Author: Dr. H. Sanjay Bhat

Robotic urologist in UAE

Robotics in Urology: Advancing Minimally Invasive Surgical Care

Robotics in urology refers to the use of robotic surgical systems, primarily the Da Vinci system, to enhance minimally invasive procedures for various urological conditions. With time, numerous other robotic systems have come into the market, such as the CMR system, the Hugo system, the Mantra system, etc.

These technologies are widely used by top specialists like robotic urologist in UAE – Dr. H Sanjay Bhat, who performs advanced urological surgeries with high precision and better outcomes.

Advantages of Robotic Systems in Urology

Robotics systems offer surgeons improved precision, dexterity, and visualization because of magnification and 3D effect. This leads to better patient outcomes. In urology, common procedures such as radical prostatectomy, cystectomy, nephrectomy, partial nephrectomy, and reconstruction of the urinary tract are performed easily with this system. All these systems depend on a master-slave pattern or they are also called online robotic system,s where the robot replicates the surgeon’s movements in real time.

Evolution of the Da Vinci Robotic System

Currently the most popular worldwide robotic system is the Da Vinci system which is now in its 5th generation. Initially it was called the Da Vinci 2000, then later it became the SI system, then the XI system and now it is the single port system which uses VESPA technology.

Components of a Robotic Surgical System

In a typical robotic system there is a surgeon console, an instrument cart and the robotic arms. These are all interconnected, thereby the surgeon who sits on the console can comfortably look through high definition 3D magnification and use finger clutches to control remotely the robotic arms. The robotic arms are fitted with robotic instruments which enter the patient’s abdomen and these instruments have a high degree of flexibility of motion. This is characterized by the facility of an endo wrist which gives a greatly increased degree of motion.

Comparison with Traditional Laparoscopic Surgery

Along with robotic surgery, laparoscopic surgery has also evolved to a great extent with better cameras, better instrumentation and miniaturization of instrumentation. The surgeon is at the bedside of the patient and he needs to physically sometimes stand in abnormal posture, extend his arms and shoulders, flex his wrists and the surgery may take a long time. Hence, it can have a result of causing physical harm to the surgeon in the form of tendonitis, joint pains, back pain, neck pain and fatigue. Secondly, conventional laparoscopic instruments are straight, they cannot be flexed and hence in deep and pelvic region of the body it may be difficult to perform fine tasks such as suturing. Robotic instruments which have endorists can bend and make these procedures more easy.

Benefits of Robotic Surgery for Surgeons

Finally, the efficiency of the cutting and coagulating instruments is much better than standard conventional coagulating instruments. This offers better hemostasis and control of bleeding. Robotic surgery allows the surgeon to sit comfortably at the console; he can even take breaks, stretch his arms, have a cup of coffee if needed, recharge himself and continue the operation. In fact, two teams can operate simultaneously, thereby efficiency of the surgery is increased and the fatigue and physical side effects that can affect the surgeon are decreased. Robotic surgery allows the surgeon to sit comfortably at the console, he can even take breast breaks, stretch his arms, have a cup of coffee if needed, recharge himself and continue the operation.

Limitations and Cost Challenges

The main disadvantage of the robotic system is its initial cost, its annual maintenance contract, the fact that the instruments are programmed for limited use thereby increasing the cost of instruments per operation. Finally, many insurance health insurance companies do not reimburse the cost or the extra cost of robotic surgery as compared to laparoscopic surgery, thereby patients may be forced to bear an additional cost towards their robotic surgery. Hence, this facility may not be available to the whole world population, especially lower socioeconomic groups, lower socioeconomic countrie,s and may be predominantly localized to well-to-do societies.

Future of Robotic Surgery in Urology

In spite of all thi,s with innovation progressing so rapidly, there are huge advantages of using a robotic syste,m especially for certain complex urological operations. There are now reports of surgery performed remotely with the surgeon’s console being in one country and the robotic arms in another country connected over the internet.

Why Dr. H Sanjay Bhat is the Leading Robotic Urologist in UAE

For those seeking the best urologist inthe UAE specializing in advanced urology procedures, look no further than Prof. Dr. H Sanjay Bhat. As a Senior Consultant Urologist at Al Zahra Hospital Dubai, Al Barsha, Dubai, Dr. Bhat is recognized as the best robotic surgeon in urology. This distinguished Indian urologist in UAE is credited with performing the largest series of laparoscopic adrenalectomies in India, and one of the largest series of laparoscopic live related kidney retrieval for transplant and laparoscopic radical prostatectomy. Dr. H Sanjay Bhat is also uniquely recognized for performing the first laparoscopic right-sided kidney retrieval in India and pioneering laparoscopic partial nephrectomy for tumors. He is one of the few surgeons in the UAE expertly performing advanced Laparoscopic Radical Prostatectomy and Laparoscopic Partial Nephrectomy.

In addition to his work in the UAE, robotic urologist in UAE – Dr. H Sanjay Bhat also practices at Rajagiri Hospital in Kochi, India, a leading multispecialty healthcare institution. At Rajagiri, Dr. Bhat continues to perform complex robotic and laparoscopic urological surgeries, offering the same advanced care and precision as he does internationally. His presence in both the UAE and India allows patients across regions to access world-class expertise in robotic urology.

Concerned About Your Urinary Health? 7 Signs It’s Time to See a Urologist in Dubai

Concerned About Your Urinary Health? 7 Signs It’s Time to See a Urologist in Dubai
That unexpected symptom – a sudden pain, a change in urinary habits, or something that just doesn’t feel right “down there.” If you’re in Dubai and experiencing such concerns, you might wonder, “Is this serious enough to see a specialist? Who is the best urologist in Dubai for my issue?” You’re not alone in these thoughts. Many people delay seeking advice from a urology doctor, often due to uncertainty or hoping the problem will simply disappear.

However, ignoring urological symptoms can sometimes lead to more significant health issues down the line. This guide is here to help you understand when it’s crucial to consult a urologist. Knowing these signs can empower you to seek timely care, potentially from a reputable urology clinic near you in Dubai, ensuring minor issues don’t escalate.

First, What Does a Urologist in Dubai Do?

Understanding urological health is the first step. It encompasses the health of your urinary system – kidneys, bladder, and the tubes connecting them – in both men and women. For men, it also critically includes the reproductive organs like the prostate and testes.

A urologist, or urology doctor, is a medical specialist trained to diagnose and treat conditions affecting these vital systems. Whether you’re in Dubai or elsewhere, their expertise covers a wide range, including:

Kidney and bladder conditions (like infections, stones, or tumors)

Urinary Tract Infections (UTIs) – a common reason to search for a “urology clinic near me”

Male fertility and sexual health concerns (e.g., erectile dysfunction)

Prostate health, including enlarged prostate (BPH) and prostate cancer screening

Urinary incontinence (loss of bladder control)

Urologic cancers

Urologists in Dubai offer a spectrum of treatments, from lifestyle advice and medication to advanced minimally invasive surgeries.

