Doctor in Manipal Hospital
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of H.I.V
Hydrocele Treatment (Surgical)
Urinary Incontinence (Ui) Treatment
Urology Minimally Invasive Surgery
Kidney Transplant Treatment
Blood In Urine (Hematuria) Treatment
Reconstructive Surgery Procedures
Transurethral Resection Of The Prostate (Turp) Pro
Reconstructive Urology Surgery
Minimally Invasive Urology Surgery
Transurethral Incision Of The Prostate (Tuip) Proc
Open Prostatectomy Surgery
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Patient Review Highlights
I was suffering from Erectile Dysfunstion for which I consulted Dr Shrinivas R.P. No matter how critical be the situation, he is always very calm. His treatment suited me the best and now I am fine. I feel strange that I am suffering from erectile dysfunction. The doctor has in depth knowledge and ensures that he explains the problem in detail. Both the doctor and staff were very helpful. I am thankful to him for providing me such a beneficial treatment. I am glad that I visited his clinic for the treatment.
It was getting very difficult for me to cope us with my kidney disease. Dr Shrinivas did my kidney transplant treatment . He is so pleasant to talk to and always ready to answer your doubts. From quite some time i was suffering from pain, but never gave much importance to it. A friend of mine referred to him. They took very nice care of me, i never felt that I am in a Manipal Hospital. It's been more than a year now, and I have noticed considerable change in myself
I read about Dr Shrinivas on one of the social media platform. He is a very practical doctor. he doesn't just randomly prescribes medicines, but first properly diagnoses the problem. Even though I was fit and fine, it was shocked when I got to know that I have penile infections. They took very nice care of me, i never felt that I am in a Manipal Hospital.
I am so much benefitted with Dr Shrinivas's urinary tract infection treatment, that i am perfectly fine now. Not only he is very calm and composed, but is also a very understanding doctor. Overall urinary tract infection treatment was very effective. I am so happy that I chose him for my treatment as now I am perfectly fine.
I was suffering from Alcohol Addicitionfrom many years , had been to many doctors.It was only by dr Shrinivas R.P treatment and counseling that I have become functional. He has restored my self esteem and confidence.I am now holding a full time job. Thanks to his clinic staff at Manipal Hospital in Bangalore.
I was in so much pain due to my hydrocele. I consulted Dr Shrinivas , he is quite knowledgeable doctorand is a very practical doctor. I was quite depressed due to my condition, but he guided me to change my attitude. I am so happy that I chose thim for my treatment as now I am perfectly fine.
I have consulted so many doctors , but no one was able to solve my hydrocele. Dr Shrinivas 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.
I was suffering from urinary track infection for which I chose to consult Dr Shrinivas. He is on eof the best known urologist in the city. I owe him a big thank for treating me so well.
I found the answers provided by the Dr. Shrinivas R.P to be knowledgeable. Thanks sir
Urinary incontinence is a health condition in men, which causes loss of bladder control. Urinary incontinence usually occurs in cases of medical conditions such as an enlarged prostate, Parkinson's disease and diabetes, and may also occur after a prostate surgery. Urinary incontinence is an irritating and embarrassing condition, but with proper treatment, it can be cured.
Here are several methods used to treat urinary incontinence:
- Caffeine, soda and carbonated drinks cause irritation in the bladder and worsen the symptoms of urinary incontinence. Alcohol is a diuretic and increases the amount of urine too. So abstain from coffee, alcohol and soft drinks to make a difference.
- Dietary adjustments are required for the treatment of urinary incontinence. Several spicy and acidic food items can make urinary incontinence worse. Hence, you should avoid having such foods for some time.
- Urinary incontinence can lead to stress and you must get rid of it for better health. You can try relaxation techniques, such as meditation and breathing exercises. Biofeedback is another option by which you can observe your bladder muscle contractions on a monitor.
- You should try a behavioral technique known as bladder training. This would require you to urinate every half hour, in spite of not having the urge. Slowly try to increase the time in between the bathroom breaks.
- You need to flex your muscles to gain control over urinary incontinence. Kegel exercises can be practiced as these boost the strength of your pelvic muscles. You should find the right muscles that are required to stop the passing of gas.
- Pads and disposable undergarments can be used by men. These help in preventing leaks and also protect the skin from irritation and odor.
- There are several medicines, which help in the treatment of urinary incontinence in men. Some of these work to relax muscles for preventing unwanted bladder contractions, while others help in blocking the nerve signals to the bladder. Drugs used for the shrinking of an enlarged prostate may also be used in some cases.
