Dr. Mohamed Lotfy Amer
Interventi urologici
Lecturer & Consultant of Endourology and Urological Surgery Lecturer – Faculty of Medicine, Tanta University PhD in Urology – King’s College London, UK
Mehwer El Taamear North Coast - Alessandria d'EgittoDr. Mohamed Lotfy Amer – Consultant Urologist and Endourology
Dr. Mohamed Lotfy Amer is a Consultant in Urology and Endourology, specializing in the diagnosis and treatment of kidney, ureter, bladder, prostate, urinary stone, and urologic tumor conditions.
Dr. Mohamed Lotfy Amer has academic and clinical experience in managing both routine and complex urological conditions, using modern imaging, diagnostic testing, endoscopic procedures, and minimally invasive surgical techniques whenever appropriate.
His expertise includes endourology, kidney and ureteric stone treatment, urinary stone fragmentation, benign prostate enlargement, transurethral prostate surgery, and the evaluation and surgical treatment of kidney, prostate, and urinary tract tumors.
Through Macrocare, patients can submit their medical reports and imaging for case review and appointment coordination with Dr. Mohamed Lotfy Amer.
Dr. Mohamed Lotfy Amer’s Specialties
The expertise of Dr. Mohamed Lotfy Amer in urology and endourology includes:
- Urology and endourology.
- Kidney stone treatment.
- Ureteric stone treatment.
- Bladder stone treatment.
- Urinary stone fragmentation.
- Laser lithotripsy in suitable cases.
- Ureteroscopy.
- Treatment of ureteric obstruction.
- Benign prostatic hyperplasia treatment.
- Transurethral resection of the prostate, TURP.
- Treatment of weak or difficult urination.
- Diagnosis and treatment of kidney tumors.
- Kidney tumor surgery.
- Partial nephrectomy in suitable cases.
- Diagnosis and treatment of prostate tumors.
- Prostate cancer evaluation.
- Prostate surgery.
- Evaluation of bladder tumors.
- Selected urinary incontinence conditions.
- Complex urinary tract disorders.
Kidney Stone Treatment with Dr. Mohamed Lotfy Amer
Kidney stones are among the most common urological conditions. Treatment depends on the size, location, composition, and effect of the stone on the kidney and urinary tract.
Dr. Mohamed Lotfy Amer evaluates kidney stones using appropriate imaging and laboratory investigations to determine whether the patient needs observation, medication, stone fragmentation, or endoscopic treatment.
Possible symptoms of kidney stones include:
- Severe flank or back pain.
- Renal colic.
- Pain radiating toward the lower abdomen or groin.
- Blood in the urine.
- Nausea or vomiting.
- Burning during urination.
- Frequent urination.
- Recurrent urinary tract infection.
When Does a Kidney Stone Need Intervention?
Not every kidney stone requires a procedure.
Some small stones can pass naturally with appropriate monitoring and treatment, while intervention may be required when the stone:
- Is large.
- Causes urinary obstruction.
- Affects kidney function.
- Causes severe or recurrent pain.
- Is associated with infection.
- Fails to pass naturally.
- Causes repeated renal colic.
Dr. Mohamed Lotfy Amer determines the appropriate treatment according to the details of each case.
Ureteric Stone Treatment
Ureteric stones occur when a stone moves from the kidney into the ureter and becomes lodged along the urinary tract.
A ureteric stone may cause partial or complete obstruction of urine flow from the kidney.
Treatment options may include:
- Medical treatment and observation.
- Stone fragmentation.
- Ureteroscopy.
- Laser lithotripsy.
- Endoscopic stone extraction.
- Ureteric stent placement when required.
Ureteroscopy for Urinary Stones
Ureteroscopy allows the urologist to access stones within the ureter and parts of the urinary collecting system without open surgery in many cases.
A thin endoscope is introduced through the urethra and bladder into the ureter.
The procedure may be used to:
- Identify the stone.
- Fragment the stone.
- Remove stone fragments.
- Assess ureteric narrowing or obstruction.
- Insert a ureteric stent when needed.
Dr. Mohamed Lotfy Amer evaluates whether ureteroscopy is appropriate according to stone size, location, and urinary tract anatomy.
Laser Treatment for Kidney and Ureteric Stones
Laser lithotripsy is used during selected endoscopic procedures to break urinary stones into smaller fragments.
