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Treatment Of Erectile Dysfunction
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Urinary Incontinence (Ui) Treatment
Urology Minimally Invasive Surgery
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One of my colleague referred Dr Ashok Kumar Gupta. From quite some time i was suffering from pain, but never gave much importance to it. The overall atmosphere in the Urogyn IVF Centre is very soothing. Whatever tests he prescribed, were very correct and the gave they gave us an exact idea about my condition. Urogyn IVF Centre has all the latest technology in place to handle severe cases. He is not just friendly, but also is very motivating.
My son was suffering from Hydrocele for which I took him to Dr Ashok Kumar. He ensures that he gives enough time to each patient. He is quite knowledgeable in the field of Urology. The atmosphere in the Urogyn IVF Centre is always so positive and full of life. I thank him for provising such a beneficial treatment.
Thanks to Dr Ashok ,I am totally satisfied with the results. From quite some time i was suffering from Hydrocele.HIs guidance has helped me immensely with my situation. Urogyn IVF Centre had all the amenities, a patient requires.
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Urinary Incontinence is the sudden urine loss that occurs involuntarily in women. Some of the factors which cause urinary incontinence are pregnancy, menopause and childbirth. It should be noted that urinary incontinence by itself is not a disease, but is a symptom of other underlying disorders such as diabetes, infections and other conditions.
Causes of temporary cases of urinary incontinence include:
2. Urinary tract infections
3. Excess consumption of alcohol and caffeine
4. Consuming carbonated drinks
5. Use of artificial sweeteners
6. High doses of vitamin B and vitamin C
7. Being on sedatives, muscle relaxants, blood pressure and heart medications
8. Eatables which are too spicy, acidic or sugary
However, persistence of incontinence might be due to a more serious condition. Some of the causes are stated below:
- Age: The bladder muscles tend to weaken with age. This affects the bladder’s urine holding capacity.
- Pregnancy: Hormonal changes and increase in weight during pregnancy can cause incontinence.
- Menopause: Oestrogen is responsible for the healthy maintenance of the lining of the urethra and bladder. The onset of menopause causes the oestrogen hormone levels to drop. The gradual damage of the bladder tissues causes incontinence.
- Childbirth: The bladder control muscles are weakened during normal vaginal delivery, thus leading to incontinence.
- Obstruction: Occurrence of tumours in the urinary tract can block the normal flow of urine which can cause incontinence.
- Hysterectomy: The same ligaments and muscles support both the bladder as well as the urethra. With removal of the uterus by hysterectomy, the pelvic floor muscles are deteriorated. This leads to urinary incontinence.
- Neurological disorders: Conditions such as multiple sclerosis (autoimmune disorder in which the immune system destroys the protective sheath of the nerves), Parkinson’s disease (disorder affecting motor functioning of the body), brain tumours, spinal injury or strokes are capable of causing incontinence.
Different forms of urinary incontinence are classified on the basis of their symptoms:
- Urge incontinence: Urge or urgency incontinence occurs when there is a leak before the person reaches the toilet.
- Stress incontinence: Small amounts of urine leak out during normal physical movements such as sneezing, coughing and exercising. This happens because of the minimum stress exerted on the body, and hence, the name.
- Functional incontinence: Sudden leakage of urine occurs due to external deterrents or physical disabilities such as not being able to find a toilet.
- Overactive Bladder: This is characterized by frequent and urgent urination.
- Overflow incontinence: A full bladder, at times, leads to unexpected leakage.
- Transient incontinence: If urine leakage occurs due to temporary situations such as infections, or new medications. If you wish to discuss about any specific problem, you can consult a Urologist.
The testes are an important part of the human reproductive system and are susceptible to injuries as well as internal problems. One such problem which is known to afflict younger men mostly from the age of 12 to 16 is testicular torsion. It can affect older men, but is commonly seen in the aforementioned age group. It is a painful condition that will require medical attention and if left untreated might even result in removal of the organ in rare cases.
What is testicular torsion?
There are many intricate functions performed by multiple blood vessels within the scrotum that supply the testes with blood. However, one of the testicles might rotate and thus end up twisting the spermatic cord. This cord brings blood to the testicles and if twisted, will reduce the flow of blood significantly. Thus the scrotum may swell up and also become quite painful.
