Dr Deepak Garg

12/09/2025

Talk on common kidney issues….Akashvani Dehradun

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

01/08/2025

Rezum is a minimally invasive medical procedure used to treat benign prostatic hyperplasia (BPH), which is an enlargement of the prostate gland that can affect urinary functions in men. This procedure uses the energy stored in water v***r (steam) to reduce excess prostate tissue, thereby relieving the pressure on the urethra and improving urine flow.

Here's a bit more detail on how it works:

1. **Procedure**: During a Rezum treatment, a small instrument is inserted into the urethra to reach the prostate. The device releases water v***r directly into the prostate tissue. The steam penetrates the cells, releasing heat, which disrupts the prostate cells.

2. **Recovery and Benefits**: As the body absorbs the treated tissue, the size of the prostate decreases, alleviating urinary symptoms. The procedure typically takes a few minutes, is often performed under local anesthesia or light sedation, and allows patients to return home the same day.

3. **Advantages**: Compared to traditional surgical methods, Rezum has a shorter recovery time and preserves sexual function better. It's also less invasive, with fewer side effects like bleeding or incontinence.

4. **Suitability**: Rezum is particularly suitable for men with moderate to severe BPH who want to avoid medication or major surgery.

5. **Outcome**: Results can vary, but many patients notice an improvement in symptoms within a couple of weeks, with full benefits typically realized in three months.

Always consult with a healthcare provider to determine if Rezum is appropriate, considering individual health circumstances. If you want more details or wish to explore alternatives, feel free to ask!

05/02/2025

https://youtu.be/7R2r50hl5AI?feature=shared
Robotic assisted partial nephrectomy in solitary kidney.

When Mr. Manohar Sisodiya from Dehradun was diagnosed with a large kidney tumor, he was initially advised to remove the entire kidney. But thanks to Dr. Deep...

22/12/2024

Occupied Sunday - Renal transplant

08/10/2024

Robotic-assisted radical prostatectomy (RARP) has indeed revolutionized the treatment of prostate cancer. It utilizes advanced robotic systems to assist surgeons in performing the procedure with greater precision and control. Here are a few reasons why RARP is considered beneficial for prostate cancer patients:

1. **Minimally Invasive**: RARP is a minimally invasive procedure, which generally means smaller incisions, less pain, and a quicker recovery compared to traditional open surgery.

2. **Precision**: The robotic system provides surgeons with enhanced dexterity and precision, which is crucial for navigating around delicate and complex anatomical structures.

3. **Reduced Blood Loss**: Patients often experience less blood loss during robotic surgery, reducing the need for transfusions.

4. **Shorter Hospital Stay**: Due to its minimally invasive nature, patients often have shorter hospital stays and can return to normal activities more quickly.

5. **Potential for Better Outcomes**: Some studies suggest that RARP may lead to better cancer control, with lower rates of positive surgical margins. This can mean a decreased likelihood of cancer recurrence.

6. **Improved Visuals**: The robotic system provides high-definition, 3D visuals that help surgeons operate more effectively.

7. **Reduced Risk of Complications**: There's often a lower risk of complications such as infections and scarring.

8. **Enhanced Recovery of Functions**: Many patients experience quicker recovery of urinary and sexual functions compared to traditional approaches.

While Robotic-assisted radical prostatectomy offers these significant advantages, it's important for patients to have a thorough discussion with their healthcare provider regarding the risks, benefits, and appropriateness of the procedure for their individual condition.

16/07/2024

Rezūm Water Vapour Therapy is a minimally invasive procedure that uses the natural energy stored in a few drops of water to treat the excess prostate tissue causing BPH symptoms.

The doctor will use a hand-held device that passes through the urethra to reach the prostate. A tiny amount of steam is injected into the prostate to ablate (destroy) part of the swollen prostate tissue that is putting pressure on the urethra and causing the bothersome symptoms of BPH.

Rezūm is a transurethral needle ablation method that differs from the traditional TUNA, which delivers heat to the excess tissue in the prostate, and instead provides radiofrequency generated thermal energy in the form of water vapour.

The energy transported by the water damages the offensive cells, which in turn causes them to die. Over time, the body absorbs the treated tissue as part of the natural healing process, and as it does, symptoms of BPH are relieved.

Clinical data has shown that the Rezūm Water Vapour Therapy is safe and effective in relieving lower urinary tract symptoms due to BPH without compromising sexual function – and the treatment appears effective for at least five years. The goal of the treatment is to relieve symptoms so you can get back to your life and resume your daily activities.

28/05/2024

RARP, or Robot-Assisted Radical Prostatectomy, has indeed become a standard of care for many prostate cancer patients. This approach involves using robotic systems to enhance the precision and control of the surgeon during the removal of the prostate gland. Here are some key reasons why RARP is widely adopted:

1. **Minimally Invasive**: Smaller incisions, reduced blood loss, and faster recovery times.
2. **Precision**: Enhanced visualization and dexterity for the surgeon, leading to better outcomes in nerve preservation and cancer control.
3. **Reduced Complications**: Lower risk of complications such as incontinence and erectile dysfunction compared to traditional open surgery.
4. **Recovery**: Shorter hospital stays and quicker return to daily activities and work.

