Doctor in Aaxis Kidney & Prostate Centre
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of UTI
Treatment of Bladder Stones
Treatment of Enlarged Prostate
Treatment of H.I.V
Treatment of Urine Stone
Hydrocele Treatment (Surgical)
Treatment of Urinary Tract Problems
Treatment of Benign Prostatic Hypertrophy
Treatment of Blood in Semen
Urinary Incontinence (Ui) Treatment
Urology Minimally Invasive Surgery
Kidney Transplant Treatment
Treatment of Impotence
Treatment of Bladder Cancer
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He is the most Genuine doctor I have come across , very transparent , quite clear in his approach and explains each step of treatment without creating fear or urgency of surgery
Our kidneys act as filters which constantly flushes out toxins and excess minerals with water in form of urine. Urine contains lots of minerals which may precipitate and form stones. Urine has lots of pro-precipitating agents and anti-precipitating agents. When their balance disturbs due to some disease, stones start forming. These stones may often lead to abdominal pain which is referred to as renal colic.
What exactly is renal colic?
Renal or ureteric colic is the term used for typical pain in one side of abdomen in flank region starting from back and radiating forward towards lower abdomen up to scrotum. This is usually associated with nausea, vomiting and urinary discomfort. There may be blood in urine.
How kidney stones are related to renal colic?
Kidney stones usually form inside kidney and lies there without causing any pain. But whenever they are dislodged and stuck at mouth of kidney (pelvis) or anywhere in ureter, they block the passage of urine of that kidney. This causes swelling in kidney termed as hydronephrosis. This swelling in kidney causes renal / ureteric colic. This colic is protective phenomenon and tries to push out the stones. Small stones do come out in urine by this natural process. This spontaneous expulsion of small stones is common and many local practitioners used to get credit of it feigning benefit of their medicine. However large stones need some form of intervention to come out. Otherwise, they do harm to kidneys in long term.
Symptoms of kidney stones along with renal /ureteric colic -
- Most stones which are lying in calyces of kidney are asymptomatic
- Nausea & vomiting
- Frequent urinary tract infections
- Fever with chills
- Foul smelling urine
- Hesitency, frequency and burning in urination
- Blood in urine (urine with a reddish, pink or brownish hue)
- Passage of small stones in urine
Treatment of renal colic
Treatment of ureteric/renal stones involves control of symptoms and stone removal.
- Expectant Treatment or Medical Expulsion Therapy: Small stones of less than 4 mm size usually pass on its own and some medicines like alpha-blockers and steroid hasten up their expulsion. Medium size stone (4-6 mm), sometimes passes with aid of these medications. But stones larger than 6 mm usually require intervention.
- Lithotripsy: This method involves breaking of stones by shock waves into small dusty particles which pass through urine on its own. This is usually suitable for stones upto 1.5 cm and lying in kidneys. This is non-operative treatment which can be done on OPD or Daycare basis.
- Ureteroscopy (URS): This method involves entry of very thin semirigid scope through urethra into ureter. Stone is broken by LASER and removed. This involves single day admission and spinal anaesthesia.
- RIRS- Retrograde Intra Renal Surgery: In this method very thin flexible scope in maneuvered through urethra into the upper ureter and pelvi-calyceal system of kidney. Stones in kidney or upper ureter are broken by LASER and removed. This is also done under anaesthesia and requires a day admission.
- Mini- PCNL: This method is suitable for large renal stones. In this technique, a small hole is made into the kidney through back and tiny scope is entered into the kidney. Stones are broken by LASER and removed. This is done under anaesthesia and require two to three days admission.
Benign prostatic hyperplasia or BPH is a condition where the prostate gland gets enlarged. This is mostly common in men who are ageing. When the prostate gland gets enlarged, the flow of urine through the urethra gets blocked, and hence, several problems related to urination may occur. BPH occurs as a result of hormonal imbalance. If untreated, BPH can lead to severe bladder and urinary health conditions.
