Dr. Pragnesh Desai

08/05/2026

Precision. Expertise. Faster Recovery.

The future of urology is no longer tomorrow — it is here today with advanced robotic surgery.

At Yatharth Super Specialty Hospital, we are committed to delivering world-class robotic urology care with enhanced precision, minimal pain, reduced blood loss, and faster recovery for our patients.

From kidney and prostate surgeries to complex uro-oncology procedures, robotic technology allows us to achieve better surgical accuracy with improved patient outcomes.

👨‍⚕️ Dr. Pragnesh Desai
Senior Director – Robotic Urology, Renal Transplant & Uro-Oncologist

✔ High Precision
✔ Minimally Invasive
✔ Faster Recovery
✔ Less Blood Loss
✔ Better Long-Term Outcomes

📍 Yatharth Super Specialty Hospital, Noida Extension
📞 +91 9868334320
📧 drpragneshdesaiurologist@gmail.com

04/05/2026

Featured in The Times of India

In medicine, timing is not just important — it is everything.

Honoured to be featured for sharing insights on how timely intervention and the right treatment can truly offer patients a second chance at life. From advanced kidney transplant techniques to a patient-first philosophy, the goal remains constant — restoring not just health, but dignity, confidence, and quality of life.

At Yatharth Super Speciality Hospital, Noida Extension, we continue to push the boundaries of precision, safety, and compassionate care in renal transplant and urology.

Because excellence in healthcare is not defined by procedures alone —
it is defined by outcomes, trust, and lives transformed.

05/01/2026

https://youtu.be/tYOVfdWznGc

Laparoscopic Pyeloplasty for Left PUJO – Explained Simply
What is Left PUJO?

Left PUJO (Pelvi-Ureteric Junction Obstruction) is a condition where the flow of urine from the left kidney to the urine pipe (ureter) gets blocked at a narrow point. Because of this blockage, urine collects in the kidney, causing swelling (hydronephrosis). Over time, this can lead to pain, repeated infections, stone formation, or damage to the kidney.

Common Symptoms

People with left PUJO may experience dull pain on the left side of the abdomen or back, repeated urinary infections, fever, nausea, or blood in urine. In some cases, especially in children or young adults, the condition may be detected during routine scans.

What is Laparoscopic Pyeloplasty?

Laparoscopic pyeloplasty is a modern, minimally invasive surgery done to correct the blockage in PUJO. Instead of making a large cut, the surgeon operates through 3–4 very small holes using a camera and fine instruments. The narrowed or blocked portion is removed, and the healthy ends are rejoined to allow urine to flow freely.

Why Choose Laparoscopic Surgery?

Compared to open surgery, laparoscopic pyeloplasty has many advantages:
Smaller cuts and minimal scarring
Less pain after surgery
Faster recovery and shorter hospital stay
Early return to daily activities
High success rate (more than 90%)

What Happens After Surgery?

A small tube (stent) is usually placed inside temporarily to help healing and ensure smooth urine flow. This is removed after a few weeks. Most patients feel significant relief from pain and symptoms once recovery is complete.

Who Needs This Surgery?

Laparoscopic pyeloplasty is advised when left PUJO is causing symptoms, repeated infections, stones, or affecting kidney function.

In Summary

Laparoscopic pyeloplasty is a safe and effective treatment for left PUJO. Early diagnosis and timely treatment can save kidney function and greatly improve quality of life. Public awareness is important so that symptoms are not ignored and proper care is taken at the right time.

Laparoscopic Pyeloplasty for Left PUJO – Explained SimplyWhat is Left PUJO?Left PUJO (Pelvi-Ureteric Junction Obstruction) is a condition where the flow of u...

30/12/2025

https://youtu.be/YFFNHpzbtN4

Public Awareness Article: PUJO and Robotic Pyeloplasty

Understanding PUJO (Pelvi-Ureteric Junction Obstruction)

Pelvi-Ureteric Junction Obstruction, commonly known as PUJO, is a condition where the flow of urine from the kidney to the ureter is partially or completely blocked. This blockage occurs at the junction where the kidney meets the ureter. PUJO can be present from birth (congenital) or develop later in life due to scarring, stones, infection, or external pressure on the ureter.

