Dr. Mahesh Desai Awarded an Honorary Membership of USANZ

Dr. Mahesh Desai kidney specialist doctor– Medical Director and Managing Trustee of Muljibhai Patel Urological Hospital, Nadiad – awarded an “Honorary Membership of Urological Society of Australia and New Zealand” (USANZ) on 16th April, 2013. He was awarded this membership for a life time.


The Urological Society of Australia and New Zealand (USANZ) awarded him in recognition of his extensive experience and expertise in the management of stone disease and his appointments as a Visiting Professor at the Duke University, Stanford University, Cleveland Clinic, University of Vienna and Hamad Medical Corporation, Qatar. This award also recognizes his membership of the American Association of Genito-Urinary Surgeons and appointment to the Editorial Board of Journal of Endourology.

Patient’s Testimonial on Importance of Exercise after Robotic Prostatectomy by Mr. Vinesh Antani – A Renowned Gujarati Author

By Mr. Vinesh Antani – A Renowned Gujarati Author

Dr. Mahesh Desai, the Medical director of famous MPUH hospital – Nadiad, has explained me in details about the side effect of prostate removal, when he decided to go for an operation for my prostate cancer. The important thing for me was to know that a patient loses the control over urinate after the surgery, and that lasts for indefinite period – it can be for a few days, weeks or even for a few months. Once the prostate is removed, and if the muscles are not strong enough, patient will not be able to have control over urinate.

For the purpose, Dr. Mahesh Desai strongly recommended me to do exercise regularly. The physiotherapist – Dr. Vijay gave me enough training for all type of exercises. These exercises are very simple, but patients have to do them regularly – before and after the surgery. Dr. Vijay has repeatedly reminded this instruction and I started following it.

Dr. Mahesh Desai performed my surgery on 28th May, 2013. After the surgery, all the doctors were regularly following up with me and all of them – including Dr. Desai have strongly recommended to continue the exercise. The physiotherapist – Dr Vijay used to visit twice a day, and kept on guiding about the exercise. Even the nursing staff reminded the same. I was worried about urine leakage. I followed the advice of Dr. Mahesh Desai and his team about the exercise quite sincerely. At hospital, I had nothing to do that is why I kept on exercising throughout my stay.

The catheter was removed on the seventh day after my surgery. Now, the urine was supposed to come out naturally. I was at a point, for which I was afraid of the most, when I couldn’t control the urine. Luckily, after few hours urine started naturally. I was very worried about controlling urine and I was praying God to take me out of this situation as early as possible. As per the instruction and the guidance given by expert team of doctors, I continued my exercise regularly. After removal of the catheter urine was passing naturally. I could feel urge of the urination. I could stand up and reach to toilet. Gradually I could hold urine up to four hours then five hours and finally up to six hours!! I was amazed that there was no single incident of urine leakage during the entire day. I made doctors aware about it and they were happy as well. When Dr. Mahesh Desai came for a visit in evening, I informed him about it. He was very happy and he added that “this is the result of your regular exercise”. It’s been 15 days, when I am writing this, since the catheter is removed. I still do exercises regularly and follow doctor’s instruction very carefully. I am glad that there is no single incident of urine leakage till now.

Friends, I just want to tell you one thing. Like every patient wants the best doctors for their treatment, even doctors want their patients to follow all their instructions. My own experience of following doctor’s instructions, kept me away from shameful situation of urinary incontinence. Such things give big relief to the patient. So every patient should follow the doctors’ advice very strictly and do the exercise regularly.

Overview of Diabetic Nephropathy

The disease or damage in kidney occurs due to diabetes is known as Diabetic Nephropathy or Diabetic Kidney Disease in some cases; it could lead to kidney failure as well. At the “Muljibhai Patel Urological Hospital (MPUH)” – Centre For Robotic Surgery (CRS), best urology hospital , we give world class treatments for various Urological Diseases. In terms of Diabetic Kidney Disease, treatment aims to prevent or delay the progression of the disease. It also helps in reducing the risk of developing cardiovascular diseases such as heart attack. All types of diabetes cause kidney disease and diabetes is also noted as the number one cause of Chronic Kidney Disease (CKD), where it causes damage to the tiny blood vessels in the kidney. So, it is important to manage diabetes and maintain healthy blood sugar levels within your body.

