Radiofrequency Therapy for Vaginal Health

Management Team

Radiofrequency Therapy for Vaginal Health

Overview

Radiofrequency therapy is a gentle, non-invasive, non-ablative laser treatment designed to enhance vaginal health and pelvic floor support. his procedure uses controlled heat to stimulate collagen production and tissue regeneration, strengthening the vaginal wall and improving symptoms of stress urinary incontinence, vaginal laxity, and genitourinary syndrome of menopause (GSM). Unlike traditional treatments, radiofrequency therapy requires no anaesthesia, causes minimal discomfort, and has no downtime, making it a convenient option for women seeking to restore comfort, confidence, and quality of life. It is particularly beneficial for women experiencing changes due to childbirth, ageing, or hormonal shifts.

Radiofrequency therapy is an effective, non-invasive treatment that addresses various gynecological and urological conditions by stimulating collagen production and improving tissue function. It offers significant benefits for women experiencing pelvic floor disorders, vaginal health concerns, and menopause-related symptoms. The following are key applications of radiofrequency therapy:

  • Stress urinary incontinence
    • Works best for mild to moderate cases of SUI
    • Helps reduce stress-related leakage in mixed incontinence cases
    • Strengthens urethral support by improving vaginal wall structure
    • Targets connective tissue in the vaginal mucosa, particularly the anterior vaginal wall
  • Vaginal atrophy
    • Ideal for women experiencing vaginal dryness, irritation, and painful intercourse
    • Uses low-energy, non-ablative therapy to gently stimulate tissue renewal
    • Improves blood circulation and enhances tissue hydration
    • Restores the normal structure and function of the vaginal mucosa
  • Genitourinary syndrome of menopause
    • Helps relieve urinary symptoms, such as urgency and discomfort
    • Eliminates the need for long-term oestrogen therapy
    • Significantly improves GSM symptoms, enhancing overall comfort and well-being
  • Vaginal relaxation syndrome
    • Ideal for women experiencing vaginal dryness, irritation, and painful intercourse
    • Uses low-energy, non-ablative therapy to gently stimulate tissue renewal
    • Improves blood circulation and enhances tissue hydration
    • Restores the normal structure and function of the vaginal mucosa

  • Patient friendly and non-invasive
  • Quick and simple, in-office procedure
  • Outstanding results with minimal side effects
  • No anaesthesia required, as it is non-ablative treatment
  • Minimal discomfort or downtime, allowing a quick return to daily activities
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Anti-Ageing

Management Team

Anti-Ageing

Overview

Ageing gracefully is always something that all men and women desire. Collagen breakdown and facial ageing is primarily controlled by our genetics. Recent advances in aesthetics have shown that epigenetics (the effects of the environment on genetics) plays a very important role in ageing.

We can ensure that our skin ages well by consuming collagen-boosting foods, using topical products that encourage the stimulation of collagen, and consuming supplements that promote collagen build up. There are several treatment options available for these purposes:

  • Monopolar and Bipolar Radio frequency treatment to stimulate collagen, for example, Thermage and Ultherapy
  • PRP therapy or vampire facial
  • Derma pen
  • Treatment with Er:YAG (erbium-doped yttrium aluminium garnet) laser (a laser that emits infrared light and is useful for skin rejuvenation and treating ace scarring and skin pigmentation)
  • Threading
  • Application of dermal fillers
  • Botox injections
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Paediatric Nephrology

Amrish Vaidya

Dr. Amrish Vaidya

Consultant
Department
Paediatric Nephrology
Qualification

M.S. (General Surgery), M.Ch. (Paediatric Surgery)

Experience

30 years

Bio:

Dr. Amrish S Vaidya is a Consultant in the Department of Paediatrics at the Sir H. N. Reliance Foundation Hospital and Research Centre.

Dr. Vaidya has been trained at the K.E.M. Hospital, Mumbai. He has over 30 years of experience as a consultant in Mumbai. He has been featured in the List of Best Doctors of Mumbai several times.

Areas of Expertise & Special Interest:

  • Hypospadias surgery
  • Management of incontinence in children
  • Paediatric urology, especially urological reconstructive surgery

Ovarian Tissue Cryopreservation (OTC)

Management Team

Ovarian Tissue Cryopreservation (OTC)

Overview

Ovarian tissue cryopreservation (OTC) refers to the freezing of the ovarian cortex, i.e., the outer layer of the ovary; this layer is the egg-producing layer of the ovary and often determines the fertility of women. OTC is a useful technique that is most commonly used to preserve fertility and extend childbearing years in women. However, potential applications for OTC beyond fertility preservation include cHRT and cell-/tissue-based hormone replacement therapy for treating cancers in young women and the treatment of other gynaecological conditions, such as premature ovarian insufficiency and polycystic ovary syndrome (PCOS).

