Dr Waqar Hassan - Adult and Pediatric Urologist in Karachi

12/12/2023

3 year old child with 2cm kidney stone. Alot of pediatric surgeons and some urologists adviced open pyelolithotomy surgery. This is cruel, please avoid open surgery at such tender age.

Stone removal using Holmium laser and flexible URS. Same day discharge.

04/12/2023

I am delighted to announce that the **Gambat Institute of Medical Sciences** has taken a significant stride by adopting the **Thulium Laser** for the management of **Prostate** and **Renal stone surgeries**. This pioneering step places Gambat Institute among the select few institutions in Asia to embrace this advanced technology. Furthermore, procedures such as **Holmium Laser Enucleation of the Prostate (HoLEP)** and **Retrograde Intrarenal Surgeries (RIRS)** have now emerged as the **gold standard of care** in our practice. 🌟🔬👨‍⚕️

22/09/2023

ADVICE TO ALL EMPLOYEES 🍀

1. Build a home earlier. Be it rural home or urban home. Building a house at 50 is not an achievement. Let all your family have good time in your house, build more memories in your home.

2. Go home. Don't stick at work all the year. You are not the pillar of your department. If you drop dead today, you will be replaced immediately and operations will continue. Make your family a priority.

3. Don't chase promotions. Master your skills and be excellent at what you do. If they want to promote you, that's fine if they don't, stay positive to your personal.
development.

4. Avoid office or work gossip. Avoid things that tarnish your name or reputation. Don't join the bandwagon that backbites your bosses and colleagues. Stay away from negative gatherings that have only people as their agenda.

5. Don't ever compete with your bosses. You will burn your fingers. Don't compete with your colleagues, you will fry your brain.

6. Ensure you have a side business. Your salary will not sustain your needs in the long run.

7. Save some money. Let it be deducted automatically from your payslip.

8. Borrow a loan to invest in a business or to change a situation not to buy luxury. Buy luxury from your profit.

9. Keep your life,marriage and family private. Let them stay away from your work. This is very important.

10. Be loyal to yourself and believe in your work. Hanging around your boss will alienate you from your colleagues and your boss may finally dump you when he leaves.

11. Retire early. The best way to plan for your exit was when you received the employment letter. The other best time is today. By 40 to 50 be out.

12. Join work welfare and be an active member always. It will help you a lot when any eventuality occurs.

13.Take leave days utilize them by developing yr future home or projects..usually what you do during yr leave days is a reflection of how you'll live after retirement..If it means you spend it all holding a remote control watching series on Zee world, expect nothing different after retirement.

14. Start a project whilst still serving or working. Let your project run whilst at work and if it doesn't do well, start another one till it's running viably. When your project is viably running then retire to manage your business. Most people or pensioners fail in life because they retire to start a project instead of retiring to run a project.

15. Pension money is not for starting a project or buy a stand or build a house but it's money for your upkeep or to maintain yourself in good health. Pension money is not for paying school fees or marrying a young wife but to look after yourself.

16. Always remember, when you retire never be a case study for living a miserable life after retirement but be a role model for colleagues to think of retiring too.

17. Don't retire just because you are finished or you are now a burden to the company and just wait for your day to die. Retire young or whilst energetic to enjoy waking up for a cup of coffee, enjoy the sun, receive money from your business, visit nice place that you missed and spend good time with family. Those who retire late, spend about 95% of their time at work than with their family and that's why they see it difficult to spend time with their family when they retire but end looking for another job till they die. If they don't get another job, they die early.

18. Retire at your house than at government accommodation so that when you retire you can easily fit into the society that raised you. It's not easy to adjust to live in a location after spending more years at company house or at government house.

19. Never let your employment benefits make you forget about your retirement. Employment benefits are just meant to make you relax, get finished whilst time is moving. Remember when you retire no one will call you boss if you don't have a viable business.

20. Don't hate to retire because one day you will retire either voluntarily or involuntarily.

Hope this will help you look at life positively.

07/08/2023

Doctors working in Pakistan want to move to Ireland

IMG doctors working in Ireland are looking to move to the UK.

