Dr. Sanjay Bhat Shares His Joy: Inspired by Patient Reviews
In the busy world of healthcare, nothing makes me happier and more motivated than hearing directly from my patients. As an Indian urologist in UAE, receiving positive reviews is not just rewarding—it is what fuels my passion to serve every day. 🌟
Why Reviews Matter to Me
Whenever a patient takes the time to share their feedback, I feel a fresh wave of motivation and gratitude. Each kind word and every note of thanks reminds me that every little effort counts—whether it’s a careful surgery, a gentle word of reassurance, or a simple explanation about treatment. For me, treating kidney problems and other urology issues in UAE is not only my job, it’s my calling.
When I see a family leaving my clinic feeling happier and more confident, I know I have done my duty—not just as a doctor but as a trusted support during a difficult time. I believe the best urology doctor in UAE must care for people, not just diseases.
What My Patients Are Saying
aravindlakshmi:
“I would like to wholeheartedly recommend Dr. Sanjay for his exceptional expertise, compassion, and dedication. During Vinod’s recent surgery, Dr. Sanjay’s remarkable skill and meticulous care ensured the best possible outcome. Knowing that Vinod was in such capable hands gave us immense confidence and comfort throughout the process. Dr. Sanjay’s kindness and genuine concern were evident at every step—from patiently explaining the procedure beforehand to providing reassurance and attentive follow-up care afterward. His ability to combine medical excellence with empathy made a world of difference to us during this challenging time. We are deeply grateful for his efforts, precision, and unwavering commitment to his patients’ well-being. Vinod is now safely on the road to recovery, and we owe a significant part of that to Dr. Sanjay’s outstanding care. With heartfelt gratitude, Vinod’s Family”
Salahuddin Siddiqui:
“Best urologist in Dubai…with best diagnosis…cure about disease…Highly recommend…for any urological…”
manini priyan:
“I recently took my father for a consultation with Dr. Sanjay. From the start, the doctor was polite and respectful, making my father feel comfortable. He listened patiently to all our concerns, reviewed the medical history, and explained the condition in clear, simple terms. What we appreciated most was that he focused on giving the right advice. We left feeling reassured and confident about the next steps.”
Nestor Elnar:
“Superb Experienced for Doc Sanjay his very hands on 🙂 Excellent !!!🙏🏻🙏🏻😇”
imad shams:
“Great doctor. Great teacher.”
Izzatulloh Ergashev:
“My surgery with Dr. Sanjay went very well. I felt comfortable right after the surgery and no pains. Thank you for his amazing service.”
Pilot Andrii:
“Great job 👏 Would recommend!”
Afghan Oilprince:
“Great Doctor, good at handling any concerns and answering questions.”
The True Impact of Patient Feedback
These reviews are much more than simple praise. They show me that what I do is touching lives. Every kind word makes my day brighter and every compliment encourages me to stay up-to-date with the best medical techniques. 💪
Being an Indian urologist in UAE means connecting with patients and families who share similar backgrounds and languages. It’s about understanding, comfort, and trust—qualities that make medical care feel personal and approachable.
Families trust me because I listen, explain everything in easy language, offer honest advice, and make sure they are comfortable every step of the way—from the first visit to recovery and follow-up.
Why Choosing the Right Urologist Matters
Many people face health concerns like kidney stones, urinary infections, or prostate issues. But looking for a urologist for kidney problems is more than just picking a specialist. It’s about feeling at ease, getting clear information, and knowing that your doctor cares about you personally.
With each review, I am inspired to offer:
Clear explanations about every condition and treatment
Kind support during and after procedures
Respect for every patient’s feelings and wishes
Commitment to every patient’s recovery and well-being
My Message to the Community
If you’re trying to find a trusted urology doctor in the UAE, I promise to listen to you, treat you with respect, and provide honest, expert advice. When you walk into my clinic, you can expect comfort, care, and clarity. Your journey will be treated with full dedication and a friendly approach.
For all those searching for someone who truly understands your needs and speaks your language, I am here—with all my heart and experience. Each day is a new chance to help another patient feel better, stronger, and happier.
