Mr Aniruddha Chakravarti, Consultant Urological Surgeon, Birmingham UK

Aniruddha Chakravarti, Urological Surgeon

Consultant Urological Surgeon & Head of the Department of Urology and Lead Urological Cancer Clinician in the Dudley Group of Hospitals NHSFT

Senior Clinical Lecturer in Urology, University of Birmingham, UK.

Special interests

Laser surgery of the prostate, surgery for stone diseases, laparoscopic surgery (keyhole surgery) of the urinary tract, Prostate cancer diagnostics using MRI guided biopsies

Qualification/Training

Mr Aniruddha Chakravarti qualified as a medical graduate in 1990 and attained post graduate training in general surgery before embarking onto an extensive training in Urology. Amidst his twelve years of experience in General Urology, Mr Chakravarti has developed a special interest in laser surgery of the prostate, stone disease and laparoscopic management of upper urinary tract conditions. He has received intensive laparoscopy training from the European Institute of Telesurgery in Strasbourg, France, and has obtained a Diploma in Laparoscopic Surgery from the Institute and has had intensive training in laparoscopy during later part of his higher urological training.

He has also been through intensive training and has over four years of experience of using all kinds of lasers for prostatic surgery and is one of the few surgeons experienced in Holmium-YAG/Thulium laser enucleation and morcellation of prostate currently providing this service as a unique one in West Midlands.

The standard surgical treatment of Benign Prostatic enlargement causing bladder outflow obstruction leading to retention of urine or other urinary symptoms is transurethral resection of the prostate (TURP). However, relatively high morbidity associated with TURP has led to the development of a range of minimally invasive techniques, some of which use thermal energy. One such minimally invasive technique is the use of holmium: yttrium-aluminium-garnet (YAG) laser which is the only laser treatment approved by the National Institute for Health and Clinical Excellence.

Holmium laser resection of the prostate (HoLRP) utilises the holmium laser as a precise cutting instrument to resect large pieces of prostate. Initially a bilateral bladder neck incision is made to define the margins of resection. The median and lateral lobes are then individually undermined and peeled off the prostate capsule in a retrograde direction until only a bridge of tissue remains at the bladder neck.

HoLRP is performed with a modified continuous flow resectoscope that has a circular fibre guide in the tip of the scope. An end-firing laser fibre is used as a precise cutting instrument to resect large pieces of prostate. The laser is then used to cut the resected tissue into smaller pieces before their removal.

A further evolution of the HoLRP procedure is holmium laser enucleation of the prostate (HoLEP) in which the intact prostatic lobes are removed with the holmium laser and then passed into the bladder where they are cut into smaller pieces, before removal.

A primary advantage of HoLRP over other laser prostatectomy techniques is that it can rapidly create a large ‘TURP-like’ cavity by immediately removing obstructing tissue, rendering it suitable for large prostates of up to 100 grams. The coagulative ability of the holmium laser effectively seals tissue planes as the operation progresses, which makes HoLRP a relatively bloodless operation with a concomitant reduction in transfusion requirement, and also avoids the dangers of systemic fluid absorption.

Other postulated advantages include a reduced need for bladder irrigation, shorter postoperative catheterisation period and length of hospital stay, and the ability to retrieve tissue for histological examination.

Research/Publications

Mr Chakravarti has researched well and published in leading peer reviewed journals in Urology, and presented in various international meetings on the topics of laser enucleation of prostates, stone diseases and laparoscopy.

Hospital affiliations

Mr Chakravarti is a Consultant Urological Surgeon and head of the department of Urology at The Dudley Group of Hospitals NHS Foundation Trust and Senior Clinical Lecturer in Urology at the University of Birmingham, UK. He is the founder and leader of Urology Consultancy (Birmingham) Limited. He has initiated and is leading the laparoscopic urological service for The Dudley Group of Hospitals NHS Foundation Trust. His practising ethics are to provide personalised, innovative high quality care for his patients.

Professional Memberships

    European Association of Urology
    The British Association of Urological Surgeons

Derek McMinn, Conservative Joint Surgery, Birmingham UK

Derek McMinn

Mr McMinn specialises in conservative treatments for young and active patients. His aim is to relieve joint pain and restore mobility, allowing patients to return to their active lifestyles as quickly as possible.

Affectionately referred to as the ‘Father of Modern Hip Resurfacing’, Mr McMinn is one of the globe’s leading hip and knee experts and the inventor of the Birmingham Hip Resurfacing (BHR). Having performed over 3500 Metal-on-Metal Hip Resurfacings over the course of 20 years, he is the most experienced surgeon in this field.

Gone are the days when young, active patients crippled from hip arthritis were told to shut up and put up with it. Thanks to the pioneering efforts of Mr Derek McMinn, there is now an enduring solution to victims of this generation – The Birmingham Hip Resurfacing.

Mr McMinn graduated from St Thomas’ Hospital in London, gaining the Cheselden Medal & 1st Prize in Surgery and moved to Birmingham and on to some of the top joint replacement centres around the world to train under renowned surgeons such as Bucholz, Engelbrecht, Insall, Wagner, Ranawat and Harris, learning the finer points of primary and revision surgery.

Working as an Orthopaedic Consultant and as the Director of the Royal Orthopaedic Hospital in Birmingham, he developed a passion for complex hip and knee reconstructions. And, often confronted by the poor results of conventional hip replacement in young patients, he took up the challenge of developing an alternative treatment.

Mr Derek McMinn MD FRCSA few of the many contributions of Mr McMinn to arthroplasty include the introduction of the McMinn Resurfacing in 1991, the Birmingham Hip Resurfacing (BHR) in 1997, the Birmingham Mid-Head Resection (BMHR) device in 2003 and the Birmingham Knee Replacement (BKR) in 2007. In addition he has developed other high performance hip and knee implants and instruments to provide a comprehensive range of solutions for the whole spectrum of joint disorders. Alongside the development of these devices, he has perfected the surgical techniques for their safe implantation. He has personally performed over 3500 hip resurfacings and over 6000 total hip replacements, restoring the quality of life in many young and active patients including several high profile athletes. Surgeons come from around the world to observe and train with Mr McMinn in Birmingham.

There is constant demand for Mr McMinn’s expertise at Orthopaedic Conferences around the world to address surgeons and to present his ongoing research work. He has addressed international conferences organized by the American, Canadian, British, European, Australian, Asia-Pacific and Japanese Orthopaedic Associations and several others as a distinguished guest lecturer. In addition to receiving honours of distinction from several quarters, the University of Birmingham has conferred on him the degree of Doctor of Medicine Honoris Causa in recognition of his sterling contributions to the medical profession.

Mr McMinn’s passion for meticulous surgery and precise implantation are reflected in his unparalleled success rate. Visiting surgeons have expressed time and again that it is a treat to watch him operate.

Today there is study after scientific study proving the effectiveness of Mr McMinn’s techniques… and story after individual success story coming from his patients.

Mr McMinn’s expertise and success rates attract patients from all parts of the UK and from all corners of the world and he is always happy to hear from new patients.
For more information check the link below
http://www.mcminncentre.co.uk