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Urology Conditions & Treatments in Mumbai | Dr. Anand Utture
Conditions & Treatments

Comprehensive urology care, under one roof.

Dr. Anand Utture treats the full range of kidney, ureter, prostate, bladder, urethral and men's health conditions in Mumbai — from stone disease to advanced laser and endoscopic surgery. Every treatment plan starts with an accurate diagnosis and is explained in plain language before any decision is made.

27+Years Experience
16Conditions Treated
6Areas of Care
Kidney Ureter Prostate Bladder Urethra Men's Health
01 · Kidney
Kidney

Kidney Stone Treatment

Quick answer: small stones under 5–6mm are usually managed with fluids and medication to help them pass; larger stones are treated with RIRS (flexible ureteroscopy), laser lithotripsy, or Mini-PCNL.

Kidney stones are hard mineral and salt deposits that form when urine becomes concentrated. They rarely announce themselves until they move — at which point the pain can be sudden and severe. Treatment is matched to the stone's size, position and composition using modern techniques such as RIRS, laser lithotripsy and Mini-PCNL, not applied one-size-fits-all.

Signs to watch for

  • Sharp flank or lower-back pain
  • Blood in the urine
  • Nausea or vomiting with pain
  • Burning or urgency on urination

Treatment approach

  • Hydration, pain relief and expulsive medication for small stones
  • RIRS (flexible ureteroscopy) with laser fragmentation for accessible stones
  • Mini-PCNL for larger, complex stones via a smaller access tract
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Kidney

Laser Treatment for Kidney Stones

Quick answer: laser lithotripsy uses precision laser technology through a thin scope to fragment stones into pieces small enough to pass or remove — no external cuts.

A flexible or semi-rigid scope carries a laser fibre through the natural urinary passage directly to the stone, breaking it into dust or small fragments while preserving surrounding healthy tissue. It's the preferred option when a stone is resistant to other therapy, sits mid-ureter, or is large enough to need precise fragmentation — offering excellent success rates, less pain, and shorter hospital stays.

Best suited for

  • Stones resistant to non-invasive therapy
  • Mid- or lower-ureter stones
  • Patients wanting a scarless option

What to expect

  • General or spinal anaesthesia, day-care or 1-night stay
  • A temporary stent may be placed to aid healing
  • Return to routine activity within a few days
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Kidney

Kidney Cancer Treatment

Quick answer: most kidney tumours are found incidentally on a scan; treatment ranges from kidney-sparing partial nephrectomy to radical nephrectomy depending on size and stage.

Kidney cancer often causes no symptoms in its early stages and is picked up during imaging done for an unrelated reason. When symptoms do appear, they tend to reflect more advanced disease, which is why any incidental kidney mass deserves prompt, specialized evaluation and a treatment plan tailored to the individual patient.

When symptoms appear

  • Blood in the urine
  • Persistent flank pain or a palpable mass
  • Unexplained weight loss or fatigue

Treatment approach

  • Partial nephrectomy to preserve kidney function
  • Laparoscopic or robotic surgery for faster recovery
  • Radical nephrectomy for larger or central tumours
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Kidney

Kidney Failure Due to Obstruction

Quick answer: a blocked urinary tract causes back-pressure that can damage the kidney; prompt drainage via a stent or nephrostomy tube often reverses the damage.

When urine can't drain because of a stone, stricture, tumour or enlarged prostate, pressure builds up behind the blockage and can impair kidney function. Urinary tract obstruction can lead to serious complications if left untreated, so relieving it quickly is the priority — treating the underlying cause comes once the kidney is stable.

Common causes

  • Impacted ureteric or kidney stones
  • Strictures or tumours in the urinary tract
  • Enlarged prostate compressing the outflow

Treatment approach

  • Emergency decompression with a DJ stent or nephrostomy
  • Kidney function monitored as pressure is relieved
  • Definitive treatment of the cause once stabilised
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02 · Ureter
Ureter

Ureteric Stone Treatment

Quick answer: stones that migrate into the ureter cause sudden, colicky pain and are treated with medication for small stones or RIRS/laser ureteroscopy for stones that won't pass.

The ureter is a narrow tube, so even a small stone travelling through it can trigger intense, wave-like pain that radiates from the flank toward the groin. Treatment depends on the stone's size and exact position along the ureter.

Typical symptoms

  • Sudden, severe colicky pain
  • Pain radiating to the groin
  • Blood in the urine, urgency

Treatment approach

  • Medical expulsive therapy for stones under 5–6mm
  • RIRS with laser fragmentation for larger or impacted stones
  • Temporary DJ stent to support healing where needed
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Ureter

Flexible Ureteroscopy (RIRS)

Quick answer: RIRS (Retrograde Intra-Renal Surgery) uses a flexible ureteroscope to reach stones anywhere in the kidney or ureter through the natural urinary passage, with no incision at all.

