Minimally Invasive Urology Surgery
Reconstructive Urology Surgery
Reconstructive Surgery Procedures
Treatment Of Male Sexual Problems
Transurethral Resection Of The Prostate (Turp) Pro
Transurethral Incision Of The Prostate (Tuip) Proc
Urology Minimally Invasive Surgery
Urinary Incontinence (Ui) Treatment
Kidney Transplant Treatment
Treatment Of Erectile Dysfunction
Blood In Urine (Hematuria) Treatment
Open Prostatectomy Surgery
Hydrocele Treatment (Surgical)
Treatment of H.I.V
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Dr. Kuldeep Singh a Renowned Urologist operated complicated surgeries of my father and my wife successfully. I wish Him a more successful and healthy life.
The urinary system in both men and women are susceptible to infections and many other internal disorders. Although many of the disorders may be caused due to underlying diseases or hereditary causes, many others may be caused due to bad life style habits as well as personal hygiene issues. Personal hygiene issues will not only lead to infections, but if left unchanged, may cause more serious problems such as tumors overtime. However, with the help of some basic tips and following some daily routine, you can ensure good urological health overtime. Some of these are mentioned below:
- Drink plenty of water daily: This is applicable to both men and women and it is important, especially in a country like India where hot and humid conditions prevail for most of the time. A common figure quoted most of the time is 2 to 3 liters of water daily although this is quite arbitrary and may change from person to person and climate to climate. What is important is that you should remain hydrated and calculate an ideal amount of water consumption. This is necessary to stop stone formation in the gallbladder, kidney, ureter and other areas of the genitourinary system.
- Cleaning tips for men: It is important to ensure proper hygiene for good penile health. Uncircumcised males should retract their foreskin while taking a bath and clean out the smegma or white accumulations from around the glans. This will reduce the chances of inflammations and urinary tract infections from occurring. Circumcised males should thoroughly wash the penis as well to keep it clean.
- Regular ejaculation: Men are advised to ejaculate regularly either through masturbation or through sexual stimulation as it is beneficial in many ways. Ejaculation helps clear the tracts, exercises the prostate and also keeps the pattern of proper blood flow to the penis active. It maintains urological health as well as you sexual health.
- Don’t hold your urine for too long: Although this is especially applicable for women, it can be bad for men too. Holding the urine within your body for too long may result in an infection and may also make your bladder muscles weaker resulting in urinary incontinence later in life. Women, especially should be careful as they have a shorter urethra leading from the bladder and thus are more prone to getting urinary tract infections in this manner.
- Avoid harsh soaps and use milder ones to regularly cleanse the groin area: The groin is one of the moistest areas, as it remains covered up most of the time. This makes it an ideal breeding ground for bacteria. It is important that you clean this area every day thoroughly with mild soap. Also, after urination, women should wipe front to back i.e. from the opening of the vagina towards the anus while wiping down after urinating or cleaning. This is to ensure that fecal bacteria don’t get into the vagina as it can cause a host of infections.
- Tips for sexual intercourse: It is important for both men and women to urinate, wash and clean after sexual intercourse as this can help clean the bacteria that may have come from one partner’s genitals into the other. Women should especially follow this advice as it can help keep many infections at bay.
- Changes in certain foods: Reduce caffeine intake through tea or coffee as it can irritate your bladder. It can also act as a diuretic which makes you urinate frequently. This will result in your bladder becoming weaker. Also reduce salt intake as it can increase blood pressure and end up damaging the kidney to the point of permanent kidney damage or kidney failure.
The pair of kidneys that human beings have, forms an important part in the excretory system. They perform specific and important functions. They excrete urine as well as help in eliminating the toxins, which accumulate in the body. Kidney stones occur when the minerals present in the urine without being discharged, keep on accumulating. This gives rise to an extremely painful and uncomfortable situation. Though sometimes the situation gets revoked all by itself, many-a-times it requires medical intervention.
Some of the symptoms of kidney stones are:
However, there are several preventive measures which you can undertake in order to avert the situation. Some of them are:
- Drink lots of water: Kidney stone is one of those rare conditions that once occurred, always carry the latent threat of recurring again. Therefore, drinking water in large quantities becomes essential. The more you drink water, the more frequently you would urinate, thereby curbing the chances of the minerals settling in the kidneys.
