Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 33 years of experience on Lybrate.com. You can find Urologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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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
Percutaneous Nephrolithotomy Procedure
Open Prostatectomy Surgery
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My 9 th month pregnancy is going on. I am facing pain under right breast. I did abdomen ultrasound. Dr. said I have hydronephrosis in right kidney and kidney size is 64 128 mm. Please give me suggestion? I need any medicine or not. And other important suggestions.
4 months ago I let an earthworm to enter my cock, at that time I got scared, but by the time I did not got any problem, but in this past 1 month I have problem when I go to urine, so I went for a sonography but the report of sonography also came normal, but I still feels that there is earthworm inside the bad smell of earthworm still comes from my urine then smelling it, can you get solution of this?
He have bilateral renal stone 6mm. He felt pain in right testis. Bt usg scrotum found normal. Why right testis feel heavy and no tenderness. How to dissolve stone and pass?
Hi, doctor. from past 2 years I am facing chronic uti problem, in last 2 months 4 time I suffered with this problem, dr's have given me injections of monocef, medicines but still I not getting well please guide me.
Please tell me how to reduce the size of right my right testis. Once I went to a doctor. The doctor give me a medicine, by this medicine my testis size reduced but my medicine was finished. Now my size of testis are not completely reduced. There is no pain in my testis. Please tell me the medicine through which the size of testis reduced. I want to be an marine engineer so, please tell me also that in Marin engineering there is any problem by the size of testis in medical.
I have pain in my right side of stomach somewhere around kidney for 2-3 days. Do I have a stone in there?
I am married 25 years old. I feel a pain during urination. The pain is there after Passing out urine also.
I have got problem in my piles. Its not bleeding but seems like pimple a outer side of my anus how to cure it? It is giving me pain. I have no problem in going latrine bleeding is also not there.
My both the kidney was failed I am under dialysis I am suffering with two much of thirsty no urine output. Please advise me the diet chart list to control water intake.
Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?
Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.
1. Stress incontinence
• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Electrical stimulation
Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.
• Combination of the above
Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.
• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters
Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.
The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.
Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.
An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.
2. Urge incontinence
• Bladder training
• Pelvic floor exercises
Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.
Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.
Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.
Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.
3. Overflow incontinence
Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.
4. Total incontinence
Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.
Treating faecal incontinence
Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.
Let’s look at some of the treatment options available for FI:
Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.
Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.
Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.
Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.
Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.
Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
Hi my SGOT and SGPT is continuously increasing over last 4 month. It is 150 and 102 respectively now. My ultrasound report says fatty liver grad2 and having 16 mm gall stone. Kindly advice .medicine taken samy400 BD Umed Sr 450 mg. having diabetes also and glucose fasting is 91. Kindly advice is it due to stone Regards Vikas.
Kidney stones is a disorder of the urinary tract wherein stones form in the kidney. This happens when solid particles in the urine become concentrated; the solid particles mostly being acid and mineral salts. This disorder can affect any part of the urinary tract: from the bladder to the kidneys. The treatment for this disorder is designed depending on the severity of your symptoms.
Once affected by this disorder, pain in the lower abdominal region will be common. The pain may get aggravated when you urinate. You may also exhibit symptoms of vomiting, nausea and a constant urge to urinate. Hematuria (presence of blood in the urine) is another symptom common to this disorder.
There is no single known cause for kidney stones. These stones occur when certain solid particles such as uric acid and calcium are present in the urine in large amounts. However, certain factors that increase the risk of kidney stones are:
Family history of kidney stones
Lack of sufficient water in the body or dehydration
Eating foods which are loaded with sugar and salts
Ayurvedic remedies for kidney stones are natural and free from side effects. Apart from relieving the symptoms, they also help in improving your overall well-being. These remedies balance the various doshas in the body and thus, lead to improved functioning of the abdominal organs. The ayurvedic remedies for kidney stones are
Stay hydrated: staying hydrated is the basic you can do to either prevent kidney stones or treating the condition. Dehydration is one of the most important causes for the formation of kidney stones.
Avoid certain foods: you need to avoid consumption of certain foods such as apples, tomatoes and cheese which increase the risks of kidney stones.
Exercise on a regular basis: you need to chalk down and stick to an exercise regimen to keep your weight at optimal levels. Remember that obesity is a major contributor to kidney stones.