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Care Multispeciality  clinic, Delhi

Care Multispeciality clinic

  4.5  (295 ratings)

Urologist Clinic

Care Multispeciality clinic,shop No. 11,csc-9,sector 13 rohini, New Delhi Delhi
1 Doctor · ₹700 · 8 Reviews
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Care Multispeciality clinic   4.5  (295 ratings) Urologist Clinic Care Multispeciality clinic,shop No. 11,csc-9,sector 13 rohini, New Delhi Delhi
1 Doctor · ₹700 · 8 Reviews
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Our medical care facility offers treatments from the best doctors in the field of Kidney Transplant Specialist, Urologist.By combining excellent care with a state-of-the-art facility we s......more
Our medical care facility offers treatments from the best doctors in the field of Kidney Transplant Specialist, Urologist.By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Care Multispeciality clinic
Care Multispeciality clinic is known for housing experienced Urologists. Dr. Waheed Zaman, a well-reputed Urologist, practices in Delhi. Visit this medical health centre for Urologists recommended by 104 patients.

Timings

MON-FRI
07:30 PM - 09:30 PM
SUN
11:00 AM - 02:00 PM

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Care Multispeciality clinic,shop No. 11,csc-9,sector 13 rohini, New Delhi
New Delhi Delhi, Delhi - 110085
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Videos (2)

I am Dr Waheed Zaman principal consultant neurology and renal transplant Max Shalimar Bagh and Ma...

 

I am Dr Waheed Zaman principal consultant neurology and renal transplant Max Shalimar Bagh and Max Pitampura. I have got clinic in Rohini Sector 13 that is Care Multispeciality Clinic and we are dealing complete urology specially pertaining to all urology problems specially stone disease, prostate problem then genitals urinary tract, cancers we are dealing, then infertility and about the importance and male infertility specially we are doing in our centres and my main topic of interest is renal transplant.