Thank You for Your Trust
Your feedback and support mean everything to me. Knowing that so many families believe in my care pushes me to keep learning, caring, and growing. My mission is to help even more people in the UAE find relief and recovery.
If you need guidance or treatment for any urology problem, don’t hesitate to reach out. Let’s work together for your health and happiness!
If you are looking for a trusted Indian urologist in the UAE, consult a specialist who truly cares, listens, and supports you at every step. Your comfort matters. Your health comes first.
Understanding Urinary Incontinence – Causes, Types, and When to Seek Help
By Dr. Sanjay Bhat — Urologist in Dubai – topic: urinary incontinence treatment in Dubai
Have you ever been on a long trip, in a meeting, or in a public place and suddenly felt urine leak without warning? Many people feel embarrassed to talk about this condition, but it’s more common than you think. This problem is called urinary incontinence — the loss of control over your bladder. As a Malayali urologist in Dubai, I regularly meet patients who silently suffer for months or even years before seeking help. The good news is: urinary incontinence treatment in Dubai is available and can often help patients manage or completely overcome this problem if diagnosed early.
Who Gets Urinary Incontinence?
Although it is seen more often in women, men can also have urine leakage — especially as they grow older or have prostate problems. Women may face it after childbirth, during menopause, or due to weak pelvic muscles.
Men may experience it after prostate surgery, with an enlarged prostate, or if there are nerve-related problems. Conditions like diabetes, strokes, Parkinson’s disease, and chronic constipation also increase the risk.
The Different Types of Urinary Incontinence
Knowing the type of incontinence you have is important, because the treatment can be different for each one.
1. Stress Incontinence
Happens when urine leaks due to sudden pressure on the bladder.
Common triggers: coughing, sneezing, laughing, jumping, or exercising.
Often due to weak pelvic floor muscles.
2. Urge Incontinence
You feel a strong, sudden urge to pass urine — and can’t hold it until you find a toilet.
Sometimes happens even if the bladder isn’t full.
Can be linked to bladder infections, overactive bladder, diabetes, or nerve problems.
3. Overflow Incontinence
The bladder doesn’t fully empty, so you have constant dribbling.
In men, an enlarged prostate or urethral blockage is often the cause.
In women, pelvic organ prolapse or nerve issues can contribute.
4. Functional Incontinence
The urinary system works normally, but mobility or memory problems stop you from reaching the toilet in time.
Seen in conditions such as arthritis, dementia, or after injuries.
5. Mixed Incontinence
A combination of two or more types — for example, both stress and urge incontinence.
Why Does It Happen?
Ageing – Muscles lose strength over time.
Pregnancy & Childbirth – The pelvic floor gets stretched or weakened.
Menopause – Lower estrogen affects bladder health in women.
Prostate Enlargement – Common in men over 50.
Chronic Constipation – Puts extra pressure on the bladder.
Nerve Damage – From diabetes, spinal problems, or stroke.
What You Can Try at Home Before Seeing a Doctor
While medical help is important, these self-checks can give valuable clues:
Drink 500 ml of water and note:
When you first feel the urge to urinate.
How long you can hold it without leakage.
See if coughing, sneezing, jumping, or physical activity causes leakage.
Keep a bladder diary — record how often you urinate, any leaks, and what triggers them.
Observe whether you always feel your bladder is “not empty” after urination.
When Should You See a Urologist?
If urine leakage:
Happens often and affects your confidence,
Gives you sudden night-time urges,
Comes with burning, pain, or blood in the urine, or
Affects your daily life and social activities —
it’s time to see a urology doctor in UAE. Delaying only makes symptoms worse.
Treatment Options
As an Indian urologist in UAE, I focus on personalised care. Depending on the cause and type, treatment can include:
Pelvic floor exercises (Kegels) to strengthen muscles.
Bladder training to increase holding capacity.
Medications to relax the bladder or shrink an enlarged prostate.
Minimally invasive procedures for severe leakage.
Surgery in rare, persistent cases.
The goal is always to improve your quality of life and give you better control over bladder function.
