine for all ages. The Department has the support and back-up of all super-specialities in the hospital providing end to end services varying from diagnosis, prevention, treatment, wellness, preventive health checks, rehabilitation services and management of various medical conditions.

Interventional Radiology

Best Interventional Radiology

A sub-speciality of Radiology is a subspecialty of radiology, providing minimally invasive treatments performed under guidance of x-ray fluoroscopy, ultrasound or computed tomography (CT Scan). In simple terms interventional radiologists “Not Just Diagnose But Treat too” with minimal invasive techniques. The advanced technology in Radiology provides a strong platform for efficient Interventional Radiological Procedures.


Best IVF

Metro Centre for IVF is at the forefront of delivering quality services in the field of Assisted Reproductive Techniques like IVF-IUI, ICSI, Surrogacy, etc.


Best Laboratory

A highly skilled team of medical professionals including physicians, medical technologists, medical technicians, lab assistants, biologists, chemist, microbiologists, geneticists, and other specialists work collaboratively to provide advanced diagnosis and laboratory services. Fully automated Robotic Arm, State-of-the-art BacT / Alert 3D Microbial Detection System etc. are among our top of the line technologies available.

Laparoscopic & General Surgery

Best Laparoscopic & General Surgery

Metro Hospitals and Heart Institute is well equipped with latest technological advancements in general and laparoscopic surgery and the centre is boasted to an advanced centre for general and laparoscopic surgeries.

Liver Transplant

Best Liver Transplant

Metro Hospital offers state-of-the-art technology to provide individualized, ongoing care for patients with Liver failure problems.

Nephrology & Renal Transplant

Best Nephrology & Renal Transplant

Our department of nephrology and renal transplant is a well equipped unit with a dedicated team of skilled consultants and paramedical staff which offers patient the advantages of a multidisciplinary approach. Our center deals in treating children and adolescents with congenital and acquired kidney diseases. We accept patients at any stage of kidney disease. The services include Medical Management of Kidney Diseases, Dialysis and Renal Transplant.


Best Neurosciences

The Department of Neurosciences has extremely talented and very well trained doctors who collaboratively work towards creating new paradigms for knowing the human brain condition and caring for it. Facilities include NCV, EMG, EEG, Video EEG, Botox Therapy for migraine and movement disorders (dystonia), Dedicated Stroke ICU, Neuro Rehabilitation Advanced facilities for Surgical Neurology.

Nuclear Medicine

Best Nuclear Medicine

Nuclear medicine employs radioactive substances within the body to assess organ and tissue functionality (for diagnosis) or to precisely target and eliminate damaged or diseased areas (for treatment).

Nutrition & Health

Best Nutrition & Health

A balanced diet provides complete balanced nutrition which is essential for a healthy life, enhancing the immunity of the person. The department consisting of expert dieticians provides Diet counseling according to the diagnosis of the patients, Diet counseling for different types of diseases like Diabetes, Liver diseases, Renal diseases, Diet related to pregnancy and lactation, Cardiac diseases, Weight management and many more.

Obstetrics and Gynaecology

Best Obstetrics and Gynaecology

Metro Centre For Obstetrics And Gynaecology is determined to unite their exceptional medical competence, advanced technology and novelty to offer the best treatments to the patients. Our broad spectrum of services include painless deliveries, management of high risk pregnancies/late pregnancies, gynae laparoscopic procedures, gynae onco services, pre and post natal care, amongst others.

Oncology & Onco Surgery

Best Oncology & Onco Surgery

We strive to create the best in class infrastructure, comprehensive facilities and render care and support by handholding every cancer patient in their journey. The management plan for each cancer is chalked out once the cancer is identified and staged. Treatment plan may include surgery, radiation and/or cancer medicine therapy. The team of Oncology Comprises of expert Medical Oncologists, Surgeons and Radiation Oncologists.

Ophthalmology, Metro Eye Centre

Best Ophthalmology, Metro Eye Centre

The team of highly experienced Ophthalmologists in a modern set-up perform various services like Phacoemulsification (Sutureless Cataract Surgery), YAG laser (for after cataract and glaucoma), Green laser (for diabetic and retinal eye diseases), Automated Perimetry, (For Glaucoma and Neurological visual Field), Applanation Tonometry for Glaucoma, Glaucoma surgery, Squint Surgery, etc. The results of all procedures match the international standards.

