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Indian Spinal Injuries Centre, Delhi

Indian Spinal Injuries Centre

Urologist Clinic

Opp Vasant Valley School, Sector C, Vasant Kunj Delhi
1 Doctor · ₹1350 · 5 Reviews
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Call Clinic
Indian Spinal Injuries Centre Urologist Clinic Opp Vasant Valley School, Sector C, Vasant Kunj Delhi
1 Doctor · ₹1350 · 5 Reviews
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We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Indian Spinal Injuries Centre
Indian Spinal Injuries Centre is known for housing experienced Urologists. Dr. Sarwar Eqbal, a well-reputed Urologist, practices in Delhi. Visit this medical health centre for Urologists recommended by 80 patients.

Timings

MON-TUE, FRI
12:00 PM - 04:00 PM

Location

Opp Vasant Valley School, Sector C, Vasant Kunj
Vasant Kunj Delhi, Delhi - 110070
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Hi, I am Dr Sarwar Eqbal. I am Urologist and I hav done MBBS in the year 1999, MS in General surg...

Hi, I am Dr Sarwar Eqbal. I am Urologist and I hav done MBBS in the year 1999, MS in General surgeon in 2002. Later I have done snior residency in Urology from reputed Insitute of Delhi. Then I have done the urology in kidney transplant in Sir Gangaram Hospital, Delhi, in the year of 2008. I am working as a consultant urologist from last 8 years. And I would have attached to reputed hospitals in the Delhi NCR region.

Today I am going to talk about the major problem which people are facing in Delhi, that is, Urolithiasis or Kidney stones. The kidney stone issue has become very commonin the Delhi-NCR region. Out of 8-10 cases of OPD, we a can see 5-6 cases of kidney stone, and it is more common in male. The most common cause we see is an inadequate hydrateion body because of which there occur crystallization of urine which sediments in kidney and become stones later on. So , you have to be more carefull about your health. This kind of problem is very common in summers because of the sweating, there is a lack of water in the body which gets precipitated in the kidney and takes the shape of a stone.

Stone is one of the common cause of destruction or damage of the kidney world wide. So, what we do in case of the kidney stone?

The first thing is the awareness. They should know the cause of kidney stones, or how it can be checked or prevented. So, keep yourself hydrated throughout the summer. You are supposed to have that much amount of water which can make you produce atleast 2 litres of urine pe day.

In certain cases, it is very common amongst the family. May be in the family, or may be related to some kind of food which is very common, specially the non veg which may cause urinary stones.

Now, let us come to the different kind of stones which is vry common all around India;

  • Oxalate stone
  • Ureteral stones and the other stone

Now, what does these Kidney stones cause?

These types of stones are formed in the kidney and they grow with time and they can take the size of the stone, ehrein they are called size of the kidney. So they start forming in the kidney. If proper precautions are not taken , they can take the shape of the kidney and can enlarge to the kidney size. This is called staghorn calculus, which can cause complete destruction of kidney and leads to kidney failure. When the stone size is small, they can cause obstruction of the kidney at certain point, like the pigeon of the kidney is the common cause of obstruction, which leads to swelling in the kidney, pain, infection. If it is not treated on time, it can cause complete damage to kidney permanently. They can trickle down to uretor. Uretor is a line that connects kidney and the urinary bladder. So, they can obstruct the uretor at any point of kidney upto the bladder level. This can cause urinary chronic which is a severe pain associated with Nausea, vomiting, burning sensations and also sometimes can cause blood in the urine. If it is not treated on time, it can lead to complete destruction of kidney.

Sometimes these stones enetrs the urinary bladder and can choke the urethera. Due to this, patients may have some problem in passing urine, which is called obstruction of the retention of urine for which we may require catheterization and later the removal of the stone.

What are the modality in the treatment of kidney stones?

The modalities depends on the size of the kidney stones as well as the location of the stones. The other parameters like the diabetes, hypertension, CADS related conditions with the patients.

The size and position of the stone. 

The management depends on the stone size and the location. If the size of the stone is < 1 cm and lies anywhere inside the kidney. Then the treatment procedure is very simple, which is known as ESWL lithotripsy. It requires some small waves targeting the stones which makes the stone pulverised (sand like) and expelled out through the urine itself. But if the stone size is big, like more than 1 cm or 1.5 cm, then the choice of treatment will be miniperc. And if the size of the stone is < 1.5 cm and the patient is not ready for ESWL. Because ESWL requires some staging, then the other great option is RIRS, which is known as the Retrograde Intrarenal Surgery.