Causes of Diabetic Nephropathy

Each kidney is made thousands of small units called Nephrons. These tiny structures refine the blood and help to remove waste from the body. There are very high chances Diabetic Nephropathy, if you have diabetes with high blood pressure. It is recommended to regularly check about the blood sugar to check the level of diabetes. In some cases, a person’s family history may also play an important role for the onset of Diabetes. For reasons doctors don’t yet understand; only some people who have diabetes get kidney damage. For example, it is estimated that out of every 100 people with diabetes, as many as 40 will get kidney damage.

In this problem the nephron thickens and becomes scarred so kidney begins to leak and the protein passes through the urine. In many cases this problem is not observed in the early stages, thus damages already occur before getting to know about this disease. Generally smoking increases the level of blood pressure. So those who have diabetes and who smoke have higher chances to develop diabetic kidney disease.

In people with diabetes, Nephrons get thicken and slowly get scarred over time. Then the kidneys begin to leak and protein (albumin) passes into the urine. This damage can happen years before any symptoms are noticed. Though the exact cause is unknown, kidney damage is more likely if diabetes and high blood pressure remain untreated. Certain things make people more likely to get Diabetic Nephropathy. If you also have high blood pressure or high cholesterol, or if you smoke, your risk is higher.

Symptoms of Diabetic Nephropathy
If you are in later stage of diabetic nephropathy, then probably either one of both of your kidneys have stopped functioning. Then you either have to rely on dialysis or do kidney transplant.

As stated in our earlier articles, kidneys act as a water purifier. If the candles of water purifier don’t work properly, we do not come to know unless we taste the water. Similarly if the kidneys are damaged, but you cannot come to know about this disease unless you get the test in laboratory. Sometimes it takes around 5-7 years before starting of any symptoms.

Symptoms are not visible in the early stages in person suffering from Diabetes. The first sign of kidney damage is a small amount of protein in the urine, which is found by a simple urine test. So it is quite important to take regular urine tests to find out kidney damage at an early stage. Occasionally, early kidney damage can be treated and overturned.

If you are suffering from Diabetes, you should watch out symptoms such as, feeling fatigued most of the time, unusual headaches, nausea and vomiting, poor appetite, and swelling of the legs.

What does diabetes do to the kidneys?
Diabetes is also called slow death. It is one of the most dangerous diseases. It actually weakens your immunity power. With diabetes, the small blood vessels in the body get injured. When the blood vessels in the kidneys get injured, kidneys cannot refine your blood properly. Then the body will recall more water and salt than it usually should, which can result in weight gain and ankle swelling. This will lead to more protein in your urine and certain waste materials will build up in your blood, harm the nerves in the body, can create trouble in evacuating the bladder and the pressure ensuing from the full bladder can back up and damage the kidneys. Similarly, if urine remains in the bladder for a long time, it can develop into an infection from the speedy growth of bacteria in urine that has a high sugar level.

Treatment of Diabetic Nephropathy
Check your blood sugar level regularly. Especially if your family have the history of diabetes, after reaching a mature age – say around 45-50 you should be more aware and do regular checkups.

Once kidney damage is fixed in its early stages, it can be reduced with proper treatment. When higher amounts of protein seem in the urine, kidney damage will get worse. Keeping the blood pressure under control (under 130/80) is one of the best ways to reduce kidney damage.

A doctor may recommend medicines to reduce the blood pressure and protect the kidneys from more damage. The key treatment is through medicines to lessen blood pressure and prevent or slow the harm to the kidneys. It may require taking more than one medicine, especially when the patient has high blood pressure. Intake of low-fat diet, taking drugs to control blood cholesterol, and doing regular exercise can also help stop or slow kidney damage.

As it is said – prevention is better than cure – keeping blood sugar and blood pressure under control is the best way to avoid such disease.