There are several symptoms and signs of benign prostatic hyperplasia. Here are 7 common symptoms:
- A frequent need for urination: Men affected by BPH feel an increased need to urinate frequently. This gets enhanced during the night and is called nocturia. The patient may even need to urinate more than eight times a day. Due to the enlarged prostate gland, more pressure is put on the urethra, which leads to uncontrollable urination.
- Urinating difficulties: The act of urination becomes difficult. Because of enhanced pressure on the urethra, the flow of urine to the penis from the bladder gets blocked. This makes a urine stream hard to start. The urine stream gets weak and interrupted, and more difficulty may be experienced during the end of urination.
- Pain during urination and ejaculation: Due to pressure on the urinary tract and reproductive system, pain can accompany urination and ejaculation. Some patients tend to push urine out, which results in pain. The pain may also occur because of infection during BPH.
- Blood in urine and an unusual color/smell: Urine may take a dark color and have an unusual smell due to urinary retention. Unpleasant urine smell signifies urinary tract infection. Blood in the urine may also result because of dilated veins present on the surface of the enlarged prostate.
- Urinary retention: When a patient is unable to pass any urine, it is called urinary retention. Such a condition requires immediate treatment, and you need to consult a doctor immediately.
- Urinary tract infections: Bacteria may start growing in the bladder when the bladder is not fully emptied of urine. This bacterial infection causes darkening of the urine, and emission of a foul odor.
- Bladder stones: Bladder stones may develop because of the inability of the bladder to empty itself completely. This is a major symptom of BPH. Hard lumps of minerals or bladder stones are formed when the urine present in the bladder gets highly concentrated, which causes the crystallization of minerals. Bladder stones may cause infections, result in blood in urine, cause bladder irritation and may also block urine flow.
So you see that benign prostatic hyperplasia involves the enlargement of the prostate gland, and results in several problems related to urination and different symptoms. Hence, immediate treatment is advisable.
Cancer is the most dangerous disease noticeable throughout the world. The most common type of cancer that affects men is prostate cancer. Prostate is a small exocrine gland situated directly below the bladder and in front of the rectum. This gland is approximately in size of a walnut and plays an important role in production of the semen. During the climax stage of sex, the prostate gland is forced to push the fluid and remove the semen out of the reproductive structures.
Prostate gland enlargement is a slow progressive disease which makes many males left unidentified even in the presence of prostate cancer even until they die. 6 out of 100 males over the age of 60 are getting prostate cancer. Though prostate cancer can be cured at a better rate when compared to other types of cancer it is always best to stay protected. Prevention is always better than cure. Here are few tips to keep your prostate healthy.
Signs and symptoms of prostate cancer-
During the early stages of prostate cancer there are usually no symptoms. Most men at this stage find out they have prostate cancer after a routine check up or blood test. When symptoms do exist, they are usually one or more of the following:
- The patient urinates more often
- The patient gets up at night more often to urinate
- He may find it hard to start urinating
- He may find it hard to keep urinating once he has started
- There may be blood in the urine Urination might be painful
- Ejaculation may be painful (less common)
- Achieving or maintaining an erection may be difficult (less common).
If the prostate cancer is advanced the following symptoms are also possible:
- Bone pain, often in the spine (vertebrae), pelvis, or ribs
- The proximal part of the femur can be painful
- Leg weakness
- Urinary incontinence
- Fecal incontinence
Ways to have a healthy prostate –
- Diet and weight – The most important factor is the diet to maintain a healthy weight. Avoid fatty food items and take fats from vegetables than from animals. Avoid dairy products and increase the intake of fresh fruits and vegetables.
- Exercise – Have a regular practise of doing exercise at least for 30mins a day. This really helps you to keep your body fit.
- Be precautious – If you have a family history of prostate cancer or if you feel you are at high risk of getting prostate cancer talk with your doctor about it and take preventive drugs as per the doctor’s advice.
