Dr. Bala’s Urology Clinic was established by Dr. Balasundaram who has over thirteen years of practice in the field of Urology. He completed his MBBS (Master of Medicine, Master of Surgery) at the University of Malaya in Malaysia and finished his Masters from the National University in Singapore. Shortly after, he started his training in Urology in Kedah, which was immediately followed by a special training in the University of Flinders in Australia. He then became a Clinical Specialist in General Surgery and Urology in Hospital Alor Setar, Consultant Urologist at the Hospital Kuala Lumpur and became the Urology Department Head of Hospital Sultanah Aminah.
Highly trained in various countries, Dr. Balasundaram is one of the early adopters of advanced robotic surgeries or robotic-assisted procedures in Malaysia. Because of his remarkable contribution to the field of Urology and his commitment to providing excellent public service, he has been awarded by the Ministry of Health in Malaysia.
Endoscopic Prostate Surgeries
In cases where immediate remedy for benign but bothersome prostate enlargement (a condition called benign prostatic hyperplasia or BPH) is sought, there is a range of endoscopic surgeries available. Most of these options offer a long-term solution for relief of uncomfortable symptoms and involve the removal of the enlarged area of the prostate. The most commonly used surgical procedure for BPH is transurethral resection of the prostate, where the inner portion of the prostate is removed through the insertion of a small scope through the urethra. Laser surgery, transurethral incision of the prostate and open prostatectomy (for severely enlarged cases) are among other surgical procedures employed.
Endoscopic Stone Procedures
Endoscopic stone procedures are meant to remove one or more kidney stones using an endoscope, an instrument with a tiny camera attached to the end to view the internal parts of the body. This is a minimally invasive diagnostic medical procedure also called as percutaneous nephrolithotomy (PCNL). Different techniques can be used in removing kidney stones depending on the patient’s unique circumstances and the surgeon’s preference. These include Extracorporeal Shockwave Lithotripsy that breaks down the stone through the use of shock waves of sound. Laser can also be used if the stone is found in the ureter. The procedure is performed under sedation, and the patient is required to stay at least two nights in the hospital.
Reconstructive Urological Surgery
Reconstructive urological surgery is usually the only method to treat hypospadias. Hypospadias is a congenital condition characterized by a defect in which the tip of the urethra (which carries urine from the bladder) is not aligned with the opening of the penis. Hypospadias repair is an outpatient procedure that requires general anesthesia, often done to infant boys between 6 to 24 months. The surgeon will use a small piece of tissue taken from another site to create a tube that can extend the urethra up to the penis tip. A small catheter may be temporarily put in place to allow the urethra to hold its new shape, and will be removed after one to two weeks.