I have got experience of more than 1000 transplant and I am very much interested and I helped in people, I have given many lectures for cadaveric transplant and we try to promote it. But today I am discussing on different topics that is stone disease, this is very common in India, especially in North India. We get large number of kidney stone patient they usually present with the brain in emergency with a flying plane, radiating down, blood in urine and majority of the times in emergency severe colic pain. So immediately we give pain Killers, we settle this patient and we ask for ultrasound, urine test and kidney function test. On Ultrasound majority of the stones can be detected or indirect evidences maybe there are life dilatation of the kidney, kidney me sujan ho sakta hai or yadi doubt ho toh definitely hum log CT-SCAN karate hain, plain CT-SCAN se 99% stone detect kiya Ja sakta hai. Ek bar stone detect hua phir uske size pe cocern hota hai, jaise general public mein thinking hoti hai ki sab stone nikal jate hain dawai se ya pani se, yeh sahi nahi hai yadi aap dekhenge ki char millimeter se kam size ke jo stone hote hain almost 80 to 90% nikal sakte hain medicine pani se, mainly pani se aap nariyal pani le, pani piye kafi aur nimbu pani, shikanji yeh 3 apne indian drinks jo hain woh best drinks maane jaate hain, wo chote stone ko aaram se flush kar deta hai. 4 se 7 millimeter ke jo stone hote hain almost 50-50 chance hota hai nikalne ka, 7 millimeter se 10 millimeter ka jo stone hota hai around 10 to 20% chance hai or 8 centimetres se jayada 10 percemt se bhi kum chance hota hai ki nikale, par hamare log jayadatar yehi galat dharna bani rehti hai ki nai medicine se sab nikal jayega even ek-daid centimetre ka stone nikal jayega, yeh commonly hamhe OPD main kuch log puchte bhi hain log, sir aap toh medicine do bade se bade stone mein aur galado usko. Aise stone bahut kum hai jo medicine se galte hain specific uric acid stone wagairah hote hain, jo aur excess pani peene se chhote stone to niklenge hee, definitely. Ab ek baar yadi diagnosis ho gaya ki stone kis level pe hai kidney mein kya changes ho rahi hai yadi back pressure changes jyada hai kidney even phat jati hai itna back pressure rehta hai, infection ho jata hai, bleeding hoti hai, toh aise condition bukhar rehta hai infection ki wajah se, toh hum patient ko salah dete hain ki better hai aap operation ki ke liye jaiye aur wait mat kariye. Kyunki yadi do hafte se jyada yadi kidney block rehti hai stone ki wajah se toh reversible kidney damage start ho jata hai. So we have to be very careful, very judicious, listen to your doctor and there are many myths associated with the kidney stone disease, so try to be more judicious. Kidney stone nikalne ki kai padhatian aajkal adhunik lithotripsy ho sakti hai par ab utni popular nahi rahi hai, uske alawa ureteroscopy hai jisse ureter ke stone nikale ja sakta hain. Kidney stone hum log keyhole surgery se karte hain PCNL, mini PCNL techniques hain, aur aaj kal jo latest aagaya RIRS, that is Retrograde Internal Surgery, aaram se hum log peshab ke raste se hi bahut hi patle sukshm yantra aagye hain jisko flexible urteroscope bolte hain, woh peshab ke raste se bladder hote huye ureter or wahan se kidney per pahunchte hain, aur aise even ded-do centimetre ke stone hum log laser se tod sakte hain, aur ekdum dhul ke kann jaise ho jate hain aur woh peshab ke sath nikal jate hain. Bade kann hum log retreat karte hain, uska stone analysis karte hain aur based on that hum log ye plan karte hain ki aage kya treatment diya jaye. So iska follow-up bahut zaroori hai ek baar kisi ko stone banna hai to 70% chance hai ki dubara banega apna lifestyle change kijiye, salt kam le, fast food kam kare, pepsi wagera bilkul minimum karde, it is full of obsolete chai kam kare, coffee kam kare, chocolate band kare aur pani jyada piyen din mein barah se pandrah glass pani peena chahiye, shkanji piye, ek nimbu daily piye, shikanji uska istemal kare uske alawah anaras hai, kele hain inka sevan kare, karele ki sabji zaroor le isse kidney swasth rehti hai, kuch fruits hain jaise especially maine bataya banana and pineapple yeh kafi useful hota hai, jo sabjiya kam leni hai umne bhindi hai, baingun hai, gobhi, palak inka kam kare istemal band nahi karna hai. Sabse badi dawa pani hai, pani piye “one lemon day keeps the stone away”, aur iska sahi upchar kare otherwise kidney stone may lead to kidney failure even. So aap bade sachet rahey issme, doctor ki sune mein baar baar request karta hoon, hum log daily yrh a problem face karte hain hum log sahi salah denge aapko koi misguide nahi karta hai, yddi kidney damage ho raha hai toh definitely intervene hona chahiye otherwise medical management bhi possible hai chote stone ke liye.

Dhanyavad.

read more
I am Dr Waheed Zaman principal consultant Urology and liver transplant Max Shalimar Bagh and Max ...

 

I am Dr Waheed Zaman principal consultant Urology and liver transplant Max Shalimar Bagh and Max Pitampura New Delhi. Mai yahan pe, I am the head of the transplant unit. I am looking after many CKD patients.

