In a candid chat between with Kashmir Magazine Correspondent Tasaduq Rashid, Dr. Tajamul Fazli, Director of Urology and Public Uro-Oncology at Paras Healthcare Srinagar, a highly acclaimed urologist and public uro-oncologist, who returned to his homeland after 22 years in the United States opens up on aging-related urological conditions, prostate health, public stigma, and how lifestyle changes and early diagnosis can transform patient outcomes.
Excerpts
KM: Dr. Fazli, welcome home. How does it feel to return to Kashmir after so many years abroad?
Dr. Fazli: Thank you very much. It’s wonderful to be back home after 22 years. I feel blessed and privileged to return to my roots and serve my own people. Being here at Paras Healthcare Srinagar is not just a professional opportunity, it’s a personal homecoming. Every day, I feel grateful to be here, giving back to the community that shaped me.
KM: As someone specializing in urology and uro-oncology, what are the most common conditions you see, especially among the elderly?
Dr. Fazli: Urology is a remarkable branch of medicine, and yes, a significant portion of our patients belong to the aging population. One of the most common conditions we see is benign prostatic hyperplasia (BPH), an enlarged prostate, which is very normal as men age.
Just like women go through menopause, I call this phase in men “andropause of the prostate”. Hormonal shifts, such as decreased testosterone and slight increases in estrogen, cause this natural enlargement. It’s not a disease. It’s a part of life. Thankfully, we have excellent treatments available both medical and minimally invasive. There’s no need for panic or shame.
KM: Many elderly people report frequent urination at night and hesitate to talk about it. How can you reassure them?
Dr. Fazli: Absolutely. Frequent urination, especially nocturia (waking up several times at night to urinate), is one of the most common symptoms. This condition can significantly affect sleep, mood, and quality of life, and yes, it can also create communication gaps within families, especially when elderly people are uncomfortable discussing it.
To everyone in Jammu and Kashmir, my message is clear: these are normal, age-related issues and they are treatable. Please don’t suffer in silence. Come and see a urologist.
At Paras Hospital, we have 24×7 facilities. I’m here six days a week, and for any emergency, I’m available even on Sundays. Diagnosis is straightforward: urine test, blood work, a few scans. Early detection is key. And once diagnosed early, treatment is easy and effective. The cure is in Allah’s hands, but means are here and they are reliable.
KM: In your experience, is there still social hesitation around talking about urinary or prostate issues?
Dr. Fazli: Yes. That’s something I’ve observed deeply. In our society, even if a person has a urinary infection, they don’t want their spouse or children to know. Among women, it’s even more stigmatized. But let me say this loud and clear: there is absolutely nothing shameful about it. These are natural, physiological changes.
The good news is that I see a positive transformation in our younger generation. They are confident, informed, and more willing to express their concerns. This growing awareness is a great sign. That’s why I urge everyone: please don’t hesitate. Speak up. Seek help. It’s not a weakness, it’s strength.
KM: What preventive advice would you give to people who may not yet have symptoms but want to avoid future complications?
Dr. Fazli: Great question. Prevention is always better than cure. A few important things:
- Watch your diet. Avoid high intake of carbohydrates, and include more fruits, salads, and vegetables.
- Exercise regularly as per age and capacity. Office workers can’t train like athletes, but they can walk, stretch, and move enough to stay active.
- Hydrate smartly. Drink enough water, but avoid overconsumption before bedtime if nocturia is an issue.
Also, for women: urinary tract infections (UTIs) are more common due to anatomical reasons. The urethra is shorter and closer to the anus, increasing the risk of bacterial infections. Basic hygiene matters especially wiping from front to back, and maintaining sexual hygiene. I always recommend washing after intercourse. These things may feel awkward to talk about, but they are absolutely essential for good health.
KM: Many patients may want to visit you but are unable to travel or hesitate to consult. What message do you have for them?
Dr. Fazli: To everyone who wishes to consult me but cannot reach right now: I understand your concern. My message is start by taking small steps at home: regulate diet, stay physically active, and observe hygiene.
But most importantly don’t ignore early symptoms. Whether it’s burning while urinating, frequent urination, weak stream, or blood in urine, these are all warning signs. Get basic tests done and consult a doctor as early as possible. You don’t need to suffer alone. We are here to help, with compassion, confidentiality, and care.
KM: Why did you leave a successful life and career in the U.S. and return to Kashmir?
Dr. Fazli: This is close to my heart. I didn’t come back for money. I came back because my parents are aging, and I wanted to be with them. My mother, a retired gynecologist, was one of the first three female doctors in J&K who went to Madras in 1957. That’s a legacy I’m proud of.
After two decades abroad, I realized that no success is complete without serving your roots. I’ve traveled the world and treated many patients, but the satisfaction of treating my own people is unmatched. The love I receive from patients here is overwhelming. I am here to stay and to serve.
KM: Any final message to our elders, youth, and women of Jammu and Kashmir?
Dr. Fazli: My humble appeal to all: To the elders: These health issues are not your fault, and they are treatable. Please don’t hide your discomfort. Come forward and consult us.
To the youth: Stay informed, stay confident. Health is wealth. Don’t ignore small symptoms or rely on Google come to the right place for diagnosis and treatment.
To the women: You are the backbone of families. Your well-being matters. Talk about your health. Maintain hygiene, and never feel shy about consulting for UTI or related concerns.
Together, let’s build a health-aware, confident, and caring society. I am here, and Paras Hospital is here, with world-class facilities, to serve everyone.
KM: Dr. Fazli, thank you for your time and your heartfelt answers. We are proud and grateful to have you back.
Dr. Fazli: Thank you. I’m grateful for this opportunity. I will continue to serve our people with humility, dedication, and care.