However, the suitability of RARP depends on individual patient factors, and it’s important to discuss options with a healthcare provider.

18/04/2024

Voting is the expression of our commitment to ourselves, one another, this country, and this world.”

19/12/2023

08/12/2023

Kidney stone management involves a combination of medical and surgical approaches to help a person pass the stone and prevent future occurrences.

The primary goal of managing kidney stones is to provide relief from the symptoms and prevent complications such as blockage of the urinary tract, infection, and kidney damage.

Medical management:
1. Pain management: Severe pain is often the first symptom of a kidney stone. Pain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids, may be prescribed to help manage the discomfort.
2. Hydration: Drinking plenty of water is essential to help flush out the stone from the urinary tract. Adequate hydration can also help prevent the formation of new stones.
3. Medications to facilitate stone passage: Alpha-blockers, such as tamsulosin, can help relax the muscles in the ureter, making it easier for the stone to pass.
4. Medications to prevent stone formation: Depending on the type of stone a person has, their healthcare provider may prescribe medications to prevent the formation of new stones. These medications may include thiazide diuretics to reduce calcium excretion in the urine, allopurinol to lower uric acid levels, or potassium citrate to reduce the acidity of urine.

Surgical management:
1. Extracorporeal Shock Wave Lithotripsy (ESWL): This non-invasive procedure uses shock waves to break the kidney stone into smaller pieces, which can then pass more easily through the urinary tract.
2. Ureteroscopy: A thin scope is used to locate the stone within the ureter or kidney. Small tools are then used to either remove the stone or fragment it into smaller pieces for easier passage.
3. Percutaneous nephrolithotomy (PCNL): In cases where the stone is large or located in the kidney, a surgical procedure called PCNL may be performed. A small incision is made in the back, and a nephroscope is used to locate and remove the stone.
4. Open surgery: In rare cases, particularly when other methods are not feasible, open surgery may be necessary to remove a kidney stone.

Preventive measures:
1. Hydration: Encouraging adequate fluid intake is crucial for preventing the formation of kidney stones. Water is the best choice, as it helps dilute the substances in the urine that lead to stone formation.
2. Dietary modifications: Depending on the type of kidney stone a person has, dietary changes may be recommended. For example, reducing sodium, animal protein, and oxalate-rich foods, and increasing consumption of calcium-rich foods can help prevent certain types of stones.
3. Medications: As mentioned earlier, medications may be prescribed to prevent the formation of new stones. Compliance with these medications is important for long-term management.
4. Regular follow-up: Periodic check-ups with a healthcare provider can help monitor for the recurrence of stones and assess the effectiveness of preventive measures.

It's important for individuals who have had kidney stones to work closely with their healthcare providers to determine the underlying causes of their stone formation and develop a personalized management plan. By addressing lifestyle factors, dietary habits, and underlying medical conditions, the risk of recurrent kidney stones can be significantly reduced.

17/11/2023

UroLift is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), also known as an enlarged prostate. The UroLift system involves the use of small implants to hold the enlarged prostate tissue out of the way, thereby opening up the urethra and allowing for improved urine flow. This approach differs from traditional BPH treatments such as surgery or medication, offering a less invasive alternative for patients.

During the UroLift procedure, the UroLift device is inserted into the urethra through a cystoscope, a thin tube with a camera and light at the end. This allows the doctor to visualize the enlarged prostate and position the implants in the appropriate locations. Once in place, the implants work to lift and hold the obstructing prostate tissue, relieving the pressure on the urethra and restoring the natural urine flow.

One of the key advantages of the Urolift procedure is its minimal downtime and quick recovery. Many patients are able to return to regular activities shortly after the procedure, without the need for a prolonged hospital stay. Additionally, the UroLift system offers a low risk of sexual side effects compared to traditional surgical treatments for BPH.

It's important to note that while UroLift can be an effective option for many patients, not everyone is a candidate for this procedure. The decision to undergo UroLift or any medical procedure should be made in consultation with a qualified healthcare professional who can assess the individual's specific condition and medical history.

As with any medical intervention, there are potential risks and benefits associated with the UroLift procedure. Common side effects may include light bleeding, discomfort during urination, and a temporary increase in urinary frequency. In rare cases, patients may experience more serious complications such as infection or urinary retention. It's essential for individuals considering UroLift to discuss these potential outcomes with their healthcare provider and weigh them against the expected benefits.

In summary, UroLift is a minimally invasive treatment for benign prostatic hyperplasia that offers a promising alternative to traditional surgical approaches. By using small implants to lift and hold enlarged prostate tissue, the UroLift system can help improve urine flow and reduce BPH symptoms with minimal downtime and a low risk of sexual side effects. However, it's important for individuals to consult with a healthcare professional to determine whether UroLift is the right option for their specific needs and circumstances.

18/05/2023