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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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Its very nice experience and staff is courteous
I was shocked to experience the symptoms of enlarged prostate. Almost all doctors suggested surgery for it, but I did not wanted to go for it . All the staff members were very helpful.Dr K.S Shiva Kumar has a very positive attitude towards all the patients. Dr K.S Shiva Kumar has very much knowledgeable.ill date. He is the best urologist I approached till now. I would like to recommend him if anyone need to consult a urologist.
I saw Dr Shiva clinic's advertisement in newspaper and that is how we referred him. I saw his reviews on internet and I chose to consult him. In order to diagnose my problem completely he asked me a number of questions. I was having very bad thoughts regarding my urology minimally invasive but after his treatment, I am completely fine. He is very courteous and behaves very aptly with elder patients.
I was suffering from male sexual problem for which I consulted Dr Shiva Kumar. He has a very positive attitude towards all the patients. Even in case of long queues, the staff was managing people in a very positive manner. Whatever tests he prescribed, were very correct and the gave they gave us an exact idea about my condition.His treatment suited me the best and now I am fine.
I was facing several issues due to my sensitive bladder problem. I consulted many specialist but I did not find any improvement. AS one of my friend referred, I consulted Dr Shiva. HIs treatment benefitted me aloy, I am impressed with the way he treated me. I must say the hygiene was maintained very nicely in the Shree Srinivasa Uro Care.
Initially the symptoms of urinary incontinence were not that severe but then it became worse. I chose to consult Dr Shiva. He is really like god send person.All the staff members were very helpful. Overall urinary incontinence treatment was very effective.
Dr. K.S Shiva Kumar provides answers that are very helpful. Sir thanks alot I done my semen test result is 90 million is it very best result for me now I m very free mine thanks again for my help I m very happy with u experience sir
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I was suffering from urinary tract infection. Dr Shiva is really like God send person. Over the period of time I noticed a number of changes in myself. I'am almost on the path to recovery, Thanks to him for the perfect advice.
I am so happy that I chose therdrK.S Shiva Kumar for my cystoscopy as now I am perfectly fine.Our family physician personally recommended him. The overall outlook of the Shree Srinivasa Uro Care in bangalore was very nice.
I was shocked to experience the symptoms of urine stone for which I chose to consult Dr Shiva. His advice and counselling has helped me immensely. Over the period of time the urine stone treatment has helped me a lot.
I was in too much pain because of my urinary infection. But Dr Shiva helped me alot to deal with this issue. Dr Shiva is a well known urologist in the city and I am glad that I chose to consult him.
I found the answers provided by the Dr. K.S Shiva Kumar to be very helpful. Lower part of uriter
Dr. K.S Shiva Kumar provides answers that are very helpful. Thx,for response,regards
Those two, small bean-shaped organs are indeed essential for a perfectly healthy life. To check if a person is dead or living, medical practitioners need to confirm response from three organs of the human body heart, brain and kidneys. Kidneys absorb impurities from the blood, thus, purifying it and lead to the production of urine. Urine is necessary to rid your system of body wastes. Kidneys play a key role in maintaining hormone balance. The presence of any factor that could impede free functioning of this organ should be diagnosed, treated and eliminated at the earliest possible. Kidney diseases and subsequent kidney failure see no age bar. It affects both young and old people. In case of younger folks, the symptoms take years to surface and thus the chances of a fatal outcome are even higher.
Causes of kidney failure at a tender age:
- Chain smoking is a trigger: Smokers suffer from a higher risk of kidney failure. Smoking is a bad habit that has engulfed almost ninety percent of young adults. Irrespective of awareness programs and warning messages, there are millions who smoke nonchalantly. Smoking is known to impair kidney function which again can have frightening implications.
- High blood pressure levels must be controlled: Since stress is a common phenomenon among most individuals high blood pressure is also prevalent among a majority of these individuals. Younger people suffer from high blood pressure due to workplace politics and familial tensions. High blood pressure should not be taken lightly. Exercising and regular medications should be opted for in order to counter the threat of kidney failure at a young age.
- If you are obese, you are stepping closer to the threat: If not optimal; being close to the optimal body weight is very necessary to keep health disorders in check. If you are obese, you are not safe; one must make efforts to lose weight or else face the alarming situation when his or her kidneys fail to function properly.
- Consumption of junk food can cause complications: Junk food is fatty. One must keep away from high-protein and high-fat diet. Food items rich in protein and fats can push you towards chronic kidney diseases.