Laser energy is directed at the stone to fragment it so the pieces can be removed or allowed to pass naturally depending on the procedure.
Laser treatment may be used for selected:
- Ureteric stones.
- Kidney stones.
- Urinary stones that are unlikely to pass spontaneously.
The most appropriate technique is selected after reviewing the patient’s imaging and clinical condition.
Causes of Recurrent Kidney Stones
Kidney stones may recur because of factors including:
- Low fluid intake.
- High concentration of certain minerals in the urine.
- Dietary factors.
- Metabolic disorders.
- Family history of kidney stones.
- Certain urinary tract abnormalities.
- Recurrent urinary infection in selected types of stones.
Patients with recurrent stones may require additional metabolic and laboratory evaluation to identify the cause and reduce the risk of recurrence.
Benign Prostatic Hyperplasia Treatment with Dr. Mohamed Lotfy Amer
Benign Prostatic Hyperplasia, BPH, is a common condition in men, particularly with increasing age.
An enlarged prostate can compress the urethra and lead to urinary symptoms.
Dr. Mohamed Lotfy Amer evaluates and treats benign prostate enlargement according to prostate size, symptom severity, and its effect on the bladder and urinary tract.
Symptoms of an Enlarged Prostate
Symptoms may include:
- Weak urine flow.
- Difficulty starting urination.
- Interrupted urine stream.
- Feeling that the bladder has not emptied completely.
- Frequent urination.
- Waking at night to urinate.
- Sudden urinary urgency.
- Urinary retention in advanced cases.
These symptoms do not automatically indicate prostate cancer, so proper evaluation is required to determine the underlying cause.
Treatment of Enlarged Prostate Without Surgery
Some cases of benign prostate enlargement can be treated with medications and monitoring.
The treatment decision depends on:
- Prostate size.
- Severity of urinary symptoms.
- Residual urine after voiding.
- Presence of urinary retention.
- Effect on the bladder or kidneys.
- Response to medical treatment.
When symptoms become severe or complications develop, endoscopic treatment may be considered.
TURP – Transurethral Resection of the Prostate
Transurethral Resection of the Prostate, TURP, is an endoscopic procedure used to treat selected patients with benign prostate enlargement.
The procedure is performed through the urethra using a specialized endoscope, without a traditional external surgical incision.
TURP may be considered in patients with:
- Severe urinary symptoms.
- Significantly reduced urine flow.
- Recurrent urinary retention.
- Inadequate response to medication.
- Complications caused by urinary obstruction.
Dr. Mohamed Lotfy Amer determines whether TURP is appropriate after evaluating the prostate and urinary tract.
Kidney Tumors with Dr. Mohamed Lotfy Amer
The expertise of Dr. Mohamed Lotfy Amer includes the evaluation and treatment of kidney tumors.
Kidney tumors may be benign or malignant, and many are discovered incidentally during ultrasound, CT, or MRI performed for another reason.
Possible symptoms may include:
- Blood in the urine.
- Flank pain.
- A palpable mass in some advanced cases.
- Unexplained weight loss.
- Fatigue.
- No symptoms at all in some patients.
Diagnosis of Kidney Tumors
Evaluation may include:
- Ultrasound.
- Contrast-enhanced CT scan.
- MRI in selected cases.
- Kidney function tests.
- Additional investigations depending on the case.
Imaging helps determine the size and location of the tumor and its relationship to blood vessels and surrounding structures before treatment planning.
Partial Nephrectomy
In selected kidney tumors, Partial Nephrectomy may be performed to remove the tumor while preserving the remaining healthy kidney tissue.
The aim is to treat the tumor while maintaining as much kidney function as possible when the tumor anatomy allows.
The decision depends on:
- Tumor size.
- Tumor location.
- Surgical complexity.
- Function of both kidneys.
- Patient age.
- Overall health.
Radical Nephrectomy for Kidney Tumors
In some cases, Radical Nephrectomy may be required when kidney preservation is not medically or surgically appropriate.
The type of surgery is determined after careful review of imaging, tumor stage, kidney function, and overall clinical condition.
Prostate Cancer with Dr. Mohamed Lotfy Amer
Prostate cancer is one of the common malignancies affecting men, particularly with increasing age.
