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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
I was shocked to experience the symptoms of frequent urination. I am so happy that I chose DrKuldip Singh for my treatment as now I am perfectly fine. The overall atmosphere in the The Maples Medical Centre is very soothing. Many people gave very positive feedback for this Kuldip Singh. Over the period of time the frequent urination treatment has helped me a lot. The interior of the The Maples Medical Centre was no nicely done, it was so clean. Not only he is very calm and composed, but is also a very understanding doctor. Over the period of time I noticed a number of changes in myself. By chance, I approached Kuldip Singh for second opinion and thank god, i did because, he treated me ithout any surgery and all.
I thought it was something very normal, but then I realised the enlarged prostate is a serious case. It was amazing, the The Maples Medical Centrel was so nicely made. Dr Kuldip Singh guidance has helped me immensely and has helped gain confidence. All the staff members were very helpful. I searched Dr Kuldip Singh online and saw his reviews. He is one of the best physicians in city. Whatever tests he prescribed, were very correct and the gave they gave us an exact idea about my condition. I was amazed that other doctors before him were not able to even diagnose my problem, but he did it immediately and started the enlarged prostate treatment for it.
I never get sick, but then last year i started developing these symptoms of urinary incontinence , and the problem was increasing day by day. Dr Kuldip is very talented and seasoned doctor. In the very first sitting, he clearly told us the problem and the what the treatment procedure will be in future. The Maples Medical Centre can handle all types of emergency cases.
I was shocked to experience the symptoms of urinary tract infection. I consulted Dr Kuldip Singh. With great ease , he explained us the problem and how the treatment will be carried out. He is not just friendly, but also is very motivating. I am so happy with the results of my treatment, that I will surely recommend this doctor to anyone gladly.
Due to my sensitive bladder i was suffering from number of problems. I chose to visit Maples Medicle centre where I met Dr Kuldip. He is very courteous and behaves very aptly with elder patients. The friendliness of staff is the best in the clinic. I am so happy that I chose thim for my treatment as now I am perfectly fine.
Even though Dr Kuldip is not from our city, he is still very famous, so we consulted him as I was suffering from urinary incontinence. With the help of his treatment for urinary incontinence I am feeling so great. He is not just friendly, but also is very motivating.
Dr. Kuldip Singh provides answers that are knowledgeable and very helpful. I just got diabnosed with grade 1 prostate gland enlargement with concretions. Ifind this very informative and helpful. Thank you
I was in too much pain because of my urinary infection. But Dr Kuldip helped me alot to deal with this issue. Dr Kuldip is a well known urologist in the city and I am glad that I chose to consult him.
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.
I found the answers provided by the Dr. Kuldip Singh to be knowledgeable. 5 inch is erect size.
I found the answers provided by the Dr. Kuldip Singh to be knowledgeable. Thank you Sir.
Overactive bladder (OAB) is a set of symptoms that causes a sudden urge to urinate to an extent that can negatively affect a person’s life. OAB incidence increases with age but it is not part of the normal aging process. Many affected people may feel embarrassed and isolate themselves from work and social activities. During normal urination, the detrusor muscle of the bladder contracts when the bladder is full and relaxes when empty. A normal adult bladder contains up to 600cc of urine, in OAB, as little as 200cc of urine can trigger bladder contraction. Certain neurological conditions like stroke, multiple sclerosis, Alzheimer’s disease, tumors, diabetes, bladder stones, enlarged prostate and other abnormalities that obstruct bladder outflow can lead to an overactive bladder. Excessive consumption of caffeine or alcohol could also obstruct the process of normal urination.
While sometimes one may have an urgent urge to urinate due to diet or lifestyle modification, but mentioned below are few symptoms mentioned below should not be ignored:
- Urgency to urinate for a longer period of time, however, a patient may or may not urinate after feeling this urge.
- Patients may leak urine after feeling a sudden urgency. They find it unable to control the flow leading to leakage of few drops or sometimes a gushing large amount of urine.
- Frequent urination, more than 8 times in 24 hours.
- Nocturia i.e waking up one or more times at night to urinate.
- Diet, lifestyle modification should be the first line of treatment
- Weight loss in obese patients reduces episodes of incontinence
- Avoiding caffeine and alcohol can do the trick.