Why Early Detection by a Urology Doctor is Crucial

Seeking timely medical attention from a urologist in Dubai for urological symptoms is vital because:

Better Treatment Outcomes: Many conditions respond best when caught early.

Prevention of Complications: Untreated issues can lead to kidney damage or chronic pain.

Improved Quality of Life: Prompt care can prevent symptoms from worsening.

Access to Simpler Treatments: Early-stage problems often require less invasive solutions.

Now, let’s explore those important signs indicating you should consult a urology doctor.

Sign 1: Blood in Your Urine – A Serious Warning Sign in Dubai

Noticing blood in your urine (medically termed hematuria) can be quite alarming. This is a symptom that should prompt an immediate consultation with a urologist in Dubai.

What Can Cause Blood in Urine?

Urinary Tract Infections (UTIs)

Kidney or bladder stones

Enlarged prostate in men

Kidney disease

Urologic cancers (bladder, kidney, or prostate)

Certain medications

When is it an Emergency? If blood in urine is accompanied by severe pain, inability to urinate, or fever and chills, seek immediate medical attention at a Dubai hospital or urgent care facility.

A Dubai Urologist’s Approach: Your urology doctor will investigate thoroughly using urine tests, blood tests, imaging (like ultrasound or CT scans), and potentially a cystoscopy (a camera look inside your bladder).

Sign 2: Persistent Pain in Your Pelvic Region or Groin

Ongoing pain in your lower abdomen, groin, or genital area that doesn’t resolve is a clear indicator to see a urologist in Dubai.

What Could This Pelvic Pain Mean?

Prostatitis (inflammation of the prostate in men)

Interstitial Cystitis (Painful Bladder Syndrome)

Kidney stones radiating pain

Chronic or severe UTIs

Other complex urological conditions

If this pain persists or is severe, finding a knowledgeable urologist is key.

Sign 3: Concerning Changes and Difficulties with Urination

If your trips to the bathroom have changed significantly, it’s a sign your urinary system needs attention from a urology doctor. These changes include:

Frequent Urination: Needing to go much more often, especially if it disrupts your sleep (nocturia).

Urgent Need to Urinate: A sudden, intense urge that’s hard to control.

Pain or Burning During Urination (Dysuria): A common sign of UTIs.

Difficulty Starting or Maintaining a Urine Stream: Could indicate an enlarged prostate or other blockages.

Urinary Incontinence: Any involuntary leakage of urine.

Feeling of Incomplete Bladder Emptying.

These symptoms warrant a visit to a urology clinic near you in Dubai for proper assessment.

Sign 4: Kidney Stone Symptoms – More Than Just Intense Back Pain

Kidney stones can cause excruciating pain, often described as one of the worst pains imaginable. If you’re in Dubai and suspect kidney stones, see a urologist quickly.

Hallmark Symptoms:

Severe, Sharp Pain (Renal Colic): Typically sudden, in the side/back (flank), radiating to the lower abdomen or groin.

Blood in Urine (Hematuria).

Pain or Burning Sensation During Urination.

Nausea and Vomiting due to the intense pain.

Fever and Chills: This indicates a possible infection and requires urgent medical attention in Dubai.

A urology doctor can diagnose kidney stones and recommend treatments ranging from medication to help pass the stone to minimally invasive procedures.

Sign 5: Male-Specific Urological Concerns in Dubai

Men in Dubai should consult a urologist for specific concerns such as:

Prostate Gland Issues: Symptoms like difficulty urinating, weak stream (often due to BPH), or concerns about prostate cancer (an elevated PSA test warrants a specialist visit).

Testicular Pain, Lumps, or Swelling: Any changes require prompt evaluation.

Erectile Dysfunction (ED): A urology doctor can investigate underlying causes and offer effective treatments.

Male Infertility Issues.

Peyronie’s Disease (curved, painful erections).

Low Testosterone Symptoms.

For these sensitive issues, finding an experienced and understanding specialist is crucial. If you are looking for an Indian Urologist in Dubai, UAE, known for his expertise in managing a wide range of male urological conditions, Dr. H. Sanjay Bhat is a distinguished and highly experienced option. He is considered by many to be one of the best urologists in Dubai, offering comprehensive care.

When to Seek URGENT Urological Care in Dubai

Some urological symptoms are emergencies and require immediate attention at a hospital or an urgent urology clinic in Dubai:

Sudden, Complete Inability to Urinate.

Sudden, Severe Testicular Pain (especially with nausea/vomiting) – potential testicular torsion.

High Fever and Chills with Flank Pain (back/side pain) or Burning Urination – potential kidney infection.

Passing Visible Blood Clots in Urine or Heavy Bleeding.

Significant Trauma to the Genitals or Urinary Tract.

Priapism (a painful erection lasting more than four hours).

In these situations, do not delay seeking emergency medical help in Dubai.

Taking Control of Your Urological Health in Dubai

Many urological conditions are highly treatable, especially with early detection by a skilled urology doctor. If you’re in Dubai and experiencing any of the persistent signs discussed, don’t let discomfort or uncertainty prevent you from seeking expert care.

Consulting with a trusted urologist in Dubai, such as Dr. H. Sanjay Bhat, who is recognized for his extensive experience and patient-focused approach as an Indian Urologist available in Dubai, Al zahra Hospital, UAE, can provide you with an accurate diagnosis and the most effective treatment plan. Taking this step is crucial for protecting your long-term health and improving your quality of life. Remember, finding the best urologist in Dubai for your specific needs starts with recognizing the signs and seeking timely consultation.

Enlarged Prostate: Symptoms & Treatment in UAE

The Prostate Gland: An Overview

The prostate gland is an exclusive gland of males. It is about the size of a walnut and is located below the urinary bladder. Through this gland, the urine passage passes out from the urinary bladder into the penis to take urine from the bladder to the exterior. The prostate gland starts developing in boys at the age of puberty. The main function of the prostate gland is to produce seminal fluid which will nourish the sperms and allow them to survive both in the body as well as in the female genital tract. The growth and development of the prostate is dependent on the male hormone testosterone. Many men, especially after the age of 50, may experience issues such as an enlarged prostate, which can affect urinary flow and overall prostate health.

Conditions Affecting the Prostate

Various conditions can affect the prostate. The commonest conditions affecting the prostate are infection and natural enlargement of the prostate that occurs with age. Infection may occur at any age, although it is less common in males less than 45 years than in males older than 45 years.