I understand that in our community, bladder issues are often seen as a “private problem” and not discussed openly. But remember — urinary incontinence is a medical condition, not a personal weakness. You do not need to suffer in silence. Early diagnosis and the right treatment can make a big difference.
If you are looking for a trusted Malayali urologist in Dubai or an Indian urologist in UAE, choose someone who:
Your Complete Guide to Preventing Urinary Infections!
As UAE temperatures soar to a record-breaking 51.8°C this August 2025, residents across Dubai, Abu Dhabi, and Sharjah are facing extreme heat that can seriously affect their health. The scorching desert heat, combined with high humidity and minimal rainfall, creates perfect conditions for dehydration-related health problems, including urinary tract infections (UTIs). While most people focus on staying cool, many overlook one of the most common summer health risks that affects millions worldwide.
Person drinking water in a desert setting demonstrating the importance of hydration in extreme heat conditions
This comprehensive guide will help you understand how UAE’s extreme heat increases your UTI risk and provide practical strategies to protect yourself and your family during these challenging summer months.
Why UAE’s Record-Breaking Heat Puts You at Serious Risk
The summer of 2025 has been particularly brutal for UAE residents. Temperatures have consistently reached 44-45°C during the day in Dubai and Abu Dhabi, with nighttime lows barely dropping to 33-35°C. The desert town of Sweihan recorded a staggering 51.8°C on August 1, marking the highest temperature of the year and coming dangerously close to the UAE’s all-time record of 52.1°C.
This extreme heat creates a perfect storm for urinary tract infections through several mechanisms:
Rapid Dehydration: Your body loses water through excessive sweating, often faster than you can replace it. When dehydrated, your urine becomes highly concentrated – like a thick syrup that bacteria love.
Reduced Urination: With less fluid intake, you urinate less frequently, giving harmful bacteria more time to multiply in your urinary tract.
Compromised Natural Defenses: Your body’s natural flushing system slows down, allowing infections to take hold more easily.
Research shows that when temperatures reach 25-30°C, UTI cases increase by 20-30%. With UAE temperatures now consistently exceeding 50°C, the risk is significantly higher.
Thermometer showing extreme heat in Dubai with current temperature at 38°C, highlighting intense summer heat conditions relevant to health risks
The Science Behind Heat and UTI Risk
Multiple large-scale studies have confirmed the strong link between hot weather and increased UTI rates. A groundbreaking study analyzing over 15 million UTI cases across 400 metropolitan areas in the United States found compelling evidence:
Temperature increases of just 5°C can increase UTI risk by 25%
On days when the average temperature was between 25-30°C, UTI incidence increased by 20-30% compared to cooler temperatures of 5-7.5°C
Women in warmer climates have significantly higher UTI rates than those in cooler regions
The relationship between temperature and UTI risk follows a clear pattern, as shown in our analysis:
Temperature Impact on UTI Risk – Based on study of over 15 million UTI cases showing how warmer weather increases urinary tract infection risk, with peak risk at 25-30°C temperatures
With UAE’s record-breaking temperatures, following prevention strategies becomes even more critical for maintaining urinary health.
Understanding Urinary Tract Infections: What Every UAE Resident Should Know
What is a UTI?
Recognizing the Warning Signs
A urinary tract infection affects any part of your urinary system – kidneys, bladder, ureters, or urethra. Most infections start in the lower urinary tract (bladder and urethra) but can spread to the kidneys if left untreated.
Early Symptoms to Watch For:
Burning or stinging sensation when urinating
Frequent urge to urinate with little output
Cloudy, dark, or strong-smelling urine
Lower abdominal or pelvic pain
Feeling like your bladder isn’t completely empty
Serious Symptoms (Seek immediate medical attention):
Fever above 38°C with urinary symptoms
Blood in urine
Severe back or side pain (indicating kidney involvement)
Nausea and vomiting
Confusion (especially in elderly patients)
Who’s Most at Risk?
Women are four times more likely to get UTIs than men due to their shorter urethra. However, during UAE’s extreme heat, both men and women face increased risks.
