Severe one-sided loin pain with fever, or inability to pass urine at all, needs emergency care now. An obstructed, infected kidney can become life-threatening within hours and needs urgent drainage. Go to the nearest hospital.
Kidney and ureteric stones, prostate enlargement, urinary obstruction and reconstructive surgery, at NABH and JCI accredited hospitals across Delhi NCR.
Stones are the commonest reason patients from the Gulf and South Asia contact us about urology, and they are also where the most unnecessary surgery happens. Small stones frequently pass on their own.
Free. No obligation. A written opinion within 48 hours.
Stone disease is where we most often tell people they do not need the procedure they have been quoted for.
Stones under about five millimetres pass spontaneously in most people, with fluids, pain relief and sometimes a drug to relax the ureter. Time and patience are the treatment.
A stone low in the ureter is far more likely to pass than one at the top. The scan report should state both size and position — if it does not, ask.
Stones sitting in the kidney causing no symptoms often need nothing at all, only periodic imaging. Treating them because they were seen is common and frequently unnecessary.
A blocked kidney with fever is a urological emergency requiring drainage within hours. That is the situation where nothing should wait.
Send the CT report with the stone's size in millimetres and its exact position, and we will tell you honestly whether it needs treating at all.
The conditions we are asked about most in urology.
Including staghorn and recurrent stone disease
Poor flow, night-time urination, incomplete emptying
Narrowing causing obstruction, often after injury or infection
Blockage where the kidney meets the ureter, in adults and children
Investigation of an underlying cause rather than repeated antibiotics
Kidney, bladder and prostate — covered on our cancer pages
Surgical sperm retrieval and varicocele repair
Assessment and surgical treatment in men and women
Detailed pages for these are being written. In the meantime send your reports and you will get the same written opinion within 48 hours, from the same clinical team that reviews every case.
Almost all stone and prostate surgery is now endoscopic, through natural passages rather than incisions.
A fine telescope is passed up the urinary tract to the stone, which is broken with a laser and the fragments removed. No incision at all. It is the most reliable way to clear a ureteric stone and gives immediate stone-free confirmation. A temporary stent is usually left for a week or two, and it can be uncomfortable.
For large or staghorn stones, a small tract is made through the flank directly into the kidney and the stone removed in pieces. It clears large stone burdens in one procedure where other methods would need several. It is the most invasive stone option and carries a higher bleeding risk.
The obstructing part of the prostate is removed from inside through the urethra, either with electrical resection or laser enucleation. Laser techniques bleed less and suit larger glands and men on blood thinners. Both relieve obstruction reliably where medication has failed.
Reconstruction of a narrowed urethra, often using a graft of tissue from inside the cheek. It is definitive surgery with durable results, in contrast to repeated dilatation which tends to make the stricture worse over time. It requires a surgeon who does reconstructive work regularly.
Shock waves focused from outside the body break the stone into fragments that pass in the urine. No anaesthetic incision and often day case, but it works only for certain stone sizes, positions and densities, and more than one session may be needed. Clearance is less certain than ureteroscopy.
Laser stone surgery is a skill that improves markedly with volume. Ask how many the surgeon performs each year, not how long they have been qualified.
Holmium and thulium lasers differ in what they can do, particularly for large prostates. A unit with only one option cannot offer you a neutral recommendation.
Urethroplasty and complex reconstruction are a distinct sub-specialty. A general urologist doing occasional stricture work is not the same as a reconstructive urologist.
Ask any urologist two questions: what is your stone-free rate for a stone of my size and position, and would you watch this rather than treat it? An honest answer to the second is the more useful one.
Stone surgery carries risks of bleeding, infection, ureteric injury and, uncommonly, the need for further procedures if the stone is not fully cleared. Stents cause genuine discomfort and urinary urgency while they are in. Prostate surgery can affect ejaculation in most men and, uncommonly, continence. Urethral reconstruction can fail and recur. Ask your surgeon for their own figures rather than published averages.
This needs drainage within hours at the nearest hospital. It is one of the true urological emergencies.
Acute retention needs a catheter today, wherever you are, before anything is planned.
We will usually suggest waiting with fluids and pain relief rather than arranging a procedure.
Many men are controlled well on tablets. That should be tried properly before surgery is considered.
Operating in the presence of infection risks sepsis. It must be cleared first.
Urology is a specialty where a good deal of quoted surgery is avoidable. Send the scan and we will tell you which situation you are in.
A patient travelling for laser treatment of a ureteric stone.
Very possibly. Stones under about five millimetres pass spontaneously in most people, particularly if they are low in the ureter. Fluids, pain relief and sometimes a drug to relax the ureter are the treatment. Send the size and position from your CT report and we will tell you the realistic likelihood.
The stent runs from the kidney to the bladder and its lower end irritates the bladder, causing urgency, frequency and sometimes blood in the urine. It is temporary and normal, though genuinely unpleasant. It must be removed on schedule — a forgotten stent encrusts and becomes a serious problem.
Not necessarily. Medication controls symptoms well in many men and should be tried properly first. Surgery is indicated where medication fails, where the bladder is not emptying, where there is recurrent infection or bleeding, or where kidney function is affected by back pressure.
Most men experience retrograde ejaculation afterwards — semen passes into the bladder rather than outward. It is harmless but it affects fertility, and it should be discussed before surgery if that matters to you. Erectile function is usually preserved. Ask your surgeon specifically about this.
To a considerable degree, yes, and this is frequently neglected. Analysing the stone composition and doing a metabolic assessment identifies why they form, and targeted advice on fluid, diet and sometimes medication substantially reduces recurrence. Ask for the stone to be sent for analysis.
Generally no. Repeated dilatation tends to cause further scarring and makes the stricture worse over time, while appearing to help briefly. Reconstructive urethroplasty is definitive and durable. If you have had several dilatations, that is a reason to seek a reconstructive opinion.
Related pages: Urological cancer · Male factor infertility · End-stage kidney disease · Urology cost in India · All treatments
Send the CT report with the stone's size in millimetres and its exact position. Those two details decide whether you need a procedure at all.
Your reports go directly to our medical team. We do not share your records with hospitals until you tell us to.
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