Comprehensive Guide to Urology: Understanding Treatments and Specializations

urology care

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. 

urological cancers Frequently asked questions

In the last few decades, the field of Urological Oncology / urological cancers has seen significant advancements with the introduction of laparoscopy, minimally invasive techniques, and robot-assisted procedures. Furthermore, newer and advanced Oncological products such as chemotherapy, targeted therapies, and immunological modulators have been included, which have increased the survival rate and mitigated the side effects of chemotherapy. Urology’s cancer care has four main strategies: preventive, treatment-guided, metastatic, and palliative therapies. In the last two decades, all treatment strategies have experienced a steady breakthrough in Urology.

Q: What are some risk factors associated with urological cancers?
A: Some common risk factors for urological cancers include age, gender (males have a higher risk), family history of urological cancer, inherited gene mutations, smoking, obesity, excessive alcohol consumption, multiple sex partners, chronic infections, and chronic kidney disease.

Q: What are the chances of having cancer if blood is found in urine?
A: While non-cancerous diseases are more commonly the cause of blood in urine, a detailed evaluation is required to come to a conclusion. Tests including urine examination, history and physical examination, and a contrast-enhanced CT may be required to detect the elusive disease. Blood in urine may be due to tumors of the kidney, cancer of the ureter, cancer of the bladder, or cancer of the prostate.

Q: What are some common symptoms of urological cancers?
A: Common symptoms of urological cancers include blood in the urine, changes in urination, pelvic pain, testicular swelling, unexplained weight loss, fatigue, lower back pain, lumps or swelling, erectile dysfunction, altered bowel habits, and frequent infections.

Q: What is bladder cancer?
A: Bladder cancer, also known as urothelial carcinoma, begins when the cells in the lining of the bladder start to grow out of control. It may also occur anywhere in the urethra, renal pelvis, and ureters.

Q: What are the symptoms of bladder cancer?
A: The most common symptom of bladder cancer is blood in the urine. Other symptoms include irritation when urinating, urgency, and frequency of urination, which are also common symptoms of a urinary tract infection.

Q: Who is at risk for bladder cancer?
A: Smoking has been found to be the greatest risk factor for bladder cancer. Other risk factors include exposure to carcinogens in the environment. Workers in the rubber, chemical, and leather industries are at risk, as are hairdressers, machinists, metal workers, painters, textile workers, and firefighters.

Q: How is bladder cancer diagnosed?
A: Doctors can use many tests, including ultrasounds, CT scans, and MRI scans to detect irregularities in the bladder wall, which would suggest a possible cancer. The urologist will also perform a cystoscopy to visually examine the bladder and may remove samples of any suspicious areas for biopsy. Urine cytology can be performed to detect cancer cells in urine. Other tests use urine-based markers to detect cells or substances in a urine sample that are relatively specific to bladder cancer.

Q: Are urological cancers treatable?
A: Yes, urological cancers are often treatable, especially when diagnosed early. The treatment approach depends on the type of cancer, its stage, and individual factors such as overall health and patient preferences.

Q: What is the difference between urology and oncology?
A: Urology is a medical discipline that diagnoses and treats disorders of the urinary and male reproductive systems. Oncology is the medical discipline that focuses on preventing, diagnosing, and treating cancer.

Q: What does a urologic oncologist do?
A: A urologic oncologist specializes in diagnosing, treating, and managing urological cancers. Their expertise lies at the intersection of urology and oncology.

Q: When should I see a uro-oncologist?
A: You may consider visiting a uro-oncologist for a variety of reasons, such as to diagnose urological cancer, abnormal test results, family history of urological cancers, seeking a second opinion, managing ongoing treatment, or occurrence of moderate to severe side effects of the current treatment.

Q: What can I expect when I visit a uro-oncology specialist?
A: When you visit a uro-oncology specialist for the first time, you can expect a comprehensive evaluation and discussion about your medical history, symptoms, and any relevant diagnostic tests.

