Lybrate.com has a number of highly qualified General Surgeons in India. You will find General Surgeons with more than 29 years of experience on Lybrate.com. Find the best General Surgeons online in PUNE. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Sandeep Agarwal
Kidney Stones Treatment
Removal Of Stitches Procedure
Corn Removal Procedure
Dressings Of Wounds Procedure
Varicose Vein Laser Treatment
Hernia Repair Surgery
Urinary Incontinence (Ui) Treatment
Stitching Of Wounds Procedure
Treatment Of Deep Vein Thrombosis - Dvt
Male Breast Reduction Treatment
Prostate Laser Surgery
Gastric Bypass Surgery
Vascular Surgery Treatment
Accident Injuries Treatment
Stem Cell Transplant
Submit a review for Dr. Sandeep AgarwalYour feedback matters!
Patient Review Highlights
He is so nice that they even at odd hours one can call him in case of emergency. Atharv Hospital had all the amenities, a patient requires. I was quite concerned, as my health was degrading day by day, but due to Dr Sandeep Agarwal and the prostate laser surgery I didn't lose hope. It was a bad case of prostate cancer. In the very first sitting, he clearly told us the problem and the what the treatment procedure will be in future.
Even though my problem was very big, the entire experience of undergoing proctoscopy was very relaxing. It was getting very difficult for me to cope.The overall atmosphere in the Atharv Hospital is very soothing. He ensures that he gives enough time to each patient. In the very first sitting, Dr Sandeep Agarwal clearly told us the problem and the what the treatment procedure will be in future.
I saw Dr Sandeep clinic's advertisement in newspaper and that is how we referred him. With the help of his treatment for piles treatment I am feeling so great. By chance, I approached him for second opinion and thank god, i did because, he treated me so nicely. The Atharv Hospital is designed in such a manner that all requirements of patients are taken care of.
I found the answers provided by the Dr. Sandeep Agarwal to be very helpful and helped me improve my health. Very nice
A tumor may be defined as an abnormal unwanted growth of tissue in any part of the body. This word need not immediately cause panic because the tumor may or may not cause a health threat. There are three types of tumors:
- Benign tumor: This is a noncancerous type of tumor. In our body, new cells are formed while the old ones called dead ones are disposed by our immune system. When this disposal of cells does not occur, the remaining dead cells form a lump, which is called a benign tumor. They are not dangerous since, they do not contain harmful fluids and do not spread. A person suffering from a benign tumor in the brain may have frequent headaches.
- Pre-malignant tumor: It is an initial disorder, or an earlier symptom of cancer manifestation. The inclination of this medical condition is that it will progressively become precarious. This is so because it is capable of conquering neighboring tissues and spreading as well. Leukoplakia is a form of premalignant cancer. They evolve as thick white patches inside the cheeks or on gums below the tongue. These patches are very difficult to be scraped off from the mouth. They are caused mainly due to chewing tobacco and smoking, and ff left untreated can expand.
- Malignant tumor: These are the cancerous tumors, in which cells multiply abnormally and rapidly. They are unstable and travel along bloodstream, circulatory system and lymphatic system to other parts of the body. Sarcomas and carcinomas are the most common types of malignant tumors. While the former is related to connective tissues the latter is related to organs and glands.
The most common procedure to name the type of cancer is to refer to their site of origin. Adenocarcinoma, refers to cancer in the adenoid glands. Similarly, a benign tumor of fatty tissue is called lipoma, where as a malignant tumor in the same area is referred to as liposarcoma.
What is a biopsy? How does it relate to a tumor?
A Biopsy is a medical procedure practised by qualified medical practitioners. This procedure helps in identifying the type of tumor within a patient. It aids the doctor to conclude the type of treatment to be given to any patient. This procedure is a definite diagnosis to the identification of cancer. A Biopsy is the removal of a sample of the abnormal, unwanted tissue for laboratory examination. Biopsies are of different types, and they may be performed using ultrasound, CT scan or MRI depending on where the tumor is.
- Excisional biopsy: In this method the entire lump of excess tissue is removed.
- Incisional biopsy: Here a sample of the abnormal tissue is removed surgically.