Because the scope bends to follow the kidney's internal anatomy, it can reach stones in hard-to-access areas such as the lower pole of the kidney — combined with laser fragmentation, RIRS treats the stone in the same sitting, without cuts or stitches, for minimal discomfort and quicker recovery.

Best suited for

  • Stones in the lower pole of the kidney
  • Stones missed or unreachable by rigid scopes
  • Patients wanting a single-session solution

What to expect

  • Day-care or overnight hospital stay
  • No external incision or visible scar
  • Stent placement is common for a short period
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03 · Prostate
Prostate

Enlarged Prostate (BPH) Treatment

Quick answer: BPH is a common, non-cancerous enlargement of the prostate that narrows the urine passage; medication is tried first, advanced surgical options follow if symptoms persist.

As men age, the prostate gradually enlarges and can squeeze the urethra running through it, causing difficulty passing urine, frequent urination, and poor bladder emptying. BPH is not cancer, but untreated obstruction can eventually affect the bladder and kidneys, so persistent symptoms are worth evaluating early with long-term relief available through advanced medical and surgical treatment.

Typical symptoms

  • Weak or interrupted stream
  • Frequent urination, especially at night
  • Hesitancy and incomplete emptying

Treatment approach

  • Alpha-blockers or 5-ARI medication initially
  • BPKRP (bipolar plasmakinetic resection) or laser prostatectomy if needed
  • Stitchless, minimally invasive options available
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Prostate

BPKRP & Laser Prostate Surgery

Quick answer: BPKRP (Bipolar PlasmaKinetic Resection of Prostate) and laser techniques remove obstructing prostate tissue through the natural urinary passage — no external incision, minimal bleeding, shorter hospital stay.

These endoscopic techniques use bipolar plasma energy or laser fibres to trim or vaporise the enlarged portion of the prostate from the inside, restoring a clear urine channel without any cut on the body — a modern option offering improved urinary function and better quality of life.

Why it's preferred

  • Safer for patients on blood thinners
  • Lower bleeding risk than open surgery
  • Suitable for larger glands with laser enucleation

What to expect

  • Catheter usually removed within 24–48 hours
  • Short hospital stay, quick return to routine
  • Stitchless, scar-free procedure
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Prostate

Prostate Cancer & Raised PSA Treatment

Quick answer: a raised PSA doesn't always mean cancer, but it does need a structured work-up — PSA trends, MRI prostate and, if indicated, a targeted biopsy.

PSA (prostate-specific antigen) is a screening tool, not a diagnosis. Levels can rise from BPH, infection or inflammation as well as cancer, which is why the trend over time and imaging matter as much as a single number — early detection plays a vital role in successful treatment outcomes.

Risk factors

  • Age over 50 (or 45 with family history)
  • Family history of prostate cancer
  • Persistently rising PSA trend

Treatment approach

  • Active surveillance for low-risk disease
  • Radical prostatectomy for confirmed, localised cancer
  • Referral for radiotherapy where appropriate
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04 · Bladder
Bladder

Bladder Cancer Treatment

Quick answer: painless blood in the urine, even once, is the most common warning sign and should always be checked with cystoscopy.

Bladder cancer typically starts on the inner lining and is diagnosed by directly viewing the bladder with a cystoscope, combined with advanced diagnostic imaging and evidence-based treatment approaches. Catching it early makes a real difference to how it's treated.

Warning signs

  • Painless blood in the urine
  • Frequent or urgent urination
  • Pelvic discomfort in later stages

Treatment approach

  • TURBT (endoscopic tumour resection) for most cases
  • Intravesical therapy to reduce recurrence
  • Referral for cystectomy in advanced disease
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Bladder

Retention of Urine Treatment

Quick answer: acute urinary retention is a medical emergency needing immediate catheter drainage, followed by finding and treating the underlying cause.

A sudden, complete inability to pass urine is painful and urgent. Once the bladder is drained and the discomfort resolved, the real work is identifying why it happened so it doesn't recur.

Common causes

  • Enlarged prostate or urethral stricture
  • Bladder or ureteric stones
  • Certain medications, post-surgery effects

Treatment approach

  • Emergency catheterisation for immediate relief
  • Ultrasound and uroflowmetry to find the cause
  • Targeted treatment to prevent recurrence
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05 · Urethra
Urethra

Urethral Stricture Treatment

Quick answer: a stricture is scar-tissue narrowing of the urine passage that can cause poor urine flow and urinary retention; it's treated with dilation or endoscopic incision for short segments, and reconstructive urethroplasty for longer ones.

