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Dr. Puneeta Ramachandra, MD is a pediatric urologist in WILMINGTON, DE specializing in pediatric urology and general pediatrics. She graduated from UMDNJ-Robert Wood Johnson Medical School in 2006 and has 20 years of experience. Dr. Puneeta Ramachandra, MD is affiliated with Jefferson Health, Thomas Jefferson University Hospital, Nemours Children's Health and Nemours Children's Hospital, Delaware.
Hydrocele
A hydrocele is a collection of fluid around the testicle that causes swelling in the scrotum. Hydroceles are common in newborns; they develop when the fluid in the sac surrounding each testicle does not get absorbed before birth. Hydroceles in newborns often disappear on their own during the first year of life. They are rare in adults, but when they occur, they are usually caused by injury, infection, or swelling in the scrotum, testicle, or epididymis, which is a coiled tube behind each testicle.
Hydroceles are typically painless, and surgical repair or removal, called hydrocelectomy, is only necessary if they continue to grow. In a hydrocelectomy, the surgeon makes an incision in or near the scrotum and uses suction to drain the fluid. The sac that contained the fluid may be cut and removed as well, or it may be stitched onto the back of the testis and epididymis, before the incision is closed.
This procedure may be done at an outpatient facility, so a hospital stay is usually not required. Normal activities can be resumed a few days following surgery, but exercise and other strenuous activities should be avoided for about two to four weeks.
Kidney Stones
Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.
Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.
The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:
People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.
Robotic Surgery
Robotic surgery is a type of minimally invasive surgery, using a tiny opening to get inside the body instead of making a large cut. It uses small tools attached to a thin robotic arm, which is controlled by the surgeon. Robotic surgery may be referred to by the specific kind of robot that is used. The most advanced robot currently in use is called the da Vinci, and surgery using it is sometimes called da Vinci surgery.
There are many benefits to robotic surgery, both for the patient and the surgeon. Robotic surgery allows for more precise movements and increased control during very delicate surgical procedures. This makes performing surgery accurately much easier for surgeons and reduces fatigue. The smaller 'hand' of the robot can enter the body via a much smaller opening, which reduces the risk of infection and scarring and leads to a faster recovery. The robotic hands also contain tiny moveable cameras among their tools, giving surgeons a much closer view of the procedure than would be possible with traditional surgery.
Dr. Puneeta Ramachandra, MD graduated from UMDNJ-Robert Wood Johnson Medical School in 2006. She completed residency at University of Connecticut Affiliated Hospitals. She is certified by the American Board of Urology and has a state license in Delaware.
Medical School: UMDNJ-Robert Wood Johnson Medical School (2006)
Residency: University of Connecticut Affiliated Hospitals
Board Certification: American Board of Urology
Licensed In: Delaware
Dr. Puneeta Ramachandra, MD is associated with these hospitals and organizations:
Dr. Puneeta Ramachandra, MD appears to accept the following insurance providers: Aetna Medicare, Horizon Blue Cross Blue Shield, Private Healthcare Systems (PHCS), AmeriHealth, MultiPlan PPO, Three Rivers Provider Network, Geisinger Health Plan, First Health PPO, US Family Health Plan, United Healthcare, Great-West Healthcare, Medicaid, Humana, Fidelis Care, First Health, WellPoint, Aetna HMO, Six Degrees Health-Lucent, Global Medical Mangment NJ, Carefirst MD Community Health Plan Mcaid, Aetna PPO/POS/EPO, Sunshine SMI/CMS 19 & 21, Olympus Managed Healthcare PPO DE/PA, Six Degrees Health Transplant, INTEGRA Administrative Group (ClaimsBridge), Emerging Therapies Transplant, Star Healthcare Network, Global Medical Managment DE/PA, Highmark Blue Cross Blue Shield of Pennsylvania, Insurance Administrators of America, Aetna PPO/EPO/POS, Delaware Medicare, Qualcare HMO/POS/PPO, Keystone First CHIP, Priority Partners John Hopkins, Highmark Blue Cross Blue Shield of Delaware and Aetna Better Health PA Kids HMO.
According to our sources, Dr. Puneeta Ramachandra, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Puneeta Ramachandra, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$573
Da Vinci Surgical System $573 |
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$29
DEFLUX $29 |
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$19
eCoin Device Kit $19 |
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$16
DYSPORT $16 |
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$12
CONTINENCE CARE $12 |
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$15
EpiPen $11 |
(815) Thiola $4 |
| $511 | |
| $136 | |
| $16 |
Dr. Puneeta Ramachandra's specialties are general pediatrics and pediatric urology. She is affiliated with Thomas Jefferson University Hospital. Dr. Ramachandra graduated from UMDNJ-Robert Wood Johnson Medical School and then she performed her residency at a hospital affiliated with the University of Connecticut. She most likely takes Aetna Medicare, Aetna, and Medicare Advantage, as well as other insurance carriers. Dr. Ramachandra has an open panel in WILMINGTON, DE according to Jefferson Health.
