Manoah Pancharatnam's surgical training began as a Registrar at Guys in General Surgery and Urology, followed by two more years as a registrar and then as Senior Registrar at the Institute of Urology London and the Royal Marsden, London.
He was appointed as a Consultant in Urology, King Faisal Hospital in Saudi Arabia where he later became the Head of Department of Urology. He returned to the United Kingdom in 1991 and was appointed to his present post as Consultant Urological Surgeon at West Herts NHS Trust in 1993. He is the Clinical Lead for Urology and plays an active part in the provision of cancer care for Hertfordshire.
Mr Panchartanam's main interest is in bladder and prostate cancers, from diagnosis to the treatment. He has performed over two thousand radical prostatectomies with meticulous lymphadenectomy, with excellent results in terms of cancer control, preserving continence and potency.
He has performed over 500 radical cystectomies and over a hundred orthotopic bladder reconstructions. He performed the first orthotopic bladder at Hemel Hemstead hospital in 1995 and first in Hertfordshire. The bladder he reconstructs has evolved over the last 17 years and he has attempted to recreate a bladder which resembles the natural one in size and shape.
Mr Panchartanam has always had an interest in paediatric surgery and performs all routine paediatric surgery in addition to hypospadias repair and pyeloplasty in infants. He has considerable experience with renal cancers and carries out radical nephrectomy and nephroureterctomy and partial nephrectomy for cancers.
In Saudi Arabia he obtained a vast amount of experience in dealing with very complex vesico vaginal fistulas, which were often operated unsuccessfully before and so presented a real challenge. Bilharziasis was very common and he had to improve to reconstruct entire ureters using small bowl and bladder. In his present district general hospital he deals with all the benign prostatic diseases, infertility, erectile dysfunction, stone surgery and diagnostics such as haematuria clinics and prostate biopsy and assessment.