  • OTC and transplantation have garnered an increasing amount of attention as successful methods for preserving fertility in young women with primary malignancies; these methods offer them an opportunity to become biological mothers once they have recovered from cancer. Apart from the preservation of the reproductive potential, OTC also enables the endocrine functions of the ovaries to be restored, ultimately protecting the female reproductive cycle by promoting the secretion of natural levels of essential hormones.
  • Given the increasing incidence of the loss of ovarian function resulting from ageing and induced primary ovarian insufficiency (POI), presently, new treatment modalities whereby the surplus of follicles that most women possess since birth can be utilised are urgently needed; this can help women conquer major health issues resulting from the deficiency of ovarian hormones.

Currently, more than 20,000 girls and women worldwide have been estimated to have undergone OTC. This procedure involves the following steps:

  • First, the ovarian tissues are laparoscopically or surgically removed, followed by freezing of the cortical tissues to yield tissue sections (thickness, approximately 1 mm). Then, the tissues are fragmented mechanically and examined histopathologically to ascertain the presence of malignant cells (and eliminate them) and assess the tissue quality (using the primordial follicle density as an indicator). Finally, the sections are frozen in small fragments.
  • Upon the completion of anti-cancer treatment and recovery, the woman may develop ovarian insufficiency. She is then eligible for ovarian tissue transplantation, which, after tissue thawing, can be performed either orthotopically or heterotopically. This process ensures that the endocrine function is resumed and puberty is initiated.
  • As the cortical tissues primarily contain ovarian follicles at the early stages of follicular development, these tissues require about 3–6 months to regain their full activity and functions, including the sustenance of preovulatory follicle development and the release of fertilisable oocytes.

Overall, OTC is a useful technique associated with the following advantages:

  • Prior ovarian stimulation is not required. Thus, anti-cancer treatment can be administered immediately.
  • It ensures that the primordial follicles of the ovarian cortex are more resistant to cryoinjury than mature oocytes.
  • A large number of primordial follicles can be cryopreserved; this increases the possibility of maintaining fertility for the entirety of the graft's lifetime and decreases the possibility of multiple IVF attempts being required for achieving pregnancy.
  • Fertility can be preserved for a longer duration than that achieved using embryo and oocyte freezing.
  • OTC offers protection against earlier onset of menopause.
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Fertility Preservation

Management Team

Fertility Preservation

Women are born with roughly five hundred thousand eggs; by the time a woman turns 40, this reserve is depleted.

The “biological clock” is directly associated with the gradual depletion of the egg supply that each woman is born with. The ticking of their ovarian biological clock, i.e., with ageing, and not knowing their position on this clock represent two of the most prominent dilemmas that women face. To address these issues, cryopreservation technology, which is rapidly manifesting as ‘fertility insurance’, is attracting widespread attention.

What if it was possible to stop eggs from ageing? A 42-year-old woman could serve as her own egg donor: a gift from her 30-year-old self.

For career-oriented women or women about to undergo chemotherapy, halting the biological clock is a viable option. Thus, a woman can work or recover from a specific condition and choose to conceive later. This option has finally been made possible by science owing to vitrification.

  • Occurrence of malignancies for which gonadotoxic therapy (including chemotherapy, radiation, and/or surgical resection), immunotherapy, and/or bone marrow transplantation are required:
    • Haematological malignancies (leukaemia, lymphoma, and multiple myeloma)
    • Breast cancer
    • Sarcomas
    • Certain pelvic cancers
    • Central nervous system tumours
    • Ovarian-focussed cancer radiotherapy

Oncofertility is a branch of gynaecologic oncology that represents the combination of dedicated cancer and reproductive care to ensure that after cancer diagnosis, patients and/or survivors can preserve their fertility and achieve maximum reproductive potential. Oncofertility preservation involves a discussion of the effects of cancer treatment on the male/female reproductive systems and the associated risks and complications. Agents used for cytotoxic chemotherapy exert progressive, often irreversible, effects on the ovaries, causing the degeneration of the primordial follicles, loss of eggs, decrease in the levels of the anti-Müllerian hormone, and exhaustion of the ovarian follicle reserve. The type of chemotherapeutic drug used, its dosage, the duration of chemotherapy, and the age of the patient during treatment determine the extent of these effects. Radiation affects the primordial follicles, leading to early ovarian failure. Considering these adverse effects, counselling regarding the risk of infertility after cancer treatment and the appropriate methods for preserving fertility must be administered to the patients. Cryopreservation of oocytes, embryos, and/or ovarian tissues (or sperms, semen, and/or testicular tissues) represents a valuable modality for preserving reproductive potential. On the basis of specific factors, such as the age of the patient, time to initiate anticancer treatment, risk of the occurrence of early ovarian insufficiency, and the possibility of using hormones to stimulate eggs, an appropriate method for preserving fertility is suggested.