In RIRS, we put the endocscope through urinary passage and break the stone through laser. The fragments are taken out from the kidney itself. The patient does not require any kind of incision, not even the button hole incision. When the stone is inside the ureter, then the treatment of choice is URS, which is called Ureteroscopy. If the stone is inside the bladder, then the treatment procedure will be Laser lithotipsy. In this process, we pass the endoscope through the bladder and pulverise the stone and take out the fragments through it.

If you have any such problem. Like stones in the kidney or ureter or bladder, you can contact me through Lybrate.

Thank you.

 

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Dr. Sarwar Eqbal

MBBS, MS - General Surgery, DNB - Urology
Urologist
87%  (10 ratings)
18 Years experience
1350 at clinic
₹300 online
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Enlarged Prostate Surgery - What To Expect?

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
Enlarged Prostate Surgery - What To Expect?

Enlarged prostate surgery is a very common type of surgery that many have to undergo nowadays. An enlarged prostate causes many health problems including urinary tract obstructions and urinary tract infections. It may also lead to the passing of blood via urine. Thus, enlarged prostate must be treated as soon as possible as neglect may lead to prostate cancer and its associated health issues. There are various types of prostate surgeries that a doctor performs on his/her patients. However, of late, radical prostatectomy is the most popular of them all.

What is Radical Prostatectomy?

This process can be handled in two ways. Firstly, the prostate can be reached through an incision in the abdomen. This would help the doctor work with precision and carefully avoid all the other nerves and muscles in the area the operation take places. The prostate is examined and any nodule or lymph formed over it is carefully removed. The advantage of this surgery is that the patient is less likely to suffer from any erectile problems post- surgery. The second option would be to make an incision between the scrotum and the anus. This process is best for those who are obese. The surgery is performed quickly and there is less loss of blood. Furthermore, the healing time is less too.

How To Recover From The Surgery?

Like most other prostate operations, even in radical prostatectomy, you would have to wear a catheter till you recover completely. For a few days post the surgery your urine would be collected through a urine bag attached to the catheter. One might feel a little sore in his/her genitals after the surgery, but that is quite normal to occur. The soreness is caused due to the surgery and the incisions made and would heal in a matter of a few days. Interestingly, since the urethra plays an important role in this surgery, the catheter has to be in place for at least two to three weeks but the patient can be discharged after a two to three night stay at the hospital. It is advised that the patient takes ample rest. But this does not mean all rest and no work. In fact, it is seen that patients can walk a little and even go back to a normal diet within a week to ten days of the operation. But regular checkups, till the urethra is healed, are compulsory.

Hence, these are some of the recovery procedures after an enlarged prostate surgery. Such surgeries are quite common and heal quickly. If you wish to discuss about any specific problem, you can consult a Urologist.

2 people found this helpful

Know More About Kidney Stones!

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
Play video

Hi, I am Dr Sarwar Eqbal. I am Urologist and I hav done MBBS in the year 1999, MS in General surgeon in 2002. Later I have done snior residency in Urology from reputed Insitute of Delhi. Then I have done the urology in kidney transplant in Sir Gangaram Hospital, Delhi, in the year of 2008. I am working as a consultant urologist from last 8 years. And I would have attached to reputed hospitals in the Delhi NCR region.

Today I am going to talk about the major problem which people are facing in Delhi, that is, Urolithiasis or Kidney stones. The kidney stone issue has become very commonin the Delhi-NCR region. Out of 8-10 cases of OPD, we a can see 5-6 cases of kidney stone, and it is more common in male. The most common cause we see is an inadequate hydrateion body because of which there occur crystallization of urine which sediments in kidney and become stones later on. So , you have to be more carefull about your health. This kind of problem is very common in summers because of the sweating, there is a lack of water in the body which gets precipitated in the kidney and takes the shape of a stone.

Stone is one of the common cause of destruction or damage of the kidney world wide. So, what we do in case of the kidney stone?

The first thing is the awareness. They should know the cause of kidney stones, or how it can be checked or prevented. So, keep yourself hydrated throughout the summer. You are supposed to have that much amount of water which can make you produce atleast 2 litres of urine pe day.

In certain cases, it is very common amongst the family. May be in the family, or may be related to some kind of food which is very common, specially the non veg which may cause urinary stones.

Now, let us come to the different kind of stones which is vry common all around India;

  • Oxalate stone
  • Ureteral stones and the other stone

Now, what does these Kidney stones cause?

