Differences Between Nephrology and Urology
Nephrology and Urology are the two medical specialties that take care of the urinary tract. As they are complementary specialties, it is very common for the population to make confusion regarding their attributions. The term Nephros comes from Greek and means kidneys. Therefore, the kidney specialist or nephrologist in Delhi is the one who studies the functions and diseases of the kidneys. Likewise, Nephrology is the medical specialty that deals with the clinical problems of the kidneys.
Urology is a little different, as it is the surgical specialty that deals with the urinary tract. Thus, the nephrologist or kidney specialist in Delhi is the clinician specializing in kidney function, while the urologist in Delhi is the genitourinary tract surgeon. It is the same relationship that exists, for example, between cardiologists and cardiac surgeons, between neurologists and neurosurgeons, and between angiologists and vascular surgeons.
Roughly speaking, to know if your kidney problem should be treated by a urologist or nephrologist in Delhi, we must ask: is the treatment done with surgery or with drugs? If it is surgical, the specialist is the urologist. If it is a clinical disease, the specialist indicated is the best nephrologist in Delhi.
The urologist also treats diseases of the prostate and male reproductive system, even if they are not necessarily surgical.
What diseases does the nephrologist in Delhi treats?
The main disease the best nephrologist in Delhi deals with is kidney failure, a condition in which kidney function is compromised. Renal insufficiency can be acute when the kidneys suddenly suffer some injury and fail to function properly for some time, or chronic when the process of loss of function occurs gradually but permanently.
In addition to renal failure, treatment of various other clinical diseases of the urinary system are part of the duties of the nephrologist, among the most common, we can mention:
- Glomerulonephritis .
- Renal complications of autoimmune diseases.
- High blood pressure.
- Urinary tract infection.
- Renal calculus of repetition.
- Hydroelectrolytic changes (changes in blood minerals such as sodium, potassium, calcium, phosphorus, etc.).
- Changes in acid-base metabolism.
- Polycystic kidney disease.
- Nephrogenic tasteless diabetes.
The nephrologist in Delhi is also the physician responsible for treating patients whose kidney failure is so severe that they need hemodialysis or peritoneal dialysis to stay alive.
Another role of the kidney specialist in Delhi is to take care of kidney transplant patients. It is the urologist who performs the transplant surgery, but the doctor who indicates the transplant prepares the patient, chooses the donor (in case of a living donor), and cares for the patient after the transplant is the nephrologist in Delhi.
It should be noted that the transplanted patient must be on immunosuppressive drugs for many years so that the transplanted kidney does not suffer rejection. This implies a greater risk of problems such as infections and the appearance of tumors. It is the nephrologist who is responsible for controlling the doses of medicines and trying to keep the transplanted kidney working for long years.
Importance of nephrologist in chronic renal failure
Our two kidneys filter an average of 180 liters of blood per day, which gives approximately 90 to 125 ml of blood per minute. This value is called the glomerular filtration rate (GFR) or creatinine clearance. As the average GFR is 100 ml/min, for a better understanding of the patients, we usually say that this value corresponds to 100% of renal function. So if your doctor says you have 60% kidney function, it roughly means that your kidneys filter about 60 ml/min.
Despite being the key disease of the specialty, most patients with chronic renal failure reach the nephrologists late, with less than 30% of kidney function, a phase that can be done little to try to stop the disease progressing towards the kidney. This is obviously not only the fault of the patients but also of their doctors who are slow to refer to the nephrologist in Delhi for their chronic renal failure.
Patients with chronic renal failure who reach the nephrologist early, that is, in the early stages of the disease, have the following advantages:
- Lower long-term mortality.
- Better control of blood pressure.
- Fewer diseases associated with kidney failures, such as bone lesions, anemia, malnutrition, and cardiovascular disease.
- Less loss of renal function over the years, which makes these patients take longer to achieve terminal renal failure. Often the patient can control his illness so that he never needs hemodialysis.
- Those who need hemodialysis have fewer complications and lower mortality, better preparation and shorter time for kidney transplantation if this is the wish of the patient.
- Greater chance of cure if the cause of kidney failure is treated.
When to look for a kidney specialist in Delhi?
Kidney diseases can be treacherous as they often have few or no symptoms in their early stages. Sometimes, only through laboratory blood or urine tests can we identify an ongoing kidney disease. It is therefore important to recognize patients with risk factors for kidney disease and early symptoms of kidney damage so that ill individuals can be adequately evaluated by a kidney specialist in Delhi.
Do not expect chronic renal failure to cause kidney pain or reduced urinary volume. It is a silent disease that will not show symptoms until well-advanced stages. If you think that just because your kidneys do not hurt and your urine is normal there is no risk that your kidneys will be sick, you may have an unpleasant surprise in the future.
In general, we suggest an evaluation by a nephrologist in Delhi for all people who have the following characteristics:
- Changes in blood creatinine rate, which is the main marker of renal function.
- Much foaming urine or identification of protein loss in the urine through laboratory tests.
- Reddish urine or identification of blood in the urine through laboratory tests.
- Repeat urinary infection, especially if it is more than 3 episodes per year.
- More than one episode of kidney stones during life. The urologist treats the stones, but it is the nephrologist who prevents new stones from emerging.
- Edema and swelling for no apparent cause.
- Changes in blood potassium, sodium, phosphorus, uric acid, magnesium and calcium that the GP does not easily identify the cause.
- Alteration of acid-base metabolism without apparent cause.
- The appearance of multiple renal cysts on examinations such as ultrasound (ultrasound), computed tomography or magnetic resonance imaging kidney pain.
- Urine volume changes with no apparent cause.
List of Best Nephrologist in Delhi
These are the best nephrologist in Delhi, according to the information available on the Internet.
It is difficult to know from the information currently available on the Internet who is the best dentist in Delhi. That is why we have proposed to make a ranking based on the data provided by Google users.
Then we proceed with our list of the best nephrologist in Delhi according to the scores of Google users.
To elaborate it, we have taken into account not only that the average scores of the doctors were the highest, but also that the number of votes was relatively high in order to avoid biases as much as possible.
Dr. Sunil Prakash
M.B.B.S., M.D. (Ind Med.), D.M. (Nephrology), FISPD, F.I.S.N. (USA)
Dr. Sunil Prakash is Director and Head of Nephrology and Renal Transplant in Dr. B. L. Kapoor Super Speciality Hospital, Pusa Road, New Delhi, India. A distinguished name in the field of Nephrology, Dr. Sunil Prakash has been credited with successfully treating acute to complex nephrological disorders. He specialises in advanced techniques in CAPD and other therapies.
Dr. Vinant Bhargava
M.B.B.S., DNB (General Medicine), DNB (Nephrology), MNAMS (Nephrology), FASN (Nephrology)
Dr. Vinant Bhargava is a specialist in kidney diseases. Presently, he is a Consultant Nephrologist in the Institute of Renal Science at the esteemed Sir Gangaram Hospital, Delhi. He has more than 15 years of involvement in the field of Nephrology.
Address: Room No.1245, Sir Ganga Ram Hospital Marg, Old Rajinder Nagar, Rajinder Nagar, New Delhi, Delhi 110060
Mobile No.: +91-9990610096
Email Id: [email protected]