Urinary symptoms can range from something temporary, such as a urinary infection, to conditions that need more detailed evaluation, such as kidney stones, prostate disorders or urinary obstruction.
Dr Saurabh Chipde is a urologist at Apollo Hospitals, Indore, with more than 20 years of experience. He holds MBBS, MS and MCh in Urology. His areas of experience include Endourology, Laparoscopy, robotic urological procedures and renal transplantation, along with the management of kidney stone-related conditions and other urological problems.
Conditions Treated by Dr Saurabh Chipde
ไตหิน
Kidney stones, also known as nephrolithiasis, form when certain substances in urine become concentrated and form crystals. Depending on their size and location, they may pass without treatment or cause pain, obstruction or difficulty passing urine.
ต่อมลูกหมากโต
Prostate enlargement, commonly referred to as benign prostatic hyperplasia (BPH), does not always require surgery. Treatment depends on the severity of symptoms, examination findings and the effect on urinary function.
ทางเดินปัสสาวะอุดตัน
Urinary obstruction occurs when the normal flow of urine is partially or completely blocked. Symptoms can include difficulty passing urine, reduced urine flow, pain or incomplete bladder emptying. It can occur at different points in the urinary tract and may be associated with stones, prostate enlargement or other conditions.
เลือดในปัสสาวะ
Blood in the urine, medically known as haematuria, can have several causes. Kidney or bladder stones, urinary infections and other urinary tract conditions can sometimes lead to blood appearing in the urine.
When Should You Consult Dr Saurabh Chipde?
Common reasons for seeking a urology assessment include:
เลือดในปัสสาวะ
การติดเชื้อทางเดินปัสสาวะซ้ำ
นิ่วในไตหรือกระเพาะปัสสาวะ
Severe or recurring flank or lower back pain
เจ็บปวดเมื่อปัสสาวะ
ปัสสาวะลำบาก
Weak or reduced urine flow
ปัสสาวะบ่อยหรือเร่งด่วน
A feeling of incomplete bladder emptying
การเก็บปัสสาวะ
Recurring prostate-related symptoms
Advanced Urology Expertise
What Is Endourology?
Endourology is a minimally invasive area of urology that uses specialised instruments and endoscopic techniques to diagnose or treat conditions within the urinary tract.
Depending on the condition, endourological procedures may allow treatment through natural urinary passages or through small access points rather than conventional open surgery.
What Is Laparoscopic Urology?
Laparoscopic urology uses specialised instruments inserted through small incisions to perform selected urological operations. A camera provides a view of the surgical area while the surgeon performs the procedure using the instruments.
Whether laparoscopic surgery is appropriate depends on the condition, its location and the type of operation required. It is therefore not a treatment that is automatically suitable for every urological problem.
What Is Robotic Urology?
Robotic urology refers to selected urological procedures performed using a robotic surgical system controlled by the surgeon. The surgeon operates the instruments from a console, while the system provides an enhanced view and precise instrument control through small surgical access points.
การปลูกถ่ายไต
Renal transplantation is a complex treatment for selected patients with advanced kidney failure. The transplant itself is one part of a longer process involving assessment, donor-recipient evaluation, surgery and continuing medical follow-up.
Urological Procedures and Surgical Expertise
Laser Kidney Stone Treatment and Lithotripsy
Lithotripsy refers to techniques used to break a kidney or urinary stone into smaller fragments so that they can be removed or passed more easily. The choice of laser kidney stone treatment or another approach depends on the stone's size, location, composition and the patient's clinical condition.
ร.ร
Retrograde intrarenal surgery (RIRS) is an endourological procedure used to reach stones within the kidney through the natural urinary passage. A small flexible instrument is guided through the urinary tract to reach the stone, which can then be fragmented or removed using appropriate instruments.
บมจ
Percutaneous nephrolithotomy (PCNL) is a procedure used to remove selected kidney stones through a small access tract made into the kidney. It may be considered for larger or more complex stones where another approach may not be suitable.
cystoscopy
Cystoscopy allows a urologist to examine the inside of the urethra and bladder using a specialised instrument called a cystoscope. It may be recommended when symptoms such as blood in the urine, recurrent urinary problems or other bladder-related concerns require direct visual assessment.
การผ่าตัดต่อมลูกหมาก
Prostate surgery may be considered when prostate-related urinary symptoms are significant, persistent or associated with complications, or when other treatment approaches are not adequate.
ศัลยกรรมระบบทางเดินปัสสาวะด้วยหุ่นยนต์
Robotic urological surgery uses a robotic system controlled by the surgeon to perform selected procedures through small incisions. In appropriate cases, it can be used for procedures involving the prostate or kidney.
