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Dr.  Rakesh Khera  - Urologist, Gurgaon

Dr. Rakesh Khera

DNB (Genito Urinary Surgery), M.B.B.S., M.Ch (Genito Urinary Surgery), M.S. (...

Urologist, Gurgaon

26 Years Experience  ·  900 at clinic
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Dr. Rakesh Khera DNB (Genito Urinary Surgery), M.B.B.S., M.Ch (Genito Urin... Urologist, Gurgaon
26 Years Experience  ·  900 at clinic
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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Rakesh Khera
Dr. Rakesh Khera is a trusted Urologist in Medanta, Gurgaon. He has helped numerous patients in his 26 years of experience as a Urologist. He is a DNB (Genito Urinary Surgery), M.B.B.S., M.Ch (Genito Urinary Surgery), M.S. (General Surgery) . He is currently practising at Medanta - The Medicity, Gurgaon in Medanta, Gurgaon. Don’t wait in a queue, book an instant appointment online with Dr. Rakesh Khera on Lybrate.com.

Lybrate.com has a nexus of the most experienced Urologists in India. You will find Urologists with more than 32 years of experience on Lybrate.com. You can find Urologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
DNB (Genito Urinary Surgery) - National Board of Examinations - 1991
M.B.B.S. - MG Institute of Medical Sciences, Wardha - 1991
M.Ch (Genito Urinary Surgery) - Grant Medical College - 2000
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M.S. (General Surgery) - MG Institute of Medical Sciences, Wardha - 1994
Languages spoken
English
Hindi
Awards and Recognitions
Awarded the best poster presentation prize at the ISOT annual conference at Bombay
Professional Memberships
North Zone Urological Society of India
Neurological Society of India

Location

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Medanta - The Medicity, Gurgaon

Medanta - The Medicity, Gurgaon Sector 38, Gurgaon, Haryana - 122001Gurgaon Get Directions
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Medanta The Medicity

Sector - 38, Golf CityGurugram Get Directions
  4.3  (42 ratings)
900 at clinic
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Sir I am suffering from Fisher last 3 years and during years takes many precautions and medicines but no relief long time. please sir suggest to me further what I do? Surgery is better options for me or any methods?

General Surgeon, Pune
If you are tired of trying all medications then surgery is still an option. Meet a general surgeon in person and he will guide you what operative procedure is best for you.
1 person found this helpful
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.SIR, I AM 38. MY QUESTION IS RELATED WITH PROSTRATE. I HAVE A MILD ENLARGE PROSTRATE WITH RESUDIARY URINE 120. DURING URINE NO PAIN. I HARDLY WAKE AT NIGHT. M.Y URINE TEST AND URINE CULTURE ARE NORMAL. ON 8TH OCTOBER 2015 MY PSA IS 0.61.BUT AFTER EJACULATION OR INTERCOURSE I FEEL BURNING SENSATION. IS IT ANY DANGER/ I am very tensed. Please advice. Sometime my legs chew. Is it related with urinary track infection or prostrate?

MBBS
General Physician, Mumbai
.SIR, I AM 38. MY QUESTION IS RELATED WITH PROSTRATE. I HAVE A MILD ENLARGE PROSTRATE WITH RESUDIARY URINE 120. DURIN...
Dear Lybrateuser, - If you can sleep well at night & daytime symptoms are not worrisome then you don't have to worry much - have more fluids & water in the daytime & restrict intake at night time - maintain hygiene of genital area also wash before & after intercourse, your partner should also do the same - your leg problem is not related to prostrate or urinary infection - have a well balanced diet with more of fruits & vegetables, whole grains protein foods, avoid fried & fat containing foods - have 7-8 glasses of water for proper hydration & to avoid urinary tract infection as person with prostrate having large residual volume can develop UTI - also do regular exercise like walking, jogging, for 15-20 min in the morning - get ultrasonography of lower abdomen & pelvis done at least once a year to monitor the prostrate size - take medication if symptoms hamper your activities & sleep.
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I feel like passing urine even after I have just passed urine. Age 41 and I have type 2 diabetes.