An enlarged prostate does not automatically indicate cancer, and an elevated PSA must be interpreted in the context of age, examination findings, imaging, and other clinical information.
Dr. Mohamed Lotfy Amer evaluates patients with suspected prostate tumors and determines the appropriate diagnostic pathway.
Diagnosis of Prostate Cancer
Assessment may include:
- PSA blood test.
- Clinical examination.
- Ultrasound in selected cases.
- Multiparametric prostate MRI, mpMRI.
- Prostate biopsy when indicated.
- Staging investigations after a confirmed diagnosis.
Prostate cancer cannot be diagnosed by PSA alone.
Prostate Cancer Treatment
Treatment depends on:
- Cancer stage.
- Tumor grade.
- PSA level.
- Patient age.
- Overall medical condition.
- Extent of disease.
- Patient preferences after discussion of treatment options.
Management may range from active surveillance for selected low-risk tumors to surgery, radiotherapy, hormonal therapy, or other systemic treatments depending on the individual case.
Prostate Surgery
Prostate surgery includes different procedures depending on the diagnosis.
The operation used for benign prostate enlargement is different from surgery performed for prostate cancer.
Dr. Mohamed Lotfy Amer first identifies the underlying condition before determining the most appropriate surgical or endoscopic procedure.
Bladder Tumors
A bladder tumor may present with blood in the urine, particularly painless visible hematuria.
Other symptoms may include:
- Visible blood in the urine.
- Changes in urine color.
- Frequent urination.
- Burning during urination.
- Symptoms resembling urinary infection.
Blood in the urine should be medically evaluated, particularly in adults and patients with relevant risk factors.
Diagnosis of Bladder Tumors
Evaluation may include:
- Urine analysis.
- Ultrasound.
- CT imaging.
- Cystoscopy.
- Endoscopic biopsy or tumor resection when appropriate.
Pathology results help determine the type and grade of the tumor and guide further treatment.
Urologic Endoscopy and Endourology
Endourology uses specialized endoscopic instruments to diagnose and treat many urinary tract conditions.
Procedures may include:
- Cystoscopy.
- Ureteroscopy.
- Treatment of ureteric stones.
- Urinary stone fragmentation.
- Treatment of selected urinary tract obstruction.
- Endoscopic resection of selected bladder tumors.
- Transurethral prostate procedures.
Endoscopic treatment avoids open surgery in many cases, although the most appropriate approach depends on the diagnosis and individual patient factors.
Difficulty Urinating and Weak Urine Flow
Difficulty passing urine in men may be caused by several conditions, including:
- Benign prostate enlargement.
- Urethral stricture.
- Weak bladder muscle.
- Neurological disorders.
- Urinary infection.
- Certain medications.
Treatment should therefore not be based on symptoms alone.
Dr. Mohamed Lotfy Amer evaluates the underlying cause using the patient’s history, examination, and appropriate investigations.
Blood in the Urine
Hematuria, or blood in the urine, requires evaluation to identify the source.
Possible causes include:
- Urinary stones.
- Infection.
- Benign prostate enlargement.
- Kidney disease.
- Bladder tumors.
- Kidney or other urinary tract tumors.
- Other urological conditions.
The investigation depends on patient age, associated symptoms, and individual risk factors.
Recurrent Urinary Tract Infections
Some patients experience recurrent urinary tract infections.
In these cases, it may be important to identify an underlying cause, particularly if there is:
- Urinary stone disease.
- Urinary obstruction.
- Incomplete bladder emptying.
- Prostate enlargement.
- Urinary tract abnormality.
- Recurrent infection despite appropriate treatment.
The underlying cause is treated alongside the infection whenever possible.
Dr. Mohamed Lotfy Amer’s Treatment Approach
Dr. Mohamed Lotfy Amer uses a structured approach to urological diagnosis and treatment.
His approach includes:
- Accurate diagnosis before treatment decisions.
- Careful review of imaging and investigations.
- Selection of treatment according to disease severity.
- Conservative treatment when appropriate.
- Use of endoscopic and minimally invasive techniques in suitable cases.
- Preservation of kidney and urinary tract function whenever possible.
- Individualized surgical planning.
Dr. Mohamed Lotfy Amer’s Clinical and Academic Experience
Dr. Mohamed Lotfy Amer is a Consultant in Urology and Endourology with academic and clinical experience associated with the Department of Urology at Tanta University Faculty of Medicine and its teaching hospitals.
