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Friday 14 August 2015
Urology in Ludhiana, Urologist in Ludhiana Punjab India
Urology in Ludhiana, Urologist in Ludhiana Punjab India
Sunday 2 August 2015
UROLOGY UROLOGIST IN LUDHIANA PUNJAB INDIA
UROLOGY UROLOGIST IN LUDHIANA PUNJAB INDIA
UROLOGY UROLOGIST IN LUDHIANA PUNJAB INDIA
Laser, Endoscopy, Hypospadias, Bladder Tumor Operations ...
www.urologyludhiana.com/
Qualified, dynamic and experienced Urologist with More than 7 years of the ... Dr. Neeraj Goyal is a trusted Surgeon for TURP, TURBT, URSL and PCNL and Urological Surgeries including Radical Nephrectomy, ... Ludhiana, Punjab, INDIAWednesday 22 July 2015
UROLOGY LUDHIANA
Laser, Endoscopy, Hypospadias, Bladder Tumor Operations ...
www.urologyludhiana.com/
Dr. Neeraj Goyal did his MBBS and MS (General Surgery) from S.M.S Medical College and Hospital, Jaipur. He got training at Department of uro-oncology at ...Sunday 19 July 2015
Laser, Endoscopy, Hypospadias, Bladder Tumor Operations ...
Laser, Endoscopy, Hypospadias, Bladder Tumor Operations ...
www.urologyludhiana.com/
Dr. Neeraj Goyal did his MBBS and MS (General Surgery) from S.M.S Medical College and Hospital, Jaipur. He got training at Department of uro-oncology at ...
NG Stone and Urology Centre
481, Deep Hospital, Model Town Ludhiana
Visiting Consultant
Fortis Hospital, Ludhiana
OPD Timing & Venue
Timing
Monday & Saturday : 11.00 PM - 01.00 PM,
Place
Deep Hospital Ludhiana
By Appointment Only
Urology Clinic, Ground Floor, 648-E, BRS Nagar, Ludhiana, Punjab, India
Mobile- +91 730-778-2465, 783-713-4385
E-mail:- drneerajg@yahoo.com
481, Deep Hospital, Model Town Ludhiana
Visiting Consultant
Fortis Hospital, Ludhiana
OPD Timing & Venue
Timing
Monday & Saturday : 11.00 PM - 01.00 PM,
Place
Deep Hospital Ludhiana
By Appointment Only
Urology Clinic, Ground Floor, 648-E, BRS Nagar, Ludhiana, Punjab, India
Mobile- +91 730-778-2465, 783-713-4385
E-mail:- drneerajg@yahoo.com
Specializd Operations with Laser, Endoscopy and Laparoscopy Treatment for Cancer Surgery,
Bladder, Prostate and Kidney Stone Treatment, Renal Transplant, Prostate and Urine Related Problems
About Dr. Neeraj GoyalDr. Neeraj Goyal did his MBBS and MS (General Surgery) from S.M.S Medical College and Hospital, Jaipur. He got training at Department of uro-oncology at Rajiv Gandhi Cancer Institute, New Delhi. He Served at Safdarjang Hospital New Delhi. He did super-speciality degree (M.Ch) in Urology from Institute of Medical Sciences, Banaras Hindu University, Varanasi, UP, India. He has authored numerous journals in leading medical publications and presented papers in several national conferences. His areas of interest are Endo-urology, Laparoscopic Urology, Reconstructive Surgery, Laser assisted surgery (HOLEP & RIRS) and Rental Transplantation.
He is Senior Consultant at Fortis Hospital, Ludhiana . He has been consultant Urologist at NABH accredited 100 bedded hospital at Jaipur. He has been Medical director and Chief Urologist at RG Stone Urology and Laparoscopy hospital, Goa.
Dr. Neeraj is a trusted Surgeon for TURP, TURBT, URSL and PCNL and Urological Surgeries including Radical Nephrectomy, Cystectomy and Radical Prostectomy. He has more than 5000 Uro-surgeries and procedures to his credit.