- Red foods – Research shows that men who consume red foods like watermelon, tomato and other red fruits are at lower risk of getting prostate cancer as they contain a powerful antioxidant called lycopene
- Stop smoking – If you are at high risk of getting prostate cancer it is best advised to quit smoking and alcohol.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The urinary system in both men and women are susceptible to infections and many other internal disorders. Although many of the disorders may be caused due to underlying diseases or hereditary causes, many others may be caused due to bad life style habits as well as personal hygiene issues. Personal hygiene issues will not only lead to infections, but if left unchanged, may cause more serious problems such as tumors overtime. However, with the help of some basic tips and following some daily routine, you can ensure good urological health overtime. Some of these are mentioned below:
- Drink plenty of water daily: This is applicable to both men and women and it is important, especially in a country like India where hot and humid conditions prevail for most of the time. A common figure quoted most of the time is 2 to 3 liters of water daily although this is quite arbitrary and may change from person to person and climate to climate. What is important is that you should remain hydrated and calculate an ideal amount of water consumption. This is necessary to stop stone formation in the kidney, ureter, urinary bladder and other areas of the genitourinary system.
- Cleaning tips for men: It is important to ensure proper hygiene for good penile health. Uncircumcised males should retract their foreskin while taking a bath and clean out the smegma or white accumulations from around the glans. This will reduce the chances of inflammations and urinary tract infections from occurring. Circumcised males should thoroughly wash the penis as well to keep it clean.
- Regular ejaculation: Men are advised to ejaculate regularly either through masturbation or through sexual stimulation as it is beneficial in many ways. Ejaculation helps clear the tracts, exercises the prostate and also keeps the pattern of proper blood flow to the penis active. It maintains urological health as well as you sexual health. Don’t hold your urine for too long: Although this is especially applicable for women, it can be bad for men too. Holding the urine within your body for too long may result in an infection and may also make your bladder muscles weaker. Women, especially should be careful as they have a shorter urethra leading from the bladder and thus are more prone to getting urinary tract infections in this manner.
- Avoid harsh soaps and use milder ones to regularly cleanse the groin area: The groin is one of the moistest areas, as it remains covered up most of the time. This makes it an ideal breeding ground for bacteria. It is important that you clean this area every day thoroughly with mild soap. Also, after urination, women should wipe front to back i.e. from the opening of the vagina towards the anus while wiping down after urinating or cleaning. This is to ensure that fecal bacteria don’t get into the vagina as it can cause a host of infections.
- Tips for sexual intercourse: It is important for both men and women to urinate, wash and clean after sexual intercourse as this can help clean the bacteria that may have come from one partner’s genitals into the other. Women should especially follow this advice as it can help keep many infections at bay.
- Changes in certain foods: Reduce caffeine intake through tea or coffee as it can irritate your bladder. It can also act as a diuretic which makes you urinate frequently. Also reduce salt intake as it can increase blood pressure and end up damaging the kidney to the point of permanent kidney damage or kidney failure.
This is necessary to stop stone formation in the urinary bladder, kidney, ureter and other areas of the genitourinary system. In case you have a concern or query you can always consult an expert & get answers to your questions!
There are certain changes that are noticed in the body post-pregnancy. One such change that might affect you is an overactive bladder. Usually, depending on the amount of liquid that goes into the body, an individual urinates eight to ten times a day. But post-pregnancy this statistic might increase to around ten to twelve times a day. While urinating helps the body to get rid of excessive body wastes, extreme urinating would also get rid of the necessary minerals and liquid that the body requires for its proper functioning. However, overactive bladders are quite common in women who have delivered and can be treated smoothly. Here are some of the top ways in which you can treat your overactive bladder post your pregnancy:
Losing Weight: A woman gains a lot of weight post pregnancy. This weight needs to be reduced through simple exercises and a proper balanced diet. Reduction of the post pregnancy weight helps in controlling the overactive bladder to a certain extent.
