Dr. Soumyan Dey - Dr.Dey
Dr. Soumyan Dey
Urologist & Uro-Oncologist

Dr.Dey

Author name: Dr. Soumyan Dey

Single-Incision Laparoscopic

Is Single-Incision Laparoscopic Kidney Removal a Safer and Less Painful Procedure?

Laparoscopic surgery has evolved. This minimally invasive approach has been chosen by most patients who are advised to undergo a kidney removal surgery in Vashi, Navi Mumbai. The minimal scarring, less post-operative pain, and fewer incisions are some key benefits of the approach.  A recent advancement in the technique is the single-incision laparoscopy for nephrectomy. Instead of making multiple incisions on your abdomen, the surgeon creates only a single small incision around the belly button, making the surgery safer, less painful, and easier on your body. Here’s all you should know about it. When is Single-Incision Laparoscopic Kidney Removal Recommended? Here’s when single-incision laparoscopic kidney removal is needed. Kidney Cancer: Surgery is needed if you are diagnosed with kidney cancer. The exact treatment plan depends on how fast the cancer spreads or the level of damage it has caused. If it’s an initial-stage cancer, the entire kidney might be removed with laparoscopic surgery to reduce the risk of the cancer spreading. Non-functioning Kidney: If one of your kidneys doesn’t function optimally, is infected, or has congenital defects, removing it with nephrectomy surgery can be an ideal decision.  Donor Nephrectomy: People who donate their kidneys can also undergo single-incision nephrectomy to ensure better post-operative outcomes, lesser pain, and no major scars.  What are the Benefits A urologist in Vashi, Navi Mumbai, can remove your kidney through SILS. You might wonder how it is different from open surgery or typical multiple-incision laparoscopic nephrectomy. Here is how it’s a better alternative to other nephrectomy procedures: Minimal Scarring: The biggest advantage of SILS is minimal scarring. The incision length is 2-4 cm and is either in the navel or close to it. If you are concerned about a 10-12 cm long scar from an open surgery or multiple small scars in a laparoscopic procedure, this could be your best option.  Reduced Pain: A single, small scar means less post-operative pain. Your surgeon doesn’t have to make big cuts on the muscles and tissues, which reduces the pain levels significantly. As a result, you don’t have to take stronger pain medications. This also means you can walk, move, laugh, and transition to your pre-surgery life quickly. Quicker Recovery: You can also resume your routine tasks sooner and get back to work faster compared to the longer recovery periods of traditional open surgery. You can expect a discharge in 1-2 days and can perform light activities in a week (if your doctor clears you for it). Full recovery can be expected in 4-6 weeks. Reduced Risk of Complications: In SILS, there’s only one entry point. Fewer incisions mean a lower risk of infection, bleeding, or hernias. Besides, a single incision makes wound care easier for the patient.SILS is a modern, innovative surgical approach for nephrectomy. It’s ideal for people donating their kidneys or needing to detach them due to medical reasons. The success rate of the procedure depends on many factors, such as the surgeon’s expertise and your health, but overall, it’s a highly preferred and smart alternative to traditional nephrectomy procedures.

Urinalysis in BPH Diagnosis

Urinalysis in BPH Diagnosis: Why Does It Matter?

