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Sarvodaya Hospital, Faridabad

Sarvodaya Hospital

  4.4  (17 ratings)

Urologist Clinic

YMCA Road, Sector-8, Near ESI Hospital Faridabad
1 Doctor · ₹450
Book Appointment
Call Clinic
Sarvodaya Hospital   4.4  (17 ratings) Urologist Clinic YMCA Road, Sector-8, Near ESI Hospital Faridabad
1 Doctor · ₹450
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Sarvodaya Hospital
Sarvodaya Hospital is known for housing experienced Urologists. Dr. Tanuj Paul Bhatia, a well-reputed Urologist, practices in Faridabad. Visit this medical health centre for Urologists recommended by 86 patients.

Timings

MON-SAT
11:00 AM - 01:00 PM

Location

YMCA Road, Sector-8, Near ESI Hospital
Sector 8 Faridabad, Haryana - 121006
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Hi!<br/><br/>I m Dr. Tanuj Paul Bhatia, senior consultant of urology at Sarvodya hospital, Farida...

Hi!

I’m Dr. Tanuj Paul Bhatia, senior consultant of urology at Sarvodya hospital, Faridabad.

So I will discuss what is urology? And mainly about kidney stones today. Urology is a branch of medicine which deals with male and female urinary tract and male reproductive organs. Basically in this we deal with the kidneys, where it is formed and then it comes to ureter and through the ureter it comes to the bladder and then it does empties through urethra and comes out of the body. So this is our entire urinary system and the diseases of this entire system is dealt by urologist i.e. us. So when we come to kidney stones we know that kidney stone is a very common disease, it is highly prevalent in almost whole of entire north India and states like Punjab, Haryana, Delhi and Rajasthan. They form part of stone built of India and stone built of the world. That is mainly because in this regions the temperatures are very high mainly due to summers and water consumption is not enough and most of the people tend to be dehydrated which is also occurring in the formation of kidney stones. Now if we come to etiology of kidney stone that is why our kidneys stones formed? In some people it is because the condition is genetic, they have parents or grandparents who were the stone former so the genes are passed on and they have the tendency of formation of stones. Sometimes there are patients who have other diseases which can lead to stone formation or sometimes during treatment e.g. some forms of bilateral surgery or excessive dieting can also lead to the formation of kidney stones most of the patients, however, do not have a specific reason of stone formation and they are etiologic stone formers. When it comes to symptoms of kidney stones, most common symptoms of kidney stone is pain and the pain is very typical, patients usually typically complain of back pain which rotates either from back to front or lower part of abdomen or from lower part of abdomen to the back. And sometimes male can experience pain in the scrotum and females can experience pain in the vulva region as well because of the kidney stone when they are obstructing. Having said that it is rather ironical sometimes bigger stones can actually be asymptomatic and detect on investigations done on the other purposes. So when it comes to diagnosis of kidney stones most useful entity to us for diagnosis is ultrasound.

Ultrasound is a non-invasive test and it offers them as a screening test. For urologist it is a examination of a clinical examination, it is the extension of the clinical examination. So most of the times stones are identified on ultrasound and when required we do the CT scan to further confirm the size and location of kidney stone as well as the density i.e. how hard is that stone. And these tool examination mainly form are basic outcomes. So when it comes to treatment of kidney stones the treatment of kidney stones depends on the size of the kidney stones, the location of the kidney stones and whether it is causing any complications. So when we talk about size it has been seen in most of the studies that stones that are lesser than 6mm have good chance of passing out by itself. So we always try conservative approach for these patients and we keep them on medications. Most of the patients that is about 80-90% of the patients who develop the pain due to stones have small stones and they do not require any surgery and they will pass out the stones with themselves with some additional medicines which will keep them pain free and their ureter to relax and in turn helps the stone to pass out themselves. When the stones is bigger than 6mm the chances of passing out spontaneously decrease. As the sizes increases further the chances decreases further. Similarly if the stone is tuck in the upper part of the urinary tract the chances of passing out spontaneously are less however if the stone is tuck in the lower part of urinary tract the chances of passing spontaneously is good. So third thing is complications, so whenever there is stone and it is causing recurrent urinary tract infection or it is causing fever or it is cause disengagement of the renal functions then it requires urgent treatment and it has to be removed. When we talk about surgeries of kidney stone there are different types of surgeries. So when the stone is in the kidney itself basically we can do 3 types of surgeries. One is ESWL or lithotripsy. In ESWL the patient is made to lie on a bed and some shock waves are applied to this part of the abdomen and they help the stones to break. However disadvantages of ESWL is that the success rate is relatively poor when compared to other modalities and they usually requires repetition.

