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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Hydrocele Treatment (Surgical)
Urinary Incontinence (Ui) Treatment
Urology Minimally Invasive Surgery
Kidney Transplant Treatment
Blood In Urine (Hematuria) Treatment
Reconstructive Surgery Procedures
Reconstructive Urology Surgery
Minimally Invasive Urology Surgery
Transurethral Incision Of The Prostate (Tuip) Proc
Percutaneous Nephrolithotomy Procedure
Open Prostatectomy Surgery
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Patient Review Highlights
Dr. Nitesh Jain provides answers that are sensible. He ia already under supervision of a nephrologist Dr pratik das.ertrapenem was given as sensitive in the previous urine culture reports with ecoli bacteria. So dr gave that.is anything have to worry?
Very very good
Artificial Intelligence is taking over and the world has mixed reactions to it. Some are excited about the progress made by humans, while some are skeptical about the results.
A direct influence of AI is in advancement of robotics. Robots are now able to perform many complicated jobs as well as maneuver much more freely, as compared to earlier times. This has sometimes even led to fear about their human domination.
However, the science is working towards taming robots for betterment of humanity. Towards that, Medical science has found good use of robotic assistance in surgery. Let us find out how it works.
Contrary to what some people might have heard, robotic surgery does not involve a group of robots performing an unassisted surgery. The robots are merely the limbs, albeit more precise ones than human limbs, but the control is with a human surgeon.
Shortcomings of Laparoscopic Surgery
Both, robotic surgery and laparoscopic surgeries are minimally invasive procedures that result in minimal bleeding, lesser pain during and after surgery, lesser complications compared to open surgery, and shorter hospital stays and related expenses.
However, laparoscopic surgery has some limitations. Laparoscopes give a 2D image so it is difficult for the surgeon to get to the exact point to operate without guiding themselves with the surgical instrument and seeing it through the visuals. If magnified, visuals can lose quality to an extent.
Also, since the incisions are very small, in the case of laparoscopy, the surgeon has very little room to move about the wrist and get the instruments to the right place without injuring the nearby tissues or nerves, at least a little bit. Only a very experienced surgeon can perform laparoscopic surgery without collateral damage.
The Advancement of Surgery with Robotic Assistance
The aim of minimally invasive surgery is to ensure less pain and less complications. Laparoscopic surgery offers that in comparison to open surgery. But it has its own shortcomings that can only be avoided by the best surgeons.
In the case of robotic surgery, precision depends to quite an extent, on the robotic arm. The instruments are much more advanced to help the surgeon perform perfect surgery.
The surgeon operates via a computer console where the images of the insides of the body are available in real time and in 3D. Unlike in laparoscopy, this image is clear and can be magnified without the quality or resolution of the image dropping. With 3D imaging, unlike in the 2D imaging in case of laparoscopy, there is minimal risk of a mistake.
The surgical instruments are more advanced in case of robotic surgery. The robotic arm or the endowrist can rotate 360 degrees, allowing small instruments to get access to the exact point needed, and avoid the surrounding muscle tissues and nerves.
Robotic surgery, or robot-assisted surgery (to be clear about the procedure), is recommended for minimal damage to tissues, minimal infection or injury risk, minimal blood loss and pain, and minimal recovery time. The surgeon must be well-experienced in robot-assisted surgery because the ultimate success of the surgery lies in the precision of the surgeon’s control of the robotic wrists.
How would I know if I have kidney disease?
As most of the kidney diseases do not cause symptoms in the early stages, the most common test done to screen kidney diseases are:
1. Measuring blood pressure
2. Blood tests to measure the level of creatinine (a chemical normally found in the blood)
3. Urinalysis (checking the urine for protein)
4. Ultrasound kub
It is important for people who are at risk for developing kidney disease those with diabetes, high blood pressure or a family member with kidney disease to be checked regularly.
No one likes to have large incisions on their body for any kind of surgery, as they would leave scars. Apart from scars, there is a lot of pain involved in open surgeries and you need to stay for a really long time in the hospital when you opt for open surgeries. So, nowadays, both patients and doctors are opting for the minimally invasive surgeries over the open surgeries.
You have two options when you are opting for minimally invasive surgeries and they are:
It sometimes gets really tough for patients to make a decision on which is the right surgery from these two options. Not all surgeries can be done using these technologies. So, in that case, the only option will be chosen and in other cases, your doctor will help you choose the best based on other factors such as time, cost and post-surgery care.
What is Laparoscopic Surgery?
When compared to the normal open surgery, your doctor makes only small incisions in the area of surgery such as your belly button. Usually, three incisions are made to insert the tubes that hold the equipment and the camera. The camera will show images on the screen and with the help of these images, the doctor can perform the surgery. The scars are less noticeable and the pain is also very less.
What is Robotic Surgery?