Urinary tract infection – Frequently asked questions

Urinary tract infection treatment in Dubai

Urinary tract infections, or UTIs, are a common health concern, especially among women. In this blog post, we will discuss the causes, symptoms, diagnosis, and treatment of UTIs. We will also cover preventative measures to avoid recurrent UTIs.

What is a urinary tract infection (UTI) ?

A UTI is an infection in the urinary tract. Bacteria are the most common cause of UTIs. The body usually eliminates bacteria that enter the urinary tract before they cause any symptoms. However, sometimes bacteria overcome the body’s natural defenses and cause an infection.

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What are the signs and symptoms of a UTI?

Symptoms of a UTI vary by age, gender, and whether a catheter is present. Among young women, UTI symptoms typically include a frequent and intense urge to urinate and a painful, burning feeling in the bladder or urethra during urination. The amount of urine may be very small. As people age, they may feel tired, weak, shaky, and experience muscle aches and abdominal pain If your urine changes in color and smell, such as becoming cloudy, dark, or bloody, or develops a foul odor, it may indicate an infection. If you use a catheter, an infection may cause a fever that cannot be explained by any other reason.

How are UTIs diagnosed?

To determine if an individual has a urinary tract infection (UTI), a healthcare provider will ask about their urinary symptoms and perform a urine test to check for bacteria and white blood cells, which the body produces to fight infections. The individual will need to provide a “clean catch” urine sample by cleaning the genital area and collecting a “midstream” sample of urine in a sterile container. The laboratory will analyze the sample for bacteria. Usually, the results take 1 to 3 days to process.

How are UTIs treated?

Bacteria cause most urinary tract infections (UTIs), and doctors treat them with antibiotics or antimicrobials. The choice of medication and length of treatment depend on the patient’s history and the type of bacteria causing the infection.If the first antibiotic administered fails to work, the patient may require an extended course of treatment. Drinking lots of fluids and urinating frequently will speed healing. If needed, various medications are available to relieve the pain of a UTI.

How can recurrent UTIs be prevented?

Changing some daily habits may help a person prevent recurrent UTIs. Drinking lots of fluid can help flush bacteria from the system. Urination habits are also important. A person should urinate often and when the urge arises. Women and men should urinate shortly after sex to flush away bacteria that might have entered the urethra during sex. After using the toilet, women should wipe from front to back to keep bacteria from getting into the urethra. We recommend wearing cotton undergarments and loose-fitting clothes to keep the area around the urethra dry. For women, using a diaphragm or spermicide for birth control can lead to UTIs by increasing bacteria growth. Switching to a new form of birth control may help prevent UTIs.

In conclusion, UTIs are a common health concern that can cause discomfort and pain. However, they are treatable and preventable. By following the preventative measures outlined above, you can reduce your risk of getting a UTI. If you suspect you have a UTI, it is important to seek medical attention promptly to ensure proper diagnosis and treatment.

Consider choosing Dr. H Sanjay Bhat, a highly skilled Senior Consultant Urologist in Dubai at Al Zahra Hospital Dubai in Al Barsha, if you’re looking for a good urology doctor in Dubai. He has expertise in several specializations, including Laparoscopic Urology and Uro-Oncology, Reconstructive Urology, Endourology, Pediatric Urology, Renal Transplant, Female Urology, and Urolithiasis. With his extensive experience and knowledge, Dr. Bhat provides advanced treatments and minimally invasive procedures for urological disorders, including cancers, kidney stones, and other urinary tract issues.He dedicates himself to providing his patients with comprehensive and focused care, ensuring their optimal health and well-being.

How to find a best urologist in Dubai

How to find a best urologist in Dubai ??. Urologists are medical specialists who are responsible for diagnosing and treating disorders related to the urinary tract and the surrounding area. They specialize in treating kidney and bladder problems, and for men, they provide treatment for issues related to the penis, prostate, seminal vesicles, and testes. When it comes to urological issues, it is important to choose the right urologist for your care. Although you can get a referral from your primary care provider, ultimately, the decision to choose the best urologist for you is a personal one.

Here are some tips on choosing the best urologist for yourself.

Check Your Insurance

Finding a urologist within your insurance network can help reduce out-of-pocket costs.

