. DR. YOGESH R. BARAPATRE M.S. (Gen. Surgery) P.G.I. Chandigarh M.Ch. (Urology) P.G.I. Chandigarh ____________________________________________________________________________ Correspondence Address :- B-8, Jeevan Appartment, Shankar Nagar Square, Raipur, Chhattisgarh State, 492007 Contact Number :- 8435802846, 09815438328 E-Mail :- dr.yogeshb2004@gmail.com Father’s Name :- Mr. Ramesh J. Barapatre Date of Birth :- 19 December 1979 Education details :- M.B.B.S., M.S., M.CH. (Urology) Course Year of Passing Institute M.B.B.S. 2003 Indira Gandhi Govt. Medical college, Nagpur M.S. 2009 Postgraduate Institute of Medical Education and (General Surgery) M.Ch. Research (PGIMER), Chandigarh. 2012 Postgraduate Institute of Medical Education and (Urology) Research (PGIMER), Chandigarh. Work Experience:- Post Held Duration Employer Internship 01.01.2003 to Indira Gandhi Govt. Medical College, Nagpur 31.12.2003 House-Job 01.02.2004 to (Pulmonary Medicine) 31.05.2004 Senior Medical Officer 01.02.2005 to Indira Gandhi Govt. Medical College, Nagpur District Hospital, Chandrapur, Maharastra 31.05.2005 Junior Resident 01.01.2006 to Postgraduate Institute of Medical Education (General Surgery) 31.12.2008 and Research (PGIMER), Chandigarh Senior Resident 01.07.2009 to Postgraduate Institute of Medical Education M.Ch. Urology 30.08.2013 and Research (PGIMER), Chandigarh Chief Consultant 05.08.2012 to Shree Narayana Hospital, Raipur Urologist Andrologist & till date Chhattisgarh, India About PGIMER, Chandigarh:- The postgraduate Institute of Medical Education and Research is a 2000 bedded tertiary care hospital which caters to five states of Northern India. I did a three year Residency that led to the M.S. (Surgery) degree. During these years, I underwent rotations in the following departments:General Surgery (15 moths) Accident and Emergency Surgery (6 months) Neurosurgery (3 months) Plastic Surgery and Burns (3 months) Cardiothoracic Surgery (1.5 months) Paediatric Surgery (1.5 months) Urology (3 months) Orthopaedics (1.5 months) Transplant Surgery (1.5 months) My duties including in patients care, attendance at two patient clinics per week, assisting at operations and operating under supervision. I obtained a great deal of experience in managing surgical emergencies, including multisystem trauma. I also took part in clinical research and teaching other residents. Training and Experience in urology at PGIMER:Senior Resident (Registrar) Urology as a M.Ch. Resident at Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh. This is a premier Institute for Medical Education and research in Northern India and offers post-graduate and superspecialty training in almost all specialties, both paraclinical and clinical. The associated Nehru Hospital is a 2000-bedded tertiary care hospital of north India offering advanced state-of-theart treatment facilities. It caters to a large population of Northern and Eastern India. Department of Urology has a strength of 64 beds including 12 beds to emergency admissions. In addition, at all times, 15-20 patients are admitted in the private wards. Supervisors: Prof. A. K. Mandal, Dr. S.K. Singh, Dr. Santosh Kumar, Dr. Mayank M. Agarwal. In PGIMER, the course in urology has been partially, rather than fully compartmentalized, so as to maximize exposure to one subspecialty at one time, at the same time maintaining good exposure to others at all times. Postings during training: Emergency During this period I became proficient in rapid but through evaluation of and appropriate management (both operative and non-operative) of acutely ill patients with urological pathologies, including urinary colic, urosepsis, hematuria, acute renal failure and trauma, to name a few. I performed many emergency operations, both open surgical and endourological, both under supervision and independently. Uro-Radiology and minor procedures This included both diagnostic as well as therapeutic uroradiology both in elective and emergency situations. I have performed diagnostic procedures (as well as managed the complication of) including retrograde urethrograms, cystograms, nephrostograms, fistulograms, retrograde ureterograms, pouchograms (of bowel urinary reconstructs), ultrasonography of KUB and Pelvis region, female pelvic examinations and therapeutic procedures including percutaneous nephrostomies (ultrasound and fluoroscopic guided), endoscopic ureteral stenting, precutaneous suprapubic cystostomies, cystopanendoscopies, urethral