Dr Prashant Mulawkar

Using 3D CT for pre PCNL access planning

@baoghbab @Guttajwala Why do you say so? The milk is donated to Govt hospitals. I appreciate @Guttajwala

@Guttajwala all such biological donations including the organ donation would never reach the poor & needy - they will invariably end up with rich & needy

I donated around 60 litres of breast milk to the government hospital in Hyderabad and Chennai during my first year of post partum!! Why does it matter? Just 100ml of donor milk can feed a tiny 1kg baby for several days. This donation could potentially support dozens of infants in the NICU. Donating is safe, screened, and desperately needed. Many NICU babies don't have immediate access to their mother's own milk due to medical complications. Donor milk acts as a vital bridge, providing immunity and nutrition during those critical first days. It serves as a bridge for mothers whose milk may be delayed due to stress, illness,malnutrition or premature birth.  Donor human milk is proven to significantly reduce the incidence of Necrotizing Enterocolitis (a life-threatening gut condition) in premature infants!!! Check your local govt hospital to see how you can help! #MilkBank #SavingLives #MaternalHealth

@DrVCMohan Well done

Honoured to be featured in The Times of India today for my article on Robotics in Pediatric Urology. Robotic surgery is transforming outcomes in children with greater precision, minimal invasiveness, and faster recovery. Grateful for the opportunity 🙏 #RoboticSurgery #PediatricUrology #MedTech #Urology

No reply from @AshwiniVaishnaw @RailwaySeva despite sending details

@AshwiniVaishnaw Train reservation cancellations are to be done 72 hours. But trains are not running on time. This is impacting us badly. There is no accountability.

There is no reply

@RailwaySeva I have sent you a direct message

@pmulawkar We’re here to assist you. May please share your ( PNR / UTS number ) and mobile no. with us preferably via DM. You may also raise your concern directly on railmadad.indianrailways.gov.in or dial 139 for speedy redressal. twitter.com/messages/compo…

@Shresthanyl @UrologyTiong @PEARLSendouro @asiaendouro @takatakaJinoue Congratulations

Privileged to participate in Asian Joint Symposium at the 113th Japanese Urological Association Meeting in Kyoto. Heartfelt gratitude to JUA Organizing Committee for kind invitation and the opportunity to speak on Suction – A Much Needed Evolution in Endourology. #JUA2026 #UAA

@niveditajha30 @DrDhruvchauhan Did you face it personally?

@DrDhruvchauhan What do you mean by seniority in education? Just because someone has more degrees doesn't mean they will think themselves of god.i am no fan of bjp or Delhi CM but doctors need to be schooled properly, they are most rude .

Delhi CM visits a hospital in Delhi , Scolds a senior Most Doctor and when i opposed this move on social media , The entire IT cell got activated Abuses , hurls and what not they tried from comments to my inbox which I don’t give a Damn about ! What the CM did was “Public humiliation” by scolding a doctor who is above her age, her education and was performing his duties before she even became the chief minister . If he interrupted the CM in between it should be communicated in a decent way by requesting him in person and not publicly in front of juniors and cameras . Will she ever speak life this to her own party leaders ? No . Then how can a doctor who served whole life should accept such behaviour ! Why there is no Patient Feedback Systems / Hospital staff feedback portal to complain directly to govt anonymously and if it is there why the condition of Delhi Hospitals is worst and even basic drugs are lacking most of the time . She is answerable to all of this !

@amazon I ordered for coffee. But got a wrong product. And return is not available. What next?

@RadiographyNG Ptosis of right kidney

What are the findings from this Intravenous Urography study?

@anandmahindra Congratulations sir. Your R&D work is amazing

For those who worry that Indian companies are not focusing enough on R&D & innovation…

@ShashiTharoor @ShobhaTharoor @X It would be a learning experience for everyone if we know how the account was hacked.

My sister @ShobhaTharoor’s @X account was hacked on April 14 by a shady business which used her handle to tweet an advertisement for themselves. She complained and the fake tweet was taken down, but she can’t log back in despite changing her password, because a two-factor authentication code has been set up (by the hacker or by @X) which she obviously doesn’t know. She has written to the service portal of @X every day since the 14th but the only response she has received is to click on a link to disable the 2FA. The link does not work. There is no customer service number to call. She has asked me to appeal to the grand panjandrums at @X: Can someone help her access her account? Thanks, @Elonmusk!

