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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
Nikhil Sharma is very professional and is a really patient listener. The guidance he gave me has helped me immensely with my situation. The overall atmosphere in the Deepak Memorial Hospital & Medical Research Centre is very soothing. I was amazed that other doctors before him were not able to even diagnose my problem, but Nikhil Sharma did it immediately and started the enlarged prostate treatment for it. I have had this enlarged prostate from quite some time. Dr Nikhil Sharma guidance has helped me immensely and has helped gain confidence.
It has been quite some time that i was suffering from erectile dysfunction. I was panicked, because I never thought I will suffer from erectile dysfunction like this. Dr Nikhil Sharma is a very practical doctor. They took very nice care of me, i never felt that I am in a Deepak Memorial Hospital . He is not just highly qualified, but has years of experience in handling high risk cases. As someone I knew, consulted this Nikhil Sharma and they referred us. With the help of his treatment for erectile dysfunction I am feeling so great.
My son was facing a hydrocele when he was 2 years old. I was worried about his condition but after consulting Dr NIkhil, a known urologist, his condition is better. I thank him for the treatment . I am glad that I chose him for ,my son's treatment. He is really a kind hearted doctor and I would recommend to consult him if anyone facing such issue.
I have consulted so many doctors , but no one was able to solve my hydrocele. Dr Nikhil is a very practical doctor. Even in case of long queues, the staff was managing people in a very positive manner. . The hydrocele treatment has helped me greatly and now I am perfectly fine. He traets his patients very nicely.
Bladder cancer can be caused by a variety of factors, which include genetic factors, inheritance, drugs, chemicals, environment related factors and smoking. In fact, smoking tobacco is one of the major causes of bladder cancer around the world. The chemicals present in tobacco can irritate the bladder lining which ultimately leads to bladder cancer. Besides smoking other important environmental factors might be chemotherapy, exposure to chemicals from newspaper, dye, leather, paints industries.
Symptoms of bladder cancer are as follows:
Most often it occurs in people more than 50 years of age. It can present in different ways, but common symptoms being :
- Painless hematuria - reddish or brownish colored urine with or without clots Increased frequency of urination Pain while passing urine .
- Difficulty in passing urine
The diagnosis requires a proper imaging workup including ultrasound, CT scan and urine examinations. Following the initial imaging, a biopsy is required to confirm the diagnosis and stage the disease. This is done by cystoscopy under anesthesia.
Treatments for bladder cancer.depend on the stage of cancer. Broadly bladder cancers can be categorised into Non-invasive and Invasive cancers.
- For non-invasive cancers: It requires recurrent cystoscopic surveillance and resection. For those with high risk of tumor recurrence or progression, intravesical chemotherapy or immunotherapy might be required.
- For invasive cancers the various treatment choices are:
- Surgery: For localised tumor which are amenable to resection perhaps surgery is the best possible treatment. This is a major undertaking where in whole of bladder along with accessory organs is removed. The surgeon may offer choices for reconstruction between neobladder (refashioning bladder with patient's gut) or ileal conduit (fashioning a stoma over which bag can be worn to collect urine). Following surgery a regular follow up is required and the prognosis is good.
- Chemotherapy: This modality is reserved for patient's where surgery is not possible or they have metastatic disease (disease spread to other body parts).In this method, medications are used to target and destroy cancer cells.
- Radiation Therapy: This might be and option for patient's that are not suitable for surgery. Radiation therapy uses gamma rays to destroy cancer cells in the body The key to good prognosis in bladder cancers is early detection timely intervention and good follow up. If you wish to discuss about any specific problem, you can consult a Urologist.
Urinary incontinence is a health condition in men, which causes 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.
Here are several methods used to treat urinary incontinence:
- 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.
- 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.
- 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.
- 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.
- You need to flex your muscles to gain control over urinary incontinence. Kegel exercises can be practiced as these boost the strength of your pelvic muscles. You should find the right muscles that are required to stop the passing of gas.
- Pads and disposable undergarments can be used by men. These help in preventing 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 of an enlarged prostate may also be used in some cases.
Surgery is the ultimate option for the treatment of urinary incontinence. Options include a male sling for urinary incontinence. A type of material is wrapped around the urethra for compressing it. Leaks because of coughing, sneezing or laughing are prevented. Artificial sphincter implants may also be used for treatment of urinary incontinence. A cuff is used in order to close the urethra. Urine is released by squeezing the pump to open the cuff. A device similar to a pacemaker is used to stimulate nerves, which help in relaxing the bladder and pelvic floor.
Urinary incontinence is a condition which causes reduced self confidence in men. But there are several ways to treat this condition which include home remedies as well as medications and surgery. If you wish to discuss about any specific problem, you can consult a Urologist.
The prostate gland is a male reproductive organ at the base of the urinary bladder and urethra is a thin tube that carries urine out of the penis. It runs through the prostate gland. A fluid produced by this gland helps to carry sperms produced by the testes outside during intercourse.
Following things can be done for maintaining a healthy prostate:
- Eat fruits and vegetables - Including fruits and vegetables in your diet can help to maintain a healthy prostate. Guava, papaya, tomato and watermelon are some of the options that spell good for your prostate. Vegetables like cabbage, cauliflower, broccoli and Brussels sprouts should also be included to boost the health of the gland. Ideally, you should have about 5 servings of fruits and vegetables daily.
- Have selenium-rich foods - Having foods rich in selenium (a powerful trace mineral) like tuna, eggs, cashews, onions, garlic, etc can reduce your risk of developing prostate cancer.
