Dr. Amit K Devra

Dr. Amit K Devra

Urinary Specialist - Urosurgeon,Surgical Oncologist,Kidney Transplant Surgeon

  Jaypee Hospital, Delhi / NCR, India

  20 Years of experience

BIOGRAPHY

Qualification and Experience

Dr. Amit Devra is a highly reputed urologist and kidney transplant surgeon in the Delhi-NCR region. He has clinical experience of more than 15 years. Dr. Devra is currently practicing at Jaypee Hospital, Noida as Director, Coordinator Urology & Kidney Transplant, Department of Urology. He was also associated with Pushpawati Singhania Research Institute (PSRI Hospital), Sheikh Sarai, New Delhi, Pushpanjali Crossley Hospital, Vaishali, Ghaziabad, and Institute of Kidney Diseases & Research Centre & Institute of Transplant Sciences, Ahmedabad. Dr. Amit completed his MBBS from King George Medical College, Lucknow in 1997. Later, in 2002, he completed an MS in general surgery from Sarojini Naidu Medical College, Agra. He passed his DNB in Urology from the Institute of Kidney Diseases and Research Centre, Ahmadabad.

Contribution to Medical Science

Dr. Amit Devra is a highly experienced urological and kidney transplant surgeon who had performed more than 10000 urological surgeries and over 1200 kidney transplant surgeries with high success rates. His area of interest includes Laser Prostatectomy, Endourology, Laparoscopic Urological Surgery, Kidney Transplantation, Minimally invasive surgery, and Pediatric & Female Urology. Dr. Amit is also an expert in managing male infertility, erectile dysfunction, and performing reconstructive surgeries. His area of service also includes Uro-Oncology, Endoscopic Urinary Stone Surgery, Stricture Urethra, and Dialysis Access Procedures. Dr. Amit is an esteemed member of the Indian Medical Association, Indian Society of Organ Transplantation, and Urological Society of India.

Past Experience

  • Sr. Consultant (Urology & kidney Transplant) - Pushpawati Singhania Research Institute (PSRI Hospital), Sheikh Sarai, New Delhi
  • Consultant Transplant Surgeon (Honorary) - Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad
  • Assistant Professor (Urology & Kidney Transplant) - Institute of Kidney Diseases & Research Centre & Institute of Transplant Sciences, Ahmedabad

Qualifications

  • MBBS -King George Medical College, Lucknow
  • MS (General Surgery) S.N. Medical College, Agra
  • DNB (Urology) Institute of Kidney Diseases & Research Centre & Institute of Transplantation Sciences, Ahmedabad
MEMBERSHIPS (3)
  • Urological Society of India (USI)
  • Indian Society of Organ Transplantation (ISOT)
  • Indian Medical Association (IMA)
RESEARCH PAPERS AND PUBLICATIONS (3)
  • Vidyanand Tripathi, Savita Bansal, Sharma Alok, Bansal Ravi, Amit K. Devra, Sanjiv Saxena Histopathological Changes Of Radial Artery Wall In Patients Of Chronic Kidney Disease Stage 5 Undergoing Av Fistula Formation And Their Correlation With Serum Ipth Levels
  • A Study On The Biochemical And The Morphological Changes In The Liver In Renal Transplant Recipients With An Evidence Of The Hbv And The Hcv Infections Year 2013, Volume 7, Issue 1
Procedures
Kidney Transplant

 

There are many options when it comes to the treatment of a kidney that fails to maintain normal function in the body. Kidney transplant surgery is one of the most successful ways to restore normal functioning of the affected kidneys as it allows for an access to greater freedom and a better quality of life.

A kidney transplant patient is more likely to enjoy bouts of energy and follow the less strict diet as compared to patients who choose an alternative treatment.

The kidney performs several important functions in the human body. Even slight damage to the kidneys can, therefore, cause a lot of problems. When the kidney is rendered incapable of its main function, that is, removal of waste products from the blood, a condition called uremia develops.

Unfortunately, the symptoms of this condition do not develop unless 90 percent of the kidney is damaged. This is the time when an individual would require a kidney transplantation surgery or dialysis to restore the normal functioning.

