Looking for the best urologist in Dubai? Dr. Sanjay Bhat Hatangadi is a highly accomplished urologist, with over thirty years of experience in the field. He is widely recognized for his expertise in urology and has been associated with some of the most prestigious medical institutions in India and the Middle East.

Dr. Sanjay Bhat Hatangadi is an experienced urologist who has worked in various hospitals across India and Dubai. He served as the Professor and Head of Urology at Rajagiri Hospital and Amrita Medical College in Kerala from 2001 to 2019, where he supervised the urology department and provided training to new urologists.

During his tenure, he participated in multiple research projects and published numerous articles in peer-reviewed journals. After leaving Rajagiri Hospital, he joined Prime Hospital Dubai as the Head of Urology, where he managed a team of urologists and the hospital’s urology department until March 2022. His leadership skills and expertise in urology played a crucial role in the growth and development of the department. Currently, Dr. Sanjay Bhat holds the position of Consultant Urologist at Al Zahra Private Hospital Dubai. In this capacity, he provides expert advice and treatment to patients with complex urological problems.

His areas of specialization include Adult and Pediatric Laparoscopic and Reconstructive Urology/Uro-oncology, Prostate Disease Management, Stone Disease Management, Upper and Lower Urinary Tract Endourology, Incontinence and Female Urology, and Adrenal Surgery Laparoscopic. Dr. Sanjay Bhat Hatangadi is fluent in multiple languages, including English, Hindi, Kannada, Malayalam, Tamil, Konkani, and has a basic understanding of Arabic with a focus on urology-related terminology. This enables him to communicate effectively with patients from diverse backgrounds and provide personalized care.

Dr. Sanjay Bhat Hatangadi holds several qualifications, including MBBS, MS General Surgery, DNB General Surgery, FRCS General Surgery, MCh Urology, and FAGE Medical Education. He has published 41 articles in peer-reviewed journals and has received various awards, including the Best Outgoing Medical Student in 1987, the BS Sen Gold Medal for General Surgery, and the Howard Eddy Gold Medal for Royal Australasian College of Surgeons FRACS Part-1 South East Asia.

Looking for the best urologist in Dubai? Dr. Sanjay Bhat Hatangadi is a member of several professional organizations, including the Urological Society of India, Association of Southern Urologists, Urology Association of Kerala, and Emirates Urology Association. He continues to attend conferences and workshops to stay up-to-date with the latest advancements in his field.

Dr. Sanjay Bhat Hatangadi is available for full-time consultations at Al Zahra Hospital, Al Barsha 1, Dubai. He has held various academic positions, including Assistant Professor Urology at KMC Hospital Manipal, India, Registrar Urology at Armed Forces Hospital Oman, Professor Urology at Amrita Institute of Medical Sciences and Rajagiri Hospital, Kerala, India, and Consultant Urology at Prime Hospital Dubai. With his extensive experience, vast knowledge, and compassionate approach, he is one of the most sought-after urologists in the region.

Dr. H Sanjay Bhat, Consultant Urologist, Al Zahra Private Hopsital, Dubai

What is the Prostate Gland?

Walnut sized gland below the bladder Function is
to provide volume to semen Growth and function
dependent on male hormone testosterone Begins
to enlarge or undergo malignant change after 45
years of age

How common is Prostate Cancer?

After 50 it is one of the most common cancers in men
(may affect 1 in 7 men over all)
The incidence increases with age but in general 1 in
14 men aged 65 and 1 in 5 men aged over 75 can have
prostate cancer.
It is a slow growing disease and many elderly men
with prostate cancer may ultimately die of other age
related illness rather than prostate cancer.

What are the risk factors for Prostate Cancer?

1: It is more common in USA and Africa. Even second generation immigrants to these countries
have a higher risk implicating unknown environmental factors.
2: It is more common and aggressive in Black Americans, followed by whites, Asians and Indians
have a low incidence and the lowest incidence is seen in Japanese men.
3: If a male relative has the disease the chance is doubled.
4: It is more common in people using diets rich in red meat(beef,pork,sausages,bacon,ham) as
compared to vegetarian diets rich in green leafy and colored vegetables and fruits.

Myths about Prostate Cancer:

It has no relationship with increased or decreased sexual activity and ejaculation !!!!.
Previous vasectomy does not increase the risk!!!!

What are the symptoms of Prostate Cancer?

In early curable stages there may be no symptoms.
It can present as obstructive urinary symptoms such as hesitancy, poor stream, incomplete
feeling of bladder emptying or complete blockage of urine.
It can present with irritative urinary symptoms like burning sensation, frequent urination, feeling
of urgency to urinate or waking up frequently at night to pass urine.
When it spreads outside the prostate it can cause blockage of the tubes from the kidneys
resulting in kidney failure, constipation if it compresses the rectum.
back or bone pain due to spread to the bones.
Blood in urine or semen

When to screen for Prostate cancer?

1: At age 50 and once in 2-3 years at least thereafter. (Although this is an individual choice).
2: It is mandatory if a male relative has been diagnosed previously with prostate cancer.
3: African Americans after 45 years.
4: If symptoms are present.
You don’t have to wait for symptoms to visit the urologist after age 50 as you may miss the boat
with regard to cure

What are the stages of Prostate cancer?