  • Presence of non-oncological diseases:
    • Systemic diseases for which chemotherapy, radiation therapy, and/or bone marrow transplantation are required (for example, clotting disorders)
    • Ovarian conditions: Presence of bilateral benign tumours in the ovaries, severe and recurrent ovarian endometriosis, and/or risk of developing ovarian torsion
    • Family history or increased risk of developing premature ovarian insufficiency
    • Genetic diseases that can affect future fertility (E.g.: Turner syndrome, galactosaemia, thalassemia, sickle cell disease)
    • Autoimmune conditions, such as systemic lupus erythematosus
  • Societal reasons:
    • Age
    • Desire to postpone childbirth to a later stage in life
    • Exposure to toxic chemicals
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Paediatric Neurosurgery

Sonal Jain Atluri

Dr. Sonal Jain Atluri

Consultant
Department
Paediatric Neurosurgery
Sub-Speciality
Endoscopic surgery and brain tumors
Qualification

M.B.B.S., M.S. (General Surgery), M.Ch. (Neurosurgery, Gold medallist)

Contact details
Fellowship
  • Hands-on clinical paediatric neurosurgery fellowship (Nicklaus Children's Hospital, Miami, USA: 2019-2020)
  • Joint AANS- CNS Travelling fellowship (Nicklaus Children's Hospital, Miami, USA: 2019)
  • First woman Indian AASAN ambassador (Nicklaus Children's Hospital, Miami, USA: 2018)
  • Clinical clerkship in Neuro-oncology (MD Anderson Cancer Center, Houston,Texas: 2009)
  • Clinical hands-on rotation in Paediatric Surgery (Medical University of South Carolina, USA: 2009)
Experience

11 + years

Bio:

Dr. Sonal Jain Atluri is a dedicated paediatric neurosurgeon in India, among the few who has received training in Paediatric Neurosurgery with a formal clinical fellowship in the USA. She has a strong academic background, completing her medical training (MBBS, MS in General Surgery, and MCh in Neurosurgery) at Seth GS Medical College and KEM Hospital in Mumbai, India. She achieved gold medal status in the MCh Neurosurgery exam and was recognized as the best neurosurgery resident in India in the Torrent TYSA Challenge. Additionally, she is the first Indian woman to receive the prestigious AASAN (American Association of South Asian Neurological Surgeons) ambassadorship to the USA.

Dr. Jain published an internationally acclaimed paper on “Switch Cranioplasty,” a new cranioplasty technique, which has received laurels from international paediatric neurosurgery societies. She has authored 19 research papers, focusing on paediatric brain tumors, hydrocephalus, craniofacial issues, and fetal neuroanatomy. Her impressive research work earned her international awards at a young age.

Areas of Expertise & Special Interest:

  • Minimally invasive techniques for neurosurgical diseases in children (Neuroendoscopy)
  • Brain tumours
  • Craniosynostosis: offering customised open surgery and minimally invasive endoscopic surgery 
  • Surgical management of Epilepsy in drug-resistant epilepsy
  • Spina Bifida and other congenital craniospinal disorders of childhood 
  • Trauma
  • Vascular neurosurgery

Paediatric Cardiac Sciences

Bharat Gajare

Dr. Bharat Gajare

Consultant
Department
Paediatric Cardiac Sciences
Sub-Speciality
Paediatric Cardiology & Paediatric Cardiac Critical Care
Qualification

 M.B.B.S., M.D. (Paediatrics), F.P.C., F.P.C.I.C. (PCSI)

Fellowship
  • Fellowship in Paediatric Cardiology
  • Fellowship in Paediatric Cardiac Intensive Care (PCSI)
Experience

8+ years of experience

Bio:

Dr. Bharat Gajare is a Consultant, Paediatric cardiac critical care in the Department of Paediatric Cardiac Sciences at the Sir H. N. Reliance Foundation Hospital and Research Centre.

Dr. Gajare completed his MBBS from Navodaya Medical College, RGUHS, Bangalore. He did MD (Paediatrics) from M.G.M. Medical College, Aurangabad. Subsequently, he completed his Fellowship in Paediatric Cardiology from Kokilaben Dhirubhai Ambani Hospital and Research Centre, Mumbai. Further, he pursued his passion in the field of Paediatric Cardiac Intensive Care and did Fellowship in Paediatric Cardiac Intensive Care affiliated to Paediatric Cardiology Society of India (PCSI).