His experience includes prostate and urinary tract disorders, urologic endoscopy, urinary stone procedures, and academic and scientific activity in the field of urology.
Why Do Patients Consult Dr. Mohamed Lotfy Amer?
Patients may seek an evaluation with Dr. Mohamed Lotfy Amer for specialized management of:
Urology – endourology – kidney stones – ureteric stones – ureteroscopy – laser stone treatment – benign prostate enlargement – prostate endoscopy – TURP – kidney tumors – partial nephrectomy – prostate cancer – bladder tumors – difficulty urinating – blood in the urine.
Book an Appointment with Dr. Mohamed Lotfy Amer Through Macrocare
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or you need a specialist opinion regarding kidney stones, ureteric stones, benign prostate enlargement, difficulty urinating, kidney tumors, prostate tumors, bladder conditions, or another urinary tract problem, you can submit the case to Macrocare.
For an initial case review, patients may provide:
- Medical reports.
- Kidney function tests.
- Urine analysis.
- Urine culture if infection is suspected.
- Ultrasound imaging.
- CT or MRI scans if available.
- CT KUB for urinary stone cases, if performed.
- PSA results for prostate evaluation, if available.
- Previous surgical or endoscopic reports.
- Pathology reports in tumor cases.
- Current medication list.
The Macrocare team can help organize the medical file and coordinate the appropriate consultation or appointment with Dr. Mohamed Lotfy Amer.
Frequently Asked Questions About Dr. Mohamed Lotfy Amer
What Is Dr. Mohamed Lotfy Amer’s Specialty?
Dr. Mohamed Lotfy Amer is a Consultant specializing in urology, endourology, kidney and ureteric stones, bladder and prostate conditions, and urinary tract surgery.
Does Dr. Mohamed Lotfy Amer Treat Kidney and Ureteric Stones?
Yes. The expertise of Dr. Mohamed Lotfy Amer includes the evaluation and treatment of kidney stones, ureteric stones, and other urinary stones using medical treatment, fragmentation, or endoscopic procedures depending on the case.
Does Dr. Mohamed Lotfy Amer Perform Ureteroscopy?
Yes. Ureteroscopy is an endoscopic procedure used to access selected ureteric stones and other ureteric conditions for diagnosis, fragmentation, or stone extraction.
Does Dr. Mohamed Lotfy Amer Treat Benign Prostate Enlargement?
Yes. Dr. Mohamed Lotfy Amer evaluates and treats benign prostate enlargement and urinary symptoms associated with BPH.
Does Dr. Mohamed Lotfy Amer Perform TURP?
His urological practice includes Transurethral Resection of the Prostate, TURP, for selected patients with benign prostate enlargement who require endoscopic treatment.
Does Dr. Mohamed Lotfy Amer Treat Kidney Tumors?
Yes. His expertise includes the evaluation and treatment of kidney tumors, with treatment selected according to tumor size, location, stage, kidney function, and the patient’s overall condition.
Can a Kidney Tumor Be Removed Without Removing the Whole Kidney?
In selected cases, Partial Nephrectomy can remove the tumor while preserving the remaining healthy kidney tissue. Suitability depends on tumor size, location, anatomy, and individual patient factors.
Does Dr. Mohamed Lotfy Amer Treat Prostate Tumors?
Yes. Dr. Mohamed Lotfy Amer evaluates prostate disease and suspected prostate tumors and determines the appropriate investigations and treatment pathway according to the diagnosis.
Does a High PSA Always Mean Prostate Cancer?
No. PSA can become elevated for several reasons and an elevated result alone does not diagnose cancer. It should be assessed together with age, examination findings, imaging, and other clinical information.
When Does a Kidney Stone Need Ureteroscopy?
Ureteroscopy may be considered when a stone is unlikely to pass naturally, causes obstruction, produces recurrent symptoms, or requires endoscopic removal or fragmentation. The decision depends on stone size, location, and kidney function.
How Can I Book an Appointment with Dr. Mohamed Lotfy Amer?
You can contact Macrocare and submit the patient’s medical reports, laboratory results, and imaging. The Macrocare team can help organize the medical file and coordinate an appropriate consultation or appointment with Dr. Mohamed Lotfy Amer.
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