Acute Prostatitis: A Bacterial Infection

When does prostate infection occur? it is called acute prostatitis and is usually due to bacterial infection. The patient will present with high fever and chills, frequent urination, severe burning sensation while passing urine, difficulty in passing urine and sometimes even blood in the urine. The patient is fairly sick and may even need admission for parenteral antibiotic treatment. When acute bacterial prostatitis is suspected, the patient is investigated by urine culture serum PSA levels which is a blood test which increases when there is infection or malignancy in the prostate. Also the blood counts may be elevated and the C-reactive protein in the blood may be elevated.

Treating Acute Bacterial Prostatitis

How do we treat acute bacterial prostatitis? A suitable broad spectrum antibiotics such as augmentin or injectable medications like 3rd generation cephalosporins or amikacin are required. In the acute phase, 3-4 days of injectable antibiotics may be needed. Once the general condition of the patient improves, antibiotics need to be continued for at least 3-4 weeks unlike other urinary infections where just maybe 5-7 days of antibiotics may be necessary. Why is this so? You can consider the prostate to be like an apartment building with 50 flats. One week of antibiotics will only probably clear one-third of the flats of their occupants. Therefore, at least 3 weeks of antibiotics will be needed to completely sterilize all the flats within this apartment called the prostate. Inadequate treatment will lead to relapse of the infection and the patient may come back within a couple of weeks with similar symptoms. It is important at the end of treatment to confirm by urine culture and blood test that the infection is completely resolved.

Chronic Prostatitis vs. Enlarged Prostate: Symptoms and Differences

There is another condition called chronic prostatitis or chronic prostate pain syndrome. This is a condition a little difficult to diagnose and treat because all investigations may be normal. This usually occurs in young adult males who complain of a vague discomfort in the entire pelvic region including the urethra, the testicles, the perinium, even the anal region, the lower back and the lower abdomen. This nagging discomfort greatly affects the quality of life and it is sometimes called the pelvic and perineal pain syndrome. They are often anxious and highly stressed patients either due to the nature of stress or due to the nature of their profession or personal relationships. Most investigations will be negative in such a situation and very often the symptoms are attributable to spasms of the muscle in the prostate as well as spasm of the stomach and intestinal muscles causing the striad of symptoms of bloating, irritable bowels and prostatic pain. In my experience I have found that destressing methods like exercise, healthy lifestyle, meditation and even yoga help these patients much more than any form of medical management.

Understanding Prostate Enlargement
What is prostate enlargement? After the age of 45 or 50 the prostate undergoes a normal aging process and starts enlarging. Now that it has served its purpose for fertility purposes it becomes a little bit of a nuisance. As I mentioned earlier the urine passage leaving the bladder passes through the center of the prostate. When the prostate enlarges it impinges upon the urinary tract causing symptoms in many patients after the age of 50.

Symptoms of Prostate Enlargement

Symptoms are classified as obstructive symptoms and irritative symptoms. Obstructive symptoms are due to obstruction to the urine passage due to narrowing of the urethra within the prostate. There are five classical symptoms, hesitancy to pass urine, straining to pass urine, feeling of incomplete evacuation, thinning of the stream of urination and finally even complete blockage or retention of urine. The irritative symptoms are due to changes in the bladder behavior due to obstruction to the flow of urine. This includes urgency to pass urine, frequency of urination, slight burning during urination and waking up frequently at night to pass urine or nocturia. These symptoms may be mild or they may be sufficient to affect the quality of life of the patient.

Prostate Cancer: A Risk After 60

After 60 the prostate is also a common site for cancer development. In fact after intestinal cancers it may be the second most common cancer in men after the age of 60. Unlike the normal enlargement of the prostate which occurs in the internal part of the gland, prostate cancer develops in the periphery of the gland and very often there may not be any symptoms till an advanced stage of the disease. So the symptoms of prostate cancer may be similar to the symptoms of benign enlargement of the prostate. In addition they may also have signs of spread of the cancer either around the prostate, outside the prostate or to distant site. When the prostate cancer infiltrates into the bladder it may present with blood in the urine. When it blocks the passages of urine from the kidney to the bladder it may cause obstruction to the kidneys and kidney failure. And when it spreads distantly it usually spreads to the bones of the back and other bones in the body causing severe bony pain and back pain that may be excruciating.

Routine Prostate Evaluation

Therefore it is generally recommended that any patient after the age of 50 should have at least a visit to the urologist once a year or once in two years irrespective of whether he has symptoms or not. The evaluation of the prostate is a very simple process. It involves a detailed history taking from the patient. A physical examination which includes a digital rectal examination where we can actually gently feel the prostate and assess its enlargement and the texture. A blood test called PSA or prostate specific antigen is also performed and a urine test as well as an ultrasound of the prostate before and after urination is also performed. Based on the findings of these tests majority of patients can be treated with simple medications to improve the quality of their life. And early detection of prostate cancer by the blood test can detect prostate cancer at a stage when it is completely curable.

Dr. H Sanjay Bhat, a renowned Indian urologist, is a Senior Consultant Urologist at Al Zahra Hospital Dubai, Al Barsha, Dubai. He specializes in advanced prostate treatment, offering highly effective solutions tailored to individual patient needs through cutting-edge techniques. Recognised as one of the best Indian urologists, Dr. Sanjay Bhat brings extensive experience in managing prostate conditions, including infections, enlargement, and cancer, alongside other complex urological issues. His expertise in urology and commitment to patient care make him a top choice for those seeking world-class, minimally invasive treatments in Dubai.

Diagnosis & Treatment of Varicocele

Diagnosis & Treatment of Varicocele for Male Fertility & Health: Expert Urologist in Dubai

What is a varicocele and what are its implications?

Before the birth of a male child, the testicles develop within the abdominal cavity. With each month of pregnancy, the testicles descend downwards and ultimately, at the time of birth, they are located outside the body in the scrotum. The veins which supply the testicle, therefore, come from within the abdomen.

The left testicular vein originates from the renal vein or the kidney’s vein. Most often, the right testicular vein directly comes from the inferior vena cava, or the main body vein. Sometimes, it may come from the right kidney vein or renal vein.

You may have seen people in your family or in the community with big veins in their lower limbs, which are called varicose veins. Varicose veins are a result of blood not flowing freely back away from the body towards the heart. Normally, veins allow blood to flow away from the organ towards the heart, and the backflow is prevented by valves. When these valves are defective, a lot of blood accumulates in the veins, causing them to enlarge. These are called varicose veins.

The same thing sometimes happens in the testicles, where the veins enlarge and a lot of big, dilated veins surround the testicle, causing a varicocele or a varicose vein of the testicle. The reason why varicoceles form is unknown, but they are more commonly seen on the left side of the body, where the left testicular vein reaches the kidney vein or the renal vein. This indicates that blood is flowing backward towards the testicle, causing the veins to enlarge.