Doctors in the UK are moving to the Middle East, Canada & Australia.

Doctors in Australia, the Middle East & Canada wish they had done USMLE & US fellowships to get better oppurtinures.

Doctors working in the US have the highest rate of su***de among any profession which indicates the level of burnout & stress they face.

The point of this post is.

As Medical professionals, we are a global workforce & our skills are required & valued worldwide.

Getting financial independence & better skills should be the main goal of junior doctors.

Joining this race, remember there will always be a better place or dream or next level psychologically pushing you to do more which is fine.

You will always feel there are other doctors in a better position than you.

Sometimes, it is better to find a happy place & stay there for a while.

Doesn't mean you stop growing but just that you are also looking after your mental health, taking care of your family, reflecting & enjoying life.

Best wishes.

23/07/2023

It is with great pleasure that I share to you that I have completed my robotic Urology training at Sharjah, UAE. This training has equipped me with the skills and knowledge to perform the most cutting-edge minimally invasive surgical procedures in the field of urology. I am eager to apply these skills and knowledge in upper Sindh, where I hope to provide the best possible care to our patients.🙌

09/03/2023

Conducted workshop on Benign Prostatic Enlargement to raise the awareness amongst the leading general practitioners of North.

Primary care physicians are uniquely positioned to screen for benign prostatic hyperplasia (BPH) and lower urinary tract symptoms, to perform the initial diagnostic workup and to start medical therapy in uncomplicated cases. Effective medical therapy is available but underutilized in the primary care setting.

12/01/2023

ایک لیپروسکوپک نیفریکٹومی میں پسلیوں اور کولہے کے درمیان جسم کے پہلو میں کی ہول چیرا کے ذریعے پورے گردے کو ہٹانا شامل ہے۔

نیفریکٹومی عام طور پر دو وجوہات میں سے کسی ایک کی وجہ سے کی جاتی ہے، یا تو گردے کے کینسر کی وجہ سے یا گردے کے کام نہ کرنے کی وجہ سے۔

A laparoscopic nephrectomy involves removing an entire kidney through keyhole incisions in the flank, the side of the body between the ribs and the hip.

A nephrectomy is usually done for one of two reasons, either for cancer of the kidney or because of a non- functioning kidney.

25/12/2022

And this my friend, was the kidney stone. However short-lived!

15/10/2022

لیپروسکوپک نیفریکٹومی لیپروسکوپک آلات کا استعمال کرکے گردے کو ہٹاتا ہے۔ لمبے پتلے آلات کو پانچ چھوٹے چیروں تک سے گزرا جاتا ہے، جو ہر ایک کی لمبائی تقریباً 1 سینٹی میٹر ہوتی ہے۔ اس کے بعد ایک کیمرہ پاس کیا جاتا ہے، جو یورولوجسٹ کو پیٹ کے اندر کی ایک تفصیلی تصویر دیتا ہے۔ دوسرے چیرا کاٹنے اور سیون لگانے والے آلات کو منتقل کرنے کے لیے استعمال کیے جاتے ہیں تاکہ گردے کو خون کی فراہمی کو الگ تھلگ اور بند کیا جا سکے اور گردے کو اس کے ارد گرد کے ڈھانچے کے ساتھ یا اس کے بغیر نکالا جا سکے۔

جب آپریشن ختم ہو جاتا ہے، کٹوں کو ٹانکے لگا کر بند کر دیا جاتا ہے۔ کیتھیٹر عام طور پر 1 - 2 دن تک رہتا ہے، یا جب تک کہ آپ اٹھ نہ جائیں۔

لیپروسکوپک نیفریکٹومی کو انجام دینے میں تقریباً 2-4 گھنٹے لگتے ہیں اور اس میں تقریباً 1-2 راتوں کا ہسپتال میں قیام شامل ہے۔

A laparoscopic nephrectomy removes the kidney by using laparoscopic equipment. Long thin instruments are passed through up to five small incisions made in the flank, each about 1cm in length. The abdomen is first filled with carbon dioxide, which separates the tissues to allow for vision during the surgery. A camera is then passed, giving the urologist a detailed picture inside the abdomen. The other incisions are used to pass cutting and suturing instruments so the blood supply to the kidney can be isolated and tied off and the kidney removed either with or without its surrounding structures. A wound drain is then inserted to drain any wound ooze. This is usually stitched in place and stays in for 1 – 2 days.