Urinalysis in BPH Diagnosis: Why Does It Matter? Benign Prostatic Hyperplasia refers to the enlarged prostate in men. As men age, the prostate gland, which sits below the bladder, gets bigger. This causes uncomfortable urinary issues, like incomplete emptying of the bladder, weak stream, and frequent urge to urinate. If you experience any unusual urinary symptoms, a top urologist in Vashi, Navi Mumbai, can help diagnose the underlying cause.  Benign Prostatic Hyperplasia Diagnosis If you have BPH, early treatment can often improve your quality of life. Here\’s how it\’s diagnosed. Medical History This is often the initial step in diagnosing BPH. A healthcare expert will ask questions about urinary issues, such as how many times you wake up to urinate at night, whether you feel urgency, whether your bladder feels full even after using the toilet, and what your stream looks like. They may also ask about any medications you are currently on, if you have diabetes or any neurological disorders. Physical Examination It might sound a little complicated or painful, but a rectal exam is quick and often helpful in diagnosing BPH. This involves putting their fingers into your rectum to check for a larger prostate or any lumps inside it. Tests Used to Detect BPH If your doctor thinks you might have BPH, you may need more tests. To diagnose BPH in Vashi, Navi Mumbai, your doctor might run these tests: Urinalysis: You need to give a urine sample. The lab will check it to find signs of infection, glucose, blood, or protein. Symptoms of an enlarged prostate can seem similar to urinary tract infection symptoms. Sometimes, the symptoms can signal a more severe health issue, such as bladder stones or cancer. Urinalysis helps rule these out. PSA Blood: The Prostate gland produces a protein, the levels of which can rise slightly if you have a bigger prostate. However, if this protein content is found in a significantly high volume, it could indicate prostate cancer.  Uroflowmetry: Urine flow test measures your urine stream. Men with an enlarged prostate have a weaker stream.  Post-void Residual Volume Test: Men with BPH often report the feeling of incomplete emptying of the bladder. The post-void residual volume test detects the urine volume in your bladder after you\’ve peed. 24-Hour Voiding Diary: Your doctor may ask you to record the number of times you urinate over a 24-hour period. You must also record the volume.  Cystoscopy: This diagnostic tool involves inserting a thin, lighted tube through the urethra to examine the prostate, bladder, and surrounding structures clearly. This rules out strictures, tumors, and stones as the underlying causes of urinary symptoms. Ultrasound: It\’s an imaging test that detects the prostate\’s size and any swelling or abnormalities within it. Ultrasound can be transabdominal or transrectal (conducted through the rectum). Urodynamic and Pressure Flow Studies: The test involves passing a catheter through the urethra to the bladder. Water or air is used to measure the pressure in the bladder when you pass urine. BPH is a common concern in older men. Although many tests are available to get an accurate diagnosis, urinalysis is often used to rule out conditions that can mimic the symptoms of BPH.

PCNL Procedure Steps

What are the PCNL Procedure Steps

Large kidney stones that do not get expelled from your body through urine or do not respond to conservative treatments might need surgical removal. The procedure to remove these stones surgically is called Percutaneous Nephrolithotomy (PNCL) and is often reserved as a last resort. It may sound complex, but PCNL surgery in Vashi, Navi Mumbai, is a minimally invasive surgical procedure for kidney stone removal. To help you understand how it works, we’ve created a step-by-step guide on PCNL. Here’s a look: PCNL Procedure Steps Before Surgery  The pre-surgical preparations for Percutaneous Nephrolithotomy are similar to those for other surgeries. A urologist may conduct blood tests, urinalysis, and imaging tests before surgery.  You are advised to avoid eating and drinking 6-8 hours before the surgery is scheduled. You may need to stop blood thinners (if you are taking them). Antibiotics may be recommended to prevent infections. During Surgery The procedure typically lasts between two and four hours. Sometimes, the stones are sent to the lab for thorough evaluation. The technicians check the composition of the stone to identify the components it’s made up of. This helps prevent its recurrence. After PCNL, you will be taken to the recovery room, where your vitals will be checked regularly to ensure you are healing well. Recovery and Aftercare The recovery period is different for each patient. However, most people resume their basic activities within a week after PCNL. Walking is recommended after surgery to prevent blood clots, constipation, and other complications. However, you must not lift heavy weights, especially objects that weigh more than 8 pounds. Make sure you attend the follow-up visits, as a urologist in Vashi, Navi Mumbai, will most likely run tests to ensure the stones are completely removed. They may also provide instructions regarding diets, lifestyle changes, medication, and physical therapies for faster healing. When to See Your Doctor Modern surgical approaches and advanced equipment make complications after surgery less likely, but it’s best to watch for these signs and head to your urologist immediately if you notice any. While PCNL may sound intimidating, it’s a safe and effective surgical treatment for kidney stone removal, specifically for stones that cause immense pain. 

