72-year-old Woman with Kidney Cancer and Stage 4 Uterovaginal Prolapse Successfully Treated at Fortis Cunningham Road

Bengaluru: Fortis Hospital, Cunningham Road, successfully treated a 72-year-old woman diagnosed with two complex conditions — kidney cancer and advanced uterovaginal prolapse — through a single, minimally invasive surgical session.

A coordinated team of urology and gynaecology specialists performed a combination of robotic and laparoscopic procedures, offering the patient faster recovery and fewer complications.

The woman had been struggling with a vaginal mass for over six months, along with urinary issues. Investigations revealed stage 4 uterovaginal prolapse with cystocele and a 6–7 cm tumour in her left kidney, suspected to be renal cell carcinoma.

As a partial nephrectomy was not viable due to the tumour size, doctors opted for a radical nephrectomy to completely remove the kidney and tumour.

The surgical plan included robotic left radical nephrectomy, vaginal hysterectomy, laparoscopic bilateral salpingo-oophorectomy, and pelvic floor repair — all performed during a single operative session.

Dr. Shakir Tabrez, Director – Urology, Uro-Oncology, Uro-Gynaecology, Andrology, Kidney Transplant and Robotic Surgery, Fortis Hospital, Cunningham Road, explained, “We used a collaborative approach to remove the kidney specimen vaginally after hysterectomy, avoiding a large abdominal incision.

The patient was left with only three small robotic scars, experienced less pain, and was able to walk the next day. This demonstrates how robotic technology and teamwork can enhance patient comfort and outcomes.”

Dr Rubina Shanawaz, Senior Consultant – Uro-Gynaecology, Gynaec-Oncology and Robotic Surgery, added, “By combining robotic and vaginal approaches, we were able to treat both conditions in one sitting, avoiding multiple surgeries and extended recovery.

The kidney tumour was found incidentally during a routine check-up, emphasising the importance of preventive screenings.”

Mr Chandrasekar R, Facility Director, Fortis Hospital, Cunningham Road, said, “This case highlights our team’s expertise in managing complex surgical challenges while ensuring patient safety and faster recovery. Providing minimally invasive, holistic treatment continues to be our top priority.”

The successful outcome not only restored the patient’s health but also improved her overall quality of life, allowing her to resume normal activities within days of surgery.

The case underscores the growing role of robotic and multidisciplinary approaches in managing elderly patients with multiple health concerns.

By combining precision, innovation, and compassion, Fortis Hospital, Cunningham Road, continues to advance patient-focused care that minimises surgical trauma and maximises recovery outcomes.