So I thought I will share my views on CKD, CKD is Chronic Kidney Disease and it has got 5 stages there are various causes of CKD and as we know in India diabetes and hypertension is quite common and CKD is the major cause of renal failure, patients are due to diabetes and hypertension. In India almost if you see 60% of chronic kidney failure cases are due to diabetes and hypertension, so we have to take care about the our lifestyle, you have to reduce weight, to exercise proper monitoring of weight and take less salt intake, control your sugar intake and do regular exercise, so we can prevent somehow these two diseases. The other factors are like stone disease, few congenital diseases that leads to kidney failure and a stone disease is quite common in India so that is another major cause of kidney failure or CKD can be divided into 5 stages, stage 1, 2, 3, 4 and 5. Stage 5 is that is the end state renal disease when GFR is less than 15 and hardly we can do anything with medicines, only option left is either hemodialysis or renal transplant. While in stage 1 to 4 we can have medicine, dietary modification and we can delayed this end stage renal disease. Once in a renal failure is diagnose and CKD is diagnosed within stage 5 then we have to consider about the hemodialysis, if patient is symptomatic. Kidney functions it filters the body toxins, it filters out the water from the body and it is responsible for the calcium metabolism, bone metabolism and blood formation. So it's a very important organ and if both kidneys are not functioning well that leads to kidney failure. If single kidney is ok, there will be no rise in serum creatinine that is the major blood test and very simply, simple blood test by this we can detect the kidney failure.

The other thing is urine protein that is another important, if urine protein urea is there is protein is coming out of the urine then you have to be alert consult your doctor. If renal failure is diagnosed stage 5 then plan for transplant, transplant is always a better option then hemodialysis, hemodialysis just temporary relief and it excrete de toxins and within 3 to 4 days again, we will back to the same. While kidney transplant will give the better quality of life, patient can lead normal life and average lifespan we can say with the transplant is around 12 to 15 years and there is myth in the society that somebody will donate, you will not have to take lifelong medicines that's not true, we are doing all donor nephrectomy laparoscopically and they are free and they are fit and up to work within 1 to 2 weeks. While kidney transplant is a standard technique worldwide and we have got excellent results now a days with the kidney transplant, that is around 90 to 95% success rate in our centres that is as part to the international level, and but one thing is very important they have to live discipline life, lifelong they have to be on immunosuppression. The another myth in the society that donors may lead to renal failure or later on but that is not true, because donors can lead normal life and of course discipline life then they can maintain the creatinine level don't take analgesic and unnecessary analgesic that also leads to kidney failure. For donation as far as the two types of donation one is live donation and other is cadaver kidney transplant and live donation of course only family members are allowed first degree and second degree relatives, wife and husband can donate while distant relatives are very difficult as per of the transplant law. Another is donor exchange we are doing that is the blood group match is not there in two groups then we are matching, predict transplant is possible in our centre, we are doing ABO incompatible transplant, elderly transplant, donors we are taking, so all sort of transplants we are doing and we have lot of excellent result. So transplant will definitely give better quality of life and I will request more and more people to come forward for donation that is when brain death is there, then donate your organs and even live after death that is the my request to all the audience because in India if you see we are lacking in the cadaver transplant program, so we need more and more donations, per year 2 lakh people are dying of roadside accidents if you use 10% of this we can get a huge bank of organs and from the brain death people and many-many people can be benefited with this. In India almost 2 lakh people are having renal needs renal transplant per year and hardly we are doing 8 to 9 thousand transplants per year. So definitely mai janta ko yahi kahunga ki jago aur, aur bhi organ aap donate kare, ang daan maha daan hai, aur isko samaj mein aap failaye. Yadi kisi ka brain death hota hai toh uss brain death se hum log 7-8 logo ko nayi zindagi de sakte hain. So jyada se jyada log organ donation kare isse donor badege aur jo organ failure ke patients hai unko benefit milega.

Thank you so much.

read more

Doctor in Care Multispeciality clinic

Dr. Waheed Zaman

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist
89%  (295 ratings)
27 Years experience
700 at clinic
₹300 online
Available today
07:30 PM - 09:30 PM
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I am taking tazloc AM one tab daily since last so many years may be 10 years .I am facing frequent urination since last 2 years along with cramp in chest mussels and leg mussels. Please suggest any other BP medicine with single drug or suggest further.My age is 55 years.

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
I am taking tazloc AM one tab daily since last so many years may be 10 years .I am facing frequent urination since la...
Please check S vit B 12 and S vit D3 level RBS you are having early prostate symptoms please contact.
1 person found this helpful
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I am having kidney stone from past 2 years, what things I have to avoid and how much water should I drink daily?