Higher Risk Groups:
Pregnant women
People with diabetes
Elderly individuals
Children (who may forget to drink water)
People with kidney stones or prostate problems
Outdoor workers and athletes
Infographic illustrating key lifestyle habits to prevent urinary tract infections, including hydration, hygiene, and safe sexual practices
Your Complete Defense Strategy Against Summer UTIs
1. Master the Art of Proper Hydration
The Golden Rule: Drink 2.5-3 liters of water daily – increase to 4+ liters if you’re working outdoors or exercising.
Smart Hydration Strategies:
Start drinking water early in the morning, before you feel thirsty
Take small sips throughout the day instead of large gulps
Keep a water bottle with you at all times
Set hourly reminders on your phone to drink water
Monitor your urine color – pale yellow indicates good hydration
Best Hydrating Options:
Plain water (your top choice)
Coconut water for natural electrolytes
Fresh fruit juices (watermelon, orange)
Herbal teas at room temperature
Oral rehydration solutions for heavy sweating days
Avoid These Dehydrating Drinks:
Excessive coffee and tea (limit to 1-2 cups daily)
Alcohol
Sugary sodas and energy drinks
A hand holding a plastic water bottle with a yellow band against a backdrop of high-rise buildings, symbolizing hydration in a hot urban environment like Dubai
2. Don’t Hold It – Urinate Regularly
The 3-4 Hour Rule: Empty your bladder every 3-4 hours, even if you don’t feel urgent.
Why This Matters: Holding urine allows bacteria to multiply rapidly in your bladder. In hot weather, concentrated urine creates an even better breeding ground for harmful bacteria.
Pro Tips:
Always urinate before and after sexual activity
Take bathroom breaks during long car journeys
Don’t rush – take time to empty your bladder completely
3. Choose Heat-Appropriate Clothing
Fabric Selection:
Wear loose-fitting cotton underwear – it breathes and wicks moisture
Choose light-colored, loose clothing that allows air circulation
Avoid synthetic fabrics that trap heat and moisture
Swimming and Exercise Precautions:
Change out of wet swimsuits immediately after swimming
Don’t sit in sweaty clothes after exercise
Shower promptly after swimming or heavy sweating
4. Practice Perfect Hygiene in Hot Weather
For Women:
Always wipe from front to back after using the toilet
Avoid scented soaps, douches, or feminine sprays around the genital area
Wash with mild, unscented soap and water
For Everyone:
Wash hands thoroughly before and after using the bathroom
Keep the genital area clean and dry
Use clean towels and change underwear daily
5. Swimming Pool and Beach Safety
Swimming pools and beaches can be breeding grounds for bacteria, especially in UAE’s heat.
Water Safety Rules:
Choose well-maintained pools with proper chlorination
Shower before and after swimming
Don’t swallow pool or sea water
Change out of wet bathing suits immediately
Avoid swimming if you have any open cuts or active infections
6. Combat Heat-Related Constipation
Hot weather often leads to constipation, which increases UTI risk by putting pressure on the bladder and urinary tract.
Vitamin C sources: Citrus fruits, berries, bell peppers
Probiotics: Unsweetened yogurt, kefir
Natural diuretics: 100% cranberry juice (not cocktail)
Limit These Foods:
Spicy foods that can irritate the urinary tract
Processed foods high in sodium
Artificial sweeteners
Excessive sugar that bacteria thrive on
Meet Prof. Dr. H Sanjay Bhat: Your Trusted Urologist in UAE
When it comes to urological care in the UAE, Prof. Dr. H Sanjay Bhat stands as one of the most respected Indian urologists, bringing over 25 years of expertise to residents seeking world-class treatment.
Medical professional in a white coat representing a urologist or healthcare specialist in UAE
Why Choose Dr. H Sanjay Bhat?