MD - Pathology
General Physician, Amritsar
Check your blood sugar levels. Preferably get hba1c done. Get urine complete examination and urine for culture sensitivity done. If it shows infection take treatment as per report. Get ultrasound whole abdomen done especially for prostate size.
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Men Urinary Incontinence Treatment

Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
Men Urinary Incontinence Treatment

Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

  1. Stress Incontinence– when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
  2. Urge Incontinence– when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
  3. Overflow Incontinence (chronic urinary retention)– when you're unable to fully empty your bladder, which causes frequent leaking.
  4. Total Incontinence– when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking.

It's also possible to have a mixture of both stress and urge urinary incontinence.

What causes urinary incontinence in men?

Urinary incontinence in men results when the brain does not properly signal the bladder, the sphincters do not squeeze strongly enough, or both. The bladder muscle may contract too much or not enough because of a problem with the muscle itself or the nerves controlling the bladder muscle. Damage to the sphincter muscles themselves or the nerves controlling these muscles can result in poor sphincter function. These problems can range from simple to complex.

A man may have factors that increase his chances of developing UI, including

  1. birth defects—problems with development of the urinary tract
  2. a history of prostate cancer—surgery or radiation treatment for prostate cancer can lead to temporary or permanent UI in men

UI is not a disease. Instead, it can be a symptom of certain conditions or the result of particular events during a man’s life. Conditions or events that may increase a man’s chance of developing UI include

  1. benign prostatic hyperplasia (BPH)—a condition in which the prostate is enlarged yet not cancerous. In men with BPH, the enlarged prostate presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty, leaving some urine in the bladder. The narrowing of the urethra and incomplete emptying of the bladder can lead to UI.
  2. chronic coughing—long-lasting coughing increases pressure on the bladder and pelvic floor muscles.
  3. neurological problems—men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
  4. physical inactivity—decreased activity can increase a man’s weight and contribute to muscle weakness.
  5. obesity—extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
  6. older age—bladder muscles can weaken over time, leading to a decrease in the bladder’s capacity to store urine.

Treating Urinary Incontinence

Initially, your GP may suggest some simple measures to see if they help improve your symptoms. These may include:

  1. lifestyle changes – such as losing weight and cutting down on caffeine and alcohol
  2. pelvic floor exercises – exercising your pelvic floor muscles by squeezing them, taught by a specialist 
  3. bladder training – where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
  4. You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
  5. Medication may be recommended if you're still unable to manage your symptoms.
  6. Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
  7. Surgical treatments for stress incontinence, such as tape or sling procedures, are used to reduce pressure on the bladder or strengthen the muscles that control urination.
  8. Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles. If you wish to discuss about any specific problem, you can consult an urologist.
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Hello Dr. I am suffering from kidnaystone for last week please suggest me how can am cure.

BHMS
Homeopath, Faridabad
Hello Dr. I am suffering from kidnaystone for last week please suggest me how can am cure.
Hi, There is no need to go under surgery for right renal calculus.So don't worry and take the below given homoeopathic treatment:- Take Homoeopathic medicine Berberis Vulgaris Q, 15 drops with water twice daily. Hydrangea Q, 15 drops with warm water once daily in the after noon. Take Ayurvedic medicine Neeri syrup , 2 tsp twice daily. Take Cantharis 30, 5 drops once daily in the morning. Revert me after 7 days. ****Most important Drink plenty of water .*****
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Doctor I am Diabetic and taking medicines. Due to summer, I am not going out of house. I frequently urinate at night also. Will there be any kidney problem. I regularly check blood sugar once in two months and due in 20 days. Your advice.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Doctor I am Diabetic and taking medicines. Due to summer, I am not going out of house. I frequently urinate at night ...
Frequent urination at night doesnt mean your kidney is harmed. Frequent urine at night can be due to uncontrolled diabetes or can sinply be cause you are drinking more water in evening. Reduce water inatke after 7pm. Avoid colas or tea or coffee in evening. Check your diabetes
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Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best water to drink?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best...
1) Drink plenty of clean water.- Drinking at least four liters of water every day will not only help prevent kidney stones from forming, but also quickly eliminate any small stones that may have already formed. 2) Add fresh lemon, lime and apple cider vinegar to daily beverages. -Taking this a step further, adding fresh lemon or lime juice, or apple cider vinegar, to your beverages throughout the day will help alkalize your body, effectively blocking the formation of kidney stones. These alkalizing juices will also help quickly dissolve any existing stones that might be present in your kidneys, keeping them clean and stone-free. 3) Eat foods that are naturally high in calcium - Dietary calcium actually binds with calcium oxalate, the substance that makes up most kidney stones, and crystallizes and flushes it from the body before it has a chance to form into stones. The best foods in this category include leafy greens, cruciferous vegetables, nuts and seeds, and raw, grass-fed milk and butter 4) Supplement with magnesium citrate, B vitamins every day-, Be sure to eat plenty of magnesium-rich foods every day -- these include avocados, broccoli, raw cacao, beans, bananas, and lentils 5) Stick to a 'low oxalate' diet. - Eliminate high oxalate foods from your diet if you have a propensity for kidney stones. Such foods include black tea, grains, and certain nuts and vegetables.
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I am diabetic patient and my creatinine level is 1.4 but sugar and hba1c is under control, how to lower my creatinine level?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic patient and my creatinine level is 1.4 but sugar and hba1c is under control, how to lower my creatinine...
Mr. Lybrate-user kumar, you have take a low protein diet (0.6 g to 0.8 g/kg per day), avoid strenuous exercise, drink more fluids. Also reduce potassium and phosphorous containing foods. Achieve strict sugar control. All these measures will help in reducing creatinine.
2 people found this helpful
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I am 20 yr old male. Had Lord's procedure (for anal fissure) on 23rd Jan 2014. Suspecting anal fistula now. There's a discharge of puss and liquid. What to do?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear if it is situla then surgery is needed before it becomes complicated. Alternatively you can have ksharsutra treatment from an ayrvedacharya. Avoid constipation all costs.
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My mother's age is around 75 years. Suddenly her urine is not come out. Please suggest the solution?

