Dr. Prof. R Manikandan Reviews

A 72-year-old retired fisherman from coastal Tamil Nadu presented with recurrent urinary retention due to benign prostatic hyperplasia. Despite financial constraints, Dr. Manikandan arranged for a minimally invasive holmium laser enucleation procedure through hospital charity funds. The patient recovered completely within two weeks and returned to his small-scale fishing business, now able to work without discomfort.

A 28-year-old software engineer from Bangalore developed a complex ureteropelvic junction obstruction after a motorcycle accident. Dr. Manikandan performed robotic-assisted laparoscopic pyeloplasty with precision, preserving renal function. The patient returned to coding within three weeks, with follow-up scans showing perfect anatomical correction.

A 45-year-old construction worker from rural Andhra Pradesh presented with advanced bladder cancer after years of ignoring symptoms. Dr. Manikandan performed radical cystectomy with neobladder reconstruction, involving the patient's wife in postoperative care training. Despite initial challenges, the patient achieved satisfactory continence after six months of rehabilitation.

A 9-year-old schoolgirl from an affluent Chennai family was diagnosed with bilateral vesicoureteral reflux. Dr. Manikandan performed endoscopic deflux injection as a day procedure, avoiding open surgery. The child returned to school the next day, with follow-up showing complete resolution of reflux.

A 63-year-old retired schoolteacher with multiple comorbidities including diabetes and hypertension developed Fournier's gangrene. Dr. Manikandan led an emergency multidisciplinary team for aggressive debridement and reconstruction. After three months of wound care and multiple procedures, the patient made a remarkable recovery with minimal functional impairment.

A 34-year-old ******* woman undergoing gender affirmation therapy developed urethral complications. Dr. Manikandan collaborated with plastic surgeons to perform complex urethral reconstruction using buccal mucosa graft. The innovative approach resulted in successful voiding function after four months of staged procedures.

A 51-year-old corporate executive presented with renal calculi but was found to have an incidental small renal mass. Dr. Manikandan performed partial nephrectomy using ice-slush renal cooling technique, preserving 90% of renal function. The executive returned to international business travel within a month.

A 19-year-old college athlete from a middle-class family developed testicular torsion during cricket practice. Dr. Manikandan performed emergency detorsion and bilateral orchidopexy within the critical window, saving testicular function. The patient returned to competitive sports after three months with no limitations.

An 81-year-old grandmother with dementia and recurrent UTIs was brought by her grandchildren. Dr. Manikandan implemented a comprehensive management plan including behavioral modifications, timed voiding, and low-dose prophylaxis. Family education resulted in 90% reduction in infections over six months.

A 42-year-old rickshaw driver presented with chronic pelvic pain syndrome. Instead of immediate intervention, Dr. Manikandan prescribed a multimodal approach including physical therapy, dietary changes, and stress management. Significant improvement was noted within eight weeks without surgical intervention.

A 7-year-old boy from a tribal community with posterior urethral valves was airlifted to MIOT. Dr. Manikandan performed endoscopic valve ablation and managed subsequent renal impairment with careful monitoring. The child's renal function stabilized over two years with ongoing follow-up.

A 58-year-old woman with neurogenic bladder from spinal cord injury developed autonomic dysreflexia during urodynamics. Dr. Manikandan's team managed the emergency seamlessly and subsequently implanted a sacral neuromodulator, dramatically improving her quality of life with reduced catheter dependence.

A 31-year-old research scholar from Germany, visiting Chennai, developed emphysematous pyelonephritis. Dr. Manikandan performed emergency percutaneous drainage followed by staged nephrectomy, coordinating care between local and international medical teams for seamless continuation of treatment back home.