Orthopaedics, Joint Replacement & Spine Surgery

Best Orthopaedics, Joint Replacement & Spine Surgery

Metro Centre for Orthopaedics and Joint Replacements offers a wide range of treatment and comprehensive care for all kinds of musculo-skeletal conditions such as joint pain, spine pain, trauma, sports and other injuries. The Centre is well recognized for joint replacement surgeries of hip, knee and shoulder. The department is led by highly trained Orthopaedicians along with wide array of advanced technology. The Centre is specialized in providing services such as minimally invasive surgery, joint replacements, Orthopaedic Rehabilitation.

Paediatrics & Neonatology

Best Paediatrics & Neonatology

Metro Centre for Paediatrics & Neonatology is a top-notch centre for childcare which provides comprehensive paediatric, surgical, and immunization services to children up. We follow a holistic approach to treatment with our Neonatal Intensive Care Unit, Paediatric Intensive Care Unit, Paediatric and Neonatal Emergency, etc.


Best Physiotherapy

The services in Physiotherapy & Rehabilitation include Consultation, Diagnostic: examination, S D curve, muscle testing, ADL testing, Manual therapy: active/assisted/passive/resisted/graded resisted exercise etc., physiotherapeutic interventional procedures, (home care) etc., Obstetric, gynecological clinic: antenatal and post natal care, and other management, Geriatric clinic: help in ADL activity, pain free activity, Fitness clinic, Posture correction clinic, Ergonomics clinic, etc.

Plastic, Cosmetic & Reconstructive Surgery

Best Plastic, Cosmetic & Reconstructive Surgery

The department has highly experienced specialists in cosmetic and plastic surgery, state-of -the-art infrastructure ensuring world class medical attention and care. It is an acknowledgement center of excellence providing advanced and intricate treatment. The center also offers the world superior quality cosmetic treatment at costs that are highly affordable, with results comparable to those at the best centers across the globe.


Best Psychiatry

With the mission of spreading mental health awareness, we provide a variety of services ranging from awareness programmes to rehabilitations. The services provided are Pharmacotherapy, Electroconvulsive Therapy, Narcoanalysis, Biofeedback, Detoxification and Rehabilitation Programmes, Deaddiction Counseling, Stress Management, Couples/ Marital Counseling and many more.


Best Psychology

We have a long experience in addressing the mental health conditions. Our experienced psychologists analyze the reasons behavioral disorder, emotional problem or psychiatric disease, and suggest and implement a valid solution to the problems customized to individual needs. The privacy of the patient is taken seriously during the total course of treatment.

Pulmonology & Sleep Medicine

Best Pulmonology & Sleep Medicine

World-renowned specialists and comprehensive advanced setup helps treat disorders related to the lungs, breathing and sleep with high success rate. The services include treatment of Asthma, COPD, Chronic Respiratory Failure, Sleep Disorders, Interstitial Lung Diseses, Tumours and Cancers of the Lung and Chest, Allergic Disorders, Laparoscopic Assisted Thoracic Surgeries.


Best Radiology

A highly skilled team of experience Radiologists and Technicians comprises our Radiology Team. The highly advanced technology combined with high expertise ensures 100% accurate results which helps build right diagnosis. The facilities include: CT Scan (500 Slice), Advanced MRI (1.5 Tesla), 4D Ultrasound, Digital X-Ray, Bone Densitometry, Colour Doppler.


Best Rheumatology

Immensely qualified team of experts is always available to accord the diseases of musculoskeletal system. The service include the treatment of various auto immune diseases like Rheumatoid Arthritis, SLE, Ankylosing spondylosis, gout and other immunological diseases, New Biological Treatments. We do have 24*7 physiotherapy department which deal with musculoskeletal problems with special emphasis on the correction of joint deformity.

Stem Cell Therapy

Best Stem Cell Therapy

coming soon


Best Urology

The Centre for Uro-Sciences boasts of experienced and renowned Urologists having thorough exposure to all urological disorders including complicated conditions. It is has good track record for high success rates. The treatment includes Laser prostatic surgery, Urologic Cancer Surgeries, Laparoscopic Urological Surgeries, Percutaneous Renal Surgery, Urethral Reconstructive Surgery, etc. and the facilities include ESWL (Extra corporeal shock wave Lithotripsy), Uroflowmetry, Uro Radio diagnosis, etc.

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