Doctor in Lotus Urology & Stone Center
Treatment of Premature Ejaculation
Treatment of Small Penis Size
Treatment of Erection Problems
Treatment of Kidney Stones
Treatment of Sexual Weakness
Treatment of Penis Pain
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of Hydrocele
Treatment of Kidney Disease
Treatment of Penile Disorders
Treatment of Gallstones
Treatment of Testicular Cancer
Treatment of Sexual Dysfunction
Treatment Of Male Sexual Problems
Treatment of Enlarged Prostate
Treatment of Pelvic Pain
Treatment of Urinary Tract Infection
Treatment of Urine Leakage
Sexually Transmitted Disease (Std) Treatment
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Patient Review Highlights
I was quite concerned, as my health was degrading day by day, but due to Dr Dipak and the syphilis treatment, I didn't lose hope. He never gets frustrated, even when I ask a number of queries. I owe him a big thanks for making me fine again. With great ease Dipak Paruliya explained us the problem and how the treatment will be carried out.
I was having this urinary incontinence, but the symptoms were not very visible. I remember, I read an article of Dr Dipak in the paper and made contact. He certainly knows the in and out of his speciality. He ensures that he gives enough time to each patient. So many doctors I consulted, but his treatment was the best.
I have consulted so many doctors , but no one was able to solve my hydrocele. Dr Dipak is a very practical doctor. Even in case of long queues, the staff was managing people in a very positive manner. . The hydrocele treatment has helped me greatly and now I am perfectly fine. He traets his patients very nicely.
It was a bad case of urology minimally invasive. I consulted Dr Dipak, he is one of the best urologist. His traetment suited me the best. He ensures that she listens to his patients. He is not just highly qualified, but has years of experience in handling high risk cases.
I am so thankful that Dr Dipak Paruliya has given me the best advice and I am now finally able to get back to my normal self. He with great ease handled my hydrocele case with graet ease. I am back to my normal self after getting treatmnet from him.
The urinary incontinence was increasing day by day. I consulted Dr Dipak, he is not just friendly, but also is very motivating. He handled my case with great ease. The entire Agrawal hospital is very nicely designed.
Erectile Dysfunction (ED) is the inability to achieve or maintain an erection, firm enough for sexual intercourse. Men at any age can suffer from this problem. There are a number of factors which can cause ED, such as environmental factors and certain health conditions. Besides this, men might also suffer from occasional ED which may be caused due to stress.
It can be caused by either psychological or physical conditions; or a combination of both. Some of the major causes of ED are:
- Consumption of alcohol
Researchers have established that age related impotence is caused majorly by stress. Atherosclerosis is also one of the conditions causing age-related impotence, which occurs due to the buildup of plaque in the arteries. This plaque build-up stops the flow of blood to the rest of the body, including the penis, thereby causing problem in erection.
Some of the physical causes of ED are:
When to see a doctor-
See your doctor if:
- You have concerns about your erections or you’re experiencing other sexual problems, including ejaculatory dysfunction, such as premature or delayed ejaculation
- You have diabetes, heart disease or another known health condition that might be linked to erectile dysfunction
- You have other symptoms along with erectile dysfunction
Its Management When You Have Diabetes
As diabetes is a disorder that affects blood supply to organs, so the ability to achieve or maintain erections are impaired as erections are dependent on proper blood supply to the penis. Fortunately, there are treatments for these symptoms and they are:
- Injection therapy and oral medications: Some medications are directly injected to the penis in order to facilitate erection while there are certain oral drugs are administered to treat symptoms of erectile dysfunction which have a higher success rate in treating people who are diabetic than those who are not.
- Regular exercise and a healthy diet: Exercising on a regular basis combined with a healthy diet can reduce the symptoms of both diabetes as well as erectile dysfunction.
- Reviewing medications: Some medications used to treat blood pressure and depression can often cause erectile dysfunction. So, the medications should be reviewed by a doctor and if necessary and should be changed.
- Usage of vacuum constriction devices: These devices are used to create a pump in the penis which facilitate the ability to maintain an erection and engage in sexual intercourse. It is reported to work in 80% of the cases.
- Penile implants: It is a surgical procedure where a penis implant is used to treat this disorder.
- Intraurethral therapy: In this treatment the medicine is placed in the urethra of the penis in the form of suppository a by an applicator. These medicines improve blood flow and thus facilitate a normal erection.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Benign Prostrate Hyperplasia (BPH) is a condition which results in the enlargement of the prostate gland. The prostrate grand is situated near the Urethra (a tube which helps flush out the urine from the bladder). Generally, the chance of developing BPH increases after one crosses the age of 50. But it is yet unknown as to why some men experience more severe symptoms than others.
