Dr. Sahil Rally
Consultant Renal Transplant Surgeon
Dr. Sahil Rally specializes in renal transplantation and advanced urological procedures. His clinical focus includes kidney transplant surgery, minimally invasive urological treatments, kidney stone management, prostate disorders, and urinary tract disease management. He is committed to delivering advanced surgical care with a strong emphasis on patient safety and successful outcomes.
Frequently asked
Questions patients ask.
Who needs a kidney transplant?
A kidney transplant is offered to patients with end-stage kidney disease whose kidneys can no longer function on their own. It is one of two main treatments for kidney failure — the other being lifelong dialysis. A transplant usually offers better quality of life and longer survival.
Who can donate a kidney?
In India, a close family member — parent, sibling, child, or spouse — is usually the first choice, both for legal reasons and for the best match. The donor must be healthy, willing, and a compatible blood and tissue match. We screen donors carefully to ensure their safety comes first.
Is donating a kidney safe?
Yes — for a healthy, well-evaluated donor, kidney donation is very safe. People can live a normal life with one kidney. The donor goes through detailed tests before surgery, and we follow up with them lifelong to make sure they remain healthy.
How long does a transplanted kidney last?
A kidney from a living donor often works well for 15 to 20 years, sometimes longer. Lifespan depends on the match, how the patient takes the prescribed medicines, and overall health. We monitor transplant patients closely to keep the kidney working as long as possible.
What is laparoscopic surgery?
Laparoscopic, or keyhole, surgery uses small incisions and a tiny camera instead of one large cut. It means less pain, smaller scars, less bleeding, and faster recovery. Most of our urological surgeries — including donor kidney removal — are done laparoscopically.
How are kidney stones treated?
Small stones may pass on their own with extra water and medicines. Larger stones may need lithotripsy (shock-wave treatment), ureteroscopy, or laparoscopic surgery. The right choice depends on the size, location, and whether the stone is blocking urine flow.
What is an enlarged prostate and when does it need treatment?
An enlarged prostate (BPH) is very common in men over 50. It can cause weak urine flow, frequent night urination, or trouble emptying the bladder. Treatment is needed when symptoms affect daily life or when complications begin. Options range from medicines to minimally invasive surgery.
What are the symptoms of a kidney stone?
Sudden severe pain in the back or side that comes in waves, blood in the urine, nausea or vomiting, and a burning feeling while urinating. Smaller stones may cause no symptoms until they move and block the urine passage. Severe pain needs urgent evaluation.
How long is recovery after a kidney transplant?
Hospital stay is usually 7 to 10 days. Most transplant patients are back to light activities in about a month and to normal routine in 2 to 3 months. Lifelong medicines are needed to prevent rejection — we guide patients through this very carefully.
Can urinary tract infections be prevented?
For most people, yes. Drinking enough water, not holding urine for long, good hygiene, and treating any underlying cause (stones, diabetes, prostate issues) reduce repeated UTIs significantly. Recurring UTIs always need a urologist's review to find the root cause.
People also ask
Other questions frequently searched.
What is the cost of a kidney transplant in India?
Cost varies based on hospital, city, type of donor, and length of stay — anywhere from roughly Rs 6 lakh to Rs 15 lakh. Government schemes and insurance can cover a significant part. We can discuss a realistic cost and the financial support options during consultation.
Can a stranger donate a kidney legally in India?
Indian law allows organ donation mainly from close relatives. Donation from non-relatives is permitted only under strict conditions and needs approval from a government Authorization Committee, which carefully verifies there is no commercial transaction involved.
What is the success rate of kidney transplants?
Modern kidney transplants have very high success rates. About 95 percent of transplanted kidneys are working well at 1 year, and over 80 percent at 5 years from a living donor. Long-term success depends largely on how well the patient takes the prescribed medicines.
Can you live a normal life with one kidney?
Yes — many people are born with one kidney or have one removed and live completely normal lives. The remaining kidney increases its workload slightly to compensate. Donors are screened carefully so that giving a kidney does not affect their long-term health.
What dissolves kidney stones naturally?
Drinking 2.5 to 3 litres of water a day is the single biggest natural step. Lemon juice, less salt, and moderate calcium intake help too. But large or symptomatic stones rarely dissolve on their own — they may need medical or surgical treatment.
Why do I keep getting UTIs?
Recurring UTIs may be due to incomplete bladder emptying, kidney stones, diabetes, an enlarged prostate (in men), low water intake, or post-menopausal changes (in women). A urologist looks for the underlying cause and treats it — not just the infection.
Is laparoscopic surgery better than open surgery?
For most kidney, prostate, and urinary tract surgeries — yes. Less pain, smaller scars, less blood loss, shorter hospital stay, and faster return to normal life. In a few complex cases, open surgery is still safer. We choose the approach best for each patient.
What is the best treatment for prostate enlargement?
For mild symptoms, medicines work well. For larger glands or stronger symptoms, minimally invasive procedures like HoLEP, TURP, or laser treatments are effective. The right choice depends on prostate size, age, and overall health. There is no one-size-fits-all answer.
Can a kidney stone come back after surgery?
Yes — about 40 to 50 percent of people who have had a stone form another within 5 years if no preventive steps are taken. After a stone, we usually recommend lifestyle changes and sometimes simple medicines to lower the risk of recurrence.
How long is the wait for a kidney transplant in India?
For living-donor transplants, the wait depends on how soon a willing relative is evaluated and matched — sometimes a few weeks to a few months. For deceased-donor transplants, the wait can be years due to a long national list. We help patients explore both paths.
