http://www.drarifakhtarurology.com/

Dr Arif Akhtar, Marengo Asia hospitals , golf course extension Road, sector 56 gurugram, Gurugram (2026)

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Marengo Asia Hospitals , Golf Course Extension Road, Sector 56 Gurugram

29/01/2026

Leakage After Prostate Cancer Surgery Is Not a Complication. It Is a Physiological Trade-off.

After prostate cancer surgery, many men quietly carry a sense of failure when urine leaks. Medicine must be honest here. This leakage is not a mistake. It is a known biological consequence of removing an organ that sits at the centre of urinary control.

The prostate contributes nearly one third of resting urethral resistance. When it is removed to save life, continence depends entirely on a weakened external sphincter and delicate pelvic nerves. Even with perfect surgery, this system may not fully recover. Large studies show that up to 15–20% of men have persistent stress incontinence one year after radical prostatectomy, despite physiotherapy and time.

This is not shame. It is anatomy.

For men with significant leakage, the artificial urinary sphincter remains the most reliable surgical solution, with long-term dryness rates exceeding 80% in experienced hands. It does not restore pride or dignity. Those were never lost. It restores control.

And control is what allows a man to live normally again.

— Dr. Arif Akhtar

29/01/2026

Your Ultrasound Says “Prostate Enlarged”. Here’s What It Actually Means.

Many men arrive at my clinic holding an ultrasound report the way one might hold a court summons. The words prostate enlarged feel final, almost accusatory. The unspoken question follows quickly: Doctor, is this cancer?

Here’s the science, stripped of drama. Prostate enlargement, medically called benign prostatic hyperplasia, is a near-universal companion of ageing. Long-term studies show that more than half of men develop it by sixty, and the vast majority by eighty. It is driven by hormonal shifts, not malignancy. Cancer is a different disease with different markers.

What truly matters is not the number printed on the report. It is how a man lives with his bladder. Is the urinary stream weak? Is sleep broken repeatedly at night? Is the bladder beginning to strain in silence? Treatment decisions rest on symptoms, bladder health, and overall wellbeing, not size alone.

An ultrasound offers information, not a verdict. Care begins with conversation, examination, and evidence-based judgment.

Reports don’t treat patients. Doctors do.

Dr. Arif Akhtar
Urologist
www.drarifakhtarurology.com

26/01/2026

On this Republic Day, 26 January 2026, we honour a Constitution that turned a diverse nation into a disciplined democracy. The Republic was not gifted to us. It was reasoned, debated, and courageously built. Our duty is to protect its values through integrity, science, compassion, and service to fellow citizens.
Jai Hind.

Dr. Arif Akhtar
www.drarifakhtarurology.com

23/01/2026

On Vasant Panchami, we welcome renewal, clarity, and disciplined learning. As nature turns yellow with promise, may our minds stay curious, precise, and humble before knowledge. Wisdom, like health, grows when nurtured daily. Wishing you balance, learning, and purposeful beginnings.

— Dr. Arif Akhtar

22/01/2026

Same Cancer, Different Surgery: The Science Behind Personalized Prostate Cancer Operations

Two men may walk into my clinic with what appears to be identical prostate cancer. Same PSA range. Same Gleason score. Same stage on paper. Yet, in the operating room, their surgeries can be fundamentally different. This is not inconsistency. This is precision medicine at work.

The prostate is not a standard-shaped organ sitting in a fixed location. MRI-based anatomical studies show large variations in prostate size, length of the apex, and proximity to the bladder, re**um, and neurovascular bundles. These differences directly affect surgical access, nerve preservation, and reconstruction strategy. A smaller gland with well-defined planes allows a different approach than a large prostate deeply embedded in the pelvis.

Fibrosis adds another layer. Chronic prostatitis, repeated biopsies, prior pelvic surgery, or radiation can cause scarring around the prostate. Fibrotic tissue distorts natural planes and increases surgical complexity. Evidence shows that fibrosis raises operative difficulty and influences decisions on dissection technique and extent of excision.