dilatations, hydrocoelectomies, varicocelectomy, circumscisions, intravesical BCG instillation, urodynamics (uroflowmetry, pressure flow studies and urethral pressure profilometr y) and many other in adequate numbers so that now I am confident in performing and have been teaching these to my junior fellows. Endourology and extracorporeal lithotripsy I learnt diagnosis, workup, management, pr eoperative care and follow up of urological conditions, e.g. hematuria, urothelial malignancies, urolithiasis, benign and malignant prostate diseases, obstructive uropathy and stricture urethr a, to name some. Some of the endourological procedures that I am confident in performing are OIU, TURP, TURBT, URS, ureteral stenting, PCN, PNL etc. apart from using endourologic instruments, I also learnt the proper handling and proper sterilization methods. I learnt technical aspects of the lithotriptor (Siemens lithostar multiline) and became proficient in performing extracorporeal lithotripsy. I also became well versed with the complications related to ESWL and their management. Uro-Oncology I had the opportunity to diagnose and manage most of the urologic malignancies. Also, treatment planning with other department, including radiation onclology, general surgery, nephrology, nuclear medicine, radio diagnosis, pathology, plastic surgery and neurosurgery, helped me develop a comprehensive and wholesome attitude towards the problem. Now, I have become proficient in the management of urothelial, prostate, testicular, renal and penile malignancies. I have assisted and performed enough numbers of TURBTs, Radical nephrectomies, radical cystectomies and urinary diversion (ileal conduit, orthotopic neobladder and continent cathetersable stomas), nephroureterectomies, partial cystectomies and nephron-sparing. Reconstructive Urology I learned the basic techniques and proper tissue handling required in reconstructive urology and now I am confident in performing pyeloplasty, ureteroureterostomy, ureteric reimplantation, vasoepididymal anastomosis, repair of vesicovaginal fistula, progressive perineal urethroplasty, stage I and II urethroplasty. Apart from that, I have assisted in a number of cases of orthotopic neobladder construcution, continent cutaneous urinary diversion, difficult urethroplasty (including progressive perineal, transpubic and buccal mucosa substitution), hypospadias repair, etc. Andrology I learnt the work up of erectile dysfunction and infertility, both obstructive and non-obstructive. I have performed procedures like varicocoelectomies, epididymectomies and vaso-epididymal anastomoses confidently. I have been a part of organizing-committee for a live work-shop bon artificial urinary sphincters and penile prosthesis, held in March 2010 in PGIMER, Demonstrator: Dr. Drogo K. Montague, MD. Female Urology I have been exposed to female pelvic sur gery as an assistant in simple as well as complex vesicovaginal fistula repairs (both trans abdominal and transvaginal) including urethra-vesicovaginal and ureterovaginal fistula-repairs, bladder-neck closure, anterior exenteration with orthotopic neobladder, various urethral sling surgeries under supervision of Dr. Mayank M. Agarwal. Laparoscopic Urological Surgery Laparoscopic nephrectomy, Laparoscopic radical nephrectomy, Laparoscopic adrenalectomy, Laparoscopic ureterolithotomy, Laparoscopic pyeloplasty. Administrative work A formal four month rotation was related to administrative work the socalled‘Chief-Residency’during which I managed the admissions, operationlists patient-management in the ward (preoperative preparation and postoperative management) and discharges. The duties included, apart from above, to coordinate the lists of various consultants, to maintain suitable exposure of all the residents (both in operative and ward work), to make the academic and duty rosters for both, the consultants and the residents, to takepart in organizing work-shops; i.e. to ensure overall smooth functioning in the department. Apart from this bit I have had administrative experience as a part of organizing committee for the various workshop held in PGIMER, Chandigarh, during 2009-12. Overall, the duties assigned to me included attending OPD and OT (both elective and emergency), taking care of ward patients including scientific workup at individual level. Academic activities included presenting journal clubs and seminars, interdepartmental presentations (with nephrology, nuclear medicine, radiation oncology, radio diagnosis and pathology), and