- Genetics may discern the health of your kidneys: The incidence of kidney failure in your family history can make you prone to a similar condition. Extra care should be taken to avoid any such possibility. Regular health check-ups should be undertaken. In case you have a concern or query you can always consult an expert & get answers to your questions!
The prostate gland in a man begins to grow in size on reaching 25 years of age quite naturally, and this is known as benign prostatic hyperplasia abbreviated as BPH. Now the problem arises when the enlargement of the prostate is more than normal.
In men, the urine flows through the urethra from the bladder. An abnormally enlarged prostate blocks the flow of urine through the urethra. The cells of the prostate slowly multiply to cause it to enlarge. This puts pressure on the urethra thereby giving rise to a number of problems, most of which manifest as symptoms.
Common Symptoms of an Enlarged Prostate Gland
The condition of enlarged prostate gives rise to some noticeable symptoms which provide the signs that you need to visit a doctor to get it treated. A weak or slow urinary system is one of the most common symptoms of being affected with an enlarged prostate. This includes urinating more often, an increase in the urgency to urinate, difficulty in starting urination and a feeling of incomplete bladder emptying immediately after urinating. At times, it is seen that passing urine becomes very strenuous. All these above symptoms indicate that there is an enlargement of the prostate gland and medical help should be sought immediately to prevent the condition from worsening.
Steps to Manage an Enlarged Prostrate
- Effective medication is usually the first step in the management of an enlarged prostate gland. Alpha blockers are the drugs that are most commonly used in this situation. These drugs do not reduce the size of the prostate, but they are great in relieving the symptoms to allow free and painless passage of urine. Another group of drugs known as 5-alpha reductase inhibitors can help in shrinking an enlarged prostate. The drugs work by the reducing the levels of the male hormone called dihydrotestosterone.
- In some advanced stages of prostate enlargement, minimally invasive treatments are used for the effective management of the condition. Transurethral Microwave Thermotherapy or TUMT is used to treat mild blockages that reduce the frequency of urination, the urgency, and straining. However, it is not able to correct the bladder emptying issues. Transurethral Radio Frequency Needle Ablation or TUNA helps in the destruction of the prostate tissues resulting in an improvement in the flow of urine.
- Prostatic stents are also sometimes used for the management of the condition of an enlarged prostate. In this treatment procedure, a small metal coil is inserted into the urethra for widening it and keeping it open. In most severe case of prostate enlargement, only surgical methods remain as the opted method of treatment. Laser surgeries are performed to destroy the tissues of the prostate for easing of the condition. Ultimately, an open prostate surgery is performed when the transurethral procedure cannot be used. In this surgery, the tissues of the prostate are removed by the surgeon in case of great enlargement.
- The condition of an enlarged prostate gland requires medical attention and treatment for the most effective management, and it is best that a medical professional is consulted as soon as any of the symptoms surface.
Enlargement starts usually after 50 years. Surgery 'Transurethral resection of prostate (TURP)' either by monopolar or bipolar electrocautery. Enucleation of prostate by laser is also an option. In case you have a concern or query you can always consult an expert & get answers to your questions!
Blood in urine, medically known as Hematuria is not usually a cause of concern, but it can translate into an adverse condition if left unevaluated. The kidneys and other structures in the urinary tracts such as urethra (tube connecting the bladder to the outer part of the body); bladder (that stores the urine) and ureters (tube joining the bladder to the kidney) are the sources of blood flow to the urine. Hematuria can be accompanied by symptoms such as discharge of tea-colored, brownish-red or pink colored urine due to the presence of red blood cells, traces of which can only be detected under the microscope.
Underlying causes behind this disorder might be
- Urinary tract infection is where the bacteria enter the body through the urethra and begin to proliferate in the bladder.
- Kidney infections (pyelonephritis) is when bacteria infiltrate into the kidneys from the bloodstream or travel up from the uterus to the kidneys.
- A kidney or a bladder stone is marked by the minerals in the concentrated urine precipitating out and molding into crystals that deposit on the bladder or kidney walls.
- Enlarged prostate is a condition in which the prostate gland, that is situated just below the bladder surrounding the upper part of the urethra, starts growing as males head towards their middle age.
- Kidney disease such as glomerulonephritis causes swelling of the kidneys, thus disrupting the filtering system.
- Bladder, kidney and prostate cancer are also possible causes.