When do varicose veins of the testicle or varicoceles develop?

Varicoceles develop at the time of puberty. Generally, children may present with signs of swelling in the scrotum, leading to a diagnosis of varicocele. Very rarely, varicoceles progress with time. Most often, the size of the varicocele is determined at the time of diagnosis, usually in puberty.

How do we grade varicoceles?

The simplest way to grade varicoceles is by performing an ultrasound scan of the scrotum while the patient applies intraabdominal pressure. If there is backward blood flow into the scrotum, it is classified as a Grade 1 varicocele.

If, during a physical examination, a slight cough impulse is detected when the patient coughs and this is confirmed by ultrasound, it is classified as a Grade 2 varicocele.

If the veins are visibly enlarged, appearing like a bunch of worms in the scrotum, it is classified as a Grade 3 varicocele.

If the varicocele is so large that it affects the function of the testicle, leading to a reduction in testicle size, it is classified as a Grade 4 varicocele.

What is the importance of a varicocele?

Varicoceles are very common in the community, especially in Grade 1 and Grade 2, and most often, these do not affect an individual in any way.

How do varicoceles affect a male patient?

When blood accumulates in the veins around the testicle, the weight of the scrotum increases, sometimes causing a feeling of heaviness and discomfort by the end of the day. Normally, the testicles are positioned outside the body to maintain a lower temperature than the body temperature.

However, when testicular veins enlarge, the testicle becomes surrounded by warm blood, increasing its temperature to match body temperature. Sperm production is very temperature-sensitive, and an increase in temperature can negatively impact sperm production.

The second effect of a varicocele is infertility.

Among couples experiencing infertility, 10-20% of cases may be due to a varicocele. A large varicocele can affect both the quality and quantity of sperm production due to increased temperature.

The third effect is a reduction in testicle size.

Large varicoceles can affect the blood supply to the testicle, causing the testicle to shrink. If both testicles are affected, this can impact hormonal production, leading to decreased libido and sexual performance.

In summary:

Small testicular varicoceles may not present with any symptoms.
Larger varicoceles can cause a dragging pain in the testicle.
Severe varicoceles can lead to infertility.
Ultimately, varicoceles can also impact the hormonal function of the testicle.

Varicoceles are a fairly common problem in urological practice. If a person notices an enlargement of the scrotum, pain in the testicles, fertility issues, or concerns related to hormonal production and libido, they should consult a urologist.

It is important to understand that varicoceles are common, but they should only be treated if there is a specific indication. The diagnosis of a varicocele alone does not necessarily require treatment—this decision is made based on specific indications determined by the urologist.

What are the Treatment of Varicocele options?

Over the years, various treatment methods have been recommended. Currently, the most effective and safest surgical treatment for a varicocele is microscopic ligation of the surgical veins through a small groin incision. This minor procedure allows for quick recovery, requires minimal time away from work, and has good results.

About Dr. H Sanjay Bhat – Best Urologist in Dubai

Dr. H Sanjay Bhat, a renowned Indian urologist, is a Senior Consultant Urologist at Al Zahra Hospital Dubai, Al Barsha, Dubai. He specializes in microscopic ligation of the surgical veins, a highly effective treatment for varicoceles performed through a small groin incision. As one of the best urologists in Dubai, Dr. Bhat has extensive experience in treating male infertility, varicoceles, and other complex urological conditions. His urology and reproductive health expertise make him a preferred choice for patients seeking advanced, minimally invasive surgical treatments.

Extracorporeal Shock Wave Lithotripsy (ESWL) in UAE

Extracorporeal Shock Wave Lithotripsy (ESWL)

.Extracorporeal Shock Wave Lithotripsy (ESWL) is a good option for patients who prefer a non-surgical approach and is especially effective for stones smaller than 2 cm in diameter.

What are kidney stones?

Kidney stones are like the small gravel you find on the street, on the roadside. The similar things form within the urinary tract, and they can be in the kidney or anywhere else in the tract. They are usually made of calcium in 90% of cases, and in 10% of cases, they are made up of uric acid.

Calcium stones are generally hard stones that can be easily seen on a simple X-ray. Uric acid stones are softer stones and will not be seen on an X-ray but can be detected on an ultrasound or a CT scan. In modern societies, 90% of the stones are 1 cm or less in size because patients have more access to health care and investigations are done more often to detect stones before they cause any complaints.

In developing and underdeveloped countries, where access to health care may not be so easy, sometimes stones are found that have reached very large sizes and can be much more than 1 cm in size.

How do we treat stones that are 1 cm or smaller in size?

In general, stones that are less than 5 mm in size can be treated well with just hydration. Hydration involves drinking sufficient water so that the urine is colourless or very pale yellow in color. The amount of water you drink depends on your amount of urine. Typically, you have to hydrate yourself sufficiently so that the urine is fairly colourless.

In addition to that, there are medications available that may help to expel these stones. Stones 6 mm or larger, up to 1 cm in size, can be treated very well without any invasive procedure. This procedure is called ESWL or extracorporeal shock wave lithotripsy.

ESWL or extracorporeal shock wave lithotripsy

The procedure is simple. It can be done as an outpatient procedure, and the patient does not lose any time from work. It involves lying down on the machine, and with the help of X-ray and ultrasound, the stone is brought into focus. Electromagnetic waves, or what we call shock waves, are focused onto the stone, and the stone shatters into very tiny pieces and powder and is passed easily by the patient.

The only side effect is that sometimes there may be little blood in the urine one or two times when the patient urinates. The success rate of this treatment, when the stone is in the kidney, exceeds 90%. In a few percentage of patients, a second session of treatment may be required.

In other words, the patient has nothing to lose by going through this procedure, as it is extremely safe. The only contraindication to this procedure is if the patient is pregnant or if the stone is blocking the urinary passage and causing infection.

Can this procedure be used in the tube coming out from the kidney and going to the bladder?

This tube is called the ureter. When stones enter the ureter, they can be painful because of the blocking of the urinary tract. But they can also be treated by ESWL (extracorporeal shock wave lithotripsy) , although the success rates are lower, in the range of 80%.

As long as the stone can be localized by an x-ray or ultrasound, there is still a role for non-invasive treatment of these stones. Nowadays, worldwide, for some reason, most urologists tend to opt for invasive procedures like ureteroscopy and placement of stents for treating such stones.

In my opinion, the only indication for doing this procedure is the cost is higher when you do an invasive procedure. Unfortunately, the comfort of the patient is lower because the stent placed in the urinary system after such procedures can cause varying degrees of discomfort to the patient.

Also, these procedures need to be done under anaesthesia, and the patient may have to take 3 to 5 days off from work.

Can ESWL be used for stones larger than 1 cm?