Symptoms of testicular torsion:
1. Significant swelling of the scrotum
2. Mild to extreme pain in the scrotum.
3. Abdominal pain, especially in the lower abdomen
4. Unusually positioned testicle such as one significantly higher, behind, or in front of the other one.
6. Feeling nauseated and may be accompanied by vomiting
7. Pain during urination
8. Inability to sleep or waking up in the middle of the night due to the constant pain
What causes testicular torsion?
In certain cases, testicular torsion may occur and then go away on its own when the testicle rotates, resulting in the untwisting of the spermatic cord (which is also known as de-torsion). However, it is still advisable to visit a doctor and ascertain what caused it so that the risk factor could be eliminated as torsion and de-torsion could keep happening frequently. Some of the common causes for testicular torsion are mentioned below.
- Hereditary factors: If someone in your family has suffered from this condition, you could be susceptible to it.
- Injuries: If you receive minor trauma such as the one during playing any kind of contact sports, outdoor activities or even while doing house work, it can be a reason of this condition as well.
- Activities that put stress on the scrotum: Heavy exercising or running in an unbalanced or improper manner can cause torsion as well.
- Improper sleeping positions: This can also cause torsion and is a common cause behind frequent torsion and de-torsion.
- Other factors: These factors can include excessively cold temperatures wherein the scrotum contracts rapidly and prolonged contraction can cause torsion. Even the rapid growth of the scrotum during the adolescent years after puberty may cause this.
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When we talk about health, the kidneys are rarely spoken of. These unsung heroes are responsible for filtering waste out of our bodies and ensuring that only clean blood flows through our system. The kidneys are a pair of small, bean-shaped organs located at the back of the abdomen. Along with removing waste from the blood, the kidneys also balance electrolytes and control the fluid balance in the body. Thus, keeping the kidneys healthy is as important as keeping the heart and lungs healthy.
Kidney stones are the most common condition that can affect these organs. Other conditions that can affect the kidneys include inflammation of the kidneys, renal failure, nephrotic syndrome and cysts. Thankfully, keeping the kidneys healthy is easy. Here are a few things you can do to improve the health of your kidneys.
- Drink plenty of water: Keeping your body hydrated is crucial to kidney health. Ideally, a person should drink a minimum of 8-10 glasses of water a day. Water helps control the production of aldosterone- a hormone that regulates blood pressure- by the adrenal glands and helps the kidneys retain enough water and sodium to balance blood volume levels. If the kidneys do not get enough water, the adrenal glands are stressed into increasing blood pressure levels.
- Limit consumption of caffeine: We drink caffeine in many ways- sodas, coffee, tea etc. While caffeine may act as a stimulant and keep you focused on what you are doing in the short run, in the long run, it dehydrates the body. Dehydration can also lead to the formation of kidney stones. Hence reduce your caffeine intake and instead drink more water and fresh juices.
- Quit smoking: Smoking not only affects the lungs but also damages blood vessels thus decreasing blood flow to the kidneys thus preventing the optimal functioning of the kidneys. Smoking can also increase one’s risk of suffering from renal cancer.
- Get regular exercise: Exercise benefits all parts of your body including the kidneys. Regular exercise reduces blood pressure and helps keep the blood moving. This can help prevent kidney diseases and a number of other conditions. Ideally, aim for half an hours exercise a day at the least.
- Eat plenty of fresh fruits and vegetables: Fruits like grapes, apples and blueberries and vegetables like spinach, beets, garlic and red bell peppers help improve kidney functioning. Women should also include oestrogen boosting foods like chickpeas, fennel, tomatoes, cherries and carrots in their diet to protect themselves against kidney damage and fibrosis. Foods that are low in gluten, sugar and soy also help reduce the risk of kidney inflammation. If you wish to discuss about any specific problem, you can ask a free question.
Hard, crystalline deposits in the kidney which cause pain in the flank are known as a kidney stones. The condition is common among people between the ages of 30 to 60. Made of various minerals and salts present in the urine, they stick conjunctly to form small pebbles which circulate in the kidney. Medically known as nephrolithiasis, kidney stones are also referred to as renal colic, in advanced stages, when they tend to cause severe pain.