So then came the era of PCNL. PCNL is the procedure which is called as percutaneous nephrolithotomy. In this the hole is made at the back and into the kidney and endoscope is passed into the kidney and stone is broken and removed. So it is a very good techniques but nowadays it is prefer only for very large stones and the latest technique in treatment of kidney stones is RIRS which is retrograde intrarenal surgery. In RIRS we basically go through a normal urinary tract and that is we go through the urethra up into the bladder and through the ureter we go into the kidney. And with this flexible urethroscope we break the stone there and there in the kidney itself, we make it into a very fine dust like substance and then we put it in a stand and come out. So most of the time this dust clears has ureter dilates because of the strand. However it has its own limitations specially when there is a very large stone e.g. stones larger than 2cm you may require multiple sitting of RIRS but for stones less than 2cm RIRS is now the preferred procedure. It is also preferred when the kidney is located in the abnormal position like in the pelvis or it is the malrotated kidney because when the kidney becomes difficult to approach via other modalities and but flexible endoscopy or RIRS we can reach it and we can break the stone then and there. When it comes to stone in ureter there are 2 modalities that are used to treat.1 is ureteroscopy which is a straight reject stereoscope and it is used to access the ureter and the stone is broken and removed. When the stone is in the upper part of kidney again there is a high chance of reproduction. Retrobuction is passing out the stone back into the kidney so if it is going back into the kidney the advantages of RIRS comes in, we can pass the flexible ureteroscope through the same route going into the kidney and break the stone which is retro pass back into the kidney. When it comes to bladder stones there are 3 procedures which are done one is cystolitholapaxy, then cystolithotripsy, and percutaneous cystolithotripsy. It depends on the size of the stone that which procedure will be done. If the stone is not very big it can be crush using a special forceps which is called as cystolitholapaxy. If the stone is between 1-5 cm then it can be broken through the normal urinary tract to transvaginal cystolithotripsy. If the stone is very big a small tract is made in the upper pelvic area and the stone is fragmented and removed.

Thank you!

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Doctor in Sarvodaya Hospital

Dr. Tanuj Paul Bhatia

DNB (Urology), MS (Gen Surgen), MBBS
Urologist
87%  (16 ratings)
12 Years experience
450 at clinic
₹350 online
Available today
11:00 AM - 01:00 PM
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How Do Kidney Stones Form?

DNB (Urology), MS (Gen Surgen), MBBS
Urologist, Faridabad
Play video

Hi!

I’m Dr. Tanuj Paul Bhatia, senior consultant of urology at Sarvodya hospital, Faridabad.

So I will discuss what is urology? And mainly about kidney stones today. Urology is a branch of medicine which deals with male and female urinary tract and male reproductive organs. Basically in this we deal with the kidneys, where it is formed and then it comes to ureter and through the ureter it comes to the bladder and then it does empties through urethra and comes out of the body. So this is our entire urinary system and the diseases of this entire system is dealt by urologist i.e. us. So when we come to kidney stones we know that kidney stone is a very common disease, it is highly prevalent in almost whole of entire north India and states like Punjab, Haryana, Delhi and Rajasthan. They form part of stone built of India and stone built of the world. That is mainly because in this regions the temperatures are very high mainly due to summers and water consumption is not enough and most of the people tend to be dehydrated which is also occurring in the formation of kidney stones. Now if we come to etiology of kidney stone that is why our kidneys stones formed? In some people it is because the condition is genetic, they have parents or grandparents who were the stone former so the genes are passed on and they have the tendency of formation of stones. Sometimes there are patients who have other diseases which can lead to stone formation or sometimes during treatment e.g. some forms of bilateral surgery or excessive dieting can also lead to the formation of kidney stones most of the patients, however, do not have a specific reason of stone formation and they are etiologic stone formers. When it comes to symptoms of kidney stones, most common symptoms of kidney stone is pain and the pain is very typical, patients usually typically complain of back pain which rotates either from back to front or lower part of abdomen or from lower part of abdomen to the back. And sometimes male can experience pain in the scrotum and females can experience pain in the vulva region as well because of the kidney stone when they are obstructing. Having said that it is rather ironical sometimes bigger stones can actually be asymptomatic and detect on investigations done on the other purposes. So when it comes to diagnosis of kidney stones most useful entity to us for diagnosis is ultrasound.