When stones larger than 1 cm are treated by extracorporeal shock wave lithotripsy (ESWL), sometimes the number of fragments that are formed may be so large that they may obstruct the kidney and pain. It can still be done for stones up to 2 cm, provided the patient accepts the fact that a stent has to be placed while doing this procedure.

Unfortunately, in modern urology, in most centres, the ESWL machine lies unused, and this is purely, I feel, due to financial reasons. Revenue generation is less, and that seems to be the priority very often.

In summary, there are ways and means to treat stones 1 cm or less with maximum comfort to the patient by the procedure of ESWL.

If you’d like to learn more about ESWL treatment in Dubai or the UAE, feel free to reach out to Al Zahra Hospital or stop by for a visit! They’ll be happy to help you with any questions you have.

Men’s Health Month at Al Zahra: Special UAE Urology Package – Prostate Screening

November every year is considered as Men’s Health Month, it celebrates the health of men every year and I want to speak to you today on a very important aspect of men’s health. You may have all heard of an organ called the prostate gland, a small organ the size of a walnut below the urinary bladder through which the urinary passage flows and urine goes out when you pass urine. This organ is very important at younger ages to provide fluid which protects the sperm and helps in producing children. After 45 or 50 years of age, when you reach middle age, this organ gives you a few problems.

The normal problem is a normal ageing problem, just like we get grey hair when we grow older or get blood pressure or diabetes, the same way the prostate also enlarges. Sometimes it enlarges and squeezes the urine passage that goes through it and produces some difficulties in urination like reduced flow, increased frequency, getting up at night to pass urine and a feeling of incomplete evacuation.

More importantly, after the age of 60, one out of 14 men can get cancer of the prostate. It is the second most common site for cancer in the human body after the age of 60. I advise all men over the age of 50 to have a consultation lasting 15 minutes with their urologist to just assess their prostate and rule out the possibility of prostate cancer. Whether or not you have any symptoms regarding the prostate with your urination.

How common is prostate cancer?

As I said, it is a common cancer but it is more common in the Western world in white-skinned populations and in the African world. As we go to the Middle East and the Far East, the incidence of prostate cancer comes down. But if any family member or male family member in the family has prostate cancer, our chance of having prostate cancer increases exponentially.

So how do we decide whether we can prevent prostate cancer?

It is very simple. If you have a family history of prostate cancer, you should start checking yourself after the age of 45 every year. It involves a simple consultation with the urologist, a physical examination and a blood test called the PSA or prostate-specific antigen. Prostate-specific antigen levels increase in the blood in the presence of prostate infections and prostate cancer. When we combine it with a physical examination, we can have a high sensitivity of doubt whether the patient has prostate cancer.

The next step is to evaluate a patient with a high PSA level. This involves a simple test called an MRI, which is very accurate in detecting suspicious prostate cancer. If the MRI looks suspicious and the PSA is elevated, we suggest that the patient undergoes a prostate biopsy, which currently with modern technology is a very simple process with very few side effects.

Why is it important to detect prostate cancer?

This is because, unlike other cancers where you have breast cancer, for example, where you have to have extensive chemotherapy, and radiotherapy with all the side effects to achieve a cure. Prostate cancer, if detected early, can be treated easily with good-quality surgery and good-quality radiation, giving long-term lifetime survival of over 30 years. It is very important to detect prostate cancer in an early stage. An early stage indicates that the prostate cancer is still confined to the organ. A late stage indicates that prostate cancer has spread either below the organ or to distant sides. If the prostate cancer is still confined to the organ, curative treatment is possible. The organ treatment includes surgical removal of the prostate or radiation for the prostate.

As far as surgical removal is concerned, in the past, it was open surgery, with large incisions, needing prolonged recovery, prolonged pain, and certain complications like bleeding needing transfusions. One technique of surgery for the prostate includes laparoscopic and robotic surgery. These surgeries involve procedures by which, through small little keyholes of 5 millimeters and 10 millimeters, the surgery can be completed. The patient can be discharged in three or four days from the hospital and he can get back to normal life with minimal pain and minimal side effects after three weeks.

For most patients who refuse surgery who are not fit for surgery, we advise radiation therapy. The process involves seven weeks of procedure with certain medications, but ultimately the results of surgery and radiation are very good and patients can have very long-term, happy, comfortable survival life of more than 25 to 30 years.

Our hospital in Alzahra is offering a package for cash-paying patients of 350 dirhams, whereby you can have a consultation, a physical examination, and a blood test, to early detective prostate, whether it is cancerous or not. All insurance companies cover screening for prostate cancer. So my advice is every November, please visit your urologist if you are over 50 years of age, and spend 15 minutes for your health and longevity.

The Best Urology Service in Dubai and UAE: Dr. H Sanjay Bhat, an Indian Urologist Available in UAE

The Best Urology Service in Dubai and UAE: Dr. H Sanjay Bhat, an Indian Urologist Available in Dubai

When it comes to finding top-notch urological care in Dubai and the UAE, Dr. H Sanjay Bhat, a highly skilled Indian urologist, stands out as one of the most trusted and sought-after specialists in the region. Renowned for his exceptional expertise, compassionate approach, and cutting-edge technology, Dr. Bhat provides comprehensive urology services that cater to a diverse patient base, ensuring that everyone receives the care they need. His ability to speak multiple Indian languages makes him especially accessible to patients from the Indian community and beyond.

Patient-Focused Care with a Personal Touch

Dr. H Sanjay Bhat’s dedication to his patients is evident in the glowing testimonials shared by those who have experienced his care firsthand. One patient, Aniket Patange, praised the meticulous cleanliness of the hospital and the professional yet compassionate approach of Dr. H Sanjay Bhat’s team during his surgery. The clinic’s exceptional standards and personalized care ensure that patients feel safe and well-cared-for, right from the moment they walk in.

For patients facing urological issues like kidney stones, Dr. Bhat’s expertise brings relief and peace of mind. Samir Lachgar shared his appreciation for the advanced medical technology that was used to treat his kidney stones, describing the process as not only effective but also a fascinating demonstration of modern medicine’s capabilities.

Advanced Techniques and State-of-the-Art Technology

Dr. Bhat’s clinic is equipped with some of the most advanced urological technology in the world, providing minimally invasive and highly effective treatments. The technology includes:

3D DEX Robotized Laparoscopy This cutting-edge system offers unmatched precision in laparoscopic surgeries, ensuring better outcomes and quicker recovery times for patients.
Aesculap Einstein 3D Vision Laparoscopy: Providing a detailed view of the surgical area, this advanced technology improves the accuracy and efficiency of complex procedures.
Laser Clinic: Equipped with the latest laser technology for treating kidney stones and other conditions non-invasively.
Retrograde Intrarenal Surgery (RIRS): A minimally invasive method for treating kidney stones and other kidney conditions without requiring open surgery.