The presence of robotic technology does not mean that every urological condition requires robotic surgery. The diagnosis, anatomy, treatment objective and suitability of the procedure all need to be assessed first.
Diagnostic Evaluation in Urology
A urology consultation generally begins with understanding the symptoms and medical history. Diagnostic assessment may include:
Urine testing to look for infection, blood or other abnormalities
Blood tests to assess relevant health and kidney-related parameters
ถ่ายภาพอัลตราซาวนด์
CT imaging where indicated
Uroflowmetry to assess urinary flow
Cystoscopy or other endoscopic evaluation
Prostate-related assessment when clinically appropriate
What to Expect During a Urology Consultation?
Step 1: Symptom Assessment
The consultation begins with a discussion of urinary, kidney, bladder or prostate symptoms.
Step 2: Clinical Examination
A physical examination may be performed where clinically appropriate. The examination depends on the symptoms and the condition being investigated.
Step 3: Diagnostic Testing
Urine tests, blood tests, ultrasound, CT, uroflowmetry or endoscopic evaluation may be recommended depending on the clinical concern.
ขั้นตอนที่ 4: การวินิจฉัย
The test results and examination findings are reviewed together to identify the underlying condition.
ขั้นตอนที่ 5: การวางแผนการรักษา
Treatment may involve observation, medication, lifestyle measures, minimally invasive urology procedures or surgery, depending on the diagnosis, severity of the condition and individual clinical findings.
ขั้นตอนที่ 6: การติดตามผล
Certain conditions require monitoring, while others may need further investigations or post-procedure assessment.
Kidney Stone Evaluation: When Does a Stone Need Treatment?
Treatment decisions depend on the stone’s size, location, symptoms and whether urinary obstruction is present. Smaller stones that are not causing complications may sometimes be managed conservatively.
Treatment can include stone fragmentation or removal. Depending on the stone characteristics, approaches such as lithotripsy, RIRS or PCNL may be considered.
Professional Experience and Academic Contributions
MBBS, MS and MCh in Urology.
More than 20 years of experience in Urology.
Endourology and Laparoscopy, robotic urological procedures and renal transplantation.
NZUCICON-2011 recognition in Shimla, Marudhara Jodhpur Best Paper Award, NZUCICON-2011 second prize and second prize in the NZUCICON-2011 Urology Quiz.
Around 25 papers published in national and international indexed journals.
Urology Care at Apollo Hospitals, Indore
Apollo Hospitals, Indore provides urology services covering a range of urinary and male reproductive health concerns. The urology services include care related to kidney stones, prostate disorders, urinary infections, urinary incontinence, male infertility and urological cancers.
The hospital also offers procedures and diagnostic services, such as prostate surgery, lithotripsy, laparoscopic and robotic urological surgery, cystoscopy and urodynamic procedures.
Dr Saurabh Chipde is a urologist at Apollo Hospitals, Indore, with more than 20 years of experience in Urology. He holds MBBS, MS and MCh in Urology and has experience in managing a range of urinary and urological conditions.
Q: What does Dr Saurabh Chipde specialise in?
Dr Chipde’s areas of experience include endourology, laparoscopic procedures, robotic urological procedures and renal transplantation. His clinical expertise also includes kidney stone-related conditions, prostate problems and urinary obstruction.
Q: Does Dr Saurabh Chipde treat kidney stones?
Dr Chipde is well-experienced in endourology and kidney stone-related treatment. These are areas of urology concerned with the diagnosis and minimally invasive treatment of urinary stones.
Q: Does Dr Saurabh Chipde perform robotic urological surgery?
Yes. Dr Chipde is an experienced member of robotic surgical teams and states that he performed the first robotic radical prostatectomy in Madhya Pradesh. His profile also records experience with robotic urological procedures.
Q: What symptoms may require a urology consultation?
Blood in the urine, recurring urinary infections, kidney stones, painful urination, urinary retention, weak urine flow and persistent changes in urinary frequency are among the symptoms that may require urological evaluation.
Q: Does every kidney stone require surgery?
No. Treatment depends on factors such as the stone's size, location, symptoms and clinical findings. Some stones can be managed without a procedure, while others may require stone removal or fragmentation.
Q: What is robotic urological surgery?
It is a minimally invasive surgical approach in which the surgeon controls a robotic system to perform selected urological procedures through small incisions. The system allows the surgeon to work using specialised instruments and an enhanced view of the surgical area.
A urologist manages conditions involving the urinary tract and also the male reproductive system, including surgical conditions. A nephrologist focuses primarily on kidney diseases and their medical management.
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