- Hereditary disorders such as sickle cell anemia (a hereditary disease of the red blood cells in the hemoglobin) can also pose as a cause behind this disorder.
- Kidney injury as a result of heavy blows, accidents or injuries sustained while playing a spot can also contribute to this condition.
- Medications such as penicillin or the anti-cancer drug ‘cyclophosphamide’
- Strenuous physical exercises like intense workout or running may also result in Hematuria.
There is no fixed cure for Hematuria; instead the doctor would work on treating the repressed conditions behind the symptoms, such as prescribing antibiotics to heal the urinary tract infection or a medicine to shrink and normalize the enlarged prostate or administer a shock wave therapy to destroy the kidney or bladder stones.
In case you have a concern or query you can always consult an expert & get answers to your questions!
One single kidney in place of two is a scenario which is often termed as solitary kidney.
Who has a solitary kidney?
- Their body functions normally and are generally not unhealthy. This is also known as renal agenesis.
- In some cases, people are born with two kidneys with just one of them healthy and fully functional. The other one does not function fully or partially. This condition is known as kidney dysplasia.
- A person who had to undergo a kidney removal surgery (nephrectomy); such a surgery is conducted when a person has an infected kidney or diseased, malfunctioning/cancerous growths on the kidney.
- A person who has donated a kidney to someone who required kidney transplantation.
What potential health risks does a person with a solitary kidney have?
- Normally, a person born with a single kidney does not have any such potential health risks. They are generally healthy and lead normal lives.
- Later in life, there may or may not be slight loss or degradation in the functioning of the kidney.
- The life span of a person with a single kidney is normal. There is no apparent effect on the mortality rates.
What kind of special diet must a person with a single kidney follow?
- There is no need of any such special diet for a person with a single kidney.
- Normal healthy balanced diet with all the essential nutrients should suffice.
- You must be careful about your animal protein intake and calcium supplements.
- Drink sufficient quantity of water to remain hydrated all day and prevent the urine from turning acidic.
- Controlled consumption of alcohol and caffeine is a must. It is also important to reduce the consumption of aerated drinks.
Exercises and Physical activities for a person with a single kidney:
- A person with a solitary kidney can function like any other normal individual.
- You may also participate in sports. However, you must take enough precaution to prevent injuries to your kidney. Proper padding and protection around your lower abdominal region and back is of utmost necessity.
- You can hit the gym, run a marathon and nothing is impossible for you.
In case you have a concern or query you can always consult an expert & get answers to your questions!
What are kidney stones?
The primary function of the kidney is to filter the blood and eliminate the waste products through urine. The waste deposition is sometimes in the form of excessive calcium, uric acid and other undesirable contents. It may cause the urine to get highly saturated. This is when stone-like formations take place inside the kidneys. Kidney stones are also termed renal lithiasis or calculi. There are different kinds of kidney stones, which are differentiated based on its varied constituents. Kidney stones cause excruciating pain and uneasiness. Frequent urination, extreme discomfort during urinating and presence of blood in the urine are some of the major signs of kidney stones. The symptoms are not evident if the stones are very small in size.
Causes of kidney stones:
- Incorrect calcium intake: High amounts of calcium can lead to high calcium depositions in the kidneys. It is important to keep the calcium intake moderate. Calcium supplements must be checked if you have already included dairy products in your diet.
- Abnormal rates of sodium in the body: Sodium, just like calcium, gets deposited in the kidneys.
- Excessive animal protein intake: Too much of animal protein intake can make the urine turn acidic, leading to uric acid depositions in the kidneys.
- Sugary, aerated drinks: These lead to undesirable waste deposition in the blood stream and eventually in the kidneys.
- Inadequate water intake: Not keeping the body well hydrated can cause the urine to turn acidic and increase waste deposition.
Potential risks and complications of kidney stones:
- Kidney stones may cause an infection in the kidneys which may eventually spread to the other internal organs and surrounding tissues.
- Kidney stones block the ureter and cause severe pain and discomfort that make sitting, standing or any other posture difficult.
- Kidney stones rarely cause kidney failures but the severe blockage and infection may cause such detrimental results in the human body. If you wish to discuss about any specific problem, you can consult a Urologist.
One of the most significant glands in the male reproductive system is the prostate gland, which is responsible for carrying urine from the bladder. It is located right under the bladder and helps in production of semen which contains sperm.
Prostate cancer is a slow growing form of cancer that is rarely seen in men below the age of 50. It may occur due to both, genetic and environmental factors. Here is a list of measures that can help in preventing this ailment.