The clinic also offers specialized services in Uro-Oncology, Andrology and Infertility, Penile Prosthesis, Pediatric Urology, Neuro-Urology, Female Urology, Prostate Care, Incontinence Treatment, Reconstructive Urology, Endourology, Day Care Urology, Office Urology, and more. The Stone Clinic is particularly popular for its comprehensive approach to kidney stone management.

An Indian Urologist Who Speaks Your Language

As an Indian urologist available in Dubai, Dr. Bhat’s ability to communicate in multiple Indian languages, including Hindi, Tamil, and Malayalam makes it easier for patients from India and the surrounding regions to understand their medical conditions and treatment options. This language proficiency helps bridge any communication gaps and provides comfort to those who prefer discussing their medical concerns in their native language.

Comprehensive and Accessible Urological Care

Dr. Sanjay Bhat’s clinic goes beyond providing medical treatment. It aims to make the entire process, from diagnosis to recovery, as smooth and stress-free as possible. Preba Moodley, a patient who underwent a TURP procedure for prostate issues, praised Dr. Bhat’s thorough communication and professional care throughout the process. The doctor and his team ensured all questions were answered and every concern was addressed, making the experience seamless.

Dr. Bhat’s patient-centric approach extends to quick response times, availability for emergency care, and tailored treatment plans. The clinic also offers telemedicine and video consultations, allowing patients to access expert advice from the comfort of their homes.

Why Choose Dr. H Sanjay Bhat?

Renowned Expertise: With years of experience and a deep understanding of various urological conditions, Dr. Bhat is known for delivering outstanding results.
Advanced Technology: From robotic surgeries to laser treatments, the clinic is equipped with the latest medical technology for optimal patient outcomes.
Multilingual Communication: Dr. Bhat’s ability to speak multiple Indian languages ensures clear and effective communication, making the clinic more accessible to patients from different backgrounds.
Comprehensive Services: The wide range of services covers all aspects of urology, from routine check-ups to specialized surgeries.
Patient Testimonials: The positive experiences shared by patients reflect the high level of care and expertise provided by Dr. Bhat and his team.

Comprehensive Urology Services for Everyone

Dr. Bhat’s clinic offers a wide array of urological services, including treatment for kidney stones, prostate issues, male infertility, and urinary incontinence. The clinic’s Stone Clinic provides state-of-the-art treatment options for kidney stones, from medication and laser therapy to minimally invasive surgical procedures. Other services include Prostate Clinics, Incontinence Clinics, and Reconstructive Urology for conditions requiring specialized surgical intervention.

Making Urological Care Accessible and Convenient

Patients can rest assured knowing that the clinic offers 24/7 emergency urology services, ensuring help is available whenever needed. Additionally, telemedicine options make it possible to consult with Dr. Bhat remotely, providing convenience for those who may have difficulty traveling to the clinic.

Conclusion

For anyone seeking the best urological care in Dubai and the UAE, Dr. H Sanjay Bhat, an expert Indian urologist, provides an unparalleled level of service. With his cutting-edge techniques, patient-centered approach, and multilingual capabilities, Dr. Bhat ensures that everyone, regardless of background or language, receives the highest standard of urological care. Whether you’re dealing with kidney stones, prostate issues, or require specialized surgical care, his clinic is the premier destination for comprehensive and compassionate urology services.

Experience the best in urology with Dr. H Sanjay Bhat, and see how expert care and advanced technology can make a difference in your health.

A Indian urologist based in Dubai is receiving praise for their skill

Dubai has become a top destination for medical care, attracting patients from around the world seeking advanced treatments. Dr. Sanjay Bhat, an Indian urologist based in Dubai, is known for his expertise in treating complicated urological problems. The news has recognized him for performing life-saving surgeries and offering important advice on kidney health.

1.8kg Tumor Removed from a Filipino-American Patient

One of the most remarkable cases handled by Dr. Bhat involved Armand Castaneda, a 48-year-old Filipino-American who was flown from Baghdad to Prime Hospital in Dubai. Castaneda was diagnosed with renal cell carcinoma, a type of kidney cancer. What shocked the doctors was the size of the tumor — it weighed 1.8 kilograms, a rarity in such cases.

Dr. Bhat, who led the surgery on June 18, explained, “Renal cell carcinoma is common, but a tumor this large is unusual.” Thanks to Dr. Bhat’s swift action, he successfully removed the tumor and saved the patient’s life after Castaneda had been rushed to Dubai following symptoms of pain, blood in his urine, and blood clots

1.1kg Tumor Removed from Indian Expatriate

In another headline-making case, Dr. Bhat treated Rajashekar, a 50-year-old Indian expatriate who was suffering from abdominal pain. Initially, he thought it was a digestion issue, but tests revealed a 1.1kg tumor in his kidney. Dr. Bhat successfully removed the tumor through a minimally invasive laparoscopic surgery, which made the case even more special.

Rajashekar was shocked when he learned he needed surgery. “I never imagined it could be something so serious. I’m grateful for Dr. Bhat’s expertise in handling the situation,” he said.

Tips for Staying Hydrated During Ramadan

In addition to his surgical expertise, Dr. Bhat also offers valuable advice on kidney health, especially during Ramadan when people fast for long hours. He stressed the importance of staying hydrated to avoid kidney issues like urinary tract infections (UTIs) and kidney stones. Many people opt for coffee, tea, or carbonated drinks, which can lead to dehydration, especially during Iftar, the meal to break the fast.

Dr. Bhat suggests drinking plenty of water during suhour (the pre-dawn meal) and avoiding diuretics like coffee and soda. “Citrus fruits are a great choice as they help keep the urine balanced and the kidneys healthy,” he advises.

Rare Conn’s Disease Treated with Keyhole Surgery

Dr. Bhat also treated Jonathan, a UAE resident, who was suffering from constant fatigue and high blood pressure. After several tests, the doctors diagnosed Jonathan with Conn’s disease, a rare condition where a benign tumor on the adrenal gland causes an imbalance in hormones This condition is responsible for around 3% of high blood pressure cases worldwide.

Dr. Bhat successfully removed the tumor using a keyhole surgery technique, and Jonathan was back home just two days after the procedure. His case highlights how early diagnosis and expert treatment can make a world of difference.

Dr. Sanjay Bhat, a urologist from India working at Al Zahra Hospital in Dubai, is well-known for his expertise in handling difficult medical cases. He has saved many lives and has helped improve healthcare in the area. Dr. Bhat skillfully removes large kidney tumors and also offers practical advice for maintaining good health. His work has made a big difference for patients from around the world.