These types of stones are formed in the kidney and they grow with time and they can take the size of the stone, ehrein they are called size of the kidney. So they start forming in the kidney. If proper precautions are not taken , they can take the shape of the kidney and can enlarge to the kidney size. This is called staghorn calculus, which can cause complete destruction of kidney and leads to kidney failure. When the stone size is small, they can cause obstruction of the kidney at certain point, like the pigeon of the kidney is the common cause of obstruction, which leads to swelling in the kidney, pain, infection. If it is not treated on time, it can cause complete damage to kidney permanently. They can trickle down to uretor. Uretor is a line that connects kidney and the urinary bladder. So, they can obstruct the uretor at any point of kidney upto the bladder level. This can cause urinary chronic which is a severe pain associated with Nausea, vomiting, burning sensations and also sometimes can cause blood in the urine. If it is not treated on time, it can lead to complete destruction of kidney.

Sometimes these stones enetrs the urinary bladder and can choke the urethera. Due to this, patients may have some problem in passing urine, which is called obstruction of the retention of urine for which we may require catheterization and later the removal of the stone.

What are the modality in the treatment of kidney stones?

The modalities depends on the size of the kidney stones as well as the location of the stones. The other parameters like the diabetes, hypertension, CADS related conditions with the patients.

The size and position of the stone. 

The management depends on the stone size and the location. If the size of the stone is < 1 cm and lies anywhere inside the kidney. Then the treatment procedure is very simple, which is known as ESWL lithotripsy. It requires some small waves targeting the stones which makes the stone pulverised (sand like) and expelled out through the urine itself. But if the stone size is big, like more than 1 cm or 1.5 cm, then the choice of treatment will be miniperc. And if the size of the stone is < 1.5 cm and the patient is not ready for ESWL. Because ESWL requires some staging, then the other great option is RIRS, which is known as the Retrograde Intrarenal Surgery.

In RIRS, we put the endocscope through urinary passage and break the stone through laser. The fragments are taken out from the kidney itself. The patient does not require any kind of incision, not even the button hole incision. When the stone is inside the ureter, then the treatment of choice is URS, which is called Ureteroscopy. If the stone is inside the bladder, then the treatment procedure will be Laser lithotipsy. In this process, we pass the endoscope through the bladder and pulverise the stone and take out the fragments through it.

If you have any such problem. Like stones in the kidney or ureter or bladder, you can contact me through Lybrate.

Thank you.

 

3112 people found this helpful

4 Procedures To Treat Large Kidney Stones

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
4 Procedures To Treat Large Kidney Stones

A kidney stone may not be as big as the stones in your garden but can be quite a pain. Kidney stones are actually mineral crystals formed that are usually a combination of calcium and phosphates. The size of a kidney stone ranges from the size of a sugar crystal to a ping pong ball. While some kidney stones pass out of the body with urine, others can block the urethra and become painful. 

In addition to being painful, a kidney stone can cause permanent damage to your kidneys. Since large kidney stones are usually painful, they rarely go undiagnosed. However, if a kidney stone is left untreated, it could cause the kidney to atrophy and lower the functionality of the kidney. Kidney stones that are related to an infection can also lead to chronic urinary tract infections and damage the kidney through scarring and inflammation. This could eventually lead to kidney failure.
Not all kidney stones need to be treated with surgery. Of the kidney stone is very small, your doctor may prescribe plenty of water and medication to treat the pain. With plenty of water, you should be able to pass the stone in your urine. Ideally, you should take plenty of rest until the stone is passed. 
 Larger kidney stones may need you to be hospitalized for treatment. These are:

- Extracorporeal Shock Wave Lithotripsy (ESWL)
To begin this form of treatment, a painkiller is administered. Ultrasonic waves are used to determine the location of the kidney stone. Shock waves are then passed though the kidney stone to break it into smaller pieces. These can then be passed out of the body through urine.

- Ureteroscopy
This is also called retrograde intrarenal surgery and is performed when the kidney stone is stuck in the ureter. A ureteroscope is passed through the urethra and bladder into the ureter. Laser energy may then be used to break the stone into smaller pieces to unblock the ureter. 

- Percutaneous Nephrolithotomy (PCNL)
This surgery is performed under general anesthesia.  It involves a small incision being made in the back and a nephroscope passed into the kidney through it. Laser or pneumatic energy is then used to break up the stone into smaller pieces and pull them out. 

- Open Surgery
Open surgery is performed only in the case of an abnormally large stone or abnormal anatomy of the person. An incision is made in the back that allows the doctor to access the kidney and manually remove the stone. If you wish to discuss about any specific problem, you can consult a Urologist.

1751 people found this helpful

I have a stone in my urine pipe near about 8 mm what kind of medicine I take for through out.