Food Intake and Weight: Apart from age, the major factor that contributes to the risk of prostate cancer includes food and weight. Doctors suggest that bringing down your intake of calcium and fat that comes from red meat and excess dairy can help in preventing the onset of this ailment. The calcium intake should not go beyond 1,500 mg per day, which is why doctors will usually ask you not to have supplements. Cooked tomatoes with olive oil as well as cruciferous vegetables including broccoli and cauliflower should be included as a vital part of one's diet, while fish should be taken regularly as it is a source of healthy or good fat like Omega-3 fatty acids. In general, you should have fewer calories which should be matched up with ample exercise so that a healthy weight and balance is maintained.
Stress and Blood Pressure: Stress and anxiety are also major reasons that contribute to the onset of this disease. One will need to see a doctor about high blood pressure, especially the kind that is triggered by stress and causes hypertension. Also, you must control your cholesterol and stay out of depression to ensure that your risk of developing prostate cancer reduces. Also, having these conditions along with prostate cancer makes the survival chances that much lower. So, you must get the right medication and treatment for these conditions as well.
Lifestyle: One will need to quit smoking, that can cause a number of ailments including prostate cancer. Also, drinking alcohol in moderation is required in order to have a healthier lifestyle and cut the chances of developing such ailments.
Screening: While your diet and other aspects may be right, there is still a great chance of developing prostate cancer, especially if anyone in your family has been afflicted with this condition in the past. Therefore, it is recommended to get an annual screening done so that you eliminate the chances of finding it out late, and can check the growth of any anomalies as soon as they take place. Getting regular checks ups done and getting diagnosed for the problem when the earliest symptoms begin to show are both crucial for prostate cancer. If you wish to discuss about any specific problem, you can consult a Urologist.
The urologic system includes all problems related to the urinary system including the kidneys, bladder, ureters, urethra, and the prostate. These problems could range from trauma, injury, inflammation, infections, and muscular problems like overactive bladder, prostate hypertrophy, sexual disorders (candidiasis, erectile dysfunction, etc.), tumors or overgrowths, infections of any part along the entire tract, and even erectile dysfunction.
Let us quickly look at the most common ones kidney stones, urinary tract infections, prostate enlargement, erectile dysfunction, and vaginal candidiasis.
- Kidney stones: These are calcium deposits, which can seat themselves in any part of the kidney and sometimes even in the ureter. These can cause significant sharp, shooting pain in the back of the abdomen. The pain is almost diagnostic, and while small stones may pass on their own, others may require shock wave lithotripsy to break the bigger ones into smaller ones, which can then pass on their own through urine. Dietary modifications may also be required to prevent the formation of stones, as most people tend to have recurrence of stones.
- Prostate hypertrophy: One of the most common problems faced by ageing men is benign prostatic enlargement (BPH). There would be a constant urge to urinate, simultaneous difficulty initiating a stream and a feeling of incomplete emptying. These happen more at night, and diagnosis is very easy, any elderly male who shows these symptoms is almost diagnostic of BPH. This requires a standard surgical procedure known as transurethral resection of the prostate, which is a same-day surgery and quite non-complicated.
- Urinary tract infections: This is one of the most common infections, which can be acquired from the use of public bathrooms and unhygienic bathroom practices. There is chance for infection of the entire tract starting from the urethra to the ureter, the bladder, and the kidney. These run the course of any infection. Treatment is usually with a course of oral antibiotics along with symptomatic treatment of the other symptoms like fever, muscle ache, etc. In very rare cases, systemic antibiotics may be required.
- Erectile dysfunction: One of the most common, but undisclosed male sexual problem is erectile dysfunction. There is inability of the male to achieve and/or sustain an erection, sufficient to have a satisfactory sexual intercourse. This has both physical and psychological reasons, and may also be due to hormonal imbalance. Very often, a discussion with a counselor would be required to treat the couple, as involving the partner is very important.
- Vaginal candidiasis: The normal vaginal flora is very rich with the fungi Candida, and when immunity is low, candidiasis develops. There could be symptoms like foul-smelling discharge, itching, and redness. A course of topical antifungal agents is usually effective in treating this condition. If you wish to discuss about any specific problem, you can consult a Urologist.