When the operation is finished, the carbon dioxide air is removed from the abdomen and the cuts are stitched closed with dissolving stitches. The areas are then covered with small plasters. A catheter (drainage tube which drains urine from the bladder) is also inserted to monitor the urine output from the remaining kidney. The catheter usually stays in for 1 – 2 days, or until you are up and about.

Laparoscopic Nephrectomy takes approximately 2 – 4 hours to perform and involves a hospital stay of around 1 – 2 nights.

06/09/2022

https://fb.watch/fnaotQpk2V/

02/09/2022

عوامی آگاہی کے لیے

Meatal stenosis

ختنہ کے بعد کی پیچیدگی ہے جس میں uretharl meatus بہت تنگ ہوتا ہے اور یہ ہمارے معاشرے میں بہت عام ہے کیونکہ غیر پیشہ ور افراد ختنہ کرتے ہیں یہ حالت پھر پیشاب کی نالی میں انفیکشن پیشاب کے مثانے کی پتھری کی تشکیل سمیت مختلف مسائل کا باعث بنتی ہے۔ یہاں میٹل سٹیناسس کا ایک کیس ہے جو مثانے کی پتھری کا باعث بنتا ہے۔
برائے مہربانی کسی مستند یورولوجسٹ سے ختنہ کروائیں کیونکہ عضو تناسل ایک قیمتی چیز ہے اور صرف مرد اور عورت میں فرق ہے۔

21/08/2022

07/06/2022

A 4 year old child undergoing ESWL for kidney stones under general anesthesia.

Everyday, around 5-6 lithotripsies are performed at our setup.

(the picture was taken after consent from parents)

03/06/2022

These sneaky little stones, hiding in a closed calyx after clearing the main renal calculi.

With the advent of miniature scopes, even the difficult calyxes can be dealt with.

25/04/2022

These are two healthy babies, three months old, breastfeeding, and, believe me, neither the one on the left is obese nor the one on the right is malnourished.

Those are the usual variations!

Probably, when they start crawling, the one on the left will get a little thinner and the one on the right will gain muscle volume.

Do not compare your child with other children. Each of us is different.

یہ دو صحت مند بچے ہیں، جن کی عمر تین ماہ ہے، ماں کا دودھ پلا رہے ہیں، اور، مجھ پر یقین کریں، نہ تو بائیں طرف والا موٹاپا ہے اور نہ ہی دائیں طرف والا غذائیت کا شکار ہے۔

وہ معمول کے تغیرات ہیں!

غالباً، جب وہ رینگنا شروع کر دیں گے، تو بائیں طرف والا تھوڑا سا پتلا ہو جائے گا اور دائیں طرف والا پٹھوں کا حجم حاصل کر لے گا۔

اپنے بچے کا دوسرے بچوں سے موازنہ نہ کریں۔ ہم میں سے ہر ایک مختلف ہے۔

23/04/2022

5 years old child with right kidney stone. Mini PCNL procedure, 3-4cm scar and 100% stone clearance.

22/04/2022

Lithotripsy, an old but robust technology. Appreciate how the smaller fragment is dancing with each shock wave...

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Lithotripsy or ESWL (Extra Corporeal Shock Wave Lithotripsy) is the process of breaking stones inside the patient‘s body through the use of shock waves. Shock waves are produced by a sophisticated machine called a Lithotripter and used for the treatment of kidney stones. The shock waves thus produced are focused on
the kidney stone inside the patient‘s body, with the help of ultrasound. The shock waves break the stone into fine, sand—like particles, which are then passed out in urine. These shock waves are harmless to the human body.

The Kidney Centre offers best in class lithotripsy services.