Dr. Gajare has also done ‘Certification course in Paediatric Pulmonology and Flexible Bronchoscopy’ from Kanchi Kamakoti Child's Trust Hospital, Chennai. He has completed Postgraduate Program in Paediatric Nutrition (PGPN) too from Boston University School of Medicine. He has been a part of the ‘International program on Preterm Nutrition (IPPN)’ in 2019 from KEMH, University of Western Australia.

Dr. Gajare has worked as an Associate Consultant in the Paediatric Cardiac Intensive Care in Children’s Heart Center at Kokilaben Dhirubhai Ambani Hospital, Mumbai. He also has 4 years teaching experience as an Assistant Professor in M.G.M. Medical College, Aurangabad.  He has several oral paper presentations at state and national conferences and has published articles in indexed journals.

Memberships:

  • Member of International Paediatric Cardiology Intensive Care Society (PCICS)
  • Life Member of Indian Academy of Paediatrics (IAP)
  • Life Member of Paediatric Cardiology Society of India (PCSI)
  • Life Member of Indian Medical Association (IMA)

Areas of Expertise & Special Interest:

  • Comprehensive 2D Echocardiography for neonates and children
  • Management of congenital cardiac emergencies
  • Preoperative stabilization and postoperative critical care management of children with congenital heart diseases
  • Management of arrhythmias, heart failure and pulmonary hypertension in neonates & children
  • Mechanical ventilation and non-invasive ventilation for neonates, infants & children

Paediatric Cardiac Sciences

Gauri Datar

Dr. Gauri Datar

Consultant
Department
Paediatric Cardiac Sciences
Sub-Speciality
Paediatric Cardiac Surgery
Qualification

M.B.B.S., M.S. (General Surgery), M.Ch. (CVTS)

Contact details
Fellowship

Fellowship in Paediatric Cardiac Surgery from Children’s Hospital at Westmead, Sydney, Australia

Experience

10 years

Bio:

Dr. Gauri M Datar is a Consultant in the Department of Paediatric Cardiac Sciences at the Sir H. N. Reliance Foundation Hospital and Research Centre.

Dr. Datar completed her post-graduation in cardiothoracic surgery (MCh in CVTS) from Seth G.S. Medical College and K.E.M. Hospital in 2014. Later, pursued Fellowship in Paediatric Cardiac Surgery from Children’s Hospital at Westmead, Sydney, Australia. Prior to her overseas Fellowship, Dr. Datar had worked at other reputed paediatric cardiac institutes in the country.

Having exclusively catered to paediatric patients with congenital heart diseases, Dr. Datar’s focus lays on surgical correction of simple and complex congenital heart diseases.

Paediatric Orthopaedics

Taral Nagda

Dr. Taral Nagda

Consultant
Department
Paediatric Orthopaedics
Qualification

M.B.B.S., M.S., D.N.B.

Fellowship

Fellowship from Sanantonio Sandiego, U.S.A.

Experience

27 years of experience

Bio:

Dr. Taral Nagda is a Paediatric Orthopaedic Surgeon at the Department of Orthopaedics, Sir H.N. Reliance Foundation Hospital and Research Centre.

Dr. Nagda is one of India’s topmost Paediatric Orthopaedic Surgeons. He specialises in the treatment of children with cerebral palsy, deformities, and hip disorders, including developmental dysplasia of the hip and slipped capital femoral epiphysis. Dr. Nagda has special interest in deformity correction using 3D technology and hip preservation in children.

Orthopaedics & Joint Replacement

Sambhav P. Shah

Dr. Sambhav P. Shah

Consultant
Department
Orthopaedics & Joint Replacement
Sub-Speciality
Spine Surgery
Qualification

M.B.B.S., M.S. (Orthopaedics)

Fellowship
  • Complex Spine Surgery, U.K.
  • Endoscopic Spine Surgery, Germany
  • Spine Tumour Fellowship, Italy
  • Minimally Invasive Spine Surgery, Singapore
Experience

15 years of experience

Bio:

Dr. Sambhav Shah is a Consultant Spine Surgeon at the Department of Orthopaedics, Sir H.N. Reliance Foundation Hospital and Research Centre.

He is a pioneer of Full Endoscopic Spine Surgery in Mumbai. Thanks to his revolutionary surgery, gone are the days when spine surgery meant bed rest; patients are walking 2 hours after surgery and discharged within 24 hours. He is also credited as the first surgeon to perform Full Endoscopic Spine Surgery under local anaesthesia in Mumbai. He has performed a number of endoscopic discectomies, decompressions, and minimally invasive fusion surgeries at Sir H.N. Reliance Foundation Hospital.

Dr. Shah was a Consultant at Queens Medical Centre, U.K. He has completed Spine Fellowships from Germany, USA, Singapore, and Italy.
 Dr. Shah has numerous publications under his name, and he proactively teaches endoscopic spine surgery all over India.

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