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
I am having kidney stone from past 2 years, what things I have to avoid and how much water should I drink daily?
Take water, lemon/lemonade, coconut water regularly restrict tomato soup, red neat reduce ladies finger, spinach,brijal and cauliflower.
1 person found this helpful
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Kidney Stones - Know How They Can Be Treated!

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
Kidney Stones - Know How They Can Be Treated!

Treatment for kidney stones varies depending on the size and type of the stone or the symptoms caused by it. In case of small stones, medication and simple changes in lifestyle can be enough to treat it, but surgeries and extensive treatments are required if symptoms are severe. 

Following are treatment options for kidney stones:

Small stones with minimal symptoms 

  1. Drinking water: Drinking around 3 liters of water a day will regulate your urinary system and can effectively eliminate small stones. Unless your doctor advices otherwise, drinking ample amount of fluids, usually water, is one of the commonest way to get rid of small kidney stones. 
  2. Pain relievers: There might be a considerable amount of pain and discomfort associated with passing the stone through urine. Your doctor may recommend pain killers like Ibuprofen, Naproxen sodium or acetaminophen. 
  3. Medical therapy: In order to eliminate the kidney stone, your doctor may administer medical therapy. Medication like alpha blocker helps in passing the kidney stone with least pain and more quickly. It relaxes the muscles in the ureter and makes the process relatively easy. 

Large stones with severe symptoms 

  1. Using sound waves to break up stones: In this technique, a procedure called extracorporeal shock wave lithotripsy (ESWL), is employed. ESWL uses the help of sound waves to create vibrations which breaks the stones in smaller pieces. This procedure takes about an hour and can cause mild pain and discomfort. Your doctor may administer sedatives to reduce your sensitivity. ESWL has side effects like blood in urine or bruising in the abdomen. 
  2. Surgical removal of kidney stones: Surgical removal of stones is done with the help of a procedure called nepholithotomy. It uses small telescopes and other instruments which are inserted in your back through a small incision. It is generally done in case of large stones and when ESWL fails. 
  3. Ureteric Calculi (Using a scope to remove stones): A thin illuminated tube called ureteroscope is used to remove a comparatively smaller stone in the kidney or ureter. The ureteroscope is equipped with a tiny camera which determines the location of the stone which is then broken into pieces with the help of other instruments. It may require general or regional anesthesia.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3208 people found this helpful

Can we drink carbonated water? Is if safe for health! I have a 6 mm stone in ureter. Can anyone give any suggestion.

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
Can we drink carbonated water? Is if safe for health! I have a 6 mm stone in ureter. Can anyone give any suggestion.
Drink plenty of water take cap urimax 0.4 mg once daily at bed time for 10 days NCCT KUB after 2 weeks.
1 person found this helpful
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Stones: Remedies To Dissolve Kidney Stones

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
Play video

 

I am Dr Waheed Zaman principal consultant neurology and renal transplant Max Shalimar Bagh and Max Pitampura. I have got clinic in Rohini Sector 13 that is Care Multispeciality Clinic and we are dealing complete urology specially pertaining to all urology problems specially stone disease, prostate problem then genitals urinary tract, cancers we are dealing, then infertility and about the importance and male infertility specially we are doing in our centres and my main topic of interest is renal transplant.