- Avoid certain foods: Food like beets, spinach, those which are replete with calcium oxalate should be avoided in order to minimize chances of having kidney stones.
- Foods recommended:
- Eat lots of fruits and vegetables
- Drink plenty of water ( 10 -12 glasses of water)
- Dietary calcium of 1gm a day
- Low oxalate diet Foods to be restricted
- Reduce the amount of salt in your diet
- Restrict food containing excess of oxalate
- Limit intake of animal proteins
- Change your diet: If you are trying to avoid the eventuality of developing kidney stones, it is imperative that you change your diet a bit. It is recommended that you exclude animal protein as much as possible and assiduously avoid the intake of salt as much as possible.
- Take less calcium supplements: Calcium generally is considered a nemesis to your kidneys and is prescribed by doctors to be avoided. However, recent research has thwarted this claim. Calcium does not pose a threat to kidneys. However, calcium supplements definitely do and therefore, should be avoided. If you wish to discuss about any specific problem, you can consult an urologist.
A prostate operation involves the removal of a part of the prostate gland or sometimes the removal of the entire prostate gland. Such a surgery is a serious one and several recovery tips must be followed by a patient to ensure quick and successful healing.
Here are some important tips for recuperating from a prostate operation:
- After the surgery, you need to spend up to three days in the hospital for initial recovery. You might be given fluids, which go directly into your veins until you fully recover from anesthesia.
- After the operation, normal urination will be disrupted in the beginning, as the urethra stays swollen. Urinating gets a little difficult and uncomfortable for a few days after the removal of the catheter.
- You may feel fatigued and may feel under the weather for some weeks after a prostate operation. So you must take things easy for at least two months.
- Avoid lifting or moving heavy objects for some weeks following the surgery. Do not perform any exercise, which causes strain. You should ask your friends and family members to carry out chores for you.
- After becoming slightly stable you should start gentle exercises. Walking is an effective remedy, which helps in blood circulation and lowers the risk of getting blood clots in the legs.
- You should drink lots of water during the recovery stage. This will reduce the risk of getting a urinary tract infection and also help in clearing any trace of blood from your urine.
- For improving bladder control, you should perform several pelvic floor exercises.
- In case of any kind of pain, you can take over the counter painkillers to ease the pain.
- It will take you a time span of three to six weeks for total recovery after a prostate operation. You should consult a surgeon about the best time to return to normal daily activities.
- You can get back to work soon, but it depends on your nature of work. Office jobs are not much of a problem, but in case of physical labour, more time is needed before you can resume your duties.
- Activities such as driving can be started quite soon after initial recovery. However, it varies from person to person. Some people may get back to driving within two weeks while some may need a month.
- You have to wait for 6 to 8 weeks after a prostate operation before getting back to sexual activities.
- In case you experience high fever, pain during urination or the inability to urinate, you must consult your doctor immediately.
- It takes a person several weeks to recover from a prostate operation completely. Initially, total rest is required. But eventually, he can return to normal activities and lead a healthy life.
Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:
- Stress Incontinence– when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
- Urge Incontinence– when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
- Overflow Incontinence (chronic urinary retention)– when you're unable to fully empty your bladder, which causes frequent leaking.
- Total Incontinence– when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking.
It's also possible to have a mixture of both stress and urge urinary incontinence.
What causes urinary incontinence in men?
Urinary incontinence in men results when the brain does not properly signal the bladder, the sphincters do not squeeze strongly enough, or both. The bladder muscle may contract too much or not enough because of a problem with the muscle itself or the nerves controlling the bladder muscle. Damage to the sphincter muscles themselves or the nerves controlling these muscles can result in poor sphincter function. These problems can range from simple to complex.
A man may have factors that increase his chances of developing UI, including
- birth defects—problems with development of the urinary tract
- a history of prostate cancer—surgery or radiation treatment for prostate cancer can lead to temporary or permanent UI in men
UI is not a disease. Instead, it can be a symptom of certain conditions or the result of particular events during a man’s life. Conditions or events that may increase a man’s chance of developing UI include
- benign prostatic hyperplasia (BPH)—a condition in which the prostate is enlarged yet not cancerous. In men with BPH, the enlarged prostate presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty, leaving some urine in the bladder. The narrowing of the urethra and incomplete emptying of the bladder can lead to UI.
