Doctor in The Maples Medical Centre
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
Open Prostatectomy Surgery
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Patient Review Highlights
Urology is a branch of medicine that focuses on the diseases affecting the urinary tract system and male reproductive organs. The organs that come under the scanner here are the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate, and penis). Though there is a prevalent misconception that gynecologists are for women what urologists are for men, urology also deals with certain women related health issues. These include overactive bladder, pelvic organ prolapse, and urinary incontinence. In fact, doctors who specialize in female urology gain detailed knowledge of the female pelvic floor together with intimate understanding of the physiology and pathology.
Here are 9 things you should know as a woman
1. Age related factors affect both men and women: Right around the time when menopause and andropause strike, changing hormone levels affect the pelvic floor, bladder, urethra and vagina in women causing problems like urinary tract infection and incontinence. These conditions are effectively treated by an urologist who can also probe for underlying conditions like kidney stone, polyp, or tumor in severe cases.
2. An overactive bladder is more common than you think: Around 40% women have to hit the bathroom every hour or so owing to this. Simple lifestyle changes like lowering the intake of caffeine and alcohol, in combination with pelvic floor exercises can solve the problem.
3. Women sometimes pee in their pants too: A majority of the female population between 40 and 60 suffer from either stress incontinence (when you cough, sneeze or laugh) or urgency incontinence (leaking when you want to go badly). Urologists want you to know that there are less invasive options and medications available to treat this problem.
4. Walk the exercise path to good health: Exercises for your vagina like kegal are great when done right. You can connect with a practitioner who specializes in toning and the stimulation of pelvic floor muscles to treat incontinence.
5. Pelvic pain: If it is not gynecology then it is urology. A general pain in the pelvic region triggers a visit to the gynecologist first for most women.From menstrual cramps to ovarian cysts, all of this may well be taken care of by your gynecologist too. But when the usual culprits are not the cause for your discomfort, it's time you get the urology aspect examined thoroughly too.
6. Know the difference between UTI and STI: Because of cross symptoms, one often gets mistaken for the other. So check with your urologist to understand the cause and cure of your particular problem.
7. Recognize pelvic organ prolapse: This condition is defined by a bit of bladder, rectal, or uterine tissue bulging into your vagina. An urologist can provide non invasive options to deal with this.
8. Women can get kidney stones too: This is true, especially when you forget to hydrate yourself in hot climates or high temperature situations.
9. Urology can solve some sexual problems too: Whether it's sexual dysfunction, low libido or trouble reaching orgasm, urology can play its part to help you out.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Prostatitis is a very common infection of the prostate. However, it is worth to note that prostatitis can also be an inflammation of the prostate without infection. Only 5 to 10 percent of prostatitis is caused by bacterial infection. Prostate cancer does not normally have its chances increased by prostatitis. There are several forms of prostatitis, including acute bacterial prostatitis, chronic bacterial prostatitis and chronic nonbacterial prostatitis (which is also known as chronic pelvic pain syndrome ).
The exact cause for prostatitis is not known, but here are some factors which increase its risk, particularly acute bacterial prostatitis.
- Medical instrumentation: Putting an instrument like a urinary catheter may well cause prostatitis.
- Rectal intercourse: This is basically another name for anal sex.
- Abnormal urinary tract: The urinary tract comprises of the bladders, kidneys, ureters and urethra. If any one of these organs gets infected, then prostatitis is much more likely.
- Bladder infection: A bladder infection may well spread to the prostate.
Prostatitis has a variety of symptoms. Here are the most common symptoms of prostatitis.
- Constant need of urination: This is one of the most common symptoms of prostatitis.
- Difficulty when urinating: Just like the constant need of urination, difficulty urinating is also a sign that you may have prostatitis.
- Pain while urinating: This is because the prostate gland is a part of your urinary tract and if it does not work properly, there will be pain.
- Chills and fever: This is a rarer symptom, but may indicate prostatitis if it is coupled with the other symptoms.
- Pain in perineal area and genital organs: If you are experiencing pain in genital organs, than it may indicate prostatitis.
- Painful ejaculations or relief of perineal pain after ejaculations: If you are having painful ejaculation or the pain arises after ejaculation, then it may be due to prostatitis.
- Hematospermia: Pinkish or brownish semen.
If these symptoms are persistent or bothersome, then a proper consultation is required. Evaluation includes physical examination along with few simple tests. This can be followed by proper treatment for cure or relief of symptoms.
A kidney stone is a hard, crystalline mineral development, which forms within the kidney or the urinary tract. It is called nephrolithiasis in medical terms. Kidney stones occur due to the decrease in urine volume or due to an excess of substances in the urine which are stone-forming in nature. Dehydration is considered to be a primary risk factor for kidney stones too.
Causes of kidney stones:Kidney stones develop when the urine contains increased amounts of crystal forming substances. They include calcium, oxalate and uric acid in amounts which the fluid in the urine cannot dilute. Your urine may also lack the substances which help in prevention of crystals from sticking to each other, thereby enhancing the conditions for kidney stones to form.
The balance of your urine can change due to several factors:
- Not drinking sufficient amount of water makes the salts, minerals and other substances present in the urine to stick together, which may lead to the formation of a stone.
- The normal urine balance may get disrupted due to several health conditions, which lead to kidney stone formation. Diseases such as gout or certain inflammatory bowel diseases can also cause kidney stones.