Robotic Surgery in Urology

Why is Robotic Surgery in Urology Essential?

Urology encompasses the delicate parts of the body, including the kidneys, bladder, urethra, and male reproductive organs. If surgery is recommended, it should be performed by the best uro-oncologist and robotic surgeon in Vashi, Navi Mumbai, to minimize the risk of accidental damage to surrounding tissues and organs.  What once looked futuristic has now gone mainstream. Robotic surgery has proven to be a successful treatment tool for urological surgical procedures, and it\’s not hard to see why. In this post, we\’ve explored the top reasons why robotic surgery in urology is essential. Here\’s a look: What Is Robotic Urologic Surgery? Robotic surgery doesn\’t imply a robot performing surgery. A professional sits at the console, commands the robotic arm that holds all the essential surgical tools and executes the surgery.  The key difference lies in the fact that robotic hands are used to reach tricky, restricted areas. In other words, the surgeon maneuvers the robotic arm to achieve better control and precision. Urologic surgery is widely preferred for these procedures: Why Use Robotic Surgery in Urology? Here\’s what makes robotic surgery in urology a better alternative to traditional surgery: Allows Access to Tight Spaces The urinary tract includes organs that are located in restricted areas. They are surrounded by nerves, muscles, and tiny blood vessels, which can be hard to navigate. Robotic urology surgery in Navi Mumbai has enabled surgeons to perform the most challenging urological procedures while ensuring minimal to no damage to healthy tissues. Excellent Precision Robots are designed to bend, twist, and move seamlessly in narrow and tight spaces, offering unparalleled precision. For delicate areas, such as your kidneys, sphincter muscles, and bladder, surgical precision is indispensable. Robotic arms allow smooth movements with minimal risk of damage to the adjacent tissues and nerves. Faster Recovery Open urology surgery involves large cuts, a risk of excessive blood loss, and longer recovery times. This can extend your hospital stay. You may also need to take painkillers for a prolonged period. With robot-assisted urological surgery, you can expect a discharge in 2-3 days or sooner for simple procedures. Improved Surgical Clarity with 3D Imaging A clear view of the surgical site improves accuracy during the surgery. This can\’t be achieved with human eyes. Improved surgical clarity means more favorable surgical outcomes for the patient. Robotic surgery is not just a fancy or luxury procedure. With the level of precision it offers, it\’s become mandatory in healthcare facilities offering urology care. It makes sense to see a urologist who specializes in using robotic tools for invasive treatment requirements.

How Fast Does Kidney Cancer Spread

How Fast Does the Kidney Cancer Spreads?

Cancers that start in the kidneys are classified as kidney cancers. Renal cell carcinoma (RCC) occurs in most kidney cancer cases, with other less common types being Wilms tumor and transitional cell carcinoma. A common question that a kidney cancer specialist in Navi Mumbai is often asked is, “How fast does kidney cancer spread?”  As with other types of malignancies, cancer starting in the kidneys is treatable when diagnosed at an early stage (when it hasn’t spread to the nearby organs and tissues). Let’s understand the factors affecting the speed at which kidney cancer spreads. Cancer Stages Over 90% of kidney cancers are RCC, which has three subtypes: clear cell, papillary, and chromophobe. Of these, clear cell renal cell carcinoma (RCC) is more likely to travel through the bloodstream to different parts of the body. Cancer’s stage tells how far the cancer has spread and helps determine a patient’s prognosis. Let’s understand the different stages of kidney cancer: Cancer can develop over time or occur rapidly. How fast it grows or spreads depends on the type of cancer, its stage, aggressiveness, and other medical factors. Let’s explore each in brief. Key Influencing Factors Tumor Type: Kidney cancers have different growth rates based on their type. Some low-grade cancers grow slowly and are less likely to metastasize, while high-grade cancer, such as clear cell RCC, which is also the most common kidney cancer, can spread fast. Other subtypes occur in fewer people and are less likely to metastasize.  Lymph/blood System Involvement: Cancer cells that have penetrated the lymph nodes or blood vessel walls are more likely to metastasize, as they can travel to distant parts of your body through the bloodstream.  Genetics and Overall Health: Certain gene mutations can also affect cancer growth. Moreover, your overall health and immunity can impact the growth of cancer. People with good immunity respond better to the treatment. Smoking, obesity, and high blood pressure can result in fast-growing kidney cancer. Where It Spreads Kidney cancers can spread to the lungs, liver, lymph nodes, adrenal glands, bones, skin, and in some cases, brain. The location where the cancer spreads can vary from person to person. Once it’s spread, it’s harder to treat. That’s why seeking kidney cancer treatment in Navi Mumbai in the early stages can help improve the outcome of your treatment. Detection & Treatment CT scans, ultrasounds, and MRIs are a few imaging tests that can detect tumors. Biopsies are a highly reliable way to confirm the presence of cancerous cells. If it’s caught in the early stages, partial or total nephrectomy (kidney removal) surgery might be recommended. For more aggressive cancers, targeted therapy and immunotherapy are used. Chemotherapy and radiation are not used as a treatment for kidney cancer, as RCC is resistant to chemodrugs.

