"Urology has become a very big specialty with a lot of sub-specialties within it. Urology mainly consists of the Genito-Urinary Surgeon who cures renal problems by surgery, and the Nephrologist who treats renal problems with drugs. This differentiation has to be fundamentally understood by the lay public, because there is a mix-up of patients on many occasions and they land up with a wrong consultant for their ailments. Kidney transplantation has itself taken huge strides today as the number of End-Stage Renal Disease (ESRD) patients is increasing by leaps and bounds. It is very simple knowledge that when an organ fails it has to be substituted, wherever a substitute is available, as in the case of kidney, liver, pancreas etc. The huge buckle in this kidney transplantation is due to lack of awareness of Brain-Death and the emotions of the relatives of the Brain-dead patient who is on the ventilator. When once they understand this phenomenon of Brain death, the number of cadaver kidneys will increase. But in no way it will match the demand and supply, because there is a huge gap between these two figures."
Dr C L Ashok Kumar, Consultant Urologist
March 7, over lunch