MBBS
General Physician, Mumbai
My mother's age is around 75 years. Suddenly her urine is not come out. Please suggest the solution?
If bladder is full then externally we should be putting a catheter and if there is no collection of urine in the bladder than we should admit her in a hospital.
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I am 25 years old female. I am suffering with urine infection. What would be the problem. Which medicine should be used?

MBBS
Sexologist, Indore
I am 25 years old female. I am suffering with urine infection. What would be the problem. Which medicine should be used?
For confirmation of infection, you should undergo urine routine/microspcopy test if it shows pus cells than start the antibiotic otherwise take a lot of water and syp cital 1 tsf bd.
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Hi I am 26 years old and I have kidney stones ans also pimples makes on my face please advice me for some ayurvedic medicine.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Occurrence of pimples and kidney stones signal specific deficiencies pattern. We need ayurvedic tablets to treat both of these simultaneously. Kindly let me know your height and weight so as to arrive at perfect prescription.
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I had an operation of lithotripsy last year. But I have developed another stone in kidney of 4.9 mm now which is now in distal ureter and causing enormous pain. What should I do to release instant pain?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I had an operation of lithotripsy last year. But I have developed another stone in kidney of 4.9 mm now which is now ...
Take 1 cup of horse gram + Add ½ L water + Heat the mixture till water level reduces to 1/5th + Strain and collect the soup + add 2 tsp of crushed pomegranate + Mix well + Drink once a day...take shool gaj kesari ras twice a day..take gokshuradi guggul & punarnavadi mandoor 1-1 tab twice a day...pranacharya U through capsule and syrup twice a day...drink lots of water....avoid spinach...tea and coffee..tomato...lady finger etc....
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Hi I am suffering from anal fissure from last 1 year. Please help me for a permanent cure for this.

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
Hi first of all avoid constipation have plenty of food, high fibre diet sit in warm water for 15 min three times a day. Apply lol cream 5% thrice a day have syrup loose 30 ml at night. Don't worry you will be olrite.
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Hii docter m bar bar bathroom jaata hu. Aur thodi jalan bhi hoti h bathroom karne me ye kyu hota h doctor? Please advise.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear, first get urine examination done to confirm or rule out infection. If urine is normal then sonography (kub) with full bladder volume, bladder wall thickness on full bladder and post-void residual urine volume. If that is nor mal then anal fissure is to be considered which is usually due to constipation and if so treat constipation. Dr. Kiran mehta.
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I am 24 years old. I am suffering from frequent urination. My testes are also swollen and every morning I am suffering from minute fever. My scalp has also become dry. I went for sonography but everything seems normal to them. Please help me out what needs to be done next?

