Clinical Case Studies by Dr. Soumyan Dey
Every urological condition requires accurate diagnosis, personalised treatment planning, and advanced surgical expertise. Explore selected clinical cases managed by Dr. Soumyan Dey, highlighting complex urological procedures, minimally invasive surgeries, and treatment outcomes.
Laparoscopic Ureteroureterostomy for Ureteric Stricture Due to Long-Standing Impacted Stone
Ureteric stricture is a condition where narrowing develops in the ureter, the tube that carries urine from the kidney to the bladder. This narrowing can interfere with normal urine drainage and may require specialised treatment.
Long-standing impacted stones can sometimes contribute to ureteric damage and scarring, leading to stricture formation.
This clinical case highlights the management of a ureteric stricture requiring laparoscopic ureteroureterostomy, an advanced reconstructive procedure performed by Dr. Soumyan Dey.
Large Bladder Stone Causing Urinary Obstruction Treated with Cystolithotomy
Bladder stones are hard mineral deposits that develop inside the urinary bladder and can cause difficulty in passing urine, pain, infections, and urinary obstruction if left untreated.
While smaller bladder stones may sometimes be managed with minimally invasive procedures, very large stones can require advanced surgical treatment.
This clinical case highlights the management of a giant bladder stone measuring 12 × 10 cm and weighing approximately 0.5 kg, which caused severe urinary obstruction and affected kidney drainage.
Bladder Diverticulectomy with Ureteric Reimplantation Restored Normal Urination in a 17-Year-Old Patient
Bladder diverticulum is an abnormal pouch-like outgrowth of the bladder wall that can collect urine and lead to incomplete bladder emptying, recurrent infections, and urinary complications.
Some patients may require long-term catheterization due to difficulty emptying the bladder. However, identifying the correct underlying cause is important to provide effective treatment.
This clinical case highlights the successful management of a large bladder diverticulum in a 17-year-old patient who had been dependent on Clean Intermittent Catheterization (CISC) since childhood.
Laparoscopic Radical Nephrectomy for a Severely Damaged Kidney Due to Chronic Ureteric Stone Obstruction
Ureteric stones can cause blockage of urine flow from the kidney when left untreated. Prolonged obstruction may gradually damage kidney tissue and, in severe cases, can lead to infection and loss of kidney function.
This clinical case highlights the management of a severely damaged kidney caused by chronic obstruction from an 8 mm ureteric stone, requiring laparoscopic radical nephrectomy by Dr. Soumyan Dey.
Laparoscopic Nephroureterectomy for Cancer in the Kidney Collecting System
Cancer arising in the kidney collecting system is a type of urinary tract cancer that affects the lining of the system responsible for transporting urine from the kidney.
Treatment often requires careful evaluation and surgical planning to remove the affected kidney, ureter, and involved portion of the bladder while ensuring complete cancer removal.
This clinical case highlights the management of collecting system cancer of the kidney using a laparoscopic approach by Dr. Soumyan Dey.
Laparoscopic Partial Nephrectomy for Large Kidney Tumor with Kidney Preservation
Kidney tumors require careful evaluation and treatment planning to achieve complete tumor removal while maintaining as much healthy kidney tissue as possible.
In selected cases, partial nephrectomy allows surgeons to remove only the tumor-bearing portion of the kidney instead of removing the entire kidney.
This clinical case highlights the successful management of a large kidney tumor measuring over 5 inches using laparoscopic partial nephrectomy, helping preserve renal function.
Early Detection and Treatment of Low-Grade Bladder Cancer in a 15-Year-Old Patient
Early detection plays an important role in the successful management of many medical conditions, including bladder tumors.
Although bladder cancer is more commonly seen in adults, unusual cases can occur in younger patients and require careful evaluation.
This clinical case highlights the importance of timely investigation where a 15-year-old patient presenting with abdominal pain was diagnosed with an early low-grade bladder cancer and treated appropriately.
Laser Prostatectomy for 200cc Enlarged Prostate in an 80-Year-Old Patient
Benign Prostatic Hyperplasia (BPH), commonly known as enlarged prostate, is a condition where the prostate gland increases in size and may block normal urine flow.
When the prostate becomes significantly enlarged, patients may experience difficulty passing urine, frequent urination, poor urinary flow, and bladder-related symptoms.
This clinical case highlights the management of a very large prostate measuring approximately 200 cc using laser prostatectomy, providing a minimally invasive alternative to traditional open prostate surgery.
Urethroplasty for Recurrent Urethral Stricture in an 80-Year-Old Patient
Urethral stricture is a condition where narrowing develops in the urethra, affecting normal urine flow. Patients may experience difficulty passing urine, weak urinary stream, and recurrent urinary infections.
Repeated procedures such as urethral dilatation or Visual Internal Urethrotomy (VIU) may provide temporary relief in some cases, but recurrent strictures may require a more definitive surgical approach.
This clinical case highlights the successful management of a recurrent urethral stricture in an 80-year-old patient through urethroplasty by Dr. Soumyan Dey.