Ultrasound is a non-invasive test and it offers them as a screening test. For urologist it is a examination of a clinical examination, it is the extension of the clinical examination. So most of the times stones are identified on ultrasound and when required we do the CT scan to further confirm the size and location of kidney stone as well as the density i.e. how hard is that stone. And these tool examination mainly form are basic outcomes. So when it comes to treatment of kidney stones the treatment of kidney stones depends on the size of the kidney stones, the location of the kidney stones and whether it is causing any complications. So when we talk about size it has been seen in most of the studies that stones that are lesser than 6mm have good chance of passing out by itself. So we always try conservative approach for these patients and we keep them on medications. Most of the patients that is about 80-90% of the patients who develop the pain due to stones have small stones and they do not require any surgery and they will pass out the stones with themselves with some additional medicines which will keep them pain free and their ureter to relax and in turn helps the stone to pass out themselves. When the stones is bigger than 6mm the chances of passing out spontaneously decrease. As the sizes increases further the chances decreases further. Similarly if the stone is tuck in the upper part of the urinary tract the chances of passing out spontaneously are less however if the stone is tuck in the lower part of urinary tract the chances of passing spontaneously is good. So third thing is complications, so whenever there is stone and it is causing recurrent urinary tract infection or it is causing fever or it is cause disengagement of the renal functions then it requires urgent treatment and it has to be removed. When we talk about surgeries of kidney stone there are different types of surgeries. So when the stone is in the kidney itself basically we can do 3 types of surgeries. One is ESWL or lithotripsy. In ESWL the patient is made to lie on a bed and some shock waves are applied to this part of the abdomen and they help the stones to break. However disadvantages of ESWL is that the success rate is relatively poor when compared to other modalities and they usually requires repetition.

So then came the era of PCNL. PCNL is the procedure which is called as percutaneous nephrolithotomy. In this the hole is made at the back and into the kidney and endoscope is passed into the kidney and stone is broken and removed. So it is a very good techniques but nowadays it is prefer only for very large stones and the latest technique in treatment of kidney stones is RIRS which is retrograde intrarenal surgery. In RIRS we basically go through a normal urinary tract and that is we go through the urethra up into the bladder and through the ureter we go into the kidney. And with this flexible urethroscope we break the stone there and there in the kidney itself, we make it into a very fine dust like substance and then we put it in a stand and come out. So most of the time this dust clears has ureter dilates because of the strand. However it has its own limitations specially when there is a very large stone e.g. stones larger than 2cm you may require multiple sitting of RIRS but for stones less than 2cm RIRS is now the preferred procedure. It is also preferred when the kidney is located in the abnormal position like in the pelvis or it is the malrotated kidney because when the kidney becomes difficult to approach via other modalities and but flexible endoscopy or RIRS we can reach it and we can break the stone then and there. When it comes to stone in ureter there are 2 modalities that are used to treat.1 is ureteroscopy which is a straight reject stereoscope and it is used to access the ureter and the stone is broken and removed. When the stone is in the upper part of kidney again there is a high chance of reproduction. Retrobuction is passing out the stone back into the kidney so if it is going back into the kidney the advantages of RIRS comes in, we can pass the flexible ureteroscope through the same route going into the kidney and break the stone which is retro pass back into the kidney. When it comes to bladder stones there are 3 procedures which are done one is cystolitholapaxy, then cystolithotripsy, and percutaneous cystolithotripsy. It depends on the size of the stone that which procedure will be done. If the stone is not very big it can be crush using a special forceps which is called as cystolitholapaxy. If the stone is between 1-5 cm then it can be broken through the normal urinary tract to transvaginal cystolithotripsy. If the stone is very big a small tract is made in the upper pelvic area and the stone is fragmented and removed.