Causes of BPH
This condition generally occurs because of old age and affects almost all men above the age of 75. It occurs because of the various hormonal changes and changes in cell growth that the body goes through, as one becomes old. Sometimes BPH can set in due to genetics. If BPH sets in due to genetically reasons, it usually is quite severe and affects men before they reach 60.
Symptoms of BPH
Quite a few men who develop BPH, experience no symptoms at all. But when symptoms of BPH, known as lower urinary tract symptoms (LUT) start, they can be either mild or very severe. The severity of the symptoms is not related to the extent of the enlargement. Many a times men with only a mild enlargement complain about severe symptoms, while men with a highly enlarged prostate gland have not complained about any discomfort faced.
Symptoms of BPH tend to worsen due to cold weather and also because of physical and emotional overexertion. There are certain medicines, which should be avoided if you suffer from BPH, as they have a tendency to worsen your symptoms, for example diphenhydramine, pseudoephedrine, oxymetazoline spray and other antidepressants.
The symptoms of BPH are related to bladder emptying and issues with bladder storage.
Symptoms related to the urine drainage from the bladder are:
- Strain while urinating
- Weak urine flow
- Some dribbling after urination
- Sudden urge to urinate
- Pain while urinating
Symptoms related to storage of urine in the bladder are:
- Waking during the night to urinate
- Urinating frequently during the day and at night
- Sudden urge to urinate, which may be hard to control
It however, has to be kept in mind that these symptoms may not primarily occur due to prostate enlargement, but are the result of other conditions like urinary tract infections, prostatitis, prostate cancer, neurological disorders and even diabetes. Thus, it is essential that you visit a doctor and get the cause for these symptoms diagnosed properly.
In case you have a concern or query you can always consult an expert & get answers to your questions!
There is a prevalent misconception that gynecologists are for women what urologists are for men. But urologists also deal with certain women-related health issues. These include overactive bladder, pelvic organ prolapse, and urinary incontinence.
Following are the 5 points which every female should know:
- Women sometimes pee in their pants too: A majority of the female population between 40 and 60 suffer from either stress incontinence (when you cough, sneeze or laugh) or urgency incontinence (leaking when you want to go badly). Urologists want you to know that there are less invasive options and medications available to treat this problem.
- Recognize pelvic organ prolapse: This condition is defined by a bit of bladder, rectal, or uterine tissue bulging into your vagina. An urologist can provide non invasive options to deal with this.
- Age related factors affect both men and women: Right around the time when menopause and andropause strike, changing hormone levels affect the pelvic floor, bladder, urethra and vagina in women causing problems like urinary tract infection and incontinence. These conditions are effectively treated by an urologist who can also probe for underlying conditions like kidney stone, polyp, or tumor in severe cases.
- An overactive bladder is more common than you think: Around 40% women have to hit the bathroom every hour or so owing to this. Simple lifestyle changes like lowering the intake of caffeine and alcohol, in combination with pelvic floor exercises can solve the problem.
- Pelvic pain: If it is not gynaecology then it is urology. A general pain in the pelvic region triggers a visit to the gynaecologist first for most women.From menstrual cramps to ovarian cysts, all of this may well be taken care of by your gynaecologist too. But when the usual culprits are not the cause for your discomfort, it's time you get the urology aspect examined thoroughly too. If you wish to discuss about any specific problem, you can consult a Urologist.
Bladder cancer is characterized by irregular growth of abnormal tissue (tumor) on the lining of the bladder. This type of cancer may spread to the surrounding tissues or other body parts as well.
What are the causes?
Bladder cancer can be caused by environment-related factors and smoking. In fact, smoking tobacco is one of the major causes of bladder cancer around the world. The chemicals present in tobacco can irritate the bladder lining which ultimately leads to bladder cancer. It may also be caused by continuous exposure to chemicals such as dyes or leather dust and radiation. These chemicals tend to cause unusual changes in the cells of the bladder lining and causes cancer in the bladder.
It can also be caused by modifications in the dna in the cells of the bladder which may impair the functioning of the cells in the body. This can cause mutations in the bladder resulting in cancer.
What are the symptoms?
1. Presence of blood in the urine, often painless
2. Feeling of pain while passing urine
3. Back pain
4. Excessive urination
5. Infections in the urinary tract
6. Lower leg swelling
7. Pain in the bones, especially in the pelvic area
8. Weight loss
Treatments for bladder cancer depend on the stage of the cancer. The various treatment choices are:
Surgery - In some cases, these cancers are surgically removed by a surgeon. A type of surgery used is transurethral resection of bladder tumor (turbt) where the cancer cells are destroyed with laser by passing a thin fiber into the bladder.