Get Referrals

If you are looking for a best urologist, your family, friends, co-workers, and primary care provider can provide referrals. By asking people you know, you should be able to compile a list of potential urologists. Once you have a list, you can start narrowing it down based on your criteria. Choosing a urologist from a list of referred doctors can help you find a highly recommended one who provides excellent service. This way, you can avoid inexperienced or unprofessional doctors and ensure that you receive quality care.

Consider Gender

If you are male and uncomfortable discussing reproductive health with a female doctor, consider choosing a male urologist for care. This way, you can have the peace of mind that your doctor will understand your concerns and provide the best possible care. understanding of men’s health issues and could make you feel more comfortable.

Research Credentials and Experience

Check for board-certification when choosing a urologist. This will tell you that the doctor has the knowledge, training, and experience to provide urologic care and treatment. Other than board-certification, experience is an important consideration. Choose a urologist with at least a decade of experience, considering the greater the experience in treating a specific condition or performing a procedure, the better the results.

Check Reviews and History

It’s important to note that board-certification doesn’t always guarantee that a urologist has a clean record in terms of disciplinary issues and malpractice claims. It is advisable to conduct your own research before selecting a urologist. You can use resources such as Google reviews and myacare.com to help find the right doctor. When reading reviews, it’s a good sign if you come across many positive experiences with the doctor.

Good Communication Style

When looking for a urologist, it’s important to find someone you can communicate with easily. If you prefer English, choose a urologist who speaks the language well. Your urologist should be your partner in achieving good urologic health. A doctor who doesn’t show interest in patients and has poor communication skills can cause problems over time. To find out if a doctor communicates well, schedule appointments with more than one before choosing one

Male Urologist in Dubai

Dr. Sanjay Bhat is considered the best urologist in Dubai. He received his MS from JIPMER, Pondicherry in 1991, where he was awarded the best all-round graduate and B.S Sen gold medals. He then completed his M.Ch in Urology at the prestigious Christian Medical College in Vellore. Later, in 2000, he founded the Department of Urology at The Amrita Institute of Medical Sciences in Kochi, Kerala, which has become one of the best in the country. In October 2014, he established the Department of Urology and Renal Transplant at The Rajagiri Hospital, Kerala.

Dr. Sanjay Bhat is an expert in advanced urological laparoscopy, endourology, pediatric, and reconstructive urology. Dr. Sanjay Bhat is a renowned specialist in advanced urological laparoscopy, endourology, pediatric, and reconstructive urology. He is widely acknowledged for his exceptional skills in performing laparoscopic adrenalectomies, which is the largest series of its kind, laparoscopic live related kidney retrieval for transplant, and laparoscopic radical prostatectomy. He also holds credit for performing the first-ever laparoscopic right-sided kidney retrieval in India, as well as laparoscopic partial nephrectomy for tumors.

Dr. Sanjay Bhat is also an expert in urethral reconstruction in hypospadias and after trauma, upper tract Endourology (PCNL, RIRS), Uro-oncology, and Pediatric Urology.

Dr. Sanjay Bhat Hatangadi is considered the best urologist in Dubai

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

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

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

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

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

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

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

Department Of Urology, AL ZAHRA PVT HOSPITAL, Al Barsha, Dubai

Department Of Urology, AL ZAHRA PVT HOSPITAL, Al Barsha, Dubai

The Department of Urology at AL ZAHRA Dubai is considered to be the best tertiary level department in Dubai, providing state-of-the-art urological services. It is supported by highly skilled doctors and specialists from various departments like Anesthesia, Cardiology, Endocrinology, Intensive care, and Nephrology. The department is staffed by a team of experienced international consultants, including Dr Hossam Al Quddah, Dr. Tamer Al Kassab, Dr. Mohammed Shahait, and Dr. Istarbadi. They cater to patients from diverse nationalities and languages, making them one of the top choices for urological care in Dubai.