Robotic surgery is very similar to laparoscopic surgery. Small incisions are made to insert the camera and equipment inside the abdominal area and it is inflated using carbon dioxide gas. But the main difference is that the doctor does not sit close to the patient to operate the equipment manually with their hands. The doctor does not hold any equipment. Only a nurse stands close to the patient, while the doctor sits in front of his computer and operates the equipment with the help of hand controls available on the computer. That means, it instructs the robot on what to do. The images in robotic surgery are much more magnified than the laparoscopic images and they are of high clarity. The image is three-dimensional ensuring image clarity for the doctor.
Advantages of Robotic Surgery over Laparoscopic surgery:
- Complete three-dimensional view of images, allows the doctor to perform the surgery with great precision.
- A very short period of recovery.
- In robotic surgery, the doctor has a better control over the than laparoscopic surgery.
- The movement required to perform the surgery can also be controlled very well. Smaller movements are possible with robotic control than using the manual controls.
Prostate cancer is one of the most common cancers that men are diagnosed with. It is accompanied by a number of difficulties of urination and ejaculation. It can also cause difficulty in achieving and sustaining an erection. If cancer advances and affects the bone structure and the spine, it can cause weakness in the limbs, and also result in urinary and fecal incontinence. If it is diagnosed in its early stages it can be treated quite easily before it spreads.
Treatment for Prostate Cancer-
Prostate cancer generally does not show any symptom in the early stage but progressively degenerates with time. If you suspect having any of the symptoms of prostate cancer such as urination difficulty, erectile dysfunction and discomfort in the pelvic region, then consulting an oncologist is the next step. Your doctor will perform certain diagnostic tests like digital rectal examination (DRE) and prostate-specific antigen (PSA) test. After the diagnosis of prostate cancer, doctors generally check the stage and rate of growth of a tumour by determining its Gleason score.
Once the extent of the prostate cancer is known, a treatment plan is devised by the doctor. If the cancer is localised and small, your doctor will either prescribe active surveillance or surgery. During active surveillance, there is a blood test, rectal examination, and biopsies on a regular basis to monitor the growth of a tumour. However, the tumour can also be deftly removed with surgical intervention in the form of Radical Prostatectomy. There are two types of radical prostatectomy- laparoscopic prostatectomy and robotic laparoscopic prostatectomy
Robotic Radical Prostatectomy-
A radical prostatectomy is one of the most common methods of treating prostate cancer. It involves the surgical removal of the prostate gland along with some of the surrounding tissues. This curtails the spreading of the cancerous cells to other parts of the body. A robotic radical prostatectomy is a minimally invasive procedure that involves the use of a robotic instrument that is controlled by surgeons to make the removal of the gland precise and efficient. The surgeon controls the robot by sitting at a console and makes several small incisions to enter the abdomen. This procedure reduces the risks of blood loss and any possible side-effect that includes erectile dysfunction and urinary difficulties. In case you have a concern or query you can always consult an expert & get answers to your questions!
Kidney Cancer, more commonly known as renal cancer, first presents itself in the lining of the kidney. It then grows malignant and forms a tumor. The good news is that renal cancer rarely spreads to other organs. The bad news is that the tumors grow quite large before they can be detected.
Kidney cancer has been found to occur most often in people who are older than 40 years of age. Though the cause of the cancer is not definitively known, there are a few factors that might increase the risk of developing kidney cancer. These include-
1. Obesity- Obesity can cause hormonal changes which in turn can increase the risk of cancer.
2. Smoking- As with any other kind of cancer, nicotine consumption, in the form of smoking cigarettes, increases the risk of developing the disease. In the case of renal cancer, it can, in fact, double the chances.
3. Pain Medications- A prolonged use of pain relievers over a period of time can increase the risk of renal cancer. Certain components of the medication can lead to kidney damage.
4. Genetic history- A medical history of family members, especially siblings, with the disease can significantly increase the risk of kidney cancer.
In its early stages, kidney cancer remains asymptomatic, but as the tumor grow in size, symptoms begin to present themselves. These symptoms might include the following-
1. Blood in the urine.
3. A persistent pain in your abdomen in conjunction with a lump.
5. Swelling of the legs and ankles.
Treatment for kidney cancer will depend on the size and location of the tumour and whether it has spread to other organs or parts of the body. Therefore, to determine the stage of cancer, diagnostic tests such as biopsy, are performed along with urine and blood tests. After determination of your cancer stage, the doctor will perform either a radical or a partial nephrectomy, where the cancerous tumor is removed along with additional tissues. Often, kidney surgery is followed by kidney transplant if both the kidneys need to be removed in nephrectomy. However, if nephrectomy does not cure your kidney cancer, then your oncologist may recommend cryotherapy, radiofrequency ablation or arterial embolization.
