SRINAGAR: The Department of Urology at Government Medical College (GMC) Srinagar's Super Speciality Hospital has successfully performed two complex surgical procedures, saving the kidneys of patients who were previously advised to undergo Nephrectomy. The team of skilled surgeons achieved this remarkable feat by replacing the patients’ diseased ureter with an ileal segment, preserving kidney function and enhancing the patient's quality of life.

First patient, a labourer 43-year-old individual from Poonch, was diagnosed with a severely diseased ureter, which was causing significant damage to the kidney. After consulting multiple medical experts, the patient was advised to have the affected kidney removed (nephrectomy). Seeking an alternative solution, the patient approached the Urology Department at GMC Srinagar.

Second patient had only Rt. functioning kidney and other kidney non-functioning with long upper ureteric stricture, secondary to previous surgery done outside the hospital. Dr. Syed Sajjad Nazir, the lead surgeon, explained that the patient's condition was critical, and nephrectomy seemed inevitable. However, the team was determined to explore all possible options to save the kidney. After careful consideration, the team decided to proceed with an innovative approach – ureteral replacement using an ileal segment.

This intricate procedure, known as ileal ureteral replacement, involves using a segment of the patient's small intestine (ileum) to reconstruct the damaged ureter. The surgery is highly specialized and requires precise skill to ensure the new ureter functions effectively

The surgical team meticulously planned and executed the procedure, ensuring that the patient's kidney was preserved and that urinary function was restored. The surgery was a resounding success, with the patient recovering well and experiencing significant improvements in kidney function.

Dr. Tanveer, Associate Professor of Urology Department, remarked that this successful surgery not only highlights the department's expertise in handling complex urological cases but also emphasizes commitment to patient-centric care. By employing advanced surgical techniques, the department aims to offer the best possible outcomes for the patients.

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