Dr. Nabil Khawand, Surgeon and Urologist, Washington DC, MD, VA, USA

Dr. Nabil Khawand, Surgeon and Urologist, Washington DC

Kidney Diseases

Kidney diseases are also divided into the section of medical diseases and surgical diseases.  In medical diseases, Dr. Khawand will be treating all kind of inflammation, infections in the form of sepsis of the kidney or what was called pyonephritis and the related causes of pyelonephritis.  At the same time if the patient with such etiology is found to have stones, the stones then will be dealt with, with a minimally invasive therapy such as the lithotripsy with all its kinds.  If this is a cancerous situation or kidney cancer, Dr. Khawand will perform all the standard operations such as the open radical nephrectomy or laparoscopic radical nephrectomy.  Also laparoscopic partial nephrectomies and open standard partial nephrectomies to preserve the kidney tissue.

Kidney Stones

A common disease in the United State is kidney stones.  Kidney stones can present themselves as a pain in the back, or flank pain or pain in the groin.  If you had such a symptom you always consult with a urologist and Dr. Khawand is an expert in this area and a test will be done quickly such as CAT scan to find out if you have a stone.  In the most extreme stone disease where the stone can fill the whole kidney, Dr. Khawand performs the most advanced technique such as the percutaneous nephrolithotomy, which is a puncture in the back, going to the kidney and then using a laser that will suck the stone out without major incision on the belly.  This is one of the most advanced technology to treat big stones in the kidney.  Again, if you have a history of stone disease in your family it is more advisable to have an advise or consultation and you will be given an advise on the diet that you need to do, on the things that you can do and you cannot do, on the drinks that you can do and you cannot do, and so far.  Smoking is a big issue in the urinary system and Dr. Khawand always advises his patient not to smoke because there is a direct relation between smoking and cancer in the urinary bladder or in the conduit of the kidney to the bladder and it is a simple test that is being done in the office that Dr. Khawand performs to find out if the patient has cancer.  A simple urine test can help the diagnosis of cancer.  Simply to prevent this problem, stop smoking and stay away from people who smoke.  Then if you have the disease then there are measures that can be taken in a very benign way such as resection of the tumor in the bladder or given what you call the chemotherapy to the bladder to help the treatment of the a cancer of the bladder.  Again, if you see any blood in the urine or you feel any retention symptom, this is a warning sign that you may be dealing with a cancerous lesion in the urinary tract.  Consult regularly and you will get treated and you will get worked up very quickly to find out the cause of your bleeding.

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