Avoiding Alcohol, Spicy and Acidic Food: Alcohol, spicy and acidic food actually creates havoc in the excretory system. Their compounds are such that these enable the body to get rid of water and necessary elements from the body. In fact, the power of urine itself is reduced, making discharging urine with high water content. This would make you more thirsty resulting in over-urinating at times. Similar conditions arise in the body when you consume coffee which contains caffeine and chocolate. Although, having a little bit of chocolate now and then does not really affect the system to quite an extent.
Exercises: Each exercise is carefully tuned to help a particular part of the body. For reducing the over activeness of your bladder, pelvic exercises are the best that you can carry out even for thirty minutes a day. Exercises would help you to remain active, shed the excess weight as well as manage your urination.
Avoid Smoking: Out of the many health hazards that arise out of smoking, one of them is the extreme urge to urinate often after pregnancy. Thus, to avoid over urination it is advised to refrain from smoking for some time.
Thus, these are some of the easiest ways to control the situation. In case you are embarrassed to go out in the public like this, you can always use incontinence pads. However, if the problem persists even after trying out all the said methods, then it would be in your best interest to take expert advice from the doctors.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The tube transporting urine from the bladder out of the body is known as the urethra. Under normal circumstances, this tube is wide enough for urine to flow freely but in some cases, one or more section can get narrowed and restrict the flow of urine. This may be diagnosed as a urethral stricture. The length of this stricture can range from 1 cm to affecting the entire length of the urethra. This is caused by scar tissue or inflammation of tissue in the urethra. While this is a common condition that affects men, it is rarely seen to affect women.
An exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation or having had a catheter inserted can increase the risk of suffering from a urethral stricture. An injury or tumour located near the urethra can also cause this condition. Hence, preventing this condition is not always a possibility.
Common symptoms to look out for include:
- Inability to urinate
- Reduction in the flow of urine
- Increased urge to urinate frequently
- Pain while urinating Urinary incontinence
- Abdominal pain
- Swelling of the penis
- Blood in the urine or semen
- The bladder feeling full even after urinating
A physical examination and tests that measure the rate of urine flow can help a doctor determine a diagnosis of urethral stricture. An X-ray may also help locate the stricture. You may also need to undergo STD tests and a cystoscopy.
The treatment for this condition depends on the severity of the symptoms. Non-surgical treatment for this condition involves using a dilator to widen the urethra. However, there is no guarantee the blockage will not recur at a later date. Alternatively, a permanent catheter may also be inserted. There are two forms of surgical treatment for a urethral stricture. Endoscopic urethrotomy for short strictures.
Open urethroplasty: This involves removing the infected or scar tissue and restructuring the urethra. The results of this procedure depend on the size of the blockage. It is usually advised only in cases of long, severe strictures.
In case you have a concern or query you can always consult an expert & get answers to your questions!
When we talk about health, the kidneys are rarely spoken of. These unsung heroes are responsible for filtering waste out of our bodies and ensuring that only clean blood flows through our system. The kidneys are a pair of small, bean-shaped organs located at the back of the abdomen. Along with removing waste from the blood, the kidneys also balance electrolytes and control the fluid balance in the body. Thus, keeping the kidneys healthy is as important as keeping the heart and lungs healthy.
Kidney stones are the most common condition that can affect these organs. Other conditions that can affect the kidneys include inflammation of the kidneys, renal failure, nephrotic syndrome and cysts. Thankfully, keeping the kidneys healthy is easy. Here are a few things you can do to improve the health of your kidneys.
- Drink plenty of water: Keeping your body hydrated is crucial to kidney health. Ideally, a person should drink a minimum of 8-10 glasses of water a day. Water helps control the production of aldosterone- a hormone that regulates blood pressure- by the adrenal glands and helps the kidneys retain enough water and sodium to balance blood volume levels. If the kidneys do not get enough water, the adrenal glands are stressed into increasing blood pressure levels.
- Limit consumption of caffeine: We drink caffeine in many ways- sodas, coffee, tea etc. While caffeine may act as a stimulant and keep you focused on what you are doing in the short run, in the long run, it dehydrates the body. Dehydration can also lead to the formation of kidney stones. Hence reduce your caffeine intake and instead drink more water and fresh juices.