I have got experience of more than 1000 transplant and I am very much interested and I helped in people, I have given many lectures for cadaveric transplant and we try to promote it. But today I am discussing on different topics that is stone disease, this is very common in India, especially in North India. We get large number of kidney stone patient they usually present with the brain in emergency with a flying plane, radiating down, blood in urine and majority of the times in emergency severe colic pain. So immediately we give pain Killers, we settle this patient and we ask for ultrasound, urine test and kidney function test. On Ultrasound majority of the stones can be detected or indirect evidences maybe there are life dilatation of the kidney, kidney me sujan ho sakta hai or yadi doubt ho toh definitely hum log CT-SCAN karate hain, plain CT-SCAN se 99% stone detect kiya Ja sakta hai. Ek bar stone detect hua phir uske size pe cocern hota hai, jaise general public mein thinking hoti hai ki sab stone nikal jate hain dawai se ya pani se, yeh sahi nahi hai yadi aap dekhenge ki char millimeter se kam size ke jo stone hote hain almost 80 to 90% nikal sakte hain medicine pani se, mainly pani se aap nariyal pani le, pani piye kafi aur nimbu pani, shikanji yeh 3 apne indian drinks jo hain woh best drinks maane jaate hain, wo chote stone ko aaram se flush kar deta hai. 4 se 7 millimeter ke jo stone hote hain almost 50-50 chance hota hai nikalne ka, 7 millimeter se 10 millimeter ka jo stone hota hai around 10 to 20% chance hai or 8 centimetres se jayada 10 percemt se bhi kum chance hota hai ki nikale, par hamare log jayadatar yehi galat dharna bani rehti hai ki nai medicine se sab nikal jayega even ek-daid centimetre ka stone nikal jayega, yeh commonly hamhe OPD main kuch log puchte bhi hain log, sir aap toh medicine do bade se bade stone mein aur galado usko. Aise stone bahut kum hai jo medicine se galte hain specific uric acid stone wagairah hote hain, jo aur excess pani peene se chhote stone to niklenge hee, definitely. Ab ek baar yadi diagnosis ho gaya ki stone kis level pe hai kidney mein kya changes ho rahi hai yadi back pressure changes jyada hai kidney even phat jati hai itna back pressure rehta hai, infection ho jata hai, bleeding hoti hai, toh aise condition bukhar rehta hai infection ki wajah se, toh hum patient ko salah dete hain ki better hai aap operation ki ke liye jaiye aur wait mat kariye. Kyunki yadi do hafte se jyada yadi kidney block rehti hai stone ki wajah se toh reversible kidney damage start ho jata hai. So we have to be very careful, very judicious, listen to your doctor and there are many myths associated with the kidney stone disease, so try to be more judicious. Kidney stone nikalne ki kai padhatian aajkal adhunik lithotripsy ho sakti hai par ab utni popular nahi rahi hai, uske alawa ureteroscopy hai jisse ureter ke stone nikale ja sakta hain. Kidney stone hum log keyhole surgery se karte hain PCNL, mini PCNL techniques hain, aur aaj kal jo latest aagaya RIRS, that is Retrograde Internal Surgery, aaram se hum log peshab ke raste se hi bahut hi patle sukshm yantra aagye hain jisko flexible urteroscope bolte hain, woh peshab ke raste se bladder hote huye ureter or wahan se kidney per pahunchte hain, aur aise even ded-do centimetre ke stone hum log laser se tod sakte hain, aur ekdum dhul ke kann jaise ho jate hain aur woh peshab ke sath nikal jate hain. Bade kann hum log retreat karte hain, uska stone analysis karte hain aur based on that hum log ye plan karte hain ki aage kya treatment diya jaye. So iska follow-up bahut zaroori hai ek baar kisi ko stone banna hai to 70% chance hai ki dubara banega apna lifestyle change kijiye, salt kam le, fast food kam kare, pepsi wagera bilkul minimum karde, it is full of obsolete chai kam kare, coffee kam kare, chocolate band kare aur pani jyada piyen din mein barah se pandrah glass pani peena chahiye, shkanji piye, ek nimbu daily piye, shikanji uska istemal kare uske alawah anaras hai, kele hain inka sevan kare, karele ki sabji zaroor le isse kidney swasth rehti hai, kuch fruits hain jaise especially maine bataya banana and pineapple yeh kafi useful hota hai, jo sabjiya kam leni hai umne bhindi hai, baingun hai, gobhi, palak inka kam kare istemal band nahi karna hai. Sabse badi dawa pani hai, pani piye “one lemon day keeps the stone away”, aur iska sahi upchar kare otherwise kidney stone may lead to kidney failure even. So aap bade sachet rahey issme, doctor ki sune mein baar baar request karta hoon, hum log daily yrh a problem face karte hain hum log sahi salah denge aapko koi misguide nahi karta hai, yddi kidney damage ho raha hai toh definitely intervene hona chahiye otherwise medical management bhi possible hai chote stone ke liye.