Looking for the top urology doctor in Dubai? You don’t need to look any further than Dr. H Sajay Bhat. Dr. Sanjay Bhat has over 25 years of experience and has earned a reputation for his expertise in diagnosing and treating various urological conditions such as kidney stones and prostate cancer. Many consider him to be the best Indian urologist in Dubai, and he works with a team of experts at Al Zahra Hospital in Dubai. They use advanced medical technologies to ensure patients receive top-notch care.

Comprehensive Guide to Urology: Understanding Treatments and Specializations

Top Urology Treatments in Dubai: Expert Care from the Best Urologists

Urology is the specialty that deals with all diseases of the urinary tract and adjacent organs like the adrenal gland. It involves the adrenal gland, the kidneys, the ureters (which are the passages of urine from the kidneys to the bladder), the urinary bladder, and in men, the prostate gland. It also includes the male and female genital tracts.

Nowadays, urology has become subspecialized. You have specialties like laparoscopy, endo-urology, urological oncology, female urology, functional urology, and kidney transplantation. Pediatric urology, which deals exclusively with children, is also now considered a subspecialty.

Modern technology has advanced significantly, making the treatment of diseases of the urinary tract much easier and more comfortable for the patient. Most conditions occur within the passages of the urinary tract, from the kidney down to the ureter, the bladder, the prostate, and the urethra. All these can be visualized by specialized, small, highly complex technological instruments, and almost every corner of the urinary tract can be accessed by these instruments.

One of the common conditions in urology is kidney stones and stones in other parts of the urinary tract. In the past, to treat kidney stones, we had to make large incisions, which took a very long time to heal. Patients could not return to work early enough and had a lot of cosmetic disabilities due to these cuts. Nowadays, stones in any part of the urinary tract can be treated safely with minimally invasive surgery through endoscopes. This is called endo-urology.

When we put a scope into the urethra, it is called urethroscopy; in the bladder, it is called cystoscopy; in the ureter, it is called ureteroscopy; and in the kidney, it is called flexible ureteroscopy or retrograde intrarenal surgery. A combination of these endoscopes and machines like lasers and lithoclasts are very effective in treating stones as well as tumours, obstructions, and enlargements of the prostate, and tumours in the ureter, kidney, and urinary bladder.

Sometimes if a stone in the kidney is too large, like more than 2.5 or 3 cm in size, the endoscope is passed through a small puncture in the skin of the patient’s back. This is called percutaneous endo-urology or going into the kidney system through the skin.

Children are also affected by most of the conditions that affect adults, like infections, stones, tumours, and more importantly, birth defects or congenital anomalies. These anomalies are some of the most common abnormalities children are born with. In fact, they are more common than abnormalities in any other system in the body. You can have obstructions to the flow of urine from the kidney called pelvic-ureteric junction obstruction causing hydronephrosis. You can have problems with the valve where the ureter joins the bladder, leading to backflow of urine into the kidney. This is called vesicoureteral reflux. You can have conditions where there is an obstruction to the urinary passage or urethra by valves called posterior urethral valves. These are some of the most common conditions.

In addition, phimosis, or the inability to retract the prepuce, is a very common condition in children. All these can be treated with minimally invasive techniques nowadays and hence it has become a subspecialty in urology where the instrumentation used is even smaller than what is used in adults. Hence, these children do not have to suffer major scars on their bodies, which may cause body image issues when they grow into teenagers and adults.

Female urology deals specifically with conditions related to the female urethra and genital tract. Some of the common conditions are urinary tract infections and inability to control urine, or incontinence of urine. Sometimes the incontinence may be due to weakness of the muscle control of the urinary passage. So every time the patient coughs or sneezes, they may lose urine. This is called stress urinary incontinence. Sometimes they have too much urgency due to an overactive bladder, and this is called urge urinary incontinence. Finally, they can have a combination of both. These can be treated by detailed investigation in the form of urine examinations, urine flowmetry tests, urodynamic estimation of the function of the urinary bladder, and endoscopy. They can be successfully managed by programs of physiotherapy, bladder training, medicines, and sometimes surgical intervention by minimally invasive techniques.

One of the rare complications of prolonged labour or gynaecological operations in difficult situations is an injury to the urinary bladder or to the ureter. When this happens, the urinary bladder or the ureter gets connected by an abnormal tract to the vagina. This results in continuous leakage of urine and is a very depressing condition where the woman is always wet and smells of strong-smelling urine. These are called ureterovaginal or vesicovaginal fistulae. Nowadays, after investigation, even these conditions can be treated successfully for these unfortunate women by minimally invasive means or laparoscopy.

What is laparoscopy? To give you a simple example, Asians and Indians tend to eat with their hands. So that is like doing open surgery, where you literally put your hands into the patient’s abdomen to operate. Whereas in the Far East, like in Japan and Korea, people eat with chopsticks. So basically, they don’t put their hands anymore into the abdomen, but through small holes, we put in the chopsticks and do the same job as we would do with our hands. So basically, laparoscopy is a minimally invasive surgery, where small holes are made, between 5 and 10 millimetres in size, 3 to 4 in number, to perform the same surgery that could be done by making a big open incision. This procedure is now used for cancer surgery, for treating congenital abnormalities, to treat stones, to treat almost any problem with the adrenal gland, and even for major complex cancer surgeries.

The importance lies in that it helps early recovery, causes less pain, reduces the chance of infection and blood transfusion, and provides very good cosmetic results.

Summer Alert: 40% Increase in Kidney Stone Risk; Treatments Available in UAE

Many people are searching for kidney stone treatments in Dubai.

What are kidney stones?

Kidney stones are like stones in any other part of the earth. If you go on the road and you look at a stone, a similar kind of stone forms in the human urinary tract. In the human body, 90% of stones are due to a combination of calcium , oxalate or uric acid or a combination of calcium, oxalate and uric acid. So, if you look at it from a chemistry point of view, when there is too much of a salt in a solution, the salt precipitates. In the same way in the kidney, if there is too much calcium or uric acid or oxalate compared to the amount of urine or water that is available in the system, it will precipitate. So, 90% of stones are either calcium oxalate, uric acid or a combination of both.

How do people form stones?

If there is too much calcium, oxalate or uric acid in the urine or the urine is too concentrated because the patient is working in very hot climates like labourers in the open or engineers in a ship engine room or policemen on the street or anybody who is sweating a lot, then, the urine is very concentrated. They start forming into crystals, the crystals grow into stones and the stones cause the problems. The human body also has a system to prevent calcium, oxalate and uric acid from getting together in forming a relationship. There are many substances in the urine like magnesium, citrate and some organic materials which prevent calcium ,oxalate and uric acid to get together and form an association.