Thank you!

2871 people found this helpful

Are Kidney Stones Really Common?

DNB (Urology), MS (Gen Surgen), MBBS
Urologist, Faridabad
Are Kidney Stones Really Common?

The kidneys may be a pair of small organs but they perform a very important function. Without the kidneys, it is impossible to filter blood and remove toxins from the body. One of the common problems associated with kidneys is the development of a kidney stone. This can be described as a hard, pebble like substance that is formed when urine contains high levels of certain minerals. Kidney stones vary in size and shape. Small stones may pass through the ureter into the bladder and out of the body with minimal discomfort. However, in some cases, a kidney stone can be as large as a golf ball. In such cases, it can block the urine flow and cause extreme amounts of pain as well as bleeding. In such cases, a doctor needs to be consulted as early as possible.

There are four different types of kidney stones.

  1. Calcium Stones: This is the most common type of kidney stones. It is caused by excess calcium that is not flushed out with the urine.
  2. Uric acid stones: Highly acidic urine can trigger the development of such stones. This may be caused by excessive consumption of meat, fish and shell fish.
  3. Struvite stones: This is often formed as a side effect of Urinary tract infections. These stones may develop and grow rapidly.
  4. Cystine stones: These stones are formed as a result of a genetic disorder known as cystinuria. This disorder causes an amino acid known as cysteine to leak into the urine.

Kidney stones are a fairly common occurrence. It affects both men and women but men have a higher risk of developing kidney stones as compared to women. Other risk factors that can influence kidney stones are:

  1. Family history of kidney stones
  2. Not drinking enough water
  3. Obesity
  4. Digestive problems
  5. Recurrent UTIs
  6. Gout
  7. Bowel inflammation
  8. Disease that causes blockage of the urinary tract
  9. Certain medications such as diuretics or calcium based antacids

Once a person has been diagnosed with a kidney stone, this issue can recur. Treatment for kidney stones depends on the type of stones, size and location. In most cases, medication is prescribed to help break the stone down into smaller parts so that it can pass through urine. In extreme cases, surgery may be required. If not treated in time, it can cause severe pain, bloody urine, UTIs that can further lead to kidney failure and reduced kidney functioning.

Kidney stones can be prevented by drinking plenty of fluids and making a few dietary changes. Ideally, a person should have a minimum of 8-10 glasses of water a day. If you have a high risk of developing any type of kidney stones, reduce your sodium consumption and the amount of meat eaten.

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

2878 people found this helpful

Hello Doctor, In a recent USG report of my father, 60 years of age, his prostate showing moderate to gross enlarge in size measuring 80.3 cc and median lobe indenting into bladder wall. I am so much worried since he is difficult urinating with an average of 10 to 15 times in a day. Doctors just suggested medicines & a PSA test that yet to come. Is this serious? Will it be fine with medicines or we should go for TURP? Need your help asap!

DNB (Urology), MS (Gen Surgen), MBBS
Urologist, Faridabad
Hello Doctor, In a recent USG report of my father, 60 years of age, his prostate showing moderate to gross enlarge in...
Hi, if he is responding well to medicines, he may not require surgery. PSA report is important. And if his prostate is 80g and if he does require surgery Holimium Laser prostatectomy (HoLEP) would be a better option than TURP for such a large prostate.
1 person found this helpful
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Preventing Kidney Stone

DNB (Urology), MS (Gen Surgen), MBBS
Urologist, Faridabad
Preventing Kidney Stone

Stay well hydrated throughout the day to avoid #kidneystone formation.

September 2013 I was diagnosed with Advanced Metastatic Prostate by DRE, a T4 large lesion invading the outer rectum. A 328 urg/l on Lucrin and bicalutamide afer 12 months I changed to Zoladex 3 monthly injections because of side effects namely loss of muscle and pain.

DNB (Urology), MS (Gen Surgen), MBBS
Urologist, Faridabad
The question is not very clear. If you have a metastatic ca prostate and you were put on hormone ablation therapy your disease should be regularly monitored with your psa values.
3 people found this helpful
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