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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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Hi Doctor, Whenever I pass urine few drops keep on trickling from my penis which is causing me lot of trouble. Please suggest what to do. I am gymming at the moment and I take nutrix (whey protein) post work out and BCAA during workout. Would that have any side effect.
Hi I have stomach issues and most importantly I have stones both in my kidneys each 4-5 mm its been 2 years now. I'm 24. At times my stomach feels constipated at times it's fine. However my very problematic thing is that when I use to have dinner then after few minutes I need to go loo. I do gyming so I'm very keen to know that why it is happening. I'm quite disturbed please suggest me some very very very very effective treatment or that sort. Thank you.
I have one more stone in my right kidney one of them is 24 mm & left kidney have one stone 10 mm. Give me some suggestion.
My dad have kidney stone and he have kidney swelling also And he also gets hiccups due to high Power tablets and he gets skin infections and he soon get suffered from jaundice also He's getting sweat.Please tell.
i am suffering from Renal glycosuria I am having sugar in urine but no sugar in blood proteins 2+ loss whether it is dangerous?
I have frequent urine when drinking small Amount of water. Usually if I drink water half glass after 30_45min I will get urgent urine. Kindly advise me.
Hello Dr, iam 30years female with 1 year old baby. 15days back I just got to know that I have a 5mm Stone in the left side and I was just given a pain relief tablet by the Dr. and he told me that its just a small stone which will go off without medicine but consume more water after that pain was reduced and I take almost 4ltrs of water every day. But now from past 3-4days I have a kind of pain/discomfort in my full abdomen not only in left side like before, especially when I get up in the morning. Pls pls tell me what to do? What are the foods that I need to consume more and avoid? Is it true that the kidney stones are can not be healed completely?
I am a 35 year old male. I have been suffering from boils in my anus for the past one year. It will heal itself or on medication after one week or so but keeps coming back after two months or so, a few centimeters away from the first one. It is very painful. The local doctor prescribed an antibiotics for it fixime *0. I have discontinued after taking six tablets. What should I do?
As I asked about my son suffering from nephritic syndrome he is 5 years old this is third time attack since last two years. Treatment in going on from PGI Chandigarh I want to ask you can we take second opinion from other .
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.
Recently one of my relative admitted in hospital due to kidney stone, may I know the reasons for kidney stones gets develop in human body.
I am 58 yrs old diabetic for last 20 years. I got kidney transplanted 4 months back and absolutely fine. Recently since last 10 days I find itching and burning in the anus and irregular passing f stools with little difficlty. I am afraid it may leead to piles problem. Please suggest me how to overcome this poblem.
I am 23 years old male and having problem with excretion of faces. It takes me 45mins for the excretion. Many a times I have to go two times to the washroom. Kindly Suggest some ayurvedic methods so that I can be relieved of the problem.
The kidneys are small organs that filter about 200 liters of water each day, removing out about 2 liters of toxins and wastes in a water medium as urine. In addition to maintaining the fluid levels in the body, they also produce hormones that regulate blood pressure, produce red blood cells, and play a vital role in maintaining bone health. Any problem with the kidney, infection or otherwise, can lead to its improper functioning, causing damaging results on the rest of the body organs.
While the bad news is that most diseases from infections to diabetes to hypertension and cancer have an adverse effect on the kidneys, there are signs that can be watched out for, which can indicate a problem with the kidneys and so further damage prevented. Read on to know some of the most common symptoms of kidney disease and how further progression can be prevented.
- Change in urination process: Any change in the process of urination should be a warning for a test. It could be change in color or the appearance of the urine, painful urination, burning on urination, difficulty to start and stop a stream, or too frequent or infrequent urinations. These are usually the first symptoms of kidney disease and should be an alarm to get a kidney function test done. If you have hypertension or a strong family history of kidney disease, then getting a simple urine test to check optimal kidney function is definitely mandated. These could indicate conditions like infection, diabetes, kidney failure, or other conditions which can all be identified with further testing and then treated accordingly. The progress of the disease can be halted, which can help improve overall quality of life.
- Fatigue, loss of energy: As noted above, impaired kidney function leads to other organs being affected and buildup of toxins in the body. There is also anemia which sets in due to decrease in red blood cells and therefore reduced overall energy levels, loss of sleep, and fatigue.
- Swollen eyes, feet, and ankles: Reduced kidney function leads to fluid accumulation, sodium retention, loss of protein, which all lead to swollen eyes and ankles and feet. These are easy to identify and should ring a bell to get checked for kidney functions.
- Muscle cramps: Improper electrolyte levels can affect muscle functioning, leading to painful cramps. Along with changes in the process of urination, this should be an indication of underlying kidney disease.
Keep a track of any above mentioned problems as they can help in saving not just the kidneys but all the vital organs. If you wish to discuss about any specific problem, you can consult an urologist.