Dhanyavad.

2906 people found this helpful

Chronic Kidney Disease: Causes You Need To Know

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
Play video

 

I am Dr Waheed Zaman principal consultant Urology and liver transplant Max Shalimar Bagh and Max Pitampura New Delhi. Mai yahan pe, I am the head of the transplant unit. I am looking after many CKD patients.

So I thought I will share my views on CKD, CKD is Chronic Kidney Disease and it has got 5 stages there are various causes of CKD and as we know in India diabetes and hypertension is quite common and CKD is the major cause of renal failure, patients are due to diabetes and hypertension. In India almost if you see 60% of chronic kidney failure cases are due to diabetes and hypertension, so we have to take care about the our lifestyle, you have to reduce weight, to exercise proper monitoring of weight and take less salt intake, control your sugar intake and do regular exercise, so we can prevent somehow these two diseases. The other factors are like stone disease, few congenital diseases that leads to kidney failure and a stone disease is quite common in India so that is another major cause of kidney failure or CKD can be divided into 5 stages, stage 1, 2, 3, 4 and 5. Stage 5 is that is the end state renal disease when GFR is less than 15 and hardly we can do anything with medicines, only option left is either hemodialysis or renal transplant. While in stage 1 to 4 we can have medicine, dietary modification and we can delayed this end stage renal disease. Once in a renal failure is diagnose and CKD is diagnosed within stage 5 then we have to consider about the hemodialysis, if patient is symptomatic. Kidney functions it filters the body toxins, it filters out the water from the body and it is responsible for the calcium metabolism, bone metabolism and blood formation. So it's a very important organ and if both kidneys are not functioning well that leads to kidney failure. If single kidney is ok, there will be no rise in serum creatinine that is the major blood test and very simply, simple blood test by this we can detect the kidney failure.

The other thing is urine protein that is another important, if urine protein urea is there is protein is coming out of the urine then you have to be alert consult your doctor. If renal failure is diagnosed stage 5 then plan for transplant, transplant is always a better option then hemodialysis, hemodialysis just temporary relief and it excrete de toxins and within 3 to 4 days again, we will back to the same. While kidney transplant will give the better quality of life, patient can lead normal life and average lifespan we can say with the transplant is around 12 to 15 years and there is myth in the society that somebody will donate, you will not have to take lifelong medicines that's not true, we are doing all donor nephrectomy laparoscopically and they are free and they are fit and up to work within 1 to 2 weeks. While kidney transplant is a standard technique worldwide and we have got excellent results now a days with the kidney transplant, that is around 90 to 95% success rate in our centres that is as part to the international level, and but one thing is very important they have to live discipline life, lifelong they have to be on immunosuppression. The another myth in the society that donors may lead to renal failure or later on but that is not true, because donors can lead normal life and of course discipline life then they can maintain the creatinine level don't take analgesic and unnecessary analgesic that also leads to kidney failure. For donation as far as the two types of donation one is live donation and other is cadaver kidney transplant and live donation of course only family members are allowed first degree and second degree relatives, wife and husband can donate while distant relatives are very difficult as per of the transplant law. Another is donor exchange we are doing that is the blood group match is not there in two groups then we are matching, predict transplant is possible in our centre, we are doing ABO incompatible transplant, elderly transplant, donors we are taking, so all sort of transplants we are doing and we have lot of excellent result. So transplant will definitely give better quality of life and I will request more and more people to come forward for donation that is when brain death is there, then donate your organs and even live after death that is the my request to all the audience because in India if you see we are lacking in the cadaver transplant program, so we need more and more donations, per year 2 lakh people are dying of roadside accidents if you use 10% of this we can get a huge bank of organs and from the brain death people and many-many people can be benefited with this. In India almost 2 lakh people are having renal needs renal transplant per year and hardly we are doing 8 to 9 thousand transplants per year. So definitely mai janta ko yahi kahunga ki jago aur, aur bhi organ aap donate kare, ang daan maha daan hai, aur isko samaj mein aap failaye. Yadi kisi ka brain death hota hai toh uss brain death se hum log 7-8 logo ko nayi zindagi de sakte hain. So jyada se jyada log organ donation kare isse donor badege aur jo organ failure ke patients hai unko benefit milega.