Why is PUJO Important?

When urine cannot drain properly, it starts accumulating in the kidney, leading to swelling called hydronephrosis. Over time, this can cause:

* Flank or abdominal pain
* Recurrent urinary tract infections
* Kidney stones
* Reduced kidney function
* Poor growth or pain episodes in children

Early diagnosis is crucial to protect kidney health and prevent permanent damage.

Diagnosis of PUJO

PUJO is commonly detected through:

* Ultrasound
* CT scan or MRI
* Nuclear renal scan to assess kidney function

These tests help doctors decide whether treatment is required.

Treatment: Robotic Pyeloplasty

The gold standard treatment for symptomatic or function-affecting PUJO is pyeloplasty, a surgery that removes the narrowed segment and reconnects the healthy ureter to the kidney.

Robotic pyeloplasty is a modern, minimally invasive technique performed using robotic assistance. It offers several advantages:

* Very small incisions
* High precision and accuracy
* Less pain and blood loss
* Faster recovery
* Shorter hospital stay
* Excellent long-term success rates

Robotic surgery is especially beneficial in children, young adults, and complex cases.

Life After Surgery

Most patients experience complete relief of symptoms and preservation or improvement of kidney function. Regular follow-up ensures long-term success.

Key Message

PUJO is a treatable condition. Early recognition and advanced treatments like robotic pyeloplasty can save kidneys and improve quality of life. Awareness leads to timely care.

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26/12/2025

https://youtu.be/YDDITE96Hco

Basilic Vein Transposition After Brachio-Basilic AV Fistula: A Simple Explanation for Patients

For patients with kidney failure who need long-term dialysis, a good vascular access is essential. One of the most reliable types of access is an arteriovenous (AV) fistula, where a surgeon connects an artery to a vein to allow strong blood flow for dialysis. When suitable veins in the forearm are not available, a Brachio-Basilic AV fistula in the upper arm is often created.

The basilic vein is a large vein located on the inner side of the upper arm. Although it is healthy and strong, it lies deep under the skin, making it difficult to use directly for dialysis needle insertion. To solve this problem, doctors perform a procedure called Basilic vein transposition.

Basilic vein transposition is usually done a few weeks after the initial Brachio-Basilic AV fistula surgery. During this procedure, the surgeon gently brings the basilic vein closer to the surface of the skin. The vein is repositioned and fixed in a more superficial (upper) position so that dialysis needles can be inserted easily and safely.

This procedure is done under anesthesia and is considered safe and effective. After surgery, the vein is allowed time to heal and mature. Once ready, it provides a durable and high-flow access for dialysis. Compared to artificial grafts or catheters, a transposed basilic vein fistula has a lower risk of infection, lasts longer, and offers better dialysis efficiency.

Patients may notice mild swelling or discomfort after surgery, which usually settles with time. Regular follow-up and proper care of the fistula arm are important to ensure long-term success.

In summary, Basilic vein transposition after a Brachio-Basilic AV fistula is a well-established method to create a strong, long-lasting, and safer dialysis access when other veins are not suitable.

Basilic Vein Transposition After Brachio-Basilic AV Fistula: A Simple Explanation for PatientsFor patients with kidney failure who need long-term dialysis, a...

24/12/2025

https://www.youtube.com/watch?v=bnKzLxNeLJ4&t=7s

Robot-Assisted Kidney Transplant: A New, Patient-Friendly Approach

Kidney transplant is the best long-term treatment for patients with end-stage kidney disease. Traditionally, kidney transplantation has been done through a large incision in the lower abdomen. While this method is effective, it can be associated with more pain, longer recovery time, and higher risk of wound-related problems. With advances in medical technology, robot-assisted kidney transplant has emerged as a safer and more comfortable option for selected patients.

In robot-assisted kidney transplant, the surgeon uses a highly advanced robotic system to perform the surgery through small keyhole cuts instead of one large cut. The robot does not work on its own. It is fully controlled by an experienced transplant surgeon who sits at a console and guides the robotic arms with great precision. The robot provides a magnified 3-dimensional view, allowing the surgeon to operate with better accuracy and control.