There are several other kidney diseases that warrant the need for a kidney transplantation. Some of these conditions include the following:

    • Deep-rooted problem in the anatomy of the urinary tract
    • Extremely high blood pressure
    • Glomerulonephritis
    • Polycystic kidney disease
    • Diabetes mellitus

 

Symptoms of Kidney Dysfunction

Some of the common symptoms observed in the case of kidney diseases include the following:

  • Shortness of breath and general fatigue
  • Retention of fluid causing swelling (edema)
  • Foamy and dark orange,  brown, red or tea-colored urine
  • Increased frequency of urination
  • Back pain
  • Restless legs and inability to sleep due to leg cramps
  • Metallic taste
  • Breathing problems due to urea build up in blood
  • Loss of appetite
  • Numbness in the toes or fingertips and tingling sensation
  • Problem concentrating
Prostate Cancer Treatment

The prostate is a gland in the male reproductive system, which makes fluid that forms an essential part of the semen. Prostate cancer starts when cells of the prostate glands begin to grow abnormally

Prostate cancer is one of the leading cancers in men above the age of 60. In most of the cases, it is slow growing and may even go undetected and do not cause any problem. However, in some cases, it could be aggressive and cancer cells can spread to other parts of the body (metastatic prostate cancer)

Prostate cancer is a very slow growing disease and starts with tiny alterations in the shape and size of the prostate gland cells. The prostate cancer risk increases with age and it is rarely observed before the age of 40. That is the main reason why many men die of old age, without ever knowing that they had prostate cancer.

Prostate Cancer Causes

There is no direct prostate cancer causes. However, there are some factors that can increase the risk of prostate cancer, including the following:

  • Consumption of diet rich in red meat and high fat dairy products
  • Less consumption of vegetables and fruits
  • Obesity
  • Family history of the disease
  • Smoking and alcohol consumption
  • Sexually transmitted infections

Types of Prostate Cancer

Usually, prostate cancer means the cancer of prostate gland cells called prostatic intraepithelial neoplasia (PIN). Almost all the prostate cancers are adenocarcinomas, but there are some other types of prostate cancer as well, including the following:

  • Sarcomas
  • Small-cell carcinomas
  • Neuroendocrine tumors (other than small cell carcinomas)
  • Transitional cell carcinomas

Prostate Cancer Classification

Based on how abnormal the patterns of cancer cells look, prostate cancers are classified as:

  • Low-grade PIN: In this, the pattern of prostate cells appears almost normal
  • High-grade PIN: In this, the pattern of cells looks a bit abnormal

Signs of Prostate Cancer

There are no warning signs of prostate cancer. The symptoms of metastatic prostate cancer usually appear first in the region that the cancer cells have invaded.

After cancer causes the prostate gland to swell, the following signs of prostate cancer may be experienced: 

  • Frequent urination, especially at night
  • Difficulty starting or stopping the stream of urine
  • Weak urine stream and inability to urinate
  • Pain and burning sensation during urination and ejaculation
  • Blood in urine or semen

In prostate cancer stages, the following symptoms may also be there:

  • Pain in spine, pelvis or ribs
  • Leg weakness
  • Urinary incontinence
  • Fecal incontinence
Prostatectomy

The prostate gland is present below the urinary bladder in men. It surrounds the urethra and produces fluid that helps in the movement of the semen. Prostatectomy is a surgery that involves total or partial removal of the prostate gland. It is commonly performed as a part of treatment for prostate cancer.

Types of Prostatectomy

Radical prostatectomy: This surgery involves the removal of the entire prostate gland along with the surrounding lymph nodes. The surgical techniques used to conduct radical prostatectomy include the following:

  • Robot-assisted surgery: In this technique, several small incisions are made in the lower abdomen to remove the prostate gland.
  • Open surgery: In this technique, an incision is made in the lower abdomen between the anus and scrotum to remove the prostate gland.
  • Laparoscopic: In this technique, special surgical tools are inserted in the lower abdomen to remove the prostate gland.

Open simple prostatectomy: This surgical procedure involves removal of just the affected part of the prostate gland and is recommended for men with the cancerous prostate gland or benign prostatic hyperplasia (BPH).