Symptoms for Urological Cancer

Exploring the Alarming Warning Signs & Symptoms for Urological Cancer

Urological cancer is a collective medical term for all types of cancers that begin in the male and female urinary system or the male reproductive system. The most commonly affected areas include the bladder, kidneys, ureters, testes (in men), prostate, and urethra.  While the symptoms of urological cancers may vary depending on the affected organs, they all require early detection and prompt medical attention for a better chance of recovery. Common Symptoms of Urological Cancer Here’s what most people with urological cancer are likely to notice. Some people with urological cancer are asymptomatic, while others experience severe symptoms. Blood in the Urine Also called hematuria, blood in the urine is often considered an early sign of bladder cancer. In some cases, the urine turns pink or red with visible blood drops. In others, the blood may be too little in amount to be seen without a microscope. People with hematuria usually do not consider it a major issue because it happens occasionally, and it may not cause any pain. While blood in the urine may not always indicate a serious medical issue, it’s always best to have yourself checked. Painless Lump In men, testicular cancer can lead to a painless lump with a visible swelling in one or both testes. The scrotum might feel heavier. In some cases, the lump occurs with pain. It’s important to notice changes in your testicular appearance and see a professional if you notice anything unusual. This cancer can grow quickly and aggressively.  Unexplained Weight Loss If you have been losing weight without trying, it could be an early sign of cancer. If unexplained weight loss is accompanied by urological issues, like inability to pass urine, an urge to urinate often, or pain and burning sensation while urinating, it’s best to get checked for urological. Less Common Symptoms Fatigue Your body tends to burn energy faster when it’s fighting off a disease. As a result, you are likely to feel tired and extremely weak. If you feel unusually tired or notice anything off about your energy levels, it’s time to see a healthcare expert. Lower Back Pain A most notable sign of kidney cancer is pain in the lower back, just beneath the ribs. Sadly, the pain only crops up when the tumor has grown bigger. You could have dull or sharp pain. There’s no way to know whether the pain in the back is associated with other non-critical issues or a chronic disease, which is why it’s best to see a urologist to rule out urological cancer as a potential cause.  Recurrent UTIs Frequent episodes of urinary tract infections can signal an underlying issue, possibly a urological cancer. Although UTIS can occur due to poor hygiene, low immunity, and other factors, if you have been getting them frequently, it’s best to consult with a doctor. Depending on the type and aggressiveness of the cancer, a urologist may recommend a combination of treatment plans that help slow its progress and kill the cancer cells before they reach an advanced stage.

