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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Percutaneous Nephrolithotomy Procedure
Blood In Urine (Hematuria) Treatment
Treatment Of Erectile Dysfunction
Treatment of H.I.V
Hydrocele Treatment (Surgical)
Kidney Transplant Treatment
Treatment Of Male Sexual Problems
Minimally Invasive Urology Surgery
Open Prostatectomy Surgery
Reconstructive Surgery Procedures
Reconstructive Urology Surgery
Transurethral Incision Of The Prostate (Tuip) Proc
Transurethral Resection Of The Prostate (Turp) Pro
Urinary Incontinence (Ui) Treatment
Urology Minimally Invasive Surgery
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I am 72 years.I have to pass urine on an interval of 3 hours especially at night which is an hindrance to sound sleep.How can I rectify this? Kindly advise.
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.
I am 18 years old my question is After maturation, when I stand up then few drop of urine fall off, So please tell me what is its treatment.
I am 22 yr. I am going to Urine frequently for ever 90 min in morning and 2 times in night. I am taking 3lts of water daily. I have stopped taking water before going to sleep. But night 2 times and morning 10-15 times. I have no sugar. I am healthy. I feel more Urine to come but it is not that much amount. What should I do to control.in my class it is disturbing to me.
I have a mass and pain on perineum from last 4 days. And I consult doctor he prescribed Some tablets. Is there any fear factors about that mass. And I have fissure problem, is this the reason for that mass?
He as got rectal cancer. Rectum as to b removed bcoz of mass in on rectum. Colostomy as to b done or other option r dere. Bcoz ostomy bag he as got but it is difficult for him vt bag, can rectum b fitted or transplant again.
I am 29 years old male and have urine infection for last 2 years, and some problem to start urine wash. And not finish properly. Please advise.
Iam 30 years old. I go toilet once very less and sometime pain in urinary bladder and once no toilet in a day.
In daily routine I used to drink 1.5 liter water in morning 7: 45AM and the reach office after 9: 30AM I again started drinking small amount of water and and I start urinating. In morning urination from 10 to 13 I need to push little more to urinate out but in evening it become normal to urinate. I want confirm that what could be the cause of extra push to urinate out. Is it because of prostate enlargement, if yes then what test I should go for to confirm.
My child is crying continuously. She has dry stools and little urination what to do. Any homevremedies.
I am 18 years old .I m a female .I and my bf had anal sex. This is not first time. But this time I found something just popped out of my anus. It is small muscle type. I don't want to tell my parents.
I am suffering from kidney stones since last 5 years in both kidney. So please help me with good quality medical treatment. SHARIQ HASAN SH.
Kidney cancer (renal cancer or renal cell carcinoma) is one of the ten most common cancers in both men and women.
It occurs when the cells in kidney grow uncontrollably and start invading surrounding tissues (i. E, undergoes malignant change). The risk factors are age > 40 years, smoking, obesity, long term dialysis, certain genetic conditions, family history, high blood pressure and male gender. However, it can occur to anybody.
What are the symptoms of kidney cancer?
1. Blood in urine
2. Pain or lump in side of upper abdomen
3. Weight loss or loss of appetite
4. Long term fever
However, many of kidney cancers are detected on routine ultrasonograms done for other purposes. Thus, regular ultrasonogram testing can pick up these tumors very early.
What are the diagnostic tests?
Contrast enhanced computed tomography (ct scan) of abdomen is the current gold-standard test to diagnose kidney tumors and evaluate for local spread. Chest x-ray or ct chest helps in diagnosing spread to lungs. Some blood tests will help to evaluate function of kidney and general health condition.
What are the best treatment modalities?
Surgical removal is the best treatment for kidney cancer. Chemotherapy or radiation therapy does not act on kidney cancer and hence are not used.
If the size is small, only the tumor is removed and rest of kidney can be preserved (nephron sparing surgery or partial nephrectomy).
For large tumors, the whole kidney, surrounding tissues and lymph nodes are removed totally (radical nephrectomy).
Both these surgeries can be done through keyholes (laparoscopy), thus reducing the pain and leading to faster recovery.
If the tumor has spread all over the body, then targeted therapy is given using specific drugs (usually in the form of tablets) like pazopanib, sunitinib, sorafenib etc.
How to follow-up after treatment?
Regular check up using ultrasonogram, ct scan, chest x-ray, renal function tests, liver function tests are needed to maintain good health.
Take home message:
Regular ultrasonograms after the age of 40 years (at least annually) can help in diagnosing these tumors and curing them 100%.