Mobile-07307782465,7837134385 | E-mail:- drneerajg@yahoo.com
Linkedin : in.linkedin.com/pub/neeraj-goyal/32/251/706
Facebook : www.facebook.com/pages/Dr-Neeraj-Goyal/1438461379726037
Presently as Senior Consultant
Department of Urology & Kidney Transplant, Fortis Hospital, Chandigarh Road, Mundian, Ludhiana
Urology Clinic at Ludhiana, Ground Floor, 648 – E, BRS Nagar ,Ludhiana
Previous As
Medical Director and Chief Urologist
RG Stone Urology and Laparoscopy Hospital,GOA (A chain of corporate hospitals across India)
Chief Consultant Urologist
Bhandari hospital and research centre (A NABH accredited 100 Beded Multispecialty Hospital), Jaipur
Assistant professor
Mahatma Gandhi medical college, Sitapura industrial area, Jaipur, Rajasthan
As a Teacher following Colleges & University
SMS Medical college ,Jaipur - 1999-2001
Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi - 2003-2004
Institute of Medical Sciences, Banaras Hindu University,Varanasi,U.P, India - 2004-2007
Mahatma Gandhi Medical college and Hospital, Sitapura industrial area, Jaipur, Rajasthan
Awards and Medals
Awarded first prize in Jodhpur Marudhara Urology trust Best paper award in NZ-USICON, Nov.2006, Jaipur
Awarded prestigious Eagle Medical Systems Travel Fellowship for Post Graduates 2007-2008 by NZ-USICON-2008.
Life membership
Urological Society of India (USI NO.G103)
North Zone Urological Society of India (NZ G 58 A)
Delhi Urological Society (N AL 5)
Urethroplasty Urine Infections RIRS treatments in Ludhiana
Urethroplasty | Urine Infection - Dr. Neeraj Goyal
www.urologyludhiana.com/urethroplasty-urine-infection-RIRS-in-Ludhi...Urethroplasty - What is a urethroplasty Urethroplasty is a surgery where the urethra is reconstructed to cure problems like urethral strictures. The types of ...- NG Stone and Urology Centre
481, Deep Hospital, Model Town Ludhiana
Visiting Consultant
Fortis Hospital, Ludhiana
OPD Timing & Venue
Timing
Monday & Saturday : 11.00 PM - 01.00 PM,
Place
Deep Hospital Ludhiana
By Appointment Only
Urology Clinic, Ground Floor, 648-E, BRS Nagar, Ludhiana, Punjab, India
Mobile- +91 730-778-2465, 783-713-4385
E-mail:- drneerajg@yahoo.com - Urethroplasty | Urine Infection / UTI Signs and Symptoms | RIRS (Retrograde Intrarenal Surgery)Urethroplasty - What is a urethroplasty Urethroplasty is a surgery where the urethra is reconstructed to cure problems like urethral strictures. The types of surgeries are varied and depend upon the location, cause, and length of the stricture. Most surgeries take between three to six hours to complete.
An incision is made over the area of the stricture in the penis, scrotum, or perineum (the area between the scrotum and the anus). After surgery, a urethral catheter is left in for two to four weeks depending upon the type of surgery that was performed. When patients return to clinic the bladder is filled with x-ray contrast and the catheter is gently removed.
While x-rays are being taken, the patient voids and the area of the surgery is evaluated. If the area of surgery is healed, then the catheter is left out and patients begin to void normally.
How long will recovery take ?
Recovery time depends a lot on the type of surgery that was performed. Typical patients will be in the hospital overnight after surgery. As soon as they can eat, walk, and care for their catheter they can leave the hospital. It is important to limit activities after urethroplasty until adequate healing has occurred. This means no heavy lifting, strenuous exercise, or work for at least two weeks.
Generally, it is best if patients do not work while the catheter is in place, however, patients can start doing work that is not physical after 10-14 days. The catheter can be worn draining to a smaller bag that straps to the lower leg under a pair of pants. Wearing a catheter like this is unobtrusive and very manageable.
What is the follow-up after surgery ?
The follow-up after urethroplasty is very important; this is because most urethral strictures recur within the first year or two after surgery. Patients are seen every three to six months in their first year after surgery.
At the first appointment patients undergo cystoscopy of the urethra in the office and the urinary flow rate and residual urine is measured in our office. Cytoscopy is a scope exam of the urethra where a small scope is placed into the urethra from the penis, very similar to catheterization, and the area of the surgery is examined for recurrent strictures. The follow-up schedule is individualized depending upon the findings of these exams.
What happens when strictures come back after surgery ?
When strictures come back after surgery they often are thin and web-like. These strictures can cause obstruction but often can be treated internally by cutting the stricture with a scope procedure. This is not similar to the initial stricture that often has too much scarring to respond long-term to an internal cutting procedure. Some strictures are too dense and do not respond to internal cutting and the patient may need further surgery.
What is the success after urethroplasty ?
Different surgeries have different success rates. Generally, strictures can be resolved in 75-85 percent of cases. If strictures come back, only about one half cause symptoms. In other words if a stricture comes back, it has to be very tight to cause blockage of urinary flow, just like the original stricture.
If patients have symptoms, then an internal cutting surgery with a scope is usually tried (direct vision internal urethrotomy). If this doesn't work, then patients may need additional surgery, which is a rare circumstance.
Urine Infection / UTI Signs and Symptoms - What is a urine infection and what causes it ?