aging-of-the-kidneys-and-bladder

Effects of Aging on the Kidneys and Bladder

Our kidneys have the potential to filter a considerable amount of blood every hour. That’s just for people with healthy kidneys, though. The kidneys create urine from excess water and waste in the body, which passes from the ureters to the bladder and is eventually expelled through the urethra.  By doing so, these two bean-shaped organs maintain a perfect balance of essential minerals and salt levels. The question is, what effects does aging have on our kidneys? Let’s find out. How Aging Affects Kidney Function Experts believe that by the time you turn 70, your kidneys will lose 30-40 percent of their blood filtering capacity. This applies to most people, including those without any underlying kidney diseases. Additionally, kidneys may shrink with age. This can further affect their filtering capacity. Kidneys that do not filter blood at a normal rate are more vulnerable to chronic kidney disease than healthy kidneys. The good news is that kidney function declines gradually, and at a very slow pace. You just need to follow a healthy lifestyle, eat a nutritious and balanced diet, and maintain your overall health to keep your kidneys healthy. How Aging Affects Bladder Function Here’s how aging affects your bladder function: Increased Urge to Urinate: Older people experience a sudden urge to urinate, particularly at night. This can increase the risk of leakage and, in some cases, accidents. Weakened Bladder: With age, your bladder wall muscles may become weaker, making you more prone to urinary incontinence. Your bladder might also not empty properly, which in turn causes frequent urges to urinate. Urinary Tract Infections: The above issues, particularly the bladder’s inability to empty properly, can make you more prone to urinary tract infections. It provides a perfect environment for the bacteria to thrive. Aging can make your bladder feel stiffer than usual, making it less effective at holding urine. This means you may have to urinate more frequently. It also makes you more vulnerable to urinary tract infections. In men, particularly, an enlarged prostate can affect their urinary function.  Tips for Keeping Your Kidneys Healthy  You can maintain your kidneys’ health despite aging. These tips will help: Stay Hydrated: Drink 8-10 glasses of water a day to flush out toxins. However, it’s advisable to consult your doctor before increasing your fluid intake.  Keep Your Blood Pressure and Blood Sugar Under Control: Uncontrolled diabetes and hypertension can harm your kidneys in the long run. Make sure these conditions (if you have them) are managed with medication and lifestyle adjustments. Eat a Healthy Diet: Add kidney-friendly foods, such as green leafy vegetables, fruits, and whole grains, to your diet. Avoid excessive protein, processed foods, and those high in salt and sugar. Exercise: Indulge in regular physical exercise to stay fit, manage your weight, and keep your blood pressure under control.  Aging doesn’t just cause wrinkled skin, fatigue, and other obvious symptoms. It also affects your internal organs, including the kidneys and bladder. It’s important to watch for unusual symptoms, such as increased urination, difficulty urinating, or blood in the urine (hematuria), and consult a urologist.

partial nephrectomy

How does Robotic-assisted Partial Nephrectomy Work?