teaching postgraduates. Special training : Observership at Memorial Sloan-Kettering Cancer Centre, New York, USA under sponsorship of Dr. Jaspreet Singh Sandhu . Observership at Weill Cornell Medical College and New York-Presbyterian Hospital, New York, USA , under guidance of Dr. Ashutosh Tewari, for Robotic Radical Prostatectomy. Capabilities:I am capable of performing most of the urological surgical procedures, to name of a few: Endoscopic procedure o o o o o TUR-BT - Transurethral resection of bladder Tumor TUR-P - Transurethral resection of prostate OIU - Optical internal urethrotomy CLT- Cystolithotripsy PCNL- Percutaneous nephrolithotomy Renal Surgery o Nephron sparing renal surgery o Nephrectomy o Radical rephrectomy o Pyeloplasty o Pyelolithotomy o Radical nephrectomy with IVC thrombectomy Open o o o o procedure for upper and lower tract TCC Nephroureterectomy Radical cystectomy with ileal conduit Radical cystectomy with orthotopic neobladder reconstruction Radical cystectomy with modified Indiana pouch continent diversion Testicular surgery o Bilateral orchidectomy o Orchiopexy o VEA o Radical inguinal orchidectomy Prostatic surgery o TUR-P o Channel TURP o Transvesical prostectomy o Radical Prostatectomy Transplant Related Procedure o A-V fistula o CAPD insertion and removal Ureteric Surgery o URS + PNLT + DJ stenting o Bilateral Ureterolysis with Omental wrap o Ureteric reimplantation o IIeal replacement of ur eter o Ureterolithotomy Bladder Surgery o TUR-BT o Repair of bladder perforation o Augmentation iliocaecocystoplasty Urethral Surgery o OIU o Anastomotic urethroplasty – Perineal, o Urethroplasty (Buccal Mucoa) o Urethroplasty (perineal, Traspubic) o Hypospadia repair (Snodgrass’s procedure, Ducket’s repair). Fistula repair o VVF repair o UVF repair o Recto-urethral fistula repair Achievments:1. First one to perform laparoscopic nephrectomy in Raipur city 2. First one to perform nephron sparing nephrectomy (NSS) in Raipur. Research Work:1. Uroflowmetry in healthy women: Development and validation of flow– volume and corrected flow–age nomograms. 2. A study of Urodynamic evaluation in patients of bladder cancer with orthotopic neobladder. Awards / Honors/ Fellowships :1. Major General Amir Chand Gold Medal for best research work for the year 2009 for paper on Uroflowmetry in Healthy Women: Development and Validation of Flow–Volume and Corrected Flow–Age Nomograms. 2. ‘DUSCON Award and Gold Medal for PGs for paper published / presented internationally’ for the year 2010 for Uroflowmetry in Healthy Women: Development and Validation of Flow–Volume and Corrected Flow–Age Nomograms. 3. USI-AUA Olympus International Travelling Fellowship 2012. 4. Third rank in USI - AUA Resident Scholar program 2012 selection. 5. Awarded Observership at Memorial Sloan-Kettering Cancer Center, New York, USA under sponsorship of Dr. Jaspreet Singh Sandhu . 6. Observership at Weill Cornell Medical College and New York Presbyterian Hospital, New York, USA , under guidance of Dr. Ashutosh Tiwari, for Robotic Radical Prostatectomy. 7. Awarded International Urological Scholar – scholarship for 2012 of cash Prize of 500$. Publications International Journals:1. Barapatre Y, Agarwal MM, Singh SK, Sharma SK, Mavuduru RM, Mete UK, et al. Uroflowmetry in healthy women: development and validation of flow – volume and corrected flow – age nomograms. Neurourol Urodyanm 2009; 28(8): 1003-9. 2. Yogesh R. Barapatre, Mayank M. Agarwal, Ravimohan Mavuduru, Suresh K. Sharma, Santosh Kumar, Shrawan K. Singh and Arup K. Mandal. Short-Term Functional and Urodynamic Outcome of W-ileal Orthotopic Neobladder with Serosa-Lined Tunneled Uretero-Ileal Anastomosis. Article first published online: Lower Urinary Tract Symptoms (LUTS) 12 Mar 2013,DOI: 10.1111/ LUTS.12014. 3. Laparoscopic management of a rare urogenital fistula. Santosh Kumar, Yogesh R. Barapatre, Raguram Ganesamoni, Bhuvanesh Nanjappa, Kailash Barwal, and Shrawan K. Singh. Journal of Endourology. Apr2011; 25(4):603-6. 4. Autosomal dominant polycystic kidney disease with situs inversus. Santosh S Kumar, Bhuvanesh B Nanjappa and Yogesh R Barapatre. Urology 80(2):e23-4 (2012). 5. Santosh Kumar, Bhuvanesh Nanjappa, Yogesh Barapatre, Seema Prasad, Raguram Ganesamoni, Manish Rathi. Unusual causes of Hematuria in dialysis patients: Diagnostic dilemma, risks and management. Journal of Emergencies Trauma, and Shock. 