- Many cases of kidney stones are hereditary and run in families, affecting family members over many generations.
- A rare cause of kidney stone formation is the overproduction of hormones by the parathyroid glands, which results in increased levels of calcium leading to calcium kidney stones.
Types of kidney stones
Kidney stones are of different types, which occur due to several, different causes. They are as follows:
- Calcium stones: Calcium stones account for being the most common form of kidney stones. They occur due to excessive calcium in the urine. This may happen due to an inherited condition known as hypercalciuria, the overreaction of the parathyroid gland, kidney diseases, several cancers or from a condition known as sarcoidosis. The stones may be large and smooth or rough and spiky.
- Struvite stones: These stones are caused due to infections. And they usually occur after a urinary tract infection. This form of kidney stone is more common in women though.
- Uric acid stones: These stones occur due to large amounts of uric acid in the urine. It may occur from having a high protein diet, from a health condition called gout or from a hereditary condition where the amount of uric acid in urine increases.
- Cystine stones: These are rare kidney stones and occur due to a hereditary health condition known as cystinuria.
Kidney stones occur due to the change in balance of water, salts and minerals, which are present in the urine. Insufficient water consumption is often the most common cause of kidney stones. So make sure you drink lots of water to keep stone formation at bay. In case you have a concern or query you can always consult an expert & get answers to your questions!
A bladder is an organ that stores urine in the body. A prolapsed bladder occurs when the tissue present between the vagina and the bladder is stretched, resulting in a bulge in the bladder. This can result in complications such as leakage of urine and difficulty in passing the same. Based on the severity of the damage, it is classified into four categories -
- Mild: A small area of the bladder bulges in the vagina
- Moderate: The bladder bulges near the vaginal opening
- Severe: Protrusion of the bladder occurs through the vaginal opening
- Complete: The entire area of the bladder protrudes completely from the body via the opening of the vagina
The symptoms of a prolapsed bladder are:
- Feeling of intense pressure around the pelvic area
- Infections related to the bladder
- Pain during sexual intercourse
- Tissues bulging out through the vaginal opening
- Pain in the lower back region
Prolapsed bladder is caused by:
- Childbirth: It can cause ligaments and pelvic muscles to weaken thus increasing their vulnerability to a prolapsed bladder
- The chances of this disorder increases when one is overweight
- Lifting heavy things
- Strain caused by bowel movements
- In some cases, it may result from a chronic cough
- Menopause, as it limits production of estrogen which helps in maintaining healthy tissues in the vagina
It is advised to check with a medical professional if you experience these symptoms, as a prolapsed bladder can worsen with time if left untreated. If you wish to discuss about any specific problem, you can consult a Urologist.
Prostate Cancer is a form of cancer that affects men. The prostate is basically a small gland that sits in the male pelvic cavity and is responsible for producing seminal fluid or semen, from its position under the bladder, surrounding the urethra. The testosterone hormone controls this gland.
Prostate cancer refers to the growth of a malignant mass of cells which can also be called a tumour. More about this cancer:
- Risk Factors: The various risk factors involved in this kind of cancer are many. Advanced age, a family history of the same disease, obesity as well as genetic changes can lead to the development of this kind of tumour.
- Types: There are basically two types of prostate cancer, including fast growing or aggressive, and slow growing or non-aggressive. Yet, it is also important to remember that not every abnormal growth in this gland can be termed as a tumour, or is a sign of prostate cancer. A malignant growth signifies prostate cancer. This tumour can grow at a fast pace for aggressive prostate cancer, while it can grow and spread slowly for the non-aggressive type.
- Symptoms: It is possible to not have any kind of obvious symptoms when suffering from this kind of cancer. The symptoms usually begin to show up when the cancer has reached a more advanced stage. These include urinary problems, most significantly. The patient may go through pain and difficulty when it comes to urinating. This pain may also occur during ejaculation. The patient may also find blood discharge in the semen upon ejaculation and suffer from sexual dysfunction as well. Pain in the chest, pelvic area and back are also common symptoms of prostate cancer, which may gradually turn into numbness in the said areas as well.
- Diagnosis: The diagnosis of the issue will be done by a specialist from the urology department. After a physical examination where a diagnosis of the symptoms and other check ups will happen, the doctor may conduct lab tests to check the blood, urine and other samples. Further, imaging tests like MRI and CT scans will also be conducted. A digital rectal exam and prostate biopsy will also help in effective diagnosis.
- Treatment: The treatment of this kind of cancer usually depends on the severity of the symptoms and the spread of the tumour. Besides active observation, the doctor may also recommend radiation, chemotherapy and surgery based on the age and health condition of the patient. If you happen to find even subtle symptoms which could point towards this disease, do not hesitate to get in touch with the doctor. If you wish to discuss about any specific problem, you can consult a Urologist.
I have chronic prostatitis non bacterial but now my major concern is how to treat my ERECTILE DYSFUNCTION. From last year I'm suffering with this condition. Despite,doing kegel and other pelvic floor exercises, condition is not improving. I was taking alfusin (alpha blocker) but have stopped consuming it from January 2017 still no improvement, suggest me something and please help me to get out of this situation as earliest. I even took homeopathy medicine for 1 year but no great improvement. My age-24 Habits- no drinking, no smoking, pure vegetarian.
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. If you wish to discuss about any specific problem, you can consult an urologist.
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.