- Kegel exercises are exercises of pelvic muscle, which strengthen the muscles of the pelvis and the urethra which support the opening to the bladder. Recommended 30-80 times every day for 8 weeks.
- In women, vaginal weight training can be really helpful. In this small weights are held by the vagina by tightening the vaginal muscles. It should be practiced for 15 minutes twice daily for 4-6 weeks.
- Bladder training is generally done with the help of physical therapist or urologist. It also uses pelvic floor muscle contractions to expand the intervals between voiding and to suppress the urge to void.
- Medications: Used as the second line of treatment as the drugs in most cases are only moderately helpful.
- Anticholinergics act by relaxing the bladder, they decrease the hyperactivity of the detrusor muscle. There are several other medications that may be prescribed by the doctor depending upon the severity of the condition.
- Other procedures: third line of treatment
- Botox injections can be given directly into the bladder wall. It suppresses involuntary bladder contractions by blocking nerve signals.
- Neuromodulation uses electrical stimulation to reorganize spinal reflexes involved in bladder control.
- Reconstructive bladder surgery enlarges the size of the bladder by using part of the intestine.
Urology is a branch of medicine that deals with the diseases and disorders of the male and female urinary system and the male reproductive organs. It is a specialized branch of medicine that has been in existence for a long time and has advanced in many ways over the past two decades, courtesy the introduction of the laser technology. Laser technology has helped urologists tremendously and they have been able to treat a number of patients through laser-assisted surgery. The use of lasers has made it possible for the urologists to utilize endoscopic instruments with small-diameter that allow them to see the minutest details of the urinary tract and treat the complex cases with ease.
- Laser in bladder outlet obstruction: Bladder outlet obstruction is a blockage at the base of the bladder, which slows down or stops the flow of urine to the urethra, causing discomfort to the patient. Bladder outlet obstruction occurs usually in younger males due to bladder neck narrowing. Blood tranfusion is usually not required in prostrate surgery especially if lasers are used. Most men in their old age suffer from this problem and laser technology helps in conducting the surgical procedure to remove this blockage. It has been found that laser-assisted surgery results in lesser loss of blood as compared to open surgery. In some cases, blood transfusion after surgery is not required at all. Also, the hospital stay post operation is shorter, which ensures more comfort to the patient.
- Laser in urolithiasis: The formation of kidney stones in the urinary tract is known as urolithiasis. Treatment of this conditions requires surgical intervention and it is nowadays done with the help of endoscopic intracorporeal laser lithotripsy. This technique uses strong beams of laser light to fragment them, and remove them from the urinary tract. The laser technology is safe and can be used in the case of pregnant women too. It can easily access the hard stones present in difficult locations.
- Laser in benign prostatic hyperplasia: Benign prostatic hyperplasia (BPH) refers to the enlargement of the prostate. Some of the symptoms of this condition include a frequent urge to urinate, problems in urination, inability to urinate, and loss of bladder control. It can also lead to UTI (urinary tract infection) and stones. It can be treated with photoselective vaporization of the prostate (PVP) in which the excess prostate tissues are melted away and the prostate shrinks back to its original state. Holmium laser ablation of the prostate (HoLAP) also does the same but holmium laser enucleation of the prostate (HoLEP) cuts the excess tissue blocking the urethra.
- Laser in bladder cancer and urinary tract strictures: Bladder cancer refers to the abnormal growth of cells in the urinary tract and this is mostly found in the form of tumors. The tumors can be cancerous and transurethral bladder tumor resection (TURBT) laser technology can help in diagnosis, staging, as well as the treatment of malignant tumors. It makes use of cystoscope to remove the tumor. In case of urinary tract strictures, the urethra becomes narrow, hindering the passage of urine. It can be caused due to an infection or injury. With endoscopic urethrotomy and usage of the cystoscope, the urologist removes the stricture or makes it evaporate with the help of a laser.
Laser technology is of immense value to urologists and offers many advantages to the patients as well. It is more comfortable and with more advances being made in this field, the future looks even brighter for the doctors as well as patients.