MBBS
General Physician, Mumbai
I am 24 years old. I am suffering from frequent urination. My testes are also swollen and every morning I am sufferin...
If your testis are swollen than usg scrotum should have revealed something (so please check ) and I will suggest you to take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
1 person found this helpful
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I have pain in anus slightly while motioning & also outside of anus while washing, the pain is like burning slightly please suggest a solution.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1-Take arshantak vati 1-1 twice a day with warm water. 2-take pranacharya pilescure capsule 1-1 twice a day. 3-Pranacharya abhayarishta 2-2 tsf twice a day. 4-apply pranacharya pilescure ointment on anal region.
1 person found this helpful
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I am having kidney stone left side 13 mm pain never occur but right side in uterus 5 mm pains a lot I am taking berberis nd arnica montana30 and I am taking these medicine day before yesterday eve so I am so sacred how much time it will took to come out nd I want to know while passing stone pain ? Occurs please suggest me exercise or anything which helps me to recover faster . 5 mm quite painful . For painful what medicine I take? Nd diet also suggest me.

Felllow in Endourology, MCh Urology, MRCS, MS, MBBS
Urologist,
I am having kidney stone left side 13 mm pain never occur but right side in uterus 5 mm pains a lot I am taking berbe...
I think you mean that the 5 mm stone is in right ureter. Stones in ureter are the most painful ones. Stones inside kidneys cause pain only when they grow larger. Anti-inflammatory medications (NSAIDs) are the best medicines for ureteric colic (pain due to ureteric stones). However, these are harmful to kidneys if taken for a long time. Another important group of medicines are alpha-bockers. These will dilate the ureter and expedite stone passage. Both these have to be used carefully after assessment of kidney function, allergies and other co-morbidities. However, these will give you complete pain relief.
3 people found this helpful
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My urine colour is dark yellowish not mine but my family members also have the problem of dark yellowish urine but sometimes it's normal What the problem.

BHMS
Homeopath, Faridabad
My urine colour is dark yellowish not mine but my family members also have the problem of dark yellowish urine but so...
Hello. Darker urine is usually a sign that you're not drinking enough fluid. Certain medications can turn the urine fluorescent green or blue, vitamins can give it a yellow hue. Yellow urine may also there in jaundice. Certain food also turns the colour of urine yellow like beetroot. Blood in the urine, also known as Haematuria, can cause darker urine. Haemolytic Anemia can cause dark yellow urine color. Hepatitis (inflammation of liver) can cause a darker urine color. So, get your urine tested and blood tested for CBC & LFT done.
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Hi, I wanted to know if dialysis is provided only for end stage kidney failure or it is also prescribed at earlier stage of kidney failure?

MBBS, MD - General Medicine
General Physician, Pune
Hi,
I wanted to know if dialysis is provided only for end stage kidney failure or it is also prescribed at earlier st...
Hello lybrate-user, Dialysis is also Known as Renal Replacement Therapy. There are many formulas used to calculate eGFR based on which the Staging is done. One such easy to use formula is Weight In Kg X (140-Age in Years) divided by Serum Creatinine X 72 (If its a woman Multiply the answer with 0.85) Grading is as- Kidney damage with normal or eGFR >90 mL/min 2 Kidney damage with mild eGFR 60 to 89 mL/min 3 Moderate eGFR 30 to 59 mL/min 4 Severe eGFR 15 to 29 mL/min 5 Kidney failure eGFR <15 mL/min, or patient on dialysis Now as per the 2005 European Guidelines- 1. Dialysis should be initiated when GFR is <15 with one or more signs/symptoms of Uremia. Before GFR has fallen to 6 mL/min irrespective of symptoms. If the patient would have been a diabetic patients then they may get the benefit from an earlier start, hence your doctor would have advised an early Dialysis. Alternate Options to Hemodialysis (HD) would be Peritoneal Dialysis (PD) and Kidney Transplant. Choosing between HD and PD- Continuous ambulatory peritoneal dialysis (CAPD) is preferred in young children, elderly patients in whom vascular access is not available and are haemodynamically unstable. If the patient has some residual kidney functions then you can start him on CAPD and later he can be shifted to Hemodiallysis once he becomes anuric (means urine output is less than 100 ml/24 hours)
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