Surgery is the ultimate option for the treatment of urinary incontinence. Options include a male sling for urinary incontinence. A type of material is wrapped around the urethra for compressing it. Leaks because of coughing, sneezing or laughing are prevented. Artificial sphincter implants may also be used for treatment of urinary incontinence. A cuff is used in order to close the urethra. Urine is released by squeezing the pump to open the cuff. A device similar to a pacemaker is used to stimulate nerves, which help in relaxing the bladder and pelvic floor.
Urinary incontinence is a condition which causes reduced self confidence in men. But there are several ways to treat this condition which include home remedies as well as medications and surgery.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The presence of blood in urine is known as Hematuria. It is categorized under 2 types:
- Macroscopic haematuria, which means the patient has seen blood.
- Microscopic dipstick haematuria, which means blood is identified by urine microscopy or by dipstick testing either in association with other urological symptoms (symptomatic microscopic haematuria) or during a routine medical examination. It has been variably defined as 3 or more , 5 or more or 10 or more Red Blood Cells (RBCs) per high - power field.
Urological and other Causes of Haematuria
- Cancer: Bladder, Kidney and Prostate Cancer
- Stones: Kidney, Ureteric
- Bladder Infections: Bacterial tuberculosis, infective urethritis Inflammation
- Interstitial Cystitis Trauma : Kidney, bladder, urethra, pelvic fracture causing urethral rupture
- Renal cystic disease: (e.g. medullary sponge kidney)
- Other urological causes: Benign prostatic hyperplasia, vascular malformations
- Other medical causes of haematuria: anticoagulation therapy (e.g. asprin, antiplatelet therapy) Nephrological Causes: more likely in children and young adults, proteinuria; red blood cell casts.
- Urological investigations: Urine culture, urine cytology, cystoscopy, renal ultrasonography and intravenous Urography and CT Urography.
Management of haematuria depends on the cause as determined by the urologist.
Bladder cancer can be caused by a variety of factors, which include genetic factors, inheritance, drugs, chemicals, 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. Besides smoking other important environmental factors might be chemotherapy, exposure to chemicals from newspaper, dye, leather, paints industries.
Symptoms of bladder cancer are as follows:
Most often it occurs in people more than 50 years of age. It can present in different ways, but common symptoms being :
- Painless hematuria - reddish or brownish colored urine with or without clots Increased frequency of urination Pain while passing urine .
- Difficulty in passing urine
The diagnosis requires a proper imaging workup including ultrasound, CT scan and urine examinations. Following the initial imaging, a biopsy is required to confirm the diagnosis and stage the disease. This is done by cystoscopy (inserting a tube to see the inside of the urinary passage) under anesthesia.
Treatments for bladder cancer depend on the stage of cancer. Broadly bladder cancers can be categorised into Non-invasive and Invasive cancers.
- For non-invasive cancers: It requires recurrent cystoscopic surveillance and resection. For those with high risk of tumor recurrence or progression, intravesical chemotherapy or immunotherapy might be required.
- For invasive cancers the various treatment choices are:
- Surgery: For localised tumor which are amenable to resection perhaps surgery is the best possible treatment. This is a major undertaking where in whole of bladder along with accessory organs is removed. The surgeon may offer choices for reconstruction between neobladder (refashioning bladder with patient's gut) or ileal conduit (fashioning a stoma over which bag can be worn to collect urine). Following surgery a regular follow up is required and the prognosis is good.
- Chemotherapy: This modality is reserved for patient's where surgery is not possible or they have metastatic disease (disease spread to other body parts).In this method, medications are used to target and destroy cancer cells.
- Radiation Therapy: This might be and option for patient's that are not suitable for surgery. Radiation therapy uses gamma rays to destroy cancer cells in the body The key to good prognosis in bladder cancers is early detection timely intervention and good follow up. If you wish to discuss about any specific problem, you can consult a Urologist.
One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.
1. Frequent urge to pass urine
2. Prolonged urination
3. Frequent nocturnal visits to the toilet
4. Intermittent urination
5. Difficulty to start urinating
6. Inability to completely empty the bladder
7. Urinary tract infections
There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.
Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:
1. Patients who do not respond to medications
2. Presence of blood in the urine
3. Associated bladder stones
4. Frequent infections of the urinary tract
5. Associated damage to the kidneys
Procedure of Surgery
During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.
1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.
2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.
More men now opt for laser prostate removal as it has the following advantages:
1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
2. No hospitalization: This can be done either as an outpatient or with minimal one day stay at the hospital
3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.
As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!
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.