Urinary system comprises of the kidney, ureter, bladder, and urethra. Urine is formed in the kidneys, passes through the ureter gets collected in the bladder and finally exits through the urethra. An infection in any part of the urinary system is called urinary tract infection (UTI). It generally involves the urethra and the bladder, but in severe cases, it can even involve the kidneys.
UTI is a very common infection, affecting over 10 million people per year in India. it is important to know that the likelihood of developing UTI is eight times more in women than men. Almost 40-50% of women will suffer at least one episode of UTI in their lifetime.
Risk Factors for UTI
- Shorter urethra in women as compared to men make it easier for the bacteria to reach the bladder.
- Use of diaphragms and spermicidal agents for birth control.
- Sexually active women. Having different sexual partners.
- A decline in estrogen after menopause, reduces the protective lactobacilli in the vaginal microflora making women vulnerable to infection.
Other risk factors:
- Urinary tract abnormalities prevent the urine to leave the body normally, causing urine to back up in the urethra thus predisposing UTIs.
- People with enlarged prostate or kidney stones trap urine in the bladder.
- Diabetes mellitus and immunosuppression reduce body’s defense against pathogens.
- Hospitalized people, chronically catheterized patients (people using a catheter to urinate), patients with neurological problems and paralysis, conditions that make urination difficult to control.
- A recent examination of the urinary tract with medical instruments, or recent urinary surgery.
What causes UTI?
Most common bacteria for UTI is Escherichia coli or E coli. This bacteria is a normal resident of the colon perianal area. After sexual intercourse or improper cleaning after defecation, the bacteria can spread from their normal habitat to the opening of the urethra. Under normal circumstances, the act of urination flushes the bacteria out of the urethra. However, if the load of bacteria is very high, the natural defense of the body is low, or due to obstruction the urination is improper, the bacteria can spread upwards to the bladder and even to the kidney causing severe infection.
- Drink plenty of liquids, especially water, ensures frequent urination allowing bacteria to be flushed from the urinary tract before an infection can begin.
- Wiping from front to back after urination and bowel movement prevents bacteria from spreading from the anal region to the vagina and urethra.
- Avoid wearing tight undergarments as it may promote the spread of bacteria.
- Avoid feminine products like deodorant sprays, douches, and powders in the genital area as they can irritate the urethra.
- Avoid use of diaphragms, unlubricated or spermicide-treated condoms for birth control.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pain on the sides of the abdomen between the ribs and the hips is also known as flank pain. A patient may experience flank pain only on one side or on both sides simultaneously. In most cases, the pain is more pronounced on one side of the body. Flank pain can usually be attributed to conditions affecting the kidneys. The two most common such conditions include:
- Urinary Tract Infections (UTI): When bacteria enter the urinary tract, it can cause an infection. This can be limited to the urethra or travel inwards to the bladder and kidneys. Pain in the lower flank is typically a sign of a UTI affecting the bladder while pain in the upper flank is a sign of an upper UTI. This may be accompanied by an increased urge to urinate frequently, blood in the urine or a burning sensation while urinating. UTIs can be treated with oral antibiotics but in case of recurrent UTIs, the patient must consult an urologist.
- Kidney Stones: Kidney stones can be described as crystal deposits that are formed by highly concentrated urine. The size of these crystal deposits can range from being small enough to pass through the urethra to being the size of a gold ball. Large kidney stones can be very painful. Flank pain caused by kidney stones comes and goes. The location of this pain depends on the position of the stone and hence can move through the abdomen. Drinking plenty of water can help a kidney stone move out of the body. In cases of larger stones, a surgical procedure may be needed to break the stone down into small pieces.
Another common cause of flank pain is a musculoskeletal problem. This could be in the form of a muscle tear or sprain. Lifting heavy weights, repetitive actions and a fall or trauma are common triggers for such problems. This type of pain usually worsens with any activity or action that uses these muscles. Even sneezing may aggravate this type of pain. Flank pain in the case of musculoskeletal problems usually feels like a dull ache. Non-steroidal anti-inflammatory drugs and an ice pack are usually very beneficial in handling this type of flank pain.
Sometimes, flank pain can be a symptom of a much bigger problem. For example, it could be a symptom of kidney cancer, gallbladder disease, appendicitis or a blockage in the urinary tract. Hence, if this pain continues for a long time, you must consult a doctor.