Nephrectomy is a surgical procedure that’s usually performed in people with kidney cancer or a diseased kidney. It’s also performed to take the healthy kidney out for transplantation. The surgery can be performed as an open surgery or robot-assisted nephrectomy.  The latter is a more preferred, less-invasive, and an advanced surgical procedure. Whether you need robotic partial nephrectomy (removing a portion of the kidney) or complete kidney removal, it’s important to consult an experienced surgeon who’s familiar with robotic technology. Here’s all you should know about robot-assisted partial nephrectomy. What is Partial Nephrectomy? If only a portion of your kidney is damaged, your surgeon might recommend removing the diseased part while leaving the remaining healthy kidney intact. This preserves your kidney function and might eliminate the need for transplantation.  In a robot-assisted partial nephrectomy, a surgeon uses robotic arms to make precise cuts through small holes. The surgery results in lesser blood loss, lower risk of complications, and greater precision. This ensures faster recovery. When is Robot-Assisted Partial Nephrectomy Needed? Nephrectomy (whether partial or complete) is recommended when a patient is diagnosed with kidney cancer or has a non-cancerous mass that could be affecting their kidney function. If you have a kidney tumor less than 4 cm, you might be a good candidate for robot-assisted partial nephrectomy.  It’s also a highly recommended procedure for patients who want a less-invasive surgical procedure to remove part of the kidney. Patients with advanced-stage kidney cancer or other medical conditions might be unfit for the surgery. Advantages of Robot-Assisted Partial Nephrectomy Here are the benefits of robot-assisted partial nephrectomy: Better Precision Robotic tools offer better precision compared to humans. They offer a wider range of movements and can make precise cuts. This is particularly beneficial for patients opting for partial nephrectomy, as the robot’s precision ensures that only the damaged tissues are removed. Besides, the 3D view of the patients\’ internal organs makes the surgery more effective and easier for the surgeon. Faster Recovery The surgery involves fewer and smaller incisions than a traditional open nephrectomy, which means you can expect a quicker recovery. Compared to a 6-12-inch long incision in an open surgery, robot-assisted nephrectomy involves 2-3 tiny holes that are less than an inch long. It also makes an excellent choice for patients who do not want a large scar for cosmetic reasons Less Blood Loss Excessive blood loss during open surgery can lead to the requirement for blood transfusion and a slower recovery. With a robot-assisted procedure, the risk is significantly reduced. Smaller surgical holes with the robot’s precision prevent unnecessary damage to the blood vessels, leading to comparatively lesser blood loss than traditional surgery.  Lesser Pain Robot-assisted nephrectomy doesn’t cause severe tissue or nerve damage, which explains the lesser pain after the surgery. Unlike open surgery, you may not need to rely on heavy pain-killers in robot-assisted partial nephrectomy.See the best kidney cancer surgeon in Navi Mumbai to discuss the risks and benefits of robot-assisted nephrectomy. They will help you prepare for the procedure.

Benign Prostatic Hyperplasia (BPH)

Understanding and Combating Benign Prostatic Hyperplasia (BPH)

With age, the prostate gland that sits right beneath the bladder tends to get bigger. Although it’s not a medical emergency, you may need benign prostatic hyperplasia treatment in Navi Mumbai to live a healthy and normal life. In this post, we’ll take a detailed look at BPH, its symptoms, risk factors, and treatment options. What is Benign Prostatic Hyperplasia (BPH) Your prostate produces semen. It’s located near the urethra. If it gets bigger, it might block your urethra, which might prevent you from urinating. The condition might affect a man’s urinary tract, causing a series of urinary issues, like difficulty peeing, a weak urine stream, frequent urination, and incontinence.  BPH usually develops in men above 55. Although it’s non-cancerous and doesn’t directly increase your risk of developing prostate cancer, the symptoms of prostate cancer can be mistaken for BPH, which is why thorough evaluation is always necessary. What Are the Warning Signs of Enlarged Prostate? The symptoms might get worse over time and can vary from patient to patient.  Here’s what people with enlarged prostate report: The size of the prostate doesn’t affect the severity of the symptoms. People with an extremely enlarged prostate might notice manageable symptoms or no symptoms at all, while those with a slightly enlarged prostate might have major symptoms. Common Risk Factors for BPH Although anyone can develop BPH, here are a few factors that increase your risk: Combating Benign Prostatic Hyperplasia Here’s what may help prevent BPH: Treatment for Benign Prostatic Hyperplasia Your doctor may recommend oral medication to shrink the prostate\’s size. Certain lifestyle changes, like a balanced diet and an active lifestyle, can manage your symptoms. For more severe cases, BPH surgery in Navi Mumbai might be necessary.  Transurethral resection of the prostate (TURP) is one of the commonly performed surgical procedures for an enlarged prostate. The surgery involves guiding a resectoscope through the urethra to remove prostate tissues. Transurethral Incision of the Prostate is another possible treatment, which enlarges the urethra to ensure uninterrupted urine flow. Conclusion Benign prostatic hyperplasia is a common issue in older men. Watchful waiting is usually recommended for patients who do not experience severe symptoms. If it’s affecting your quality of life, you may want to discuss suitable treatment options with your healthcare provider.

Scroll to Top
📞