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A patient having BPH urine retention after voiding is 120 ml & wt. Of prostate is 30 gm. Creatinine is 1.30.Can he use Telma H 40/12.5 mg?
Dear doctor sir, Good morning sir, My requested question is about my father was affected with stomach cancer. He is on treatment with chemotherapy. during chemotherapy with injection and drugs he dose? T take vomiting and he is able to take some liquid type foods and semi-solid foods. Now our doctor started chemotherapy without injection (after finishing six cycle of injection chemotherapy) first cycle tablet name capnat (capecitabine tablets ip) during that first two week he not vomited on third week ending onwards he affect with vomiting and his in-taking liquid foods also reduced suddenly. While he going to consultation with our doctor for second cycle he checked blood test and find that blood-hb is drop to 6.75% (before 11.5%) and he advice to admit and trips him with 2 unit of blood hb and he asked my father to take second cycle with entirely changed diseases. The second cycle is started today (27/11/15) but father still vomiting once daily and struggle to take even water because he has heartburn since also. Now our doctor is out of station he return on monday only. So I kindly request you please guide me with the precaution measure and kindly explain me about the vomiting and sudden drop of blood hb whether the cancer is spread or not. So I kindly request you replly me as early as possible. Thank you.
My Prostate size 42x41x33 with volume 30 cc and shows normal outline and echo pattern no focal Sol noted Please suggest.
I am 65 yes old male recently diagnosed with benign prostate hypertrophy. Are there any medicines in homeopathy for treating without surgery which can give good results.
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.
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.