- chronic coughing—long-lasting coughing increases pressure on the bladder and pelvic floor muscles.
- neurological problems—men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
- physical inactivity—decreased activity can increase a man’s weight and contribute to muscle weakness.
- obesity—extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
- older age—bladder muscles can weaken over time, leading to a decrease in the bladder’s capacity to store urine.
Treating Urinary Incontinence
Initially, your GP may suggest some simple measures to see if they help improve your symptoms. These may include:
- lifestyle changes – such as losing weight and cutting down on caffeine and alcohol
- pelvic floor exercises – exercising your pelvic floor muscles by squeezing them, taught by a specialist
- bladder training – where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
- You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
- Medication may be recommended if you're still unable to manage your symptoms.
- Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
- Surgical treatments for stress incontinence, such as tape or sling procedures, are used to reduce pressure on the bladder or strengthen the muscles that control urination.
- Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles. If you wish to discuss about any specific problem, you can consult an urologist.
I am 66 years old I am having prostate PSA is 4.3 and also having gall bladder stones what I have to do?
I have symptoms of prostatitis is it curable? Testicular pain, pain in intercourse burning sensation in urine ,abdomen pain, prostate pain, back pain.
My age is 24. Height 6 ft. Weight 76 kg. Since 1 year I am having problem of frequent urination. I used to urinate in every half an hour .i am also having smelly urine. And when I drink water on increasing quantity I used to urinate in every 10 minutes. I had my urine test .it shows pus cell 3-4. I have my prostate ultrasound. It shows my prostate size is 21. 6 cc .and my CT of abdomen shows right renal calculi of 3 mm. Where is the problem. Does my prostate has problem?
Cancer is probably the most dreaded disease of our time. There are many different types of cancers, based on the parts of the body affected. As the name suggest, bladder cancer originates in the bladder. It typically affects elderly people but can occur at any age. In most cases, bladder cancer is treatable as long as it is detected in the early stages. However, it has a high risk of recurrence and hence cancer surveillance is needed for many years after treatment.
There are a number of challenges associated with bladder cancer surveillance, such as:
- Anxiety: As expected, it can be quite nerve wrecking to be constantly tested for cancer and have to wait for the results of your tests. A cystoscopic examination is one of the main methods of testing for bladder cancer. Most patients show both pre-procedural and post-procedural anxiety. To deal with this anxiety and stress try meditating or practising yoga. Going for a walk regularly can also help ease the symptoms of anxiety and improve your overall health. Connect with other bladder cancer patients who can understand your experience and fears.
- Adherence: After the cancer has been cured, bladder cancer patients need to be tested at least once every 3-6 months for the first three years and annually thereafter. This frequency increases for Nonmuscle-invasive bladder cancer patients. Many patients prefer to use urine-based tests rather than a cystoscopic examination, but this may lead to more unwanted stress and anxiety and these tests do have false positive results at the time. Adhering to this schedule is often difficult and most patients do not strictly adhere to this schedule. However, this is completely in the hands of the patient. The more regularly you get yourself checked up, the higher the chances of detecting bladder cancer tumours in the initial stages and getting it treated.
- Related infections: Bladder cancer patients have a higher risk of developing tumors in the ureter and kidneys. Tumors may also develop in the inner lining of these organs. The risk of these tumors depends on the stage and grade of the initial disease and the response of the tumor to treatment. As with any other infection and health disorder, your food and water intake plays an important role in keeping toxins at bay. While there have been no proven supplements to help prevent bladder cancer, drink plenty of water to flush your system and keep it clean.
I have prostate cancer at stage 4.Gleason score 8.Now my legs are partially paralysed that I can't walk or move. At whole body bone scan it has been seen that the diseases spread to bone & I had a tumor at D5 which has been removed by surgery. My testes also removed to stop supply of testosterone. Please tell me can I be able to walk & can I be cured? Please help me doctors.
My father is 61 years old and has been diagnosed with enlarged prostate .PSA is coming at 33.5 what are my options. He has a high blood sugar condition as well.