Then comes tumor behavior. Prostate cancer is not a single disease. Some tumors are organ-confined and indolent. Others show extracapsular extension, perineural invasion, or aggressive histology on imaging and biopsy. Large oncological studies confirm that tumor biology, more than PSA alone, determines whether nerve-sparing surgery is safe or whether wider margins are essential for cure.

The takeaway is simple but powerful. Prostate cancer surgery must be tailored to the individual anatomy and cancer biology. Treating reports instead of people risks both cancer control and quality of life.

Dr Arif Akhtar
Consultant Urologist
🌐 www.drarifakhtarurology.com
📞 +91 81301 31982

20/01/2026

What Surgeons Look for After a Perfect Operation

A successful urological surgery is not judged when the last stitch is placed. For surgeons, the real assessment begins afterward, in the quiet hours of recovery.

We watch for signs patients rarely notice. Steady urine output tells us the kidneys are functioning and adapting well. Stable vital signs without fever suggest inflammation is controlled. A soft abdomen, minimal drain output, and the absence of unexpected pain reassure us that there is no hidden bleeding or obstruction. Laboratory trends, especially creatinine and electrolytes, often matter more than a single report. Early mobility, comfortable breathing, and the return of appetite signal that the body is regaining its internal balance.

Patients often measure recovery by pain alone. Surgeons measure it by physiology returning to normal without drama. When healing happens silently, without alarms or complications, that is the hallmark of a truly successful operation.

Understanding these unseen milestones builds trust and patience during recovery.

Dr. Arif Akhtar
www.drarifakhtarurology.com

20/01/2026

Pain gets attention. Obstruction causes damage. That distinction matters in kidney stone disease.

A stone can be small, cause severe colic, and still allow urine to pass. Another stone may cause little pain yet block the kidney silently. It is obstruction, not pain, that raises pressure inside the kidney, reduces blood flow, and gradually injures functioning tissue. Studies show that prolonged obstruction, even without infection, can lead to irreversible loss of renal function within weeks. When infection is added, the risk escalates rapidly and becomes life-threatening.

This is why treatment decisions are never based on pain alone. Imaging, degree of hydronephrosis, kidney function tests, and signs of infection guide urgency. Pain relief treats a symptom. Relieving obstruction protects the organ.

Patients often feel reassured when pain settles. Clinically, that is not reassurance. The kidney does not complain loudly when it is being damaged.

Understanding this shift in priority changes outcomes.

Dr Arif Akhtar
Centre for Advance Urology and Renal Transplant
www.drarifakhtarurology.com
+918130131982

15/01/2026

The first 100 days after kidney transplant decide the next 10 years

A kidney transplant does not succeed on the operation table alone. What truly determines long-term graft survival is what happens in the first 100 days after surgery. This early period is when the immune system learns whether to accept or attack the new kidney.

Large transplant registry studies show that delayed graft function, early acute rejection, poor drug adherence, and infections during the first three months significantly increase the risk of chronic graft damage years later. Even mild early rejection episodes can quietly reduce long-term kidney lifespan. On the other hand, kidneys that function well in the first 90–100 days have markedly better 5- and 10-year survival rates.

This is why close monitoring, correct immunosuppression dosing, infection prevention, blood pressure control, and patient education during early follow-up are critical. A transplant is not a one-day event. The first 100 days lay the biological foundation for the next decade.

Dr Arif Akhtar
www.drarifakhtarurology.com
Centre for advanced urology and renal transplant
India

14/01/2026

The surgery that works only when you forget it exists

The goal of mid-urethral sling surgery for stress urinary incontinence is not to remind a woman that she has been operated upon. Its success lies in becoming invisible in daily life.