- Quit smoking: Smoking not only affects the lungs but also damages blood vessels thus decreasing blood flow to the kidneys thus preventing the optimal functioning of the kidneys. Smoking can also increase one’s risk of suffering from renal cancer.
- Get regular exercise: Exercise benefits all parts of your body including the kidneys. Regular exercise reduces blood pressure and helps keep the blood moving. This can help prevent kidney diseases and a number of other conditions. Ideally, aim for half an hours exercise a day at the least.
- Eat plenty of fresh fruits and vegetables: Fruits like grapes, apples and blueberries and vegetables like spinach, beets, garlic and red bell peppers help improve kidney functioning. Women should also include oestrogen boosting foods like chickpeas, fennel, tomatoes, cherries and carrots in their diet to protect themselves against kidney damage and fibrosis. Foods that are low in gluten, sugar and soy also help reduce the risk of kidney inflammation.
Respected sir, My 11 months boy baby was suffering from mild hydronephrosis since birth.In between phimosis also observed. And operation was done successfully before 20 days ago. Since tomorrow he is suffering from high fever. Today ultrasound has been done and report is showing mild hydronephrosis in left kidney. The size is as: Left kidney: 6.5 cm, right kidney :5.4 cm dated: 24/02/18. Ureter: right dilated till VUJ. LEFT:VUJ Earlier ultrasound report: dated:1 feb 18 left kidney: 6.56×2.64 cm ,Rt: 5.13 ×3.02 cm, opinion:bilateral hydronephrosis .sir, before that also scan has been done and in all cases it was showing a "mild left hydronephrosis. Now what should I do for best treatment of my child. Kindly help sir, With Thanks and regards,
I have very large prostate with 78.4 cc as well a- Psa 2.8 ng /ml and uroflow average 10.8 ml/s with Qmax 20 ml/s. I have been used urimax 0.4 g for 2 years now, and starting to lower my bp though I am losartan potassium 50 but it’s of no help as well my breast are changing as well. What is the medication that can of help for those conditions as well reducing the enlargement of prostate.
The urinary tract starts from the kidneys to the urethra where urine is passed out. Given the rich concentration of minerals and toxic wastes, it is highly prone to multiple infections. UTI, as urinary tract infections are often referred to, is one of the most common infections. In women, especially, every 1 in 2 women is affected by an UTI. Whichever part of the tract is affected, the symptoms and treatment are mostly the same. Read on to know some of the most common symptoms and treatment options for these.
- A burning sensation with urination
- Pain with urination
- Burning sensation or pain in the urethra or vagina
- Frequent urge to urinate, though not much urine is passed out
- Sense of incomplete emptying of the bladder
- Pain in the lower back on the sides of the spine
- Change in the urine characteristics color, smell, or appearance
- Fever or chills, maybe associated with shivering, nausea and vomiting
Most urinary tract infections are bacterial in nature, and these could find their way into the body through multiple ways.
- The most common is through the urethra, which could happen due to unclean toilet habits.
- Women especially are advised to wipe the urethra after each toilet visit. The bacteria from the feces can also enter the urethra due to close proximity
- Use of unclean public toilets is another reason for UTIs
Though most often UTI does not require specific testing, the following are useful in confirming the diagnosis.
- Culture and sensitivity: The urine is sent for a culture to identify the exact organism that has caused the infection. It also helps identify the right antibiotic which will help bring the infection under control.
UTIs are very common infections and though there is nothing to worry, it should be cleared completely.
- Antibiotic course to get rid of the infection. Though you begin to feel better, the complete course should be completed to clear the infection.
- Following culture testing to ensure the infection is cleared
- Improve water intake to get rid of the toxins
- Fever and pain to be controlled with medications
- Healthy hygiene habits to ensure clearing of infection
Recurrent UTIs is a common problem, and the following can help prevent.
- Ensure complete emptying of the bladder
- Drink adequate water
- Safe toilet habits, including before and after sex
- Comfortable and clean underwear to prevent infection