@hemo_shk sigmoid volvulus

Intraoperative findings in a patient presenting with vomiting and severe abdominal pain. What is the most likely diagnosis?

@DrParimalGharia @OTRAXER @drnanjappa @drabhaymahajan @drkarthicknagan @iamdockarl @usiurolithiasis Good. Safety of the ureter is of paramount importance.

🔹Upper Ureteric Impacted Calculi 🔹 Flexible Ureteroscope 🔹Short Pulse Low Frequency Holmium 0.6 J x 8 Hz 🔹Fragment it & Push Up 🔹FANS to clear 🔹Safety of ureter is priority 🔹2x speed video @OTRAXER @drnanjappa @drabhaymahajan @drkarthicknagan @iamdockarl @Vikramsridhara2 @niteshkuro

Any guess which surgery is going on?

@SudheerDevana difficult decision to make and dificult surgery to perform. Well done

Sometimes renal malignancy can present with features of sepsis (leukocytosis 60,000/cumm) because of blocked calyces. Had to perform emergency nephrectomy as patient’s condition is deteriorating. #nephrectomy #renalcancer #renalmass #urooncology #emergencysurgery #urosepsis

@RailMinIndia @AshwiniVaishnaw @IRCTCofficial No refund for cancellations within 8 hr. If train is delayed for 2:59 hours, no refund. Better allow full refund if a train is delated for >1 hour. This will allow passengers to file TDR and will improve punctuality of trains.

@Dev_Fadnavis @mieknathshinde @SunetraA_Pawar @mrhasanmushrif @CMOMaharashtra जरा बारकाईने वाचा ही बातमी आणि महाराष्ट्रातील वैद्यकीय क्षेत्र नष्ट करणे बंद करा. लहान दवाखाने बंद झाले तर ते समाजहिताचे नाही ह्याचे भान ठेवा.

🩻Contrast-induced AKI: one of the biggest myths still shaping clinical decisions For decades we were taught: 👉 “Contrast damages the kidneys” 👉 “Avoid CT with contrast in CKD” 👉 “Hydrate, protect, delay imaging if needed” But what if… most of this is wrong?🤔 ->The uncomfortable reality Modern evidence shows: 👉 Low-osmolar contrast rarely causes true nephrotoxicity 👉 Even in CKD, AKI, and ICU patients 👉 The risk is often overestimated—or nonexistent So where did the fear come from? 📍 1950s high-osmolar contrast (actually toxic) 📍 Poorly controlled observational studies 📍 “Creatinine rise = contrast injury” assumption 👉 Correlation became causation 👉 And the dogma stayed ⚠️What recent data tells us ✔ No difference in AKI rates with vs without contrast ✔ No benefit from bicarbonate, NAC, or aggressive hydration ✔ Even ICU and AKI patients show no worsening outcomes ->Translation to real life 👉 The patient was going to develop AKI anyway...Not because of contrast!! ->The real problem: “Renalism” 👉 Avoiding necessary imaging 👉 Delaying diagnosis 👉 Choosing inferior tests And that leads to: ❌ Missed PE ❌ Delayed sepsis source control ❌ Worse outcomes ->Clinical mindset shift Instead of asking: 👉 “Will contrast harm the kidneys?” We should ask: 👉 “Will NOT doing the scan harm the patient?” ->Who still deserves caution? ✔ eGFR <30 ✔ Severe hemodynamic instability ✔ Multiple nephrotoxins Even then: 👉 Optimize volume 👉 Minimize dose 👉 Don’t delay critical imaging 🤓Bottom line ✔ Contrast nephrotoxicity exists… but is rare ✔ The fear is bigger than the risk ✔ The harm of NOT imaging is often greater In critical care 👉 We don’t treat creatinine 👉 We treat patients And sometimes… 👉 The most dangerous thing is NOT the contrast 👉 It’s hesitation. 📃Reference Florens N, Demiselle J. Kidney360 7: 445–449, 2026. doi: doi.org/10.34067/KID.0…

@DrBora_Urol Buccal mucosa ureteroplasty would be needed

Bilateral retrograde pyelogram showing bilateral upper ureteric long-segment strictures following prior endourological intervention. A challenging scenario: Treatment Options??