Doctor in VG Sharaf Hospital
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 am having a 9 mm stone in Right kidney and some small stone on left From few months I am having Cystone tab Twice daily Can I take Neeri n Cystone together or any please suggest.
My mother is 47 years. She got operated for gall bladder stone in year 2015. Since then she is suffering from hypertension. The blood pressure fluctuates from 130-150. She is on medication Twinblock 20, Ctd and Olsar M-25 but since last month her weight is continuously decreasing and she is feeling weakness. And even there is swelling in legs and hands. Kindly suggest.
Kidneys stones are a common condition. They are quite different from Gallstones which are formed in the Gall bladder. Gall stones are from bile concentration in the gall bladder. "Silent" Gallstones which are detected on an ultrasound done for another cause, can be left alone.
However, silent kidney stones should never be left alone. These can silently grow to a large size and cause kidney failure without the patient ever experiencing pain. Every patient of stone needs to be evaluated by blood tests, ultrasound and possibly CT-scan. Small stones 5 mm or less may pass out naturally, but should be monitored on Ultrasound to confirm clearance. Larger stones are cleared by a variety of Endoscopic Operations like Ureterorenorenoscopy, PCNL or ESWL. These need 1-2 days hospitalisation and have quick recovery. The stone removed should be analysed for contents so that appropriate preventive measure in diet and medicines can be started as soon as possible.
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).
- 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)
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 your 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.