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Max Hospital, Vaishali

  4.8  (19 ratings)

Urologist Clinic

Sector-1, Vaishali Ghaziabad
1 Doctor · ₹800
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Max Hospital, Vaishali   4.8  (19 ratings) Urologist Clinic Sector-1, Vaishali Ghaziabad
1 Doctor · ₹800
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About

I provide state of art evidence based medical and surgical solutions to patients urological and sexology problems. I am proficient in performing latest advance endourological, laparoscopi......more
I provide state of art evidence based medical and surgical solutions to patients urological and sexology problems. I am proficient in performing latest advance endourological, laparoscopic, robotic surgeries in the field.
More about Max Hospital, Vaishali
Max Hospital, Vaishali is known for housing experienced Urologists. Dr. Shailendra Kumar Goel, a well-reputed Urologist, practices in Ghaziabad. Visit this medical health centre for Urologists recommended by 105 patients.

Timings

MON, THU
10:00 AM - 01:00 PM
WED, SAT
02:00 PM - 05:00 PM

Location

Sector-1, Vaishali
Sector-128 Ghaziabad, Uttar Pradesh - 201012
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Doctor

Dr. Shailendra Kumar Goel

MBBS, MS - General Surgery, M. Ch. (Urology), DNB (General Surgery), MBA
Urologist
95%  (19 ratings)
21 Years experience
800 at clinic
₹250 online
Unavailable today
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"Very helpful" 1 review

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Renal Colic - Ways it Can Be Treated?

MBBS, MS - General Surgery, M. Ch. (Urology), DNB (General Surgery), MBA
Urologist, Noida
Renal Colic - Ways it Can Be Treated?

Our kidneys act as filters which constantly flushes out toxins and excess minerals with water in form of urine. Urine contains lots of minerals which may precipitate and form stones. Urine has lots of pro-precipitating agents and anti-precipitating agents. When their balance disturbs due to some disease, stones start forming. These stones may often lead to abdominal pain which is referred to as renal colic. 

What exactly is renal colic? 

Renal or ureteric colic is the term used for typical pain in one side of abdomen in flank region starting from back and radiating forward towards lower abdomen up to scrotum. This is usually associated with nausea, vomiting and urinary discomfort. There may be blood in urine. 

How kidney stones are related to renal colic? 

Kidney stones usually form inside kidney and lies there without causing any pain. But whenever they are dislodged and stuck at mouth of kidney (pelvis) or anywhere in ureter, they block the passage of urine of that kidney. This causes swelling in kidney termed as hydronephrosis. This swelling in kidney causes renal / ureteric colic. This colic is protective phenomenon and tries to push out the stones. Small stones do come out in urine by this natural process. This spontaneous expulsion of small stones is common and many local practitioners used to get credit of it feigning benefit of their medicine. However large stones need some form of intervention to come out. Otherwise, they do harm to kidneys in long term. 

Symptoms of kidney stones along with renal /ureteric colic - 

  1. Most stones which are lying in calyces of kidney are asymptomatic 
  2. Nausea & vomiting 
  3. Frequent urinary tract infections 
  4. Fever with chills 
  5. Foul smelling urine 
  6. Hesitency, frequency and burning in urination 
  7. Blood in urine (urine with a reddish, pink or brownish hue) 
  8. Passage of small stones in urine 

Treatment of renal colic 

Treatment of ureteric/renal stones involves control of symptoms and stone removal. 

  1. Expectant Treatment or Medical Expulsion Therapy: Small stones of less than 4 mm size usually pass on its own and some medicines like alpha-blockers and steroid hasten up their expulsion. Medium size stone (4-6 mm), sometimes passes with aid of these medications. But stones larger than 6 mm usually require intervention. 
  2. Lithotripsy: This method involves breaking of stones by shock waves into small dusty particles which pass through urine on its own. This is usually suitable for stones upto 1.5 cm and lying in kidneys. This is non-operative treatment which can be done on OPD or Daycare basis. 
  3. Ureteroscopy (URS): This method involves entry of very thin semirigid scope through urethra into ureter. Stone is broken by LASER and removed. This involves single day admission and spinal anaesthesia. 
  4. RIRS- Retrograde Intra Renal Surgery: In this method very thin flexible scope in maneuvered through urethra into the upper ureter and pelvi-calyceal system of kidney. Stones in kidney or upper ureter are broken by LASER and removed. This is also done under anaesthesia and requires a day admission. 
  5. Mini- PCNL: This method is suitable for large renal stones. In this technique, a small hole is made into the kidney through back and tiny scope is entered into the kidney. Stones are broken by LASER and removed. This is done under anaesthesia and require two to three days admission. If you wish to discuss about any specific problem, you can consult an urologist.
2877 people found this helpful

Urinary Incontinence in Men - Treatment Options!