Thank you so much.

2582 people found this helpful

Ureteropelvic Junction Obstruction - How It Can Be Treated?

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
Ureteropelvic Junction Obstruction - How It Can Be Treated?

The urinary system is the second most disease prone area in the human anatomy, after the cardiovascular system of our body. Gallbladder stones, urination problems, kidney failure and many more add to the list of such diseases. The Ureteropelvic Junction Obstruction (UPJO) is another addition to the list of troubles people might face concerning their urinary tract. According to two research papers posted in the Central European Journal of Urology, UPJO and its remedies have been of common interest to medical researchers, recently. Let’s delve into further details of this disease.

The urinary system
The kidney extracts the fluid from the blood, which is then converted into urine with the help of renal parenchyma. It is a compound found in the kidney itself. Once the urine is produced by the kidney, it is transported to renal pelvis, which is the first part of the urine collection system. The renal pelvis is attached to the kidney itself. The urine finally passes through the ureter to the bladder, which excretes the urine, once it is full, through the urethra.

Ureteropelvic Junction Obstruction  UPJO
It is in the renal pelvis where the UPJO occurs. UPJO is the term commonly used to denote any blockage arising in the path of the urine from the renal pelvis to the ureter. The reason behind this blockage could be undetermined but in most of the cases one of the two happens:

  • A blood vessel might pressure a blockage, going above the ureter
  • There might be a non-functioning segment in the ureter, which is also termed as ‘congenital narrowing of the ureter’.

Symptoms of UPJO
UPJO can be very difficult to identify before any test because its symptoms are very similar to symptoms of gallbladder stone, urination difficulties, etc. Few of the symptoms, according to the patients undergoing treatment for UPJO, are as follows:
• Sudden pain in the upper abdomen portion of the body

Infection in the renal pelvis (which can only be identified after tests)
• Crystalline formations near the ureter (stones),
• Haematuria (blood mixed with the urine)

Recommended tests
It is quite astonishing how, in a few cases, UPJO may not cause any symptoms and hence pass undetected. But the commonly recommended tests for those undergoing such pain are:
• CT scan
Ultrasound
MRI

In the imaging output from these scans, the dilation in the renal pelvis can be caught. Other than these tests, several other tests are recommended to evaluate UPJO. For example, a renal sonogram may show a dilated renal pelvis, commonly known as hydronephrosis or pelvicaliectasis.

Treatment of UPJO
Transperitoneal laparoscopic pyeloplasty is currently the most popular treatment for UPJO. According to a research, 62 laparoscopic pyeloplasties were carried out. The average age of the patients consulting a specialist was 40 years, out of which 52% were female. The most common reason for consultation was urethral pain with or without infections, and 94% of patients had a total or partial obstructive pattern. The main reason behind the patients’ urge to treat UPJO with pyeloplasty was that it has the advantages of a minimally invasive surgery.

Conclusion
Even a minute pain in the abdomen can be infectious.Hence, it is recommended to undergo the medical tests that have been mentioned and treat UPJO with pyeloplasty before perilous complications arise.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Renal Tumors - Understanding The Benign And Malignant Types!

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
Renal Tumors - Understanding The Benign And Malignant Types!

People often confuse renal tumors with renal cancer. Not all renal tumors are malignant in nature. Some of them can be benign as well. Mentioned below are the renal tumors, both benign as well as malignant.