If the level of magnesium and citrate in your urine is low and the level of calcium and uric acid is high, then there is more chance of you forming a stone. In summary, if you want to prevent stones even if you may not be a known patient with stones, the best way to prevent stones is to reduce calcium and uric acid in your diet and increase the fluid inatke. The simplest way of increasing your fluid is to drink sufficient fluid so that your urine looks like water. If you find that your urine is looking yellow, make sure you go and drink a few glasses of water to make it colorless again.

How do you reduce the calcium and uric acid in your diet? Make sure you do not eat too much red meat. Make your diet something like one day of red meat in a week, but that does not stop you from eating chicken and fish. So, as you do not eat too much shellfish, shellfish can also cause increase in uric acid and calcium.

Nowadays, especially in the Middle East, the summer has started. Temperatures are beyond 40 degrees. We do not realize it, but we are sweating more, we are breathing out more water in our breath. So, this is the time to increase the amount of fluid intake in our bodies. We live in air-conditioned environments in the Middle East. We think that our fluid requirements are adequate and get into a habit of drinking a lot of coffee and tea and aerated drinks rather than water. But, coffee and tea in excess is also a cause of calcium stones. So, please restrict your coffee and tea to two or three cups per day.

Make up with plain water or water containing citrus fruit like lemon, orange, water melon and pineapple. Fresh fruit juices of these, which you make at home, (not the readymade ones, which are full of sugar), will help you prevent any problem with your urinary tract from urinary infections to urinary stones. In summary, I would say that people living in the Middle East should make sure they are well hydrated, the urine looks just like water, whenever it looks yellow, hydrate more, increase your intake of citrus fruit, reduce your intake of red meat.You can have chicken and fish, don’t have too much shellfish and don’t have too much salted nuts

How do you diagnose kidney stone?

The history of the patient is most important. The patient will come with sudden onset of pain on one side of the abdomen, radiating to the groin with vomiting and difficulty in passing urine and nothing relieves his pain. He may even come in an ambulance. In such a situation, they go to an emergency department and the first thing that is done is to give them pain relief, which may need strong pain killer even like pethidine or morphine or tramadol .

Once the patient settles, the best way to diagnose the kidney stone or the ureteric stone is to do a CT scan. 90% of stones will pass with medical management. Stones that are less than 6mm can pass with medications to increase the size of the urinary passage. We also give pain killers and medicines to reduce the size of the stone, helping it to slip through.

Many people ask, how do I know I have a kidney stone?

The most severe form of pain in the human body is from kidney stones. Women patients tell me that the pain of a kidney stone is more than pain of delivering a baby. It usually starts on one side of your body from the back to the front, radiating to the groin and it is so severe that many patients come in an ambulance to the emergency department. You feel nauseated, you feel like vomiting, you feel like rolling on the ground, you feel like passing urine, you feel like passing stool, but nothing relieves your pain. And most often these are small stones which cause more problems. As they say, small people talk more.

Same way, the small stones cause more pain. Why do they do that? It is because the stone is always formed in the kidney which has a lot of space. But from the kidney, the passage down to the urinary bladder is only four millimeters wide. When these small stones go out of the kidney and go into the ureter (or the passage going down to the bladder), they block it. When it blocks it, the pressure of urine in the kidney builds up so high that it is the most unbearable form of pain.The patient wants to vomit because it reflexly affects his stomach and intestines. The whole abdomen goes into disarray.

How do we remove the stones from the urinary tract?

In 10% of patients with stones, the stones don’t pass. They are bigger in size and cause obstruction and infection in the urinary system. They cause deterioration in kidney function. And the patient needs repeated admissions due to pain. In these situations, urologists come into the picture to remove the stones from the urinary tract.

Suppose the stone is in the kidney. It’s not very painful. But if the stone is more than 6 millimeters in size, there is a high possibility that that stone will move out of the kidney into the smaller passages and cause severe problems. In such a situation, we have a procedure called ESWL, (extra corporeal shockwave lithotipsy). The patient lies on a table. And like a video game, we using ultrasound and x-ray will localize the stone. And we use high intensity ultrasound and sound waves to break the stone into small pieces so that they will pass out the kidney easily without any pain.

Suppose the stone has already passed out the kidney and entered into the narrow tube leading from the kidney to the bladder. The patient will be in severe pain. We treat the patient according to the size of the stone. Suppose the stone is 6 or 7 millimeters. We tend to treat the patient conservatively with painkillers, methods using medicines to increase the size of the tube so that the stone can slip out and methods to use medicines to dissolve the stone. But still in 50% of patients, the pain is not relieved and they need to have intervention.

How do we intervene in these patients who have stones in the ureter?

If the stone is very well seen on X-ray, we can still do a non-invasive treatment called ESWL. This treatment, which I mentioned earlier, is extra corporeal shockwave lithotripsy.

If the stone is not visible on X-ray or it is in a situation or the size is too large, we need to do invasive procedure. But it does not involve cutting your abdomen or your stomach open. This is all done through endoscopy. For the last 40 years, urology has evolved in such a way that most stones can be treated by endoscopy. We give you anaesthesia, we go through the urinary tract, we go into the ureter, we see the stone, we break it with a laser into small powder or dust and remove the stone.

What do we do with a large stone in the kidney?

Very rarely we see large stones in the kidney. Seeing large stones in the kidney is more common in underdeveloped nations, where patients don’t have access to health care. In advanced nations, for every small complaint, they have access to the health system. In underdeveloped nations, unless the symptoms are so severe, very often patients don’t reach the hospital.

For stones more than 2-3 cm we do minimally invasive surgery.

One method is to do Retrograde Intrarenal surgery (RIRS). Flexible endoscopes of small cailbre are passed into the kidney from the bladder and laser is used to completely fragment the stone.

Another method is called PCNL or percutaneous nephrolithotomy. We make a one-centimeter cut over the back of the patient under anaesthesia and directly enter the kidney with special equipment. The stoneis broken into small pieces with special equipment, we remove all the pieces and the patient stays in the hospital for one day before he is discharged.

Best kidney stone treatments in Dubai?

Many people are searching for the best kidney stone treatments in Dubai?. The Urology Department at the Al Zahra Private Hospital offers both pediatric and adult urology services. The department has five Urology Consultants available from 8 am to 8 pm, seven days a week. Urology Emergency Services are available 24 hours a day. The department consists of four Arabic Consultants and one Indian Consultant who speak multiple languages, including English, Arabic, Hindi, Tamil, Malayalam, Kannada, and Konkani.

The department is equipped with the latest equipment, including urodynamics, ultrasonography, transperineal biopsies of the prostate, Resume procedures for prostate surgery, and Thulium lasers for the treatment of prostate diseases and urinary stones.

In general, kidney and ureteric stones are the most common problems faced by most urologists in the world. It should be mentioned that once treated stones can recur. At least and annual check up with the urologist is mandatory.