A mid-urethral sling supports the urethra during activities like coughing, laughing, or lifting, restoring normal continence mechanics without altering bladder function. Large, long-term studies show objective cure or significant improvement rates of 80–90%, with sustained benefit beyond 10 years in most patients. Importantly, patient satisfaction closely correlates with one simple outcome: not having to think about urine leakage anymore.

When correctly indicated and precisely placed, the sling does not interfere with walking, sitting, sexual activity, or exercise. There is no ongoing maintenance, no device to manage, and no daily reminder of treatment. That quiet reliability is its strength.

Surgery has truly succeeded when life returns to normal and attention shifts back to work, family, and wellbeing.

— Dr Arif Akhtar
For patient education: www.drarifakhtarurology.com
+918130131982

13/01/2026

Erectile dysfunction is not a failure of masculinity. It is a medical condition, often linked to diabetes, heart disease, nerve injury, or previous pelvic surgery. Tablets, injections, and devices help many men. Some, however, reach a point where these options stop working. This is where pe**le prosthesis surgery comes in. It is a scientifically proven, discreet, internal device that restores reliable er****ons and intimacy. No hormones. No daily medicines. Satisfaction rates are among the highest in urology. When chosen correctly, this surgery does not change sensation, desire, or or**sm. It restores function, dignity, and confidence. Awareness matters. Silence helps no one.

Pe**le prosthesis surgery represents the final, definitive solution for severe erectile dysfunction. Modern implants are biocompatible, durable, and designed to mimic natural er****on mechanics. Long-term data shows excellent safety and patient satisfaction. The key lies in proper evaluation, patient selection, and expert surgical technique. Erectile dysfunction deserves medical clarity, not stigma. When science offers a solution, informed patients should know it exists.

Dr ARIF AKHTAR
CENTER FOR ADVANCE UROLOGY AND RENAL TRANSPLANT
www.drarifakhtarurology.com
918130131982

13/01/2026

Lohri reminds us that light is never sudden.
It is earned slowly, by patience, warmth, and shared hope.

As the bonfire rises, we let go of old fatigue and quiet fears.
We keep what truly matters: health, gratitude, family, and purpose.

May this Lohri bring steady strength to your body, calm to your mind, and the courage to care for yourself as sincerely as you care for others.

Warm wishes to you and your loved ones.
Stay well. Stay mindful. Stay kind.

— Dr. Arif Akhtar

www.drarifakhtarurology.com

09/01/2026

If You’re Over 45 and Have Never Done These Tests, Read This Carefully

I see this pattern far too often in my clinic. A man feels well, urinates without pain, stays busy, ignores check-ups. Then one day, a report changes everything.

Here’s the thing. After 45, the body does not announce disease with drama. Prostate enlargement, early prostate cancer, kidney disease, bladder tumors often grow quietly. By the time symptoms appear, we have already lost valuable time.

Three simple checks matter more than most people realize.

A PSA blood test does not diagnose cancer, but it flags risk early. Large population studies have shown that timely PSA-based screening significantly reduces advanced prostate cancer and disease-specific mortality when interpreted correctly by a urologist.

An ultrasound of the kidneys, bladder, and prostate gives structural truth. Stones, obstruction, residual urine, tumors. Many of these are found incidentally in men who felt perfectly fine.

A routine urine examination sounds trivial, yet microscopic blood or protein can be the first sign of serious disease long before pain or visible blood appears.

What this really means is simple. Prevention in urology is quiet, boring, and yet incredibly powerful. Late diagnosis is loud, expensive, and life-altering.

If you are over 45, doing nothing is not neutrality. It is a decision.

Make an informed one.

Dr. Arif Akhtar
Consultant Urologist
Centre for Advance Urology and Renal Transplant
🌐 www.drarifakhtarurology.com

📞 081301 31982

Dr Arif Akhtar

29/01/2026

29/01/2026

26/01/2026

23/01/2026

22/01/2026

20/01/2026

20/01/2026

15/01/2026

14/01/2026

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13/01/2026

09/01/2026

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