The presence of blood in urine is known as Hematuria. It is categorized under 2 types:
- Macroscopic haematuria, which means the patient has seen blood.
- Microscopic dipstick haematuria, which means blood is identified by urine microscopy or by dipstick testing either in association with other urological symptoms (symptomatic microscopic haematuria) or during a routine medical examination. It has been variably defined as 3 or more , 5 or more or 10 or more Red Blood Cells (RBCs) per high - power field.
Urological and other Causes of Haematuria
- Cancer: Bladder, Kidney and Prostate Cancer
- Stones: Kidney, Ureteric
- Bladder Infections: Bacterial tuberculosis, infective urethritis Inflammation
- Interstitial Cystitis Trauma : Kidney, bladder, urethra, pelvic fracture causing urethral rupture
- Renal cystic disease: (e.g. medullary sponge kidney)
- Other urological causes: Benign prostatic hyperplasia, vascular malformations
- Other medical causes of haematuria: anticoagulation therapy (e.g. asprin, antiplatelet therapy) Nephrological Causes: more likely in children and young adults, proteinuria; red blood cell casts.
- Urological investigations: Urine culture, urine cytology, cystoscopy, renal ultrasonography and intravenous Urography and CT Urography.
Management of haematuria depends on the cause as determined by the urologist.
After taking 3 tablets of silodal d8, facing dry ejaculation problems, please help, having enlarge prostatic, uti.
I'm 76 years old person. Ultrasound of abdomen has revealed prostate enlargement with urine retention of nearly 22 ml. I am put on tablets veltam 0.4 mg. Since last year. But the urgency and frequency of passing urine persists. Am I put on correct medicine or some other medicines are recommended for my prostatic problem. At this advanced age I am scared of undergoing surgery. Please advise. I will be thankful.
The prostate gland is a male reproductive organ at the base of the urinary bladder and urethra is a thin tube that carries urine out of the penis. It runs through the prostate gland. A fluid produced by this gland helps to carry sperms produced by the testes outside during intercourse.
Cause of urinary problems in men
Men experience urinary symptoms either due to inflammation of the prostate gland or prostatitis or symptoms may be the result of a blockage of the passage due to enlargement of the prostate gland.
Symptoms of urinary problems
Urinary symptoms commonly experienced with prostate problems include;
- The need to urinate frequently during the night.
- Urinating more often during the day.
- Urinary urgency is the urge to urinate can be so strong and sudden that one may not reach the toilet in time.
- The urine stream is slow to start.
- Urine dribbling for some time after finishing urination.
- A sensation that the bladder is not fully emptied after urination.
- A lack of force to the urine flow, which makes directing the stream difficult.
- The sensation of needing to go again soon after urinating
- A long course of antibacterial medication (for bacterial prostatitis) is prescribed, because infection is difficult to get rid of, the antibacterial medication will need to be taken for many weeks.
- Medication to improve urine flow and other symptoms (for obstruction caused by an enlarged prostate).
- Surgical procedures (for blockage caused by an enlarged prostate), such as Transurethral Resection of the prostate(TURP), Laser Resection of prostate, Transurethral Incision of the prostate(TUIP).
UroLift: A new method of treatment for men, where medication has not been successful, but their prostates are not so enlarged that they need more invasive surgery. It involves the Transurethral Insertion of staples to separate the lobes of the prostate. It has minimal side effects and preserves ejaculatory and erectile function.
A number of other procedures that have been developed to reduce urinary symptoms.
Medication for urinary problems
Various medications to help ease your urinary problems, including;
- Medications to reduce the tone of the muscles of the urethra and prostate to minimize any obstruction to urine flow caused when these muscles contract.
- Medication to reduce the size of the prostate gland. These drugs work by blocking the action of male hormones produced by the prostate gland.
- Medications to relax the bladder, making unwanted contractions less likely and reducing the symptoms of urgency and frequency of urination.
- Over-the-counter medicine 'Saw Palmetto' (Serenoa repens) is used sometimes. This may help some men, especially if frequent urination at night is a problem. However, recent reviews of the evidence for using Saw Palmetto as a treatment for mild or moderate urinary symptoms did not show any improvement compared to no treatment, in men with BPH.