Kidney cancer in its advanced stage is often treated with either biological therapy where your body’s immune system is utilized to fight cancer cells or targeted therapy where drugs are used stop the multiplication of cancer cells by blocking their signals. Due to such advancement in cancer treatment, the rate of success has gone up in recent years but you also need to follow a healthy lifestyle to make sure that the treatment can bring out the desired positive outcomes. In case you have a concern or query you can always consult an expert & get answers to your questions!
Don't shy away from urinary complains: It can be treated. Enlarged prostate in elderly.
We live in a country of excess where size often matters most. Supersize, grand, max, king size - but is bigger always better? Certainly not when it comes to male health and an enlarged prostate.
Enlarged prostate what we medically call as bph (benign prostatic hyperplasia) is a disease of old age, starts presenting usually after 50 years of age. It is non-cancerous enlargement of the prostate which is a walnut sized gland seen in men located beneath the bladder forming a channel through which stored urine in bladder can flow into the urethra. As we grow the prostate also enlarges in size (usually after 50 yrs). This enlarged prostate squeezes or partially blocks the surrounding urethra the tube that carries the urine from the bladder out of the body. This can lead to bothersome urinary symptoms that may include a weak stream, trouble starting and stopping, the frequent feel to urinate, inability to hold back the urine when desire comes, leaking or dribbling, and the sense that the bladder isn't empty after urination.
Complete emptying of the bladder may not occur due to obstruction in the flow of urine and as such can make an individual more susceptible to urinary tract infections, bladder stone formation, and if obstruction is prolonged and severe can lead to kidney function impairment.
The symptoms of bph will often bring patients to their doctor, although the enlarged prostate can also be diagnosed during a routine digital rectal examination (internal examination) or ultrasonography. Other common tests used to diagnose bph include a urinalysis (to check for infection or other causes of bph-like symptoms); a urine flow study, which uses a device that measure the speed of the stream; a ultrasound, which measures the size of the prostate gland and evaluate the kidney along with psa (blood test) to rule out cancer.
It is seen that most men feel uncomfortable talking about prostate, since the glands play an important role in sex and urination. Many older men live in this situation believing that it is age related. While it is indeed age related but it could be due to enlarged prostate for which there is relief available through treatment.
Age is the primary cause for enlargement of the gland. A clinical examination, uroflow and sonography helps to determine the severity of the problem. Regular medication helps to solve the problem and can prevent dreaded complications and only patient with bothersome symptoms or with some complication related to prostate needs surgery.
Elderly men should not feel shy to share their urinary problems as prostate enlargement is a common part of ageing alike grey hair or wrinkles. Visit the doctor and regain confidence and lead healthy life again. And remember, earlier you address this, better your chances of relief without surgery.
I am suffering from kidney's stones, Left kidney has 11*6 mm & Right Kidney has 4 mm calculus. Please suggest me what to do.
The prostate gland is a small walnut-shaped organ that produces seminal fluid which carries the sperm and also provides them nourishment.
Prostate cancer is one of the most common types of prostate cancer in men. The progress of prostate may take years and so symptoms may not be evident until it has reached an advanced stage. Also, prostate enlargement is an extremely common condition in most elderly men. This condition is known as benign prostatic hypertrophy (BPH). The symptoms produced by prostate enlargement are similar to those of prostate cancer in the earlier stages. Therefore, men may confuse the cancer symptoms with BPH symptoms and often ignore the same. For most men, BPH is part of ageing and night-time visits to the bathroom are quite common.
Symptoms of prostate cancer can be clubbed into two broad categories – urinary and others.
Urinary symptoms are due to the enlarged prostate gland pressing on the urethra, the tube that carries urine from the bladder to the outside. These include:
- Burning sensation with urination
- Painful urination
- Difficulty in starting and stopping a urine stream
- Dribbling in between a stream
- Inability to control a stream, often causing urine to leak before reaching the toilet
- Increased urgency to urinate, especially at night
- A reduced flow of urine
- Lack of control over bladder
- Presence of blood in the urine, often giving it a pinkish hue
Non-urinary symptoms include:
- Presence of blood in the semen, which again may have a pinkish tinge
- Erectile dysfunction
- Delayed ejaculation
- Painful ejaculation
- Numbness in the legs, feet, or hips
In addition, there would also be generalized symptoms of cancer, including:
As noted above, these symptoms are not indicative of prostate cancer. Even prostate infection or in older men prostate enlargement can cause these symptoms. Therefore, it is essential to correlate these symptoms with risk factors and clinical diagnosis.
Clinically, when a patient experience any of the above symptoms, the doctor would need to confirm the diagnosis via:
- Digital rectal examination, which will confirm that the prostate is enlarged indeed
- Chemical tests to check for prostate-specific antigen (PSA) which is often increased with any disease of the prostate
- A biopsy to identify the presence of cancerous cells
A combination of clinical presentation, lab, and imaging will help in confirming the diagnosis. Earlier the diagnosis, better is the prognosis.
In case you have a concern or query you can always consult an expert & get answers to your questions!