Most urine infections are caused by germs (bacteria) that come from your own bowel. They cause no harm in your bowel, but can cause infection if they get into other parts of your body. Some bacteria lie around your back passage (anus) after you pass a stool (faeces). These bacteria sometimes travel to the tube which passes urine from your bladder (the urethra) and into your bladder. Some bacteria thrive in urine and multiply quickly to cause infection.
A urine infection is often called a urinary tract infection (UTI) by doctors. When the infection is just in the bladder and urethra, this is called a lower UTI. If it travels up to affect one or both kidneys s well then it is called an upper UTI. This can be more serious than lower UTIs, as the kidneys can become damaged by the infection.
This leaflet only deals with urine infections in men. It does not deal with sexually transmitted infections such as chlamydia which can affect the urethra and cause similar symptoms. See separate leaflets called Cystitis in Women, Recurrent Cystitis in Women and Urine Infection in Children.
How common are urine infections ?
Urine infections are rare in men aged under 50. They become more common in older men. About 3 in 100 men in their 60s, and about 1 in 10 men in their 80s, will have a urine infection. (Urine infection is much more common in women. This is because, compared with men, the tube that passes out urine from a woman's bladder (the urethra) is shorter and opens nearer the back passage (anus).)
Why do some men get urine infections ?
In many cases the infection occurs for no apparent reason. There is no problem with the bladder, kidney, prostate, or defence (immune) system that can be identified. In some cases an underlying problem can increase the risk of developing a urine infection. These include the following:
An enlarged prostate may stop the bladder from emptying properly. Some urine may then pool in the bladder. Germs (bacteria) are more likely to multiply and cause infection in a stagnant pool of urine. (See separate leaflet called Prostate Gland Enlargement which discusses prostate enlargement in more detail.) Bladder or kidney problems may lead to infections being more likely. For example, kidney stones or conditions that cause urine to pool and not drain properly. This includes having a urinary catheter. A catheter is a thin, flexible, hollow tube. A poor immune system increases the risk of having any infection, including urine infections. For example, if you have AIDS or are taking chemotherapy.
What are the symptoms of a urine infection ?
Infection in the bladder (cystitis) usually causes pain when you pass urine, and you pass urine more frequently. You may also have pain in your lower tummy (abdomen), your urine may become cloudy, bloody or offensive-smelling and you may have a high temperature (fever). Infection in the kidneys may cause pain in a loin (the side of the abdomen over your kidney), a high fever, feeling sick (nausea), being sick (vomiting) and feeling generally unwell. In some elderly men, the only symptoms may be a recent onset of confusion or just feeling generally unwell, even without any actual urinary symptoms.
Are any tests needed ?
A urine sample can confirm the diagnosis and identify the germ (bacterium) causing the infection. Further tests are not usually necessary if you are otherwise well and have a one-off infection. However, your doctor may advise tests of your kidney, prostate, or bladder if an underlying problem is suspected (such as an enlarged prostate or a kidney problem).
An underlying problem is more likely if the infection does not clear with an antibiotic medicine, or if you have:
Symptoms that suggest a kidney is infected (and not just the bladder). Recurring urine infections. For example, two or more in a three-month period. Had problems with your kidney in the past, such as kidney stones or a damaged kidney. Symptoms that suggest an obstruction to the flow of urine. Tests may include a scan of your kidneys or bladder, and/or a look inside your bladder with a special telescope (cystoscopy).
What is the treatment for a urine infection in men ?
A course of an antibiotic medicine will usually clear the infection quickly. This is usually for seven days. You should see a doctor if your symptoms are not gone, or nearly gone, after a few days. Paracetamol or ibuprofen will usually ease any pain, discomfort, or high temperature (fever). Have plenty to drink to help prevent a lack of fluid in the body (dehydration) if you have a fever and feel unwell.
RIRS (Retrograde Intrarenal Surgery)
Retrograde intrarenal surgery (RIRS) is a procedure for doing surgery within the kidney using a viewing tube called a fiberoptic endoscope.
In RIRS the scope is placed through the urethra (the urinary opening) into the bladder and then through the ureter into the urine-collecting part of the kidney. The scope thus is moved retrograde (up the urinary tract system) to within the kidney (intrarenal).
RIRS may be done to remove a stone. The stone is seen through the scope and can then be manipulated or crushed by an ultrasound probe or evaporated by a laser probe or grabbed by small forceps, etc.
RIRS is performed by a specialist, a urologist (endourologist) with special expertise in RIRS. The procedure is usually done under general or spinal anesthesia.
The advantages of RIRS over open surgery include a quicker solution of the problem, the elimination of prolonged pain after surgery, and much faster recovery.
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