Adiva Super Speciality Care in Green Park, Delhi - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Sarwar Eqbal

Adiva Super Speciality Care

Andrologist, Kidney Transplant Specialist, Sexologist, Urologist
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Adiva Super Speciality Care is known for housing experienced s. Dr. Sarwar Eqbal, a well-reputed Kidney Transplant Specialist, Sexologist, Urologist, Andrologist , practices in New Delhi. Visit this medical health centre for s recommended by 49 patients.

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Clinic Address
C 1/C, Sri Aurobindo marg, Opp. Community Centre, Green Park Extension
New Delhi, Delhi - 110016
Details for Dr. Sarwar Eqbal
RMCH - Ranchi
Patna Medical College and Hospital
MS - General Surgery
Sir Gangaram Hospital, New Delhi
DNB - Urology
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Professional Memberships
Indian Medical Association (IMA)
Delhi Medical Council
  • MBBS, MS - General Surgery, DNB - Urology
    Kidney Transplant Specialist, Sexologist, Urologist, Andrologist
    Consultation Charges: Rs 1100
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  • DNB - Urology, MS - General Surgery, MBBS
    The bladder is a hollow storage organ that collects urine from the kidneys and stores it until it can be passed out of the body through the urethra during the process of micturition or urination. It has a thin inner lining of cells called urothelial cells and a thick muscular wall, which exerts pressure to push the urine out of the body.

    Causes of Bladder Tumors

    In most cases, the bladder tumor develops on the inner layer due to a combination of some of the following factors.

    1. Hereditary: A strong family history of cancer predisposes a person to cancer.
    2. Gender: Men are 3 times more prone for bladder cancer than women.
    3. Ethnicity: White people are more prone for bladder cancer black people.
    4. Smoking: Smokers develop bladder cancer 2-6 times more frequently than non-smokers. cigarettes contain toxic, carcinogenic substances which reach the kidney and are stored in the bladder, leading to their damage.
    5. Occupational hazards: Some workplaces have a higher likelihood of causing bladder cancers, especially dye and rubber industries. The effects can be damaging, and the person may develop cancers years after the exposure has happened.
    6. Recurrent bladder infections: In some people, this can also lead to bladder cancer in the long run.

    Types of Bladder Tumor

    Depending on the extent of the cancerous spread, it can be of two types:

    1. Non-muscle-invasive bladder tumors: The tumor spread is limited to the inner part of the bladder (urothelial cells)
    2. Muscle-invasive bladder tumor: The tumor has spread to the thick muscular outer layer. This is more advanced and prognosis is poor compared to the noninvasive type.

    The most common and diagnostic symptom of bladder cancer is the presence of blood in the urine, known as hematuria. This will be intermittent and happens whenever the tumor bleeding happens. Other symptoms include pain in the lower abdomen and frequent urination.


    From the most noninvasive to the most invasive diagnostic test, these include:

    1. Urine microscopy to detect cancer cells in the urine
    2. Cystoscopy A tube inserted into the urethra to look into the inner wall of the bladder is highly diagnostic
    3. Ultrasound, CT Scan, and biopsy can also be further used to identify severity of the tumor.


    Once the tumor is diagnosed, treatment would depend on the severity of the tumor. For both invasive and noninvasive tumors, definitive therapy is surgery, known as transurethral resection of the bladder tumor (TURBT). The cancerous bladder tissue is removed through a cystoscope as done for diagnosis. The bladder is then flushed with chemotherapy agent to kill any residual cancer cells in the bladder. This is then followed by BCG vaccine, which is again done 1 to 4 weeks for several months to avoid recurrence. In some cases, radiotherapy may also be included.
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  • DNB - Urology, MS - General Surgery, MBBS
    One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.

    1. Frequent urge to pass urine
    2. Prolonged urination
    3. Frequent nocturnal visits to the toilet
    4. Intermittent urination
    5. Difficulty to start urinating
    6. Inability to completely empty the bladder
    7. Urinary tract infections

    There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.

    Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:

    1. Patients who do not respond to medications
    2. Presence of blood in the urine
    3. Associated bladder stones
    4. Frequent infections of the urinary tract
    5. Associated damage to the kidneys

    Procedure of Surgery
    During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.

    1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.

    2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.

    More men now opt for laser prostate removal as it has the following advantages:

    1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
    2. No hospitalization: This can be done either as an outpatient or with minimal one day stay at the hospital
    3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
    4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.

    As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery.
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