Benign Renal Tumors
As the term suggests, these tumors are noncancerous and do not metastasize. The benign renal tumors can be of the following types

  1. Renal Adenoma: One of the most common types of benign renal tumors, renal adenoma are asymptomatic, low-grade, solid tumors which are quite small in size. It is yet not known as to what triggers the occurrence of renal adenoma. The renal adenoma seldom interferes with the normal kidney function. There may, however, be a problem if this tumor grows in size, where they mimic the RCC (Renal cell carcinoma) in their symptoms.
  2. Angiomyolipoma: This type of benign renal tumor is rare and often triggered by a genetic mutation (inherited). Also called as Renal Hamartoma, the tumor is often found to be a complication associated with Tuberous Sclerosis (a genetic condition that results in tumor formation in different body parts including the kidney). Angiomyolipoma, not triggered by Tuberous Sclerosis is often found to affect women who are middle aged.
  3. Renal Oncocytoma: The trigger for Renal Oncocytoma is not known. Unlike the renal adenomas, renal oncocytoma can grow quite large in size and are usually asymptomatic, with males being more susceptible to the condition. Another striking feature about renal oncocytoma is that it can occur in the other body parts as well.
  4. Fibroma: As the name suggests, fibroma is benign tumors originating from the fibrous tissues on the kidneys or adjacent to it. These rare tumors are small in size, with the exact cause being unknown. Fibroma is asymptomatic, affecting women more than men.
  5. Lipoma: Mainly affecting middle aged women, lipomas are found to originate from the fat cells located within the kidney (renal capsule) or adjacent tissues. Lipomas can be painful and cause hematuria when they increase in size.

Malignant Renal Tumors
As the name suggests, there are cancerous tumors that can metastasize to other body parts. The malignant renal tumors can be of the following types

  1. Renal cell carcinoma (RCC): Known to develop in the kidney tubules, the cancerous outgrowths can cause renal obstruction. One of the most common types of renal cancer, RCC can affect one or both of the kidneys.
  2. Depending on the microscopic observation, RCC may further be divided into
    1. Clear Cell RCC: Accounting for nearly 80% of the total RCC, under a microscope, the clear cell RCC appears clear and pale.
    2. Papillary RCC: Accounting for 10-15 percent of RCC, the Papillary RCC is characterized by the formation of finger-like projections within the tumor.
    3. Chromophobe RCC: The Chromophobe RCC are large with microscopically appearing clear and pale.
    4. Collecting duct RCC: Being quite aggressive, cancer cells in collecting duct RCC results in the formation of irregular tubes inside the renal tumor
  3. Transitional cell carcinoma: Also referred to as Urothelial Cancer or Renal Pelvis Carcinoma, the transitional cell carcinoma forms at the merger point of the kidney and the ureter.
  4. Renal sarcoma: It is a rare type of renal cancer originating in the connective tissue of the kidney.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2924 people found this helpful

I have kidney stones in kidney Right kidney have 4 mm in the lower calyx Left kidney have 3 mm in lower calyx Is very painful please suggest me some medicine.

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
I have kidney stones in kidney
Right kidney have 4 mm in the lower calyx
Left kidney have 3 mm in lower calyx
Is very...
Drink plenty of water, coconut water and laminate. Use one lemon daily. SPONTANEOUS passage is likely.
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I have a kidney stone of 5.1 *3.8 mm. It is on my left kidney ureter is that the surgery required or not? And I have a multiple stones on my both kidneys. And I have pain on my left side. What can I do? And which medication can I took. Is it surgery required or not. Can I go without surgery. Is that homeopathy is good r what? Please answer me. Thank you.

MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
I have a kidney stone of 5.1 *3.8 mm. It is on my left kidney ureter is that the surgery required or not? And I have ...
Take plenty of water, coconut water and lemonade. One lemon daily SPONTANEOUS passage is likely Do stone analysis.
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