- Needle aspiration biopsy: Here the sample is extracted with the help of a needle.
After extraction, the tissue layers are sent to pathological departments to check their composition, and cause of disease.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Feeling a lump on your breasts can be a terrifying moment. 'Cancer' is the first thing that comes to mind but in reality, most lumps in the breast are not caused by cancer. Apart from cancer, breast lumps can be caused by non-cancerous growths, injuries and infections. The only way to correctly diagnose the cause of a lump in the beasts is through a biopsy.
Hence, this is the first step towards treating a breast lump. From here on, treatment will depend on the cause identified.
- Mastitis or Breast Infection: Mastitis is a painful infection of the breast tissue often faced by women who are breastfeeding. It can be treated with heat treatment and antibiotics. Massaging the breast while taking a warm shower or applying a warm compress. This will open up the milk ducts and should be followed by nursing the baby or using a breast pump to relieve the swelling and pain.
- Abscess: Antibiotics are the first line of treatment against an abscess but this is effective only if given in the initial stage of the infection. In later stages, an abscess will need to be surgically drained.
- Fibroadenomas: This is a non-cancerous tumour often found in young women. It is often difficult to distinguish between a Fibroadenoma and a cancerous tumour and hence these are usually surgically removed.
- Fibrocystic Changes: In some cases, the breast itself is composed of knotted, rope like tissue. This is known as having fibrocystic breasts. If a new lump presents itself on fibrocystic breasts, a mammogram and an ultrasound are performed to evaluate the lump. In most cases fibrocystic changes do not require any medication or surgery.
- Breasts Cysts: Cysts can be defined as fluid filled lumps. In some cases, these cysts become apparent at the time of ovulation and disappear after the period. In other cases, it may need to be drained with a thin needle. Cysts often recur and need to be re-drained.
- Fat Necrosis and Lipoma: Fat necrosis is a lump caused by an injury to the fatty tissue in the breast. Lipoma is a fatty growth within the fatty tissue. In both these cases, no treatment is required but if it causes any problems, it can be removed.
- Breast Cancer: If the biopsy reveals the presence of a cancerous tumour, you must immediately consult an oncologist. Treatment options for breast cancer include chemotherapy, radiation, surgery and hormone treatment.
In case you have a concern or query you can always consult an expert & get answers to your questions!
For some people, lifestyle changes along with a healthy diet cannot do the needful when it comes to hemorrhoids, commonly referred to as piles. There are numerous options like the laser that can shrink the swelling and inflammation in non-invasive ways. But even though it takes lesser time and involves much lesser complications, surgical intervention can be the best way to achieve a long-term solution. It is particularly suitable for those who are suffering from intolerable pain and discomfort along with occasional bleeding.
What are the different surgical options for treating piles?
Surgery is the best way to treat piles in those who have failed to recover through other modes of treatment. In other words, you should consider getting piles surgery done in case you have hemorrhoids that cannot be treated through non-surgical means. There are numerous surgical options available for piles, and the primary types are mentioned below:
Hemorrhoidal artery ligation: This operation is used for reducing the flow of blood to the hemorrhoids. It is normally carried under general anesthesia while a tiny ultrasound probe is inserted into the anus. The probe then produces high-frequency sound waves which let the surgeon detect the vessels that are supplying blood to the affected area. Each of these vessels is stitched for blocking the supply of blood to the piles that eventually leads to shrinkage after a few days or a week. It is also suitable for treating hemorrhoids that prolapse and hang down from the anus.
According to the National Institute for Health and Care Excellence, the hemorrhoidal artery ligation is an effective procedure which can be used for treating piles. It causes lesser pain than other surgical options, and a higher level of satisfaction has been reported as well. The recovery time is also shorter in the case of hemorrhoidal artery ligation. There is minimal risk of bleeding and pain while passing stools and there is little chance of hemorrhoid prolapsing after this procedure. It can thus be concluded that this process is best suited for most people suffering from hemorrhoids.