MBBS, MS - General Surgery, M. Ch. (Urology), DNB (General Surgery), MBA
Urologist, Noida
Urinary Incontinence in Men - Treatment Options!

Urinary incontinence is a health condition in men, which is caused by loss of bladder control. Urinary incontinence usually occurs in cases of medical conditions such as an enlarged prostate, Parkinson’s disease and diabetes, and may also occur after a prostate surgery. Urinary incontinence is an irritating and embarrassing condition, but with proper treatment, it can be cured. There are several ways to treat this condition which include home remedies as well as medications and surgery. 

Here are several methods used to treat urinary incontinence: 

  1. Caffeine, soda and carbonated drinks cause irritation in the bladder and worsen the symptoms of urinary incontinence. Alcohol is a diuretic and increases the amount of urine too. So abstain from coffee, alcohol and soft drinks to make a difference. 
  2. Dietary adjustments are required for the treatment of urinary incontinence. Several spicy and acidic food items can make urinary incontinence worse. Hence, you should avoid having such foods for some time. 
  3. Urinary incontinence can lead to stress and you must get rid of it for better health. You can try relaxation techniques, such as meditation and breathing exercises. Biofeedback is another option by which you can observe your bladder muscle contractions on a monitor. 
  4. You should try a behavioral technique known as bladder training. This would require you to urinate every half hour, in spite of not having the urge. Slowly try to increase the time in between the bathroom breaks. 
  5. You need to flex your muscles to gain control over urinary incontinence. Kegel exercises can be practiced as they boost the strength of your pelvic muscles. 
  6. You should find the right muscles that are required to stop the passing of gas. 
  7. Pads and disposable undergarments can be used by men. These help in containing leaks and also protect the skin from irritation and odor. 

There are several medicines, which help in the treatment of urinary incontinence in men. Some of these work to relax muscles for preventing unwanted bladder contractions, while others help in blocking the nerve signals to the bladder. Drugs used for the shrinking and treatment of an enlarged prostate are also used as blocked by prostate lead to bladder irritation. Now-a-days, more than 80% cases of incontinence in males respond well to medications.

Surgery may be the ultimate option for the treatment of urinary incontinence. Options depend on the cause of incontinence. If it is because of obstructing prostate, prostate surgery by TURP / HOLEP is curative. If it is because of bladder overactivity, BOTOX injection in bladder is useful. If it is TRUE incontinence after radical prostate surgery then treatment include a male sling or artificial urinary sphincter implantation. In sling operations, a type of material is wrapped around the urethra for compressing it. In Artificial sphincter implantation, a cuff is used in order to close the urethra. Urine is released by squeezing the pump to open the cuff. A Interstim device similar to a pacemaker is used to stimulate nerves, which help in relaxing the bladder and pelvic floor. If you wish to discuss about any specific problem, you can consult an urologist.

2815 people found this helpful

I am a 16 year old boy I have two kidney stones (3.2 mm,3.0 mm) in my Righ kidney which type of food should I have to eat to bypass this or which food I have to avoid please tell me.

MBBS, MS - General Surgery, M. Ch. (Urology), DNB (General Surgery), MBA
Urologist, Noida
I am a 16 year old boy I have two kidney stones (3.2 mm,3.0 mm) in my Righ kidney which type of food should I have to...
You are a young person with small kidney stones. Most of the time these small stones pass by its own. Drink frequent water and citrus fruits help in prevention of stone. Please confirm on ncct kub about stones. Most of the times this size stones are not properly confirmed on ultrasound. Dietary restriction are not practical so eat normal balanced diet.
13 people found this helpful
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