Strictures typically follow past infection, catheterisation, trauma, or earlier instrumentation, and they slow the urine stream gradually rather than suddenly. Advanced endoscopic and reconstructive treatments help restore normal urinary function, with the right fix depending heavily on the stricture's length and how many times it has recurred.

Common causes

  • Previous infection or catheter use
  • Pelvic trauma or injury
  • Prior endoscopic instrumentation

Treatment approach

  • Dilation or optical urethrotomy for short strictures
  • Urethroplasty for recurrent or long strictures
  • Chosen for a durable, long-term result
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06 · Men's Health
Men's Health

Testicular Cancer Evaluation & Treatment

Quick answer: a painless lump or swelling is the most common first sign, and it's highly treatable when caught early — especially in men aged 15–40.

Testicular cancer is one of the more treatable cancers when identified promptly, which is why any new lump, swelling or change in size or firmness deserves a same-week evaluation and specialized treatment planning rather than a wait-and-watch approach.

Diagnosis

  • Scrotal ultrasound
  • Blood tumour markers
  • Staging scans if confirmed

Treatment approach

  • Radical inguinal orchidectomy as the first step
  • Surveillance or chemotherapy based on stage
  • Fertility counselling offered before treatment
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Men's Health

Circumcision Surgery in Mumbai

Quick answer: circumcision removes the foreskin using a stitchless laser technique, for medical reasons like phimosis and recurrent infection, or by personal choice.

Laser-assisted circumcision is a well-established day-care procedure using modern surgical techniques. Compared to conventional surgical circumcision, it involves less bleeding, less post-operative discomfort and a shorter healing window that promotes faster healing and improved patient comfort.

Common indications

  • Phimosis or a tight foreskin
  • Recurrent balanitis (foreskin infection)
  • Personal or religious preference

What to expect

  • Day-care procedure, local or short general anaesthesia
  • Minimal bleeding, stitchless closure
  • Healing typically within 2–3 weeks
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Men's Health

Phimosis Treatment

Quick answer: phimosis is a foreskin that won't retract; mild cases often respond to a topical steroid cream, while persistent cases are treated with circumcision.

Phimosis can be present from childhood or develop later from recurrent infection and scarring. The first-line approach is usually conservative, with surgery reserved for cases that don't respond or keep recurring.

Common causes

  • Congenital tightness in children
  • Recurrent infection or inflammation
  • Scarring from prior irritation

Treatment approach

  • Topical steroid cream as first-line therapy
  • Circumcision for persistent or recurrent cases
  • Especially considered in symptomatic adults
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Men's Health

Infertility Treatment

Quick answer: male factors contribute to roughly half of infertility cases; a semen analysis is usually the first and most useful test to identify the cause.

Infertility evaluation isn't only a women's health topic — a simple semen analysis often gives the first clue. From there, treatment is directed at whatever the underlying cause turns out to be, rather than guessed at.

Common causes

  • Varicocele (enlarged scrotal veins)
  • Hormonal imbalance or infection
  • Blockage or lifestyle-related factors

Treatment approach

  • Varicocele repair where indicated
  • Hormonal therapy for identified imbalances
  • Surgical sperm retrieval to support assisted reproduction
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FAQ

Common questions, answered directly.

Straightforward answers to what patients ask most before their first visit.

What is the treatment for kidney stones?

Small stones under 5–6mm are usually managed with fluids, pain relief and medication that helps the stone pass on its own. Larger or non-passing stones are treated with RIRS (flexible ureteroscopy), laser lithotripsy, or Mini-PCNL, chosen based on size, location and composition.

Is laser treatment for kidney stones painful?

Laser lithotripsy is done under anaesthesia through the natural urinary passage with no external cuts, so there's little pain afterward. Most patients go home within a day and return to normal activity within a few days.

How is prostate enlargement (BPH) treated?

Mild to moderate BPH is treated first with medication. When symptoms persist or complications develop, BPKRP (bipolar plasmakinetic resection) or laser prostate surgery relieves the blockage with minimal bleeding and a short hospital stay.

Does a raised PSA level always mean prostate cancer?

No. A raised PSA can be caused by BPH, infection or inflammation as well as cancer. A structured work-up with PSA trends, MRI prostate and, if needed, a targeted biopsy is used to find the cause.

What is the first sign of bladder cancer?

Painless blood in the urine, even a single episode, is the most common early warning sign of bladder cancer and should always be evaluated with cystoscopy and imaging.

Is circumcision done without stitches?

Yes. Laser-assisted circumcision is a stitchless, day-care procedure with reduced bleeding, less discomfort, and a healing period of about 2–3 weeks.

When should a man get evaluated for infertility?

If a couple hasn't conceived after 12 months of trying, a semen analysis for the male partner is usually the first and most useful test to identify a possible cause.

Not sure which treatment applies to you? One consultation can chart the right path forward.

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