answer:HelloThanks for query ,Your father has Chronic Kidney Disease (CKD) and has been advised to undergo Renal Transplant .You wish to get the transplant surgery done in India..Please get following preliminary test done before you come to India to save time 1) Patients renal function assessment 2) Blood group of the patient 3) Donor should be preferably close relative like son ,daughter ,wife ,brother etc and should be of the same blood group 4) Donor should be less than 55 years old and should be in good health and free from any chronic illness .5) Since you are from outside country you will not get any benefits that are availed to Indian patients .6) Patient along with Donor has to come to India with documents from your Govt authorities to prove relationship.Once the patient with matching donor visits any Hospital in India he along with matching donor will be investigated and all the legal formalities will be completed within 2 weeks before Renal Transplant is done ..Patient along with donor will have to be hospitalized for 10 days after surgery .Approximate expenditure incurred will be about 2-3 lakhs Indian rupees .Dr.Patil.

answer:HelloThanks for query .You have been detected to have stones in both the ureters 1)Rt side at UV Junction 7 mm stone 2) 5 mm stone on left side in upper ureter You have not mentioned regarding back pressure changes in kidney (Hydronephrosis) which is the key factor in taking the decision about the endoscopic intervention (URS).There are two options of modality of treatment 1) If you have not severe pain ,vomiting or fever you can certainly wait for two more weeks and expect the stones to pass down spontaneously with understanding that in case you get severe pain or vomiting during this expectant period to visit hospital and Urologist for immediate endoscopic intervention (URS )2) Get the procedure done as advised by your Urologist .Dr.Patil..

answer:HelloThanks for query .Normally in India we do not do preliminary cardiac evaluation of a patent who is to undergo Lithotripsy(ESWL) for kidney stone unless patient has any cardiac problem ..ESWL is a non invasive modality of treatment carried out as out patient procedure for fragmentation of kidney stone and has no morbidity.If it is routine protocol in your country to take fitness from Cardiologist you can certainly delay ESWL for couple of days till you get clearance from cardiologist . Dr.Patil.

answer:HelloThanks for query.Your father has undergone surgery for Varicocele and feeling tired since surgery he has hematuria since very recently ..The cause of fatigue and tiredness could be loss of blood due to hematuria and not due to surgery .Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Serum PSA.4) Endoscopic examination of bladder (Cystoscopy)5) C.T Scan of abdomen and pelvis Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil.

answer:Hello and welcome to HCM.As an Urologist, APKD is an autosomal dominant kidney disease, meaning 50% of children with parents having this disease will get it. It can also be a recessive disease in children. The main finding is cysts in major organs, like kidneys, liver,spleen, pancreas, brain,blood vessels, etc.No medical treatment will revert it,once detected. The kidney function tests like urea,creatinine,urine routine and culture,micro-albumin,will give us an idea, about stage of disease,and if any surgical treatment can be done for complications. You can contact me for expert opinion,with reports.Dr.Matthew J. Mangat.

answer:Hello and welcome to HCM.As an Urologist, i'll not advise you to use 'slendertone' belt. This's purely from kidney transplant point of view. There're so many exercises you can do, to remain in good shape, without using belts. You can do stretches and bends, which are not causing any pressure over the graft in the pelvic area.A belt causing abdominal pressure with ?electric shocks, is certainly not one for you. Play it safe. Wait till some others have used it and certified it to be safe for your use. Cycling is a permitted exercise in your case. Keep healthy.Dr.Matthew J. Mangat.