Lower Urinary tract obstruction refers to a condition of hindrance to urinary flow from bladder outwards. This can occur in all the age groups and affect either sex. The symptoms can be poor urine flow, intermittent flow, straining to pass urine or empty bladder, sense of incomplete emptying of bladder, difficulty in starting urination. Other problems can be increased urine frequency and difficulty to hold on with or without occasional urine leak in clothes. The cause and treatment vary in different age groups.
Few common reasons behind Lower urinary Tract Obstruction:
Congenital Urethral Stricture and PUV: These defects can be detected either before or after birth and need correction at earliest to avoid long-term complications. It is usually brought to attention by parents who observe abnormal urine flow pattern of their child OR found out during evaluation for repeated urinary tract infections.
Neurogenic Bladder: This is caused due to defects of nerves that are responsible for controlling bladder function. This can be due to diseases of brain, spinal cord or peripheral nerves. These defects can occur by birth or later in life. It is very important to take early consult to avoid long-term complications and progression to renal failure.
Urethral Stricture: This is narrowing in a long tube that starts from bladder to the external urinary opening. It can be idiopathic, post-traumatic, or due to urethral infections. Usually, a person is able to recognise poor urine flow and bring it to the attention of urologist.? Treatment for stricture depends on various factors and range from simple endoscopic surgery to open surgeries.
Bladder Neck Obstruction: Bladder neck is a network or a group of muscles that connect the bladder to the urethra. The muscles tighten to hold urine in the bladder, and relax as they release it through the urethra. Urinary tract obstruction occurs when there are abnormalities blocking the bladder neck that restricts its opening during urination.
BPH: This occurs due to enlarged prostate obstruction urine flow out of bladder. Prostate enlargement is mostly age-related and rarely due to prostatic tumors. Urinary stones. This can be usually recognized by sudden obstruction to urine flow in person who was voiding normally. These episodes might be recurrent due to movement of stone in between bladder and urethra.
Bladder Tumors: The are mostly characterized by blood in urine. Sometimes there might be blood clots that obstruct the urine flow.
Phimosis: Usually occurring post-puberty, it is referred to as the inability to retract the glans (the sensitive structure at the end of the penis). It is a condition in which the distal foreskin, which was previously retractable, is unable to retract anymore. Phimosis is another major reason behind urinary tract obstructions.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Those two, small bean-shaped organs are indeed essential for a perfectly healthy life. To check if a person is dead or living, medical practitioners need to confirm response from three organs of the human body heart, brain and kidneys. Kidneys absorb impurities from the blood, thus, purifying it and lead to the production of urine. Urine is necessary to rid your system of body wastes. Kidneys play a key role in maintaining hormone balance. The presence of any factor that could impede free functioning of this organ should be diagnosed, treated and eliminated at the earliest possible. Kidney diseases and subsequent kidney failure see no age bar. It affects both young and old people. In case of younger folks, the symptoms take years to surface and thus the chances of a fatal outcome are even higher.
Causes of kidney failure at a tender age:
- Chain smoking is a trigger: Smokers suffer from a higher risk of kidney failure. Smoking is a bad habit that has engulfed almost ninety percent of young adults. Irrespective of awareness programs and warning messages, there are millions who smoke nonchalantly. Smoking is known to impair kidney function which again can have frightening implications.
- High blood pressure levels must be controlled: Since stress is a common phenomenon among most individuals high blood pressure is also prevalent among a majority of these individuals. Younger people suffer from high blood pressure due to workplace politics and familial tensions. High blood pressure should not be taken lightly. Exercising and regular medications should be opted for in order to counter the threat of kidney failure at a young age.
- If you are obese, you are stepping closer to the threat: If not optimal; being close to the optimal body weight is very necessary to keep health disorders in check. If you are obese, you are not safe; one must make efforts to lose weight or else face the alarming situation when his or her kidneys fail to function properly.
- Consumption of junk food can cause complications: Junk food is fatty. One must keep away from high-protein and high-fat diet. Food items rich in protein and fats can push you towards chronic kidney diseases.
- Genetics may discern the health of your kidneys: The incidence of kidney failure in your family history can make you prone to a similar condition. Extra care should be taken to avoid any such possibility. Regular health check-ups should be undertaken.
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
- 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.