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Dr. Kotwal

Urologist, Delhi

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Dr. Kotwal Urologist, Delhi
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Kotwal
Dr. Kotwal is a trusted Urologist in Raja Garden, Delhi. You can consult Dr. Kotwal at Handa Nursing Home in Raja Garden, Delhi. Book an appointment online with Dr. Kotwal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 25 years of experience on Lybrate.com. You can find Urologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi

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Handa Nursing Home

Plot 57, Raja Garden. Landmark: Near Raja Garden Crossing, DelhiDelhi Get Directions
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I Got diagnosed after NCCT KUB Screening 1. Approx 9.3x13.5 mm (1400HU) calculus in left ureter. There is proximal hydroureteronephrosis. One approx 2.5 mm calculus in left interpolar calyx 2. Right renal cyst approx 3 1x2. 5 mm Could you suggest the next steps.

MBBS, MS - Urology, DNB
Urologist, Guwahati
I Got diagnosed after NCCT KUB Screening 1. Approx 9.3x13.5 mm (1400HU) calculus in left ureter. There is proximal hy...
Endoscopic Surgery in the form of URS, RIRS or PCNL would be the best option for your problem. Depends on the location of stone whether in upper or lower ureter.
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Men Urinary Incontinence - Know The Treatment!

MCh Urology & Transplant Surgeon, MS - General Surgery, MBBS Bachelor of Medicine & Bachelor of Surgery
Urologist, Pune
Men Urinary Incontinence - Know The Treatment!

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:

  1. Stress Incontinence– when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
  2. Urge Incontinence– when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
  3. Overflow Incontinence (chronic urinary retention)– when you're unable to fully empty your bladder, which causes frequent leaking.
  4. 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

  1. birth defects—problems with development of the urinary tract
  2. 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

  1. 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.
  2. chronic coughinglong-lasting coughing increases pressure on the bladder and pelvic floor muscles.
  3. neurological problems—men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
  4. physical inactivity—decreased activity can increase a man’s weight and contribute to muscle weakness.
  5. obesity—extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
  6. 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:

  1. lifestyle changes – such as losing weight and cutting down on caffeine and alcohol
  2. pelvic floor exercises – exercising your pelvic floor muscles by squeezing them, taught by a specialist 
  3. bladder training – where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
  4. You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
  5. Medication may be recommended if you're still unable to manage your symptoms.
  6. Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
  7. 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.
  8. Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3240 people found this helpful

I am 18 years old my question is After maturation, when I stand up then few drop of urine fall off, So please tell me what is its treatment.

BHMS
Homeopath, Kolkata
I am 18 years old my question is After maturation, when I stand up then few drop of urine fall off, So please tell me...
Please reduce masturbation to once/twice a week only. Stop watching porn You are having enlarge prostate/lack of co-ordination of muscles of urinary organ ...if you continue with masturbation more you will suffer.
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Kidney Stones - How Homeopathy Can Help You?

BHMS
Homeopath, Gurgaon
Kidney Stones - How Homeopathy Can Help You?

Kidney stone formation is the most common kidney disease, and people who have had it, would immediately be reminded of the severe pain (loin to groin) in the back.

How stones are formed?

  1. The kidney functions as the body’s filters in removing wastes from the body through urine.
  2. Most of the waste is in the form of salts and when there is excessive salts and reduced amount of water, there could be formation of crystals or stones in the kidneys.

Symptoms

  1. Reduced amount of urination
  2. Blood in the urine due to damage of the urinary tract structures
  3. Painful urination with burning sensation
  4. Swollen abdomen
  5. Nausea and Vomiting
  6. Fever and chills

Benefits of homeopathic remedies
Kidney stones are highly likely to be recurrent. A number of factors contribute to their formation. Homeopathy aims at treating the whole body and not just dissolving the stones. It offers various remedies, which ensure the stones are completely dissolved and also prevent recurrence.

Remedies

  1. Berberis Vulgaris is prescribed for the following conditions:
    • Very useful in left-sided stones where patient experiences pain radiating to the ureter, bladder, and urethra and down to the thighs.
    • Burning sensation with urination
    • Slightly red or green urine with mucus (increased consistency of urine)
    • Increase in pain with any kind of physical movement
    • Soreness in the lumbar region of the kidneys
  2. Cantharis is suitable for the following conditions:
    • Paroxysms of renal colic with cutting and stabbing pains
    • Severe pain before and after urination in the urethral area
    • Constant urge to urinate, but very little flow
    • No relief even after sitting and straining
    • Bloody urine (slightly pinkish tinge), if there is damage to internal structures
    • Sharp tearing pain when this damage happens
    • Thirst and aversion to all fluids
  3. Lycopodium is one of the most reliable homeopathic medicines for right-sided kidney stones.
    • Works better for right-sided stones, where it dissolves them completely
    • Severe backache experienced by the affected person prior to passing urine, which reduces after urination
    • Great urge to urinate, even at night
    • Presence of sediments (red or yellow) in the urine
    • Abdominal bloating with distention along with right-sided kidney pain
  4. Hydrangea, also referred to as the stone breaker, reduces chances of recurrence of kidney stones in the following conditions:
    • Right-sided pain
    • Blood-tinged urine
    • Increased frequency of urination
    • Lots of white sediments in the urine

      If you wish to discuss about any specific problem, you can consult a neurologist.

4762 people found this helpful

Sir I hv fever in 3, 4 years wht is reason my fever. All hospital check up my fever bt dosent any clear reason please define me. N my urine is burning n painful.

BHMS
Homeopath, Thane
Sir I hv fever in 3, 4 years wht is reason my fever. All hospital check up my fever bt dosent any clear reason please...
Hi, Sometimes reason behind fever cannot be diagonosed by blood investigations.It also requires proper case taking.So please give your symptoms in details .So that we can give you treatment accordingly.
1 person found this helpful
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Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best water to drink?

MBBS
General Physician, Mumbai
Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best...
Lemon water helps in dissolving already present kidney stones and I will suggest you to drink a minimum of three litres of boiled water per day.
3 people found this helpful
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My urination is very painful from last 5 days. Doctor gave me Oflox 200 tab. Is there any other medicine for it?

MD - Homeopathy, BHMS
Homeopath, Vadodara
My urination is very painful from last 5 days. Doctor gave me Oflox 200 tab. Is there any other medicine for it?
Usually it happens because of infection... Oflox is an antibiotic so it is the Medicine... If it doesn't help then the doctor will change the antibiotics... You can also think of Homoeopathic treatment... Try taking Cantharis 30 one dose.. It is better to consult for assured results..
1 person found this helpful
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Bladder Cancer

DNB - Urology/Genito - Urinary Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Urologist, Delhi
Bladder Cancer

There is a direct cause relationship of smoking with urinary bladder cancer, so avoid smoking and get a healthy lifestyle.

4 people found this helpful
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