Chemotherapy - In this method, medications are used to target and destroy cancer cells.
Radiation therapy - Radiation therapy uses rays such as x-ray or uv rays to destroy cancer cells in the body
Immunotherapy - This treatment boosts the immune system of the body so that it attacks the cancerous cells in the bladder. If you wish to discuss about any specific problem, you can consult a Urologist.
Kidney or renal stones refer to the hard mineral deposit that accumulates along the path from the renal pelvis to the bladder. In normal conditions, toxins are filtered by kidneys from the blood and then passed into the urine. But if this waste does not dissolve fully, crystals are formed and these might get stuck in the ureter. Renal stones are common though and can be treated effectively. But you should first know how to detect it.
Signs and symptoms
If kidney stones are small, they might pass on with urine, and not cause any pain. But large stones can obstruct the flow of urine and lead to severe pain. Also remember that the location of the stone and the way it is travelling through your urinary tract can affect the symptoms you face. Sometimes, you might feel a sharp pain in your back or lower abdomen. In other cases, the pain may be constant or come and go, or the intensity might fluctuate.
Here are some other symptoms to watch out for
- Pain during urination, cloudy urine, urine that smells different and the frequent urge to urinate
- Blood due to kidney stones can make urine pink, red, or brown
- Nausea, vomiting, fever or chills
- Pain that increases in severity and stops you from standing, sitting or lying easily
- The pain might start in the early morning or late night, since people urinate less then
Though small kidney stones are often dissolved with medication, larger stones might create blockages and have to be removed in a hospital. The good news is that, now you don’t have to undergo any invasive surgery to get rid of renal stones. The new-age Holmium YAG laser technique can carry out this process with minimal cuts.
This laser sends intense and short infrared light pulses to break the stones into tiny pieces, which can then be passed out with urine. Patients also face lesser complications and get well quickly too.
More on the procedure
- The laser beam passes through a 0.2mm wide wire, which can easily rotate to reach stones whether big or small. Any location in the kidneys, tubes or bladders also becomes easily accessible. Hence the wire can directly contact the stone, without harming any other tissue.
- In laser lithotripsy, a very thin tube with a small camera is inserted into the patient’s urethra to guide the doctor towards the stone. Laser pulses, each lasting not even 0.0003 seconds are then targeted towards the stone.
- Depending on the number and size of stones, this treatment takes 10 minutes to 1 hour and is conducted under general anesthesia. The patients recover fast and are discharged soon after.
- The disintegrated pieces of the stones are also sent for analysis to see what is causing the problem and how the patient can prevent it in future.
Kidney stones can be prevented by drinking lots of water and avoiding alcohol. If the stones are being caused by uric acid, ammonia, or calcium, then certain diet changes might be suggested. If you wish to discuss about any specific problem, you can consult a Urologist.
I had seen blood drops after urine passed last night Consult me. Is it any thing serious? Please guide me.
The prostate gland, an essential part of the male reproductive system grows throughout your life. As you grow older, it becomes imperative to keep this organ healthy.
Here's what you can do to maintain a healthy prostate:
1. Workout to stay fit - Exercising regularly and maintaining an optimum weight can help to keep your prostate gland at an optimal health. Several types of research have revealed the beneficial aspects of exercising. It's said that physically active men are less likely to suffer from enlarged prostate if they performed a physical activity of low to moderate intensity. Likewise, physically active men who ran for 90 to 108 minutes are 20% less likely to develop erectile dysfunction.
2. Eat fruits and vegetables - Including fruits and vegetables in your diet can help to maintain a healthy prostate. Guava, papaya, tomato and watermelon are some of the options that spell good for your prostate. Vegetables like cabbage, cauliflower, broccoli and Brussels sprouts should also be included to boost the health of the gland. Ideally, you should have about 5 servings of fruits and vegetables daily.
3. Have more soy products - Eating more soy products like tofu, soy flour, soy nuts can help to keep cancer of the prostate at bay. A study published in the British Journal of Urology International revealed that men who had soy products saw a 40% decrease in their risk of developing an enlarged prostate.
4. Have selenium-rich foods - Having foods rich in selenium (a powerful trace mineral) like tuna, eggs, cashews, onions, garlic, etc can reduce your risk of developing prostate cancer.
5. Say yes to healthy fats and no to trans and saturated fats - Choosing healthy fats like avocados, nuts, and olive oil can aid in boosting prostate health. At the same time, limiting saturated fats and trans fat intake are vital for keeping the prostate gland healthy. If you wish to discuss about any specific problem, you can consult an urologist.