Patient Experience
As an 82-year-old with recurrent UTIs, Dr. Kotwal's gentle approach was remarkable. He prescribed a novel antibiotic rotation after discovering my biofilm issue through advanced testing, something no urologist had caught before. His military precision in explaining the treatment plan gave me complete confidence.
When my 7-year-old son developed nocturnal enuresis, Dr. Kotwal created a fun 'bladder training game' with star charts and rewards. His child-friendly explanation about 'sleepy bladder muscles' made my son actually excited about his appointments. The problem resolved in just 8 weeks!
Rushed to Artemis with renal colic at 2 AM, Dr. Kotwal performed emergency lithotripsy with incredible calmness. What stood out was how he personally called my wife during the procedure to reassure her, then visited my room three times post-op to check my pain levels.
For my routine prostate screening, Dr. Kotwal noticed subtle changes others might miss. His 'proactive surveillance' approach included teaching me self-examination techniques and creating a personalized monitoring schedule that felt genuinely collaborative rather than clinical.
My complex robotic pyeloplasty for UPJ obstruction was scheduled for 4 hours but Dr. Kotwal completed it in 2.5 with minimal blood loss. His post-op explanation included showing me 3D reconstructed images of my repaired ureter - I've never seen such surgical transparency.
Follow-up after vasectomy: Dr. Kotwal remembered details from my initial consultation six months prior without checking notes. He used ultrasound to confirm success and shared interesting research about long-term hormonal changes he's studying.
As a transgender patient seeking urethral lengthening revision, Dr. Kotwal's expertise was unparalleled. He collaborated with my endocrinologist to time surgery around hormone cycles and created custom surgical templates for my unique anatomy.
When my father's bladder cancer returned, Dr. Kotwal proposed an innovative intravesical therapy combining BCG with hyperthermia. His honest discussion about success rates and alternatives included drawing diagrams that even my non-medical family could understand.
For my teenage daughter's renal calculus, Dr. Kotwal designed a metabolic workup that revealed rare genetic hypercalciuria. His nutritional counseling included culturally appropriate Indian diet modifications that made compliance easy for our family.
Emergency ureteral stent placement after kidney transplant complications: Dr. Kotwal coordinated with nephrologists, transplant team, and ICU staff seamlessly. His 3 AM bedside manner was as composed as during daytime consultations.
Rare Fournier's gangrene case: Dr. Kotwal's military trauma experience shone through during the emergency debridement. His meticulous wound care protocol and daily dressing changes personally supervised for two weeks saved both tissue and dignity.
For my neurogenic bladder from MS, Dr. Kotwal taught intermittent self-catheterization using unique analogies that made the process less intimidating. His follow-up includes quarterly bladder diary reviews via teleconsultation.
Pediatric hypospadias repair on my infant son: Dr. Kotwal's microsurgical technique resulted in barely visible scarring. His photo documentation at each stage helped us track healing progress visually.
As a kidney donor candidate, Dr. Kotwal's evaluation was incredibly thorough yet respectful. His 'donor-first' philosophy was evident when he identified an unrelated thyroid issue and insisted we address it before proceeding with donation.
Complex urethral stricture from childhood trauma: Dr. Kotwal performed a buccal mucosa graft with such precision that my urinary flow improved dramatically. His post-op care included custom silicone stents he designed himself.