The kidneys make urine, which is a fluid through which wastes from the body including urea are eliminated from the body. There are two kidneys on the right and left side, which make urine, and pass it down to the bladder through tubes known as ureter. The bladder acts as a reservoir of the urine that is formed in the kidneys. It is stored temporarily there before being excreted out of the body through the urethra. The urinary bladder is a highly muscular organ and has a rich connective tissue.
Interstitial cystitis (IC) or painful bladder syndrome (PBS) is a very common condition, which affects females more than males. While the exact etiology is not known, it could be age-related and also lifestyle related. People who are used to controlling the urge to pass urine are highly likely to develop this condition. The simple logic is that there is additional pressure on the bladder from the urine that is contained for longer period of time. As such, the muscular wall stretches and begins to feel stressed.
When this habit continues over a period of time, the bladder wall may become irritated or inflamed or even scarred in severe cases. There is no role of bacteria in this condition, and antibiotics are of no help in managing this condition (though the name cystitis usually indicates infection).
The following symptoms are seen as a result of this constant irritation and inflammation.
- One may suffer from pain and pressure in the bladder as it continues to collect more and more urine.
- This pressure in the bladder also puts pressure on the surrounding tissues in the abdomen including the pelvis, urethra, abdominal organs, uterus, etc.
- Women may experience pain in the vaginal tract including vulva and behind the vagina.
- Men may experience pain in the area of the scrotum, testicles, prostate, and penis.
- There is an increased urge to urinate, which may be as much as 9 to 10 times a day. As the condition progresses, there could be more visits, as many as 40 to 50 visits a day.
- This tendency and urge to urinate increases during nighttime.
- For women, this urge to urinate and other symptoms including pain are worse during menstruation.
- There could be pain during intercourse for both men and women.
- There could be pain even otherwise, which can range from a mild dull ache to a piercing pain.
- At a structural level, this constant pressure leads to pinpoint bleeding (glomerulations) and sometimes even ulcers in the bladder wall.
There is no definitive treatment for IC or PBS. However, bladder distention and instillation are proven methods of increasing bladder capacity, which therefore helps in relieving symptoms. If you wish to discuss about any specific problem, you can consult a Urologist.
Lower Urinary tract obstruction refers to a condition of hindrance to urinary flow from bladder outwards. This can occur in all the age groups and affect either sex. The symptoms can be poor urine flow, intermittent flow, straining to pass urine or empty bladder, sense of incomplete emptying of bladder, difficulty in starting urination. Other problems can be increased urine frequency and difficulty to hold on with or without occasional urine leak in clothes. The cause and treatment vary in different age groups.
Few common reasons behind Lower urinary Tract Obstruction:
Congenital urethral stricture and PUV: These defects can be detected either before or after birth and need correction at earliest to avoid long-term complications. It is usually brought to attention by parents who observe abnormal urine flow pattern of their child OR found out during evaluation for repeated urinary tract infections.
Neurogenic bladder: This is caused due to defects of nerves that are responsible for controlling bladder function. This can be due to diseases of brain, spinal cord or peripheral nerves. These defects can occur by birth or later in life. It is very important to take early consult to avoid long-term complications and progression to renal failure.
Urethral stricture: This is narrowing in a long tube that starts from bladder to the external urinary opening. It can be idiopathic, post-traumatic, or due to urethral infections. Usually, a person is able to recognise poor urine flow and bring it to the attention of urologist. Treatment for stricture depends on various factors and range from simple endoscopic surgery to open surgeries.
Bladder neck obstruction: Bladder neck is a network or a group of muscles that connect the bladder to the urethra. The muscles tighten to hold urine in the bladder, and relax as they release it through the urethra. Urinary tract obstruction occurs when there are abnormalities blocking the bladder neck that restricts its opening during urination.
BPH: This occurs due to enlarged prostate obstruction urine flow out of bladder. Prostate enlargement is mostly age-related and rarely due to prostatic tumors. Urinary stones. This can be usually recognized by sudden obstruction to urine flow in person who was voiding normally. These episodes might be recurrent due to movement of stone in between bladder and urethra.
Bladder tumors: The are mostly characterized by blood in urine. Sometimes there might be blood clots that obstruct the urine flow. Phimosis: Usually occurring post-puberty, it is referred to as the inability to retract the glans (the sensitive structure at the end of the penis). It is a condition in which the distal foreskin, which was previously retractable, is unable to retract anymore.
Phimosis: Phimosis is another major reason behind urinary tract obstructions.
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
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 any specific problem, you can consult an urologist.