The donated kidney is placed inside the patient’s body through a small incision, and the blood vessels and urine pipe are connected using robotic instruments. Because the cuts are smaller, there is less damage to muscles and tissues.

One of the biggest benefits of robot-assisted kidney transplant is reduced pain after surgery. Patients usually need fewer pain medicines and are able to walk earlier. The smaller wounds also mean lower risk of infection and hernia, which is especially helpful for obese patients and those with diabetes. Recovery is faster, hospital stay is often shorter, and patients can return to daily activities sooner.

Another important advantage is better cosmetic results, as scars are small and less noticeable. Despite being minimally invasive, the success of the transplant and kidney function is comparable to traditional open surgery when done in suitable patients by trained teams.

Robot-assisted kidney transplant may not be suitable for everyone. The decision depends on patient factors, donor type, and the surgeon’s assessment. It also requires specialized equipment and expertise.

In summary, robot-assisted kidney transplant combines the proven success of kidney transplantation with the benefits of modern minimally invasive surgery. For many patients, it offers a safer, gentler, and faster road to a healthier life.

Robot-Assisted Kidney Transplant: A New, Patient-Friendly ApproachKidney transplant is the best long-term treatment for patients with end-stage kidney diseas...

23/12/2025

https://youtu.be/Vj8_kmJDI8k?si=vUl4zE2WixntPgaq

CAPD Catheter: A Simple Guide for Patients and Families

Chronic kidney disease can reach a stage where the kidneys are no longer able to clean the blood properly. At this point, dialysis becomes necessary. One common and patient-friendly type of dialysis is CAPD – Continuous Ambulatory Peritoneal Dialysis. For CAPD to work, a small soft tube called a CAPD catheter is placed in the abdomen.

The CAPD catheter is a flexible plastic tube that allows dialysis fluid to go in and out of the abdomen. It is usually inserted through a minor surgical procedure, often under local or short anesthesia. Once healed, the catheter stays in place and is hidden under clothes, allowing the patient to move around normally.

In CAPD, the lining of the abdomen (called the peritoneum) acts as a natural filter. Dialysis fluid is put into the abdomen through the catheter, where it absorbs waste products and extra water from the blood. After a few hours, this fluid is drained out and replaced with fresh fluid. This process is done several times a day and can be performed at home, at work, or while traveling.

The biggest advantage of CAPD is independence. Patients do not need to visit a dialysis center frequently and can manage their treatment themselves after proper training. It also provides gentle and continuous cleaning of the blood, which is easier on the heart and body.

Proper care of the CAPD catheter is very important to prevent infection. With good hygiene and regular follow-up, CAPD can be a safe, effective, and convenient dialysis option for many kidney patients.

CAPD Catheter: A Simple Guide for Patients and FamiliesChronic kidney disease can reach a stage where the kidneys are no longer able to clean the blood prope...

23/09/2025

🌟 Preemptive Kidney Transplant – A Step Ahead! 🌟

Did you know that a kidney transplant before starting dialysis offers the best outcomes for patients with kidney failure? Preemptive kidney transplant not only improves survival and quality of life but also reduces complications linked with long-term dialysis. Patients can return to normal routines faster, with fewer hospital visits and better overall health. 💚

Let’s spread awareness and encourage timely evaluation for kidney patients. Early referral and planning can change lives. Because when it comes to kidneys, the earlier the transplant, the brighter the future. 🌱

04/05/2025

Fully motivated on Sunday 🙏🙏🙏🙏

11/01/2025

Instagram - docivf.monika


Dr MONIKA RAJPUT
MBBS/MS/DNB/ MNAMS/DM (AIIMS New Delhi)

Available from : Mon-Sat: 9AM-5PM
@ Bhagwati Hospital;Rohini

&

6PM-9PM: ALYSSUM Uro-gynae-IVFClinic@ Shahdara Delhi

For appointment
📞 on +91 92669 45007

05/01/2025

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