Indications

  • Prostate cancer
  • Urinary tract infection
  • Bladder stones
  • Hematuria
Trans Urethral Resection of Bladder Tumor (TURBT)

Cancer in Bladder can be found to vary depending on the type of its origins. It can arise from the lining of the epithelium which is the inner lining of the urinary bladder or the urothelium. Rare forms of cancer are not of epithelial origins like the sarcoma or lymphoma. Tumours in bladder is found to be the 9th leading type of cancer in United States as per a survey conducted in 2012 with 430,000 new cases and mortality of 165000 deaths annually.

About Trans Urethral Resection of Bladder Tumor

The first and foremost question to ask is where is your bladder located? The sac like muscular urinary bladder is located in the pelvis region above the pelvic bone. It is connected to the kidneys through the two ureters that transfer the urine from the kidney to the bladder for storage. An abnormal growth of cells in the inner lining causes a tumour requiring diagnosis and then followed by a turbt surgery.

In most cases the tumour cannot be assessed in the primary stages. There are hardly any notable evidences found when the patient is harbouring a primary tumour.

The next stage is designated as Oa and categorized as a non invasive type papillary cancer.
In the stage next of the stage 0 or the carcinoma in situ the inner lining of the bladder is affected and is still considered non invasive.
In stage I the cancer has spread into the lining of the bladder further but has not affected the muscular wall of the bladder.
While in Stage II the inside part gets affected including the muscles of the bladder making it now invasive.
And when the cancer has spread enough in muscles and the tissues around the bladder like the reproductive organs it is considered to be in stage III.
And in the final or stage IV the cancer will spread to the lymph nodes affecting the organs around it as well.

Causes of developing a tumour in bladder

The causes of tumour in bladder are not always very clear and well defined but it has been linked with smoking, chemical exposure and radiation or a parasitic infection. The abnormal cells undergo some mutation that allows them to multiply in a non orderly fashion and goes beyond control and they do not die thus giving rise to the tumour.

Symptoms of the TURBT

A person suffering from a tumour will experience mild sensation of burning and discomfort in the times of urination for quite a few days. The force of the urinary stream may also undergo significant changes which can be observed for a week to a fortnight. Usually there could be none of the symptoms and in certain cases all symptoms even if experienced may not lead to the conclusion that it is a bladder cancer. There can be blood or clots of blood in the urine along with a tendency of urinating too frequently. Tendency of urinating at night may be felt more but there can be general problems in urine passing. Associated along with this the patient can experience pain on either side of the body.

What is transurethral resection of bladder tumour?

This procedure aims at removing bladder tumours at an early stage by inserting a scope through the urethra leading to the bladder. In the TURBT procedure bladder cancer can be detected by the urologist and potentially allow the urologist to treat various other kinds of bladder related disorders. But 75% of the cancer of bladders that are detected are superficial in nature causing growth only on the surface of the walls of the bladder and does not get very deep. So this facilitates the surgeon to have the tumour removed at the bladder wall level causing no damage to the deeper layers of the organ. The information that is collected while executing the procedure will help the surgeons to decide the type of the abnormality of the tumour and the extent of the tumour. This later allows the urologist surgeons to decide whether further treatments will be required or not.

What are the alternatives for TURBT procedure?

Some of the other treatment alternatives for TURBT are being worked upon while some of them have tremendous side effects

Blue light fluorescent cystoscopy : Enhanced tumour visualization is possible and detection of tumour chances are increased by almost 20 to 25% with this method where an ultraviolet blue light is used. A dye is injected an hour prior to the procedure.

Adjuvant bladder cancer therapy: TURBT is not suitable for many who have high chances of suffering a recurrence within 12 months from the treatment. In this case adjuvant therapy is recommended. It includes intravesicle chemotherapy. Chemotherapy for bladder cancer includes giving medication to curb the abnormal growth of cells. But it also has its sets of side effects like experiencing irritation in bladder and loss of hair, nails and feeling debilitated for a very long period of time.

Frequently Asked Questions
What area of specialization does Dr. Amit K Devra have?
Dr. Amit K Devra is specialized in India and of the most sought after doctors in Urinary Specialist.
Does Dr. Amit K Devra offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Amit K Devra have?
Dr. Amit K Devra is one of the most sought after specialists in India and has over 20 Years years of experience.
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