Hemorrhoidectomy: This is yet another way of treating hemorrhoids through surgical intervention. It is typically carried out under general anesthesia which indicates that you will be unconscious during the entire procedure and won’t feel any pain or discomfort. A conventional process of hemorrhoidectomy involves opening up of the anus to scrape out the hemorrhoids. It takes about a week or two to recover from the process, and you are likely to experience a significant amount of pain after the process. Even though you will be given painkillers, it is important to consult an expert if the pain continues for a long span of time. In case you have a concern or query you can always consult an expert & get answers to your questions!
Are you feeling an excruciating pain in the anal region? Is there a lump around the area that you can feel? Commonly called Piles, hemorrhoids, is a phenomenon where the blood vessels are inflamed or expanded in the anal canal. Veins in and around the anus and rectum are comparatively weak than the arteries which are quiet intense. This is because the walls of the veins are pretty thin and pain or discomfort arises when there is too much pressure on the walls. There are two kinds of Piles the internal piles and the external piles; the discomfort and severity depend on the kind of piles you are suffering from.
Causes behind it
The causes of hemorrhoids are not certain and anyone can get affected by the condition. It is more prevalent in elderly people and pregnant women. Sometimes, the condition is also hereditary, so if your parents or grandparents suffered from piles, there is a possibility that you may develop it too. When the veins in the anal region are subjected to pressure, the veins swell causing painful hemorrhoids.
The common symptoms associated with the condition are:
- Bleeding from the anus
- Painful lump or swell near the anus
- Anal itching
- Tenderness or pain during bowel movements
- Mucus Anal discharge
Treatment options for piles
In few cases, the Hemorrhoids can be treated with home remedies like a change in diet, warm sitz baths, and avoiding foods that may lead to constipation. For hemorrhoids of the first, second and third-degree, medications, home remedies and manual methods are preferred approaches. However, when the condition persists for an extended period with severe pain it is best to consider your physician.
The piles can be treated with:
- Injection or sclerotherapy: Treats internal hemorrhoids
- Banding: Treatment for prolapsed hemorrhoids
- Coagulation: Treatment using laser
- Surgery: Opted for in severe cases of hemorrhoids
Surgery is suggested when no other remedies for piles have responded. In the case of prolapsed hemorrhoids, or the fourth degree and higher degree, surgical methods need to be implemented. In common, surgery is deemed as the last option for piles treatment. Piles surgery is prescribed particularly by the surgeons in the situation where pain becomes unbearable.
The surgical treatments
Hemorrhoidectomy: This is the surgery done to remove piles. The physician performs a few minute cuts around the anus to remove them away. The area which is under operation is put under local or general anesthesia. Hemorrhoidectomy is often a procedure for the outpatient case, and you are typically discharged on the same day itself. The patient usually takes about two to three weeks, to recover fully but then it can even take as long as five to six weeks to get back to normal pain-free life again.
PPH: Another surgical method is PPH. It is also known as stapled hemorrhoidectomy. In this surgery, the physician uses a device which looks like a stapler to reposition the pile and struck off their supply of blood so that they eventually shrink and die out. This surgical procedure is less painful than traditional hemorrhoidectomy as it removes hemorrhoid to where there are fewer nerve endings, so it hurts less. There will be faster recovery, few or no complications, minor itching, and bleeding. Consult an expert & get answers to your questions!
Have you ever faced difficulty or experienced severe pain while defecation? Well, this is a widespread phenomenon amongst many, but most of them feel shy to discuss this problem. Different People differently understand the term Piles. For some, it is the name given to the uneasiness or pain that one feels during defecation and for others, it might be blood found along with feces. This notion is partially correct. Piles, also known as Hemorrhoids, are vascular structures that are present in the anal canal.
These vascular structures are like cushions that help with stool control. The problem arises when these structures become swollen. Post inflammation of hemorrhoids leads to the ultimate problem. Piles become painful which is unbearable for many while a few people don’t feel much pain but bleeding characterizes the disease. Around 10% of patients having Piles problem require surgical treatment, but they are unaware of the measures needed before opting for a hemorrhoid surgery.
The operation that is used to remove hemorrhoids is known as Hemorrhoidectomy. In this surgery, a local or general anesthesia is given to the patient so that the affected area gets numb and the patient doesn’t feel much pain. The doctors make perform a procedure around the anus to get rid of the hemorrhoids. As the anus area is susceptible, stitches might be required. Patients can go home the same day, but intensive care is needed. It might take around two weeks to get normal, in some cases, it may also extend to 6 weeks.