✅ Over 25 years of experience in urology with extensive training from prestigious institutions ✅ Pioneer in robotic and laparoscopic surgery – recognized as one of the best robotic surgeons in UAE urology ✅ Historic achievements: Performed India’s first laparoscopic kidney retrieval and handled the largest series of laparoscopic prostate, adrenal, and kidney surgeries in India ✅ Dual practice advantage: Practices in both UAE and Rajagiri Hospital, Kochi (India) – perfect for Indian expats seeking continuity of care ✅ Advanced expertise: Specialist in radical prostatectomy and partial nephrectomy procedures regularly performed in UAE
Educational Excellence:
MBBS and MS from JIPMER, Pondicherry (gold medalist)
MCh in Urology from Christian Medical College, Vellore
Fellow of the Royal College of Surgeons (FRCS), Edinburgh
Prof. Dr. Sanjay Bhat is available for consultations, surgery planning, and second opinions. His personalized approach combines cutting-edge robotic technology with the warmth and cultural understanding that Indian expats value.
Whether you’re a UAE resident or an Indian expat, Dr. Sanjay Bhat provides comprehensive urological care with the expertise of an internationally trained specialist and the comfort of consulting with someone who understands your cultural and linguistic preferences.
Your Daily UAE Summer Health Checklist
Morning (6-10 AM): ✅ Start with 2 glasses of water upon waking ✅ Wear light, loose cotton clothing ✅ Plan indoor activities for peak heat hours
Midday (10 AM-4 PM): ✅ Stay indoors with air conditioning when possible ✅ Sip water every 15-30 minutes ✅ Avoid caffeinated drinks during peak heat
Evening (4-10 PM): ✅ Continue regular hydration ✅ Light outdoor activities only after 6 PM ✅ Shower to remove sweat and bacteria
Before Bed: ✅ Empty bladder completely ✅ Keep water by bedside for night hydration ✅ Ensure bedroom is cool and comfortable
Conclusion: Stay Safe in UAE’s Extreme Heat
UAE’s record-breaking August temperatures demand serious attention to your urinary health. The combination of 51.8°C heat, high humidity, and intense sun exposure creates unprecedented challenges for maintaining proper hydration and preventing UTIs.
By following these comprehensive prevention strategies – proper hydration, smart clothing choices, excellent hygiene, and regular bathroom habits – you can significantly reduce your risk of uncomfortable and potentially dangerous urinary infections.
Remember, prevention is always better than treatment. In this extreme heat, your health depends on staying one step ahead of dehydration and its complications. The scientific evidence is clear: warmer weather dramatically increases UTI risk, but with the right knowledge and proactive measures, you can protect yourself effectively.
If you are looking for a trusted Indian urologist in the UAE, consult Prof. Dr. H Sanjay Bhat at Al Zahra Hospital, Dubai – a specialist who understands your needs, speaks your language, and brings world-class expertise to your urological care.
Don’t let the summer heat compromise your health – take action today to protect yourself and your family from UTIs. Stay hydrated, stay vigilant, and beat the heat safely!
A Simple Guide by a Leading Indian Urologist in UAE
Urology problems like kidney stones, prostate cancer, or bladder issues can be scary. But thanks to modern technology, treatments today are safer, faster, and more comfortable than ever before. One such advanced option is robotic urology surgery.
i’ll explain what robotic surgery is, how it works, its benefits, and why Indian urologists in the UAE, like Dr. H Sanjay Bhat, are leading this transformation in patient care.
First Things First: What Is Robotic Urology Surgery?
Robotic surgery uses a machine called the Da Vinci Surgical Robot, which helps urologists perform surgeries with extreme precision.
But don’t worry—it’s not like a robot doing the surgery by itself. Instead:
The surgeon controls the robot from a nearby console
The robot’s arms copy the surgeon’s hand movements, but with more accuracy and flexibility
This means even the most delicate surgeries can be done with smaller cuts, less pain, and faster healing.
Why Is Robotic Surgery Better?
Compared to open surgery or even traditional laparoscopy (keyhole surgery), robotic urology surgery offers many benefits:
Health Benefits:
Smaller incisions – less damage to your body
Minimal pain and bleeding
Lower chances of infection
Quick recovery time – most patients go home in 2–3 days
Better long-term results, especially for prostate surgery (helps with urine control and sexual function)
Comfort & Convenience:
Shorter hospital stay
You can return to work and family life sooner
Less scarring and quicker return to normal activities
This is why robotic surgery is fast becoming the first choice for urology treatments in Dubai, Abu Dhabi, and across the UAE.