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
I have a stone in my urine pipe near about 8 mm what kind of medicine I take for through out.
If it's really 8 mm then it's very hard to be removed by itself or by medicines. It will eventually require endoscopy.
1 person found this helpful
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Common Symptoms and Treatments Available for Kidney Stones

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
Common Symptoms and Treatments Available for Kidney Stones

Our kidneys are an important organ in the body and are responsible for the filtration of blood and creation of urine. Sometimes, during this process salt and other chemicals get stuck together to form small crystals also known as kidney stones. The size of a kidney stone can range from the size of a sugar crystal to the size of a ping pong ball. However, it is noticed only if it is large enough to cause a blockage. Smaller stones may pass out of the body without you realizing it.

Kidney stones can be a very painful experience. Some of the symptoms exhibited by patients suffering from kidney stones are:

1. Severe back pain
2. Pain in the belly or groin
3. Painful urination
4. Frequent urination
5. Nausea and vomiting
6. Blood in the urine

Excruciating pain is usually the symptom that makes a patient consult a doctor in cases of kidney stone problems. A confirmed diagnosis can then be made by using a series of tests that include an X-ray, ultrasound, CT scan and urine analysis. A blood test may also be conducted to check the mineral levels in the body.

Kidney stones are a common condition faced by many people, but some people are at a higher risk of suffering from this than others. Some of these factors are:

1. Family history of kidney stones
2. High uric acid levels in the blood
3. Being between 20-50 years of age
4. A previous kidney stone
5. Chronic diseases such as diabetes and high blood pressure
6. Some medication such as diuretics and antacids with calcium
7. Inadequate fluid intake

Between men and women, the former are at a higher risk of suffering from kidney stones. Asians and Caucasians also suffer from this condition more than people from other races. Hormone changes during pregnancy can also trigger the formation of kidney stones.

The first thing to do if you suffer from a kidney stone is to increase your water intake. This can help dissolve some of the minerals in the stone and make it a small enough to pass through the urethra. Injectable anti-inflammatory drugs and pain relievers may be used to ease the pain caused by kidney stones.

If the kidney stone does not pass on its own, a process known as lithotripsy may also be used. This involves the administration of shock waves that can break a large stone into smaller pieces. In extreme cases, surgical techniques may also be used. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2812 people found this helpful

Are You at Risk of a Prostate Disease?

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
Are You at Risk of a Prostate Disease?

What menstrual problems are to women, prostate problems are to men. The prostate is a gland in the lower abdomen that aids in the production of semen. The prostate is walnut sized in a young man, but can get enlarged with age. As it grows bigger, it can cause a number of problems. These are commonly seen after a man celebrates his 50th birthday.

There are three common prostate problems faced by men. Some of the symptoms that can tell if a man has a prostate problem are:

1. Difficulty faced while urinating.
2. The urge to urinate frequently at night.
3. Constant feeling of a full bladder.
4. Pain while urinating.
5. Blood in urine.

Prostatitis

This can be defined as inflammation of the prostate gland. In most cases the cause of this inflammation is unknown. However, there are two types of prostatitis; bacterial and nonbacterial. While the former reacts well to antibiotics, the latter is more difficult to control. Symptoms of this disease vary from one person to the next. Some of the factors that could trigger this disease are:

1. Chemical irritants
2. Past bacterial infection
3. Dysfunctional pelvic floor muscles
4. Sexual abuse
5. Chronic anxiety

Enlarged prostate

As mentioned earlier, as men get older, the prostate gland tends to grow in size. This growth is benign, but can block the bladder neck and prostatic urethra. This can cause problems urinating and lead to acute urinary retention. This can be very painful. Inserting a catheter can provide temporary relief and help release stored urine. Chronic retention is much less common and is associated with high bladder pressure and can damage the kidneys.

Prostate cancer

Advancing age and family genetic history are said to be the main triggers of prostate cancer. This type of cancer can remain restricted to the prostate gland in its early stages but may spread to the other glands as the cancer advances. This can also cause the growth of secondary tumors in the bones.

The only way to correctly diagnose a prostate problem is with a thorough physical examination. This includes a digital rectal exam where the doctor will insert a gloved finger into your rectum to check the size of your prostate, a blood test, mid stream urine tests and ultrasounds. In some cases a biopsy of the prostate may also be required. Depending on the diagnosis, your doctor may prescribe antibiotics, surgery, radiotherapy or hormone therapy to manage your prostate. Or, you can also consult a specialist online.

2733 people found this helpful

Bladder Tumor and Its Common Causes

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
Bladder Tumor and Its Common Causes

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.

Diagnosis

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.

Treatment

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.

2744 people found this helpful

Know About Laser Prostate Surgery

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
Know About Laser Prostate Surgery

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.

4339 people found this helpful
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