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Both Adult and Paediatric urology services are provided with a team and multidisciplinary approach. Dr H Sanjay Bhat, is a highly acclaimed urologist in Dubai. With over four decades of experience in the field, Dr Bhat has gained extensive knowledge and skills in treating various urological conditions. He has treated numerous satisfied customers not only in Dubai but also from different parts of the world. Dr Bhat has worked in some of the world’s best hospitals, which has given him exposure to a wide variety of cases and helped him develop an exceptional level of proficiency.

If you are looking for a solution to any urological issue, Al Zahra Hospital is a highly recommended option. The hospital is known for its state-of-the-art facilities, top-notch medical equipment, and a team of experienced doctors. The hospital provides personalized care to each patient, ensuring that they receive the best possible treatment. With a range of advanced diagnostic and therapeutic techniques, Al Zahra Hospital is committed to providing comprehensive and effective care to patients with urological issues.

Paediatric Urology Services: Circumcision, birth defects, urinary infection, stone disease, cancers and urinary incontinence. Open, endoscopic and laparoscopic treatment of all urological problems faced by children from birth to adolescence are available.

Adult Urology Services: All diseases of Kidneys, adrenal glands, ureters, bladder, prostate and male and female genitalia. This includes non-operative and operative treatment by endoscopic, laparoscopic and open surgical methods for conditions like infections, stones, cancers, prostate enlargement, birth defects, urinary incontinence, adrenal tumours and sexual dysfunction and infertility.

Out-patient, day-care and in-patient treatments by minimally invasive methods using modern technology and professional expertise greatly reduce the pain, scars and loss of time from work for most conditions affecting the Genito-urinary tract in patients.

Urodynamics and pelvic floor therapy:     

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State of the art video-urodynamic console with highly trained technologists to study bladder function, evaluate urinary incontinence in children and adults and also provide Bio-feedback therapy for female and pediatric incontinence

Stone clinic:

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ESWL: (Extracorporeal shock wave lithotripsy) a one-hour non-invasive treatment for stones in the outpatient department. Stones are targeted by Ultrasound and fluoroscopic methods and fragmented using electromagnetic sound waves. There is no pain, admission or loss of time away from work

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Flexible ureteroscopy: Delicate, miniturised endoscopes that can reach any part of the urinary system to visualize and fragment stones with Laser energy. This is minimally invasive and a daycare procedure with minimal pain and time away from work

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PCNL (Percutaneous Nephrolithotomy): A “key-hole” method of accessing the inside of the kidney to remove large stones. This avoids large painful incisions and their side effects and allows quick recovery and return to work

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Laser therapies for Stone disease and prostate diseases: Greatly reduce the risks of bleeding and can be used to treat patients who are on blood thinners and have high risk factors.

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Laparoscopic urology: “key-hole” surgery replaces open large incisions for all urology procedures that were done by open method in the past. This greatly improves cosmesis and reduces pain, infection, recovery times and time away from work

ROBOTIC SURGERY: CMR Versius Robotic system is available for advanced and complex minimally invasive surgery

Understanding Prostate Cancer: Dr. H Sanjay Bhat, Consultant Urologist Dubai

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

What is the Prostate Gland?

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

How common is Prostate Cancer?

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

What are the risk factors for Prostate Cancer?

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

Myths about Prostate Cancer:

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

What are the symptoms of Prostate Cancer?

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

When to screen for Prostate cancer?

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

What are the stages of Prostate cancer?

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

How to detect Prostate cancer?

Physical examination
Blood tests
Radiology
Biopsy

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

Blood test:

PSA or prostate specific antigen

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

High psa levels warrant investigation

Serially increasing psa is worrying

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

How to confirm the diagnosis?

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

How do you the stage and plan treatment?

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

How to treat Prostate cancer?

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

Radiation Therapy for Prostate cancer:

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

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

Surgery for Prostate cancer:

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

open surgery

Credits : uaenews4u.com

Overactive Bladder Diagnosis And Treatment

Overactive Bladder Diagnosis

Overactive Bladder Diagnosis And Treatment

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

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

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

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

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

Overactive Bladder Diagnosis And Treatment: 

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

Evaluation: 

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

Treatment Behavioural Treatment: 

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

medication: 

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

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

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