The OPD services are provided from 9am to 5pm on Monday to Friday and 9am to 1pm on Saturday. The following conditions are evaluated and monitored at our centre:

• Urogynaecology

  Trans-vaginal Tape (TVT) Trans-obturator Tape (TOT) Fistula Repair All kinds of pelvic floor surgeries Laparoscopicrepair of Vesico-vaginal fistula Latzko procedure Fistulectomy with flap splitting closure Fistulectomy with martius fat pad graft interposition Mucosal advancement flap repair Pubovaginal sling Periurethral bulking injection Cystoscopic botulinum toxin injection Cystourethroscopy – Demonstration

   
• Endoscopy : OR1 Operation Theatres with flexible scopes

  Fertility Enhancing Surgeries Operative Laparoscopy Diagnostic & Operative Hysteroscopy Office Hysteroscopy Total Laparoscopic Hysterectomy Laparoscopic Adenomyomectomy Laparoscopic Myomectomy Laparoscopic Sacrocolpopexy Laparoscopic Sacrospinous ligament fixation Laparoscopic Retropubicurethropexy Laparoscopic Retropubiccolposuspension Laparoscopic Uterosacral ligament suspension

   
• Complete solution for infertility (Male and Female)

  Controlled ovarian stimulation with follicular monitoring Intrauterine insemination (IUI) In vitro fertilization - Embryo transfer (IVF-ET) Intracytoplasmic sperm insemination (ICSI) Intracytoplasmic morphologically selected sperm insemination (IMSI) Donor oocyte program Surrogacy Sperm banking Embryo and oocyte cryopreservation Ovarian tissue bank Laser assisted hatching Blastocyst culture Poloscopy Vitrification TESA, MESA, PESA & TESE,IVOS - CASA Time lapse imaging (Embryoscope)

   
• General Gynaecologic Surgeries

  Abdominal Hysterectomy Vaginal Hysterectomy Non descent vaginal hysterectomy Anterior and posterior Colporrhaphy Vaginal sacrospinous fixation Le Forts Operation Manchester Operation Mc call culdoplasty Apogee system Perigee system Myomectomy Exploratory Laparotomy Surgeries for correction of Mullerian Malformations

   
• Fetal Medicine

  Anomaly Scan Fetal Growth Monitoring with Doppler Studies NT Scan USG guided Interventional procedures: Amniocentesis Chorionic Villi Sampling Cordocentesis

   
• High-risk Pregnancy

  Pregnancy with hypertension Pregnancy with diabetes Pregnancy with heart disease Pregnancy with haematological disorders Pregnancy with autoimmune and connective tissue disorders Pregnancy with thrombophilias Systemic Lupus Erythematosus (SLE) Sjogren’s syndrome Rheumatoid arthritis Pregnancy after transplant Renal transplant Liver transplant Pregnancy with suspected morbidly adherent placenta (MAP) Pre-pregnancy counselling Recurrent pregnancy loss Previous unexplained intrauterine fetal demise (IUFD) or stillbirth Known genetic disorder in family Pregnancy with previous child affected by thalassemia Pregnancy with suspected fetal infection (TORCH, chickenpox) Management of fetal growth restricted babies (FGR) Doppler Non stress test (CTG)

   
• Genetics

  Cytogenetics: Various cytogenetic tests available: Chromosome analysis from blood, chorionic villus, amniotic fluid FISH study in Amniotic fluid (13, 18, 21, X, Y) and Abortus FISH study for Micro-deletion syndromes Array-CGH study for cryptic quantitative genomic imbalances [750K] Array-CGH study for prenatal samples where fetus showing abnormalities in sonography but karyotype is normal A - Indications for postnatal cytogenetic testing:      Sample type - Blood Ambiguous genitalia/indeterminate gender Delayed puberty or inappropriate secondary sexual development Short stature, amenorrhoea in females Oligospermia or azoospermia in males Parental karyotyping after pregnancy loss of an unkaryotyped fetus with multiple congenital abnormalities or severe IUGR Family history of a known chromosome abnormality other than simple aneuploidy due to non-disjunction (normally only first degree relatives) Suspected family history of chromosome abnormality where the karyotype of the affected individual is not known Sperm and egg donors Chromosome breakage syndromes: ataxia telangiectasia, Bloom syndrome, Fanconianaemia. B - Indications for prenatal cytogenetic testing:      Sample types: amniotic fluid cells obtained by amniocentesis, chorionic villi and lymphocytes obtained by cordocentesis. Advanced maternal age Previous pregnancy with an abnormal chromosomal complement Previous stillbirth with an abnormal chromosomal complement Balanced chromosomal rearrangement ( translocation, inversion,...) or not ( marker, mosaicism, sexual aneuploidy) in one of the parents Abnormal maternal serological screening test (triple marker) Abnormal fetal ultrasound (soft marker positive) C - Indications for FISH: Microdeletion/duplication syndromes Congenital heart defect in fetus on ultrasound Abnormal maternal serum markers (Triple or Quadruple test) Rapid neonatal aneuploidy screening by FISH:Rapid neonatal aneuploidy screening by FISH Rapid neonatal screening by FISH for trisomy 13, 18 and 21 can be undertaken if results are needed urgently. Reports will be available, usually within 24-48 hours. This is not equivalent to a full chromosome analysis and is always followed by a full karyotype.

• Molecular Genetics

  Mutation study for following Genetic Diseases: Hemoglobinopathies including thalassemias, sickle cell anemia Musculopathies including Duchenne and Becker Muscular Dystrophy, Spinal Muscular Atrophy, Myotonic dystrophy etc. Neurodegenerative diseases like Spinocerebellar Ataxias, Huntington’s disease Mental retardation syndromes like Fragile-X Syndrome Various single gene disorders like Cystic fibrosis, etc.

   

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• Instruction for Sampling

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• Consent Form / Cytogenetic Requisition Form

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