Causes of Kidney Stones:
Kidney stones are essentially made of calcium, ammonia, uric acid and cysteine. Such superfluous products when present in the blood, occasionally form crystals that accumulate inside the kidneys. With time, those crystals form a hard pebble-like chunk which eventually lead to kidney stones.
Not drinking sufficient fluids is often attributed as a common cause for kidney stones. Yet oftentimes, certain medications that you may use also tend to increase the levels of unwanted substance in the urine. Once formed, the kidney stones pass through the urinary system (namely the bladder, kidneys and their tubules) where sometime they get stuck, consequently leading to the condition.
Some tiny stones go unsuspected and pass out painlessly during urination. But quite fairly, kidney stones obstruct a part of the urinary system which include:
Ureter: the tube which connects the kidney to the bladder
Urethra: the final tube from which the urine passes
Such obstructions can cause grievous pain in the groin and abdomen and at times, lead to UTI (urinary tract infection). Urinary tract infections affect the kidneys, tubes and the bladder and cause discomfort and pain.
Also, a grievous data estimates that around half the people who experience kidney stones are likelier to face them again within the subsequent 5 years.
Most kidney stones are miniscule and they smoothly pass through your urine. Yet some become large and require medications at home. Even larger stones require ultrasound or laser energy to be shattered. Keyhole surgery (a minimally invasive surgery that is carried out with the help of an incision, very small in size and with the help of special techniques and instruments such as fibre optics) may be also opted for as an alternative treatment. If you wish to discuss about any specific problem, you can consult a Urologist.
Bladder prolapse is a condition wherein a woman’s vaginal wall ceases to adequately support the urinary bladder. The front wall of the vagina gives support to the bladder under normal circumstances but when this wall weakens, it allows the bladder to droop and become prolapsed. This can lead to a wide range of medical problems such as urinary difficulties, stress incontinence (leakage of urine while coughing or sneezing), pain and discomfort, etc.
Prolapsed bladders are generally associated with menopause. Also known as cystoceles or fallen bladders, they are categorized into four different types depending on the extent to which the bladder has prolapsed.
Grade 1: This is the mild stage wherein a small portion of the bladder droops into the vagina.
Grade 2: This is the moderate stage in which the bladder droops far enough to reach the opening of the vagina.
Grade 3: This is when the condition becomes severe and the bladder protrudes from the body through the opening of the vagina.
Grade 4: This occurs when the bladder has completely prolapsed. The entire bladder protrudes outside the vagina and is normally associated with other forms of pelvic organ prolapse such as uterine prolapse (the sagging of the uterus from its normal spot) and rectocele (prolapse of the wall between the vagina and the rectum).
What are the causes of prolapsed bladders?
Following are the factors that lead to the condition of prolapsed bladders:
- Menopause: The vaginal walls are known to become weak upon the onset of menopause. This occurs because the body inhibits the production of oestrogen, the hormone that renders strength to the muscles of the vagina. As a result, the bladder is no longer supported by the vagina.
- Childbirth: The process of childbirth puts a tremendous amount of stress on the vagina and often leads to deterioration of the muscles of the vaginal wall. This in turn leads to the condition of prolapsed bladder.
- Straining: Anything that puts strain on the walls of the vagina can lead to this condition. This includes lifting heavy objects, chronic constipation, obesity, excessive coughing and sneezing or any other factor that damages the pelvic floor.
What are the symptoms of a prolapsed bladder?
Symptoms of a prolapsed bladder vary from case to case, depending on the category and extent of the condition. Some of the most commonly experienced symptoms of the condition are as follows:
Tissue sticking out of the vagina (that may be tender and/or bleeding)
- Frequent urge to urinate
- Urinary incontinence (unwanted leakage of urine)
- Pain during urination
- Pain during sex
- Frequent urinary tract and bladder infections
- Pain in the vagina, pelvis, lower abdomen or lower back
- Incomplete urination
If you wish to discuss about any specific problem, you can consult an urologist.