Stage 1: Confined to less than half the gland. (Curable)
Stage 2: Involves more than half the gland but confined to its margins. (Curable)
Stage 3: Extends beyond the margins of the gland. ( Long term disease control is still possible)
Stage 4: Spread to distant organs like lymph glands, bone, liver,lungs.(Not curable but still better
survival than other cancers of similar stage)

How to detect Prostate cancer?

Physical examination
Blood tests
Radiology
Biopsy

Physical examination OR Digital rectal examination: The Urologist gently feels the consistency of the prostate using a well lubricated gloved finger through the anus.

Blood test:

PSA or prostate specific antigen

This is a substance produced by the prostate gland cells
and released into the blood circulation . It is usually
present normally in small quantities (< 4ng/ml although
this increases with normal ageing and the size of the
gland). In cancer prostate cancer higher levels are seen.

High psa levels warrant investigation

Serially increasing psa is worrying

psa testing is useful to follow-up prostate cancer after treatment.

How to confirm the diagnosis?

Once there is a strong suspicious on DRE and psa testing that a man may have prostate cancer one must proceed to confirm the diagnosis by Biopsy testing.

How do you the stage and plan treatment?

MRI SCAN/PET SCANS will help diagnose the stage of disease.

How to treat Prostate cancer?

Stage 1 and Stage 2 and selected cases of stage 3 diseases are treated with equal success by Radiation Therapy ,surgical excision or a combination of the two in selected

Radiation Therapy for Prostate cancer:

Usually for patients unfit for surgery or choosing this option. the results are comparable to surgery . Although rectal side effects like bloody and mucus diarrhea , erectile dysfunction and harmonal imbalances are reported.

The prolonged nature of the treatment and its availability in selected centers may also be a deciding factor. Ultimately the choice is left to the patient’s family.

Surgery for Prostate cancer:

Open and Laparoscopic/Robotic assisted laparoscopic Prostatectomy are usually the best option offered. Minimally invasive surgery provides additional advantages of Quick recovery and return to work by Avoiding prolonged treatment, although there is a risk of temporary urine leakage and erectile dysfunction.

open surgery

Credits : uaenews4u.com

Overactive Bladder Diagnosis And Treatment

Dr. H Sanjay Bhat, is a renowned urologist in Dubai. This article is about Urine Leakage or Incontinence and how to diagnose and treat Overactive Bladder (OAB).

Overactive Bladder (OAB) is a condition that affects millions of people worldwide, with symptoms such as a sudden and urgent need to urinate, frequent urination, and sometimes, involuntary leakage of urine. If you are experiencing any of these symptoms, it is essential to seek medical attention to diagnose and treat OAB. 

The diagnosis of OAB typically involves a physical examination, a review of medical history, and a series of tests, including a urine analysis and bladder function tests. These tests may include measuring the amount of urine left in the bladder after urination, evaluating the strength of the bladder muscles, and assessing the flow rate of urine.

Once a diagnosis of OAB is confirmed, treatment options may include lifestyle changes, medications, and in some cases, surgery. Lifestyle changes may include avoiding bladder irritants such as caffeine and alcohol, maintaining a healthy weight, and pelvic floor exercises. Medications may include anticholinergics, beta-3 agonists, or mirabegron, which can help relax the bladder muscles and reduce the urgency and frequency of urination. In some cases, surgery may be necessary to implant a device that can stimulate the nerves that control the bladder.

It is important to work with your healthcare provider to find the best treatment plan for your individual needs and to follow up regularly to monitor your progress and adjust your treatment as needed. With proper diagnosis and treatment, many people with OAB can achieve significant improvement in their symptoms and quality of life.

Overactive Bladder Diagnosis And Treatment: 

overactive bladder or OAB is characterised by urgency and frequency of urination and in extreme cases leakage of urine or urge incontinence needing wearing of pads. this is sometimes also a cause of leaking urine before you can reach the toilet. this condition is commonly seen in women although it can also be seen in men 

Evaluation: 

•  will show
•  normal urine tests
•  uroflowmtery test shows good flow with minimal post-urination residual urine 

Treatment Behavioural Treatment: 

1. Reduce intake of fluids in excess and beverages like coffee tea and soft drinks and alcohol 
2. Maintain a bladder diary initially. it was noting the amount of fluid consumed, time of urination, and approximate volume of urination. this will help to control the amount of fluid and help you to try and control the time of urination by bladder training. 
3.  Bladder training:  consciously try to hold urine for progressively longer periods of time. kegel exercises (refer youtube for different methods to do this) 

medication: 

Different medicines are available that can be used intially to relax the bladder and help you achieve your goal of bladder training till such time that you can achieve bladder training without medications 

Severe Cases:  may need longer duration of medication, further investigation of bladder function by cystoscopy or endoscopy of the bladder and urodynamic tests to study bladder function. 

Surgery: minor and major procedures are needed for estreme cases which are rare.