2013; Vol 6 (4) : 276-279. Abstract 6. Agarwal MM, Barapatre Y, Mandal AK, Singh SK, Mete UK, Kumar S, Acharya N, Gupta N. A study of uroflow patterns in healthy women of menstrual age-group:Development of a flow-volume nomogram. Ind J Urol 2008; 24: S 121 Publications International Taxtbook:1. Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse. Part-I Introduction/Basics:- 2. Urodynamics: Indications, Technique, and Fluoroscopy Mayank Mohan Agarwal andYogesh R. Barapatre. National publications: Textbook on preparation for Urology superspeciality entrance examPostgraduate review series, UROLOGY entrance review (PGIMER) Fully solved questions 2013-2001, Jaypee Publications. 2014 Conference Attended :1. National conference on intra-abdominal infections. PGIMER Chandigarh. March 2007. 2. NZUSICON 2009; 19th Annual conference and live operative workshop of the North zone chapter, Urological Society of India at Amritsar. 3. USICON 2011; 44th Annual Conference of Urological Society of India, Kolkata. 4. 3rd Annual USI-AUA instructional course for PG students. 4-6 August 2011 Hyderabad. 5. USICON 2012; 45th Annual Conference of Urological Society of India, Bangalore. 6. Annual meeting, American Urological association (AUA) 2012; Atlanta, GA, USA as International Scholar. 7. 23rd Annual Conference West Zone Chapter of Urology Society of India, WZUSICON 2013 organized at Raipur, CMES and Workshops Attended:1. International Instructional course on Urodynamics, PGIMER, Chandigarh, India, October 2006. (International Faculty: Mr. J. Wilem Vander Wall) 2. International live operative workshop on advanced laparoscopic Urology, October 2007, PGIMER, Chandigarh. (international faculty: Dr Marshall L Stoller, USA; Dr Mihir Desai, USA, Dr Chandru Sundaram, USA) 3. International Live operative workshop and instructional course on good practice of Urogynecology, PGIMER, Chandigarh, 2008. (International faculty: Dr Ajay Rane, Australia; Dr Malcolm Frazer, Australia; Dr Linda Cardozo, UK; Dr Eva Decuyper, Belgium). 4. Refresher course and live workshop on management on Overactive bladder on August 22, 2009 at PGIMER, Chandigarh. 5. International workshop and instructional course on urodynamics under aegis of USI. Sir Ganga Ram Hospital, New Delhi. Mar 12-13, 2011. 6. CUE cum Live operative workshop on prosthetic surgery for erectile dysfunction and male urinary incontinence. June 2011 at PGIMER, Chandigarh. (International faculty: Dr. Drogo K. Montague, MD ) 7. Live operative workshop on Uro-Oncology, September 2011, at PGIMER Chandigarh. (International faculty: Dr U. E. Studer) Conference Organised:1. CUE cum Live operative workshop on prosthetic surgery for erectile dysfunction and male urinary incontinence. June 2011 at PGIMER, Chandigarh. (International faculty: Dr. Drogo K. Montague, MD ) 2. Live operative workshop on Uro-Oncology, September 2011, at PGIMER Chandigarh. (International faculty: Dr U. E. Studer) 3. 23rd Annual Conference West Zone Chapter of Urology Society of India, WZUSICON 2013 organized at Raipur, Chhattisgarh. I performed my duty as a Chairmain of Trade committee. Paper Presented In Conferences:1. Botulinum toxin in neurogenic and non neurogenic bladder outlet obstruction: initial experience from tertiary care center. Poster presentation. NZUSICON 2009, Amritsar, India. 2. A rare case of uretero-uterine fistula managed laparoscopicaly. Moderated poster presentation at USICON 2011, Kolkata, India. 3. Benign medullary fibroma of the kidney: a rare diagnostic dilemma. Moderated poster presentation at USICON 2011, Kolkata, India. 4. Large pelvic masses and its urological implications. Paper presentation at USICON 2011, Kolkata, India. 5. Is it essential to cut off catheters during zeroing to atmospheric pressure while performing pressure flow studies – Read by title pr esentation at International Continence Society (ICS) conference Glasgow 2011. 6. A rare case of giant adrenal adenoma, moderated poster presentation, USICON 2012, Bangalore, India . Competition Presentations:7. Short-term functional and urodynamic outcome of w-ileal orthotopic neobladder with serosa-lined tunneled Uretero-ileal anastomosis. CKP Menon best paper competition. USICON’2012. Bangalore, India. Special Interest: Uro-oncology Endo-urology and laparoscopic surgery Female urology and Urodynamics Reference:Dr. A. K. Mandal Professor and Head Dept. of Urology, PGIMER, Chandigarh Dr. Mayank M. Agarwal Asst. Professor Dept. of Urology PGIMER, Chandigarh Dr. Santosh Kumar Asst. Professor Dept. of Urology PGIMER, Chandigarh Dr. Yogesh R. Barapatre M.S., M.CH.(UROLOGY)