What Types of Urology Surgeries Can Be Done?
Robotic-assisted surgery is suitable for many urology conditions in both men and women, as well as children.
Some of the most common robotic urology procedures include:
Prostate cancer surgery
Kidney removal (nephrectomy) for tumors
Bladder removal (cystectomy)
Pelvic organ surgeries (e.g. organ prolapse)
Pediatric urology – for kids with kidney/bladder issues
Laser surgeries for stones and urinary tract blockages
What Types of Urology Surgeries Can Be Done With Robots?
Robotic urology surgery is helpful for many serious and sensitive health problems. With this technology, doctors can perform even the most complex procedures with great accuracy and care. Here are some of the most common robotic urology procedures, explained in simple words:
1. Prostate Cancer Surgery (Robotic Prostatectomy)
The prostate is a small gland in men that helps produce semen. If cancer grows in this gland, it often needs to be removed. Using robotic surgery, doctors can remove the prostate without damaging nearby nerves, which helps patients recover better and keep control over urine and sexual function.
2. Kidney Removal for Tumors (Nephrectomy)
Sometimes, if a kidney has a cancerous tumor or is badly damaged, it needs to be removed. Robotic surgery allows for safe removal of the kidney with small cuts and less pain. It can also be used to remove only the tumor, saving the rest of the kidney (called partial nephrectomy).
3. Bladder Removal (Cystectomy)
In some cases of bladder cancer, the entire bladder may need to be taken out. This is a complex surgery, but robotic technology helps the surgeon do it with great care, reducing the chance of complications and helping the patient recover faster.
4. Pelvic Organ Surgeries (e.g. Organ Prolapse)
In women, the bladder or uterus can drop down from their normal position—this is called pelvic organ prolapse. Robotic surgery can help repair and lift these organs back into place, with less discomfort and quicker recovery.
5. Pediatric Urology (Surgeries for Children)
Children sometimes have urinary or kidney problems from birth. Robotic surgery can be used to fix these delicate issues with high precision, causing less pain and scarring, which is especially important for small children.
6. Laser Surgeries for Stones and Blockages
Kidney stones or blockages in the urinary tract can cause severe pain and infections. Robotic-assisted laser surgery is often used to break stones or clear narrow passages, helping the urine flow freely again.
Looking for the Best Indian Urologist in UAE?
Meet Prof. Dr. H Sanjay Bhat, a Senior Consultant Urologist at Al Zahra Hospital, Dubai. He is one of the most respected Indian robotic urologists in the UAE.
Why Choose Dr. H Sanjay Bhat?
✅ Over 25 years of experience in urology ✅ Specialist in robotic and laparoscopic surgery ✅ Recognized for performing India’s first laparoscopic kidney retrieval ✅ Handled the largest series of laparoscopic prostate, adrenal, and kidney surgeries in India ✅ Expert in radical prostatectomy and partial nephrectomy – done regularly in UAE ✅ Practices in both UAE and Rajagiri Hospital, Kochi (India) – perfect for Indian expats
Whether you’re a resident in the UAE or planning a medical visit from India, you’ll receive world-class care with the warmth and trust of an Indian expert.
Where to Consult?
📍 Al Zahra Hospital, Al Barsha, Dubai Prof. Dr. Sanjay Bhat is available for consultations, surgery planning, and second opinions. His personalized approach and use of robotic technology make him one of the best urologists in the UAE.
Final Thoughts
Robotic urology surgery is changing lives by making complex surgeries safer and simpler. If you are looking for a trusted Indian urologist in UAE, especially someone experienced in robotic surgery, Dr. H Sanjay Bhat is the expert to consult.
Whether you’re suffering from prostate issues, kidney tumors, or bladder problems, robotic surgery can help you recover faster and better.
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
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.
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 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.
Dr. H Sanjay Bhat, arenowned 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 urologyandreproductivehealth expertise make him a preferred choice for patients seeking advanced, minimally invasive surgical treatments.
.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.
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.