Cure Piles in 15 Minutes (BIEM)-
‘Biological Impendence Electrical auto-Measurement’ (BIEM) concept is a smart and advanced technology that able to produce controlled ‘tissues fusion’ without causing any carbonation. This technology is being aggressively develop and incorporated into the variety of modern surgery.
The major advantages of this technology is no bleeding, no open wound, no risk of infection and less pain as the nerve fibers is sealed in the tissues fusion. The new tissues growth will take place from inside and the dry and hard zone will take off itself when tissues healed up.
Measures to be taken post hemorrhoid surgery
The surgery is extremely safe, however, like all surgeries, there are certain precautions that need to be taken in order to avoid post-op infection or reaction to anesthesia. People mostly complain about the severe pain that they feel while defecating and might also be accompanied by irritation or itchiness in the treated area. These symptoms are normal, but if the irritation or itchiness becomes severe or excessive bleeding becomes frequent, then consult your doctor immediately.
Fever or difficulty while defecating should also be reported to the doctor if it continues to be a problem after surgery. For the recovery phase, your doctor might prescribe the use of some pain killers along with the usage of some stool softeners. Taking a warm bath might also lower down the pain.
Usually, the doctors prescribe a healthy diet before and after hemorrhoidectomy surgery. But the measures might differ from case to case. A few common after and before care measures include diet changes, lifestyle changes, and adopting a regular exercise program. These three steps will not only help in speedy recovery but also reduce the chances of hemorrhoids recurring. If you wish to discuss about any specific problem, you can consult a General Surgeon.
Piles are inflamed masses, clumps, or cushions of tissue in the anal canal. Also called haemorrhoids, piles can be a very unpleasant condition to live with.
However, the fact is that we all have some amount of inflammation in our anal canal tissues. But it’s only when the haemorrhoids become too inflamed that symptoms occur and this is when you are diagnosed as having piles.
The size of piles is variable and they can be found inside or outside the anus.
Internal haemorrhoids typically occur from 2 to 4cm above the opening of the anus. They are the more common ones and are divided into four grades.
- Grade 1 – Less inflammation occurs and it’s usually inside the lining of the anus. These piles are invisible.
- Grade 2 – These are larger haemorrhoids but are inside the anus. When passing stools they can get pushed out, but return back into the anal canal unaided.
- Grade 3 – These are called 'prolapsed haemorrhoids' and appear outside the anus. They can be pushed back into the anal canal with a finger.
- Grade 4 - These haemorrhoids cannot be pushed back and need treatment in the form of surgery as they are large and hang outside the anus all the time.
External piles occur on the outside edge of the anus and are called perianal hematoma.
Symptoms and Diagnosis
- You may feel a hard lump around the anus. And this consists of coagulated blood which is painful
- A feeling of fullness even after going to the toilet
- Bright red blood discharged after a bowel movement
- Itchiness around the anus along with redness and soreness
- Mucus discharge while defecating
- Pain while defecating
Piles occur due to chronic constipation and diarrhoea, lifting heavy weights, pregnancy or straining during defecation.
Piles are often not serious and disappear without any treatment and usually with the help of lifestyle changes like drinking more water, cutting down on caffeine, eating more fibre etc. Just 10% of patients consulting a doctor for piles require surgical treatment. And surgery may be necessary for grades 3 or 4 haemorrhoids only.
BEIM technology - no cut, no suture, no wound, same day discharge!
- Hemorrhoidectomy – This involves removing the excess tissue that is causing the bleeding. This is an effective procedure for treating grades 3 and 4 haemorrhoids but it can cause complications like difficulty passing stools, as well as urinary tract infections.
- Haemorrhoid stapling – The blood flow is stopped from reaching haemorrhoid. It is less painful than a hemorrhoidectomy, but it comes with risks like haemorrhoid recurrence and something called a rectal prolapse in which a part of the rectum pushes out of the anus.
It is advised to get yourself treated as leaving piles untreated can increase the risk for gangrene and anemia due to long –term blood loss. If you wish to discuss about any specific problem, you can consult a General Surgeon.