- Workout to stay fit - Exercising regularly and maintaining an optimum weight can help to keep your prostate gland at an optimal health. Several types of research have revealed the beneficial aspects of exercising. It's said that physically active men are less likely to suffer from enlarged prostate if they performed a physical activity of low to moderate intensity. Likewise, physically active men who ran for 90 to 108 minutes are 20% less likely to develop erectile dysfunction.
- Have more soy products - Eating more soy products like tofu, soy flour, soy nuts can help to keep cancer of the prostate at bay. A study published in the British Journal of Urology International revealed that men who had soy products saw a 40% decrease in their risk of developing an enlarged prostate. If you wish to discuss about any specific problem, you can consult an urologist.
Benign prostatic hyperplasia or BPH is a condition where the prostate gland gets enlarged. This is mostly common in men who are ageing. When the prostate gland gets enlarged, the flow of urine through the urethra gets blocked, and hence, several problems related to urination may occur. BPH occurs as a result of hormonal imbalance. If untreated, BPH can lead to severe bladder and urinary health conditions.
There are several symptoms and signs of benign prostatic hyperplasia. Here are 7 common symptoms:
- A frequent need for urination: Men affected by BPH feel an increased need to urinate frequently. This gets enhanced during the night and is called nocturia. The patient may even need to urinate more than eight times a day. Due to the enlarged prostate gland, more pressure is put on the urethra, which leads to uncontrollable urination.
- Urinating difficulties: The act of urination becomes difficult. Because of enhanced pressure on the urethra, the flow of urine to the penis from the bladder gets blocked. This makes a urine stream hard to start. The urine stream gets weak and interrupted, and more difficulty may be experienced during the end of urination.
- Pain during urination and ejaculation: Due to pressure on the urinary tract and reproductive system, pain can accompany urination and ejaculation. Some patients tend to push urine out, which results in pain. The pain may also occur because of infection during BPH.
- Blood in urine and an unusual color/smell: Urine may take a dark color and have an unusual smell due to urinary retention. Unpleasant urine smell signifies urinary tract infections. Blood in the urine may also result because of dilated veins present on the surface of the enlarged prostate.
- Urinary retention: When a patient is unable to pass any urine, it is called urinary retention. Such a condition requires immediate treatment, and you need to consult a doctor immediately.
- Urinary tract infections: Bacteria may start growing in the bladder when the bladder is not fully emptied of urine. This bacterial infection causes darkening of the urine, and emission of a foul odor.
- Bladder stones: Bladder stones may develop because of the inability of the bladder to empty itself completely. This is a major symptom of BPH. Hard lumps of minerals or bladder stones are formed when the urine present in the bladder gets highly concentrated, which causes the crystallization of minerals. Bladder stones may cause infections, result in blood in urine, cause bladder irritation and may also block urine flow.
So you see that benign prostatic hyperplasia involves the enlargement of the prostate gland, and results in several problems related to urination and different symptoms. Hence, immediate treatment is advisable.
What are kidney stones?
The primary function of the kidney is to filter the blood and eliminate the waste products through urine. The waste deposition is sometimes in the form of excessive calcium, uric acid and other undesirable contents. It may cause the urine to get highly saturated. This is when stone-like formations take place inside the kidneys. Kidney stones are also termed renal lithiasis or calculi. There are different kinds of kidney stones, which are differentiated based on its varied constituents. Kidney stones cause excruciating pain and uneasiness. Frequent urination, extreme discomfort during urinating and presence of blood in the urine are some of the major signs of kidney stones. The symptoms are not evident if the stones are very small in size.
Causes of kidney stones:
- Incorrect calcium intake: High amounts of calcium can lead to high calcium depositions in the kidneys. It is important to keep the calcium intake moderate. Calcium supplements must be checked if you have already included dairy products in your diet.
- Abnormal rates of sodium in the body: Sodium, just like calcium, gets deposited in the kidneys.
- Excessive animal protein intake: Too much of animal protein intake can make the urine turn acidic, leading to uric acid depositions in the kidneys.
- Sugary, aerated drinks: These lead to undesirable waste deposition in the blood stream and eventually in the kidneys.
- Inadequate water intake: Not keeping the body well hydrated can cause the urine to turn acidic and increase waste deposition.
Potential risks and complications of kidney stones:
- Kidney stones may cause an infection in the kidneys which may eventually spread to the other internal organs and surrounding tissues.
- Kidney stones block the ureter and cause severe pain and discomfort that make sitting, standing or any other posture difficult.
- Kidney stones rarely cause kidney failures but the severe blockage and infection may cause such detrimental results in the human body. If you wish to discuss about any specific problem, you can consult an urologist.
Blood in urine, medically known as Hematuria is not usually a cause of concern, but it can translate into an adverse condition if left unevaluated. The kidneys and other structures in the urinary tracts such as urethra (tube connecting the bladder to the outer part of the body); bladder (that stores the urine) and ureters (tube joining the bladder to the kidney) are the sources of blood flow to the urine. Hematuria can be accompanied by symptoms such as discharge of tea-colored, brownish-red or pink colored urine due to the presence of red blood cells, traces of which can only be detected under the microscope.
Underlying causes behind this disorder might be:
- Urinary tract infection is where the bacteria enter the body through the urethra and begin to proliferate in the bladder.
- Kidney infections (pyelonephritis) is when bacteria infiltrate into the kidneys from the bloodstream or travel up from the uterus to the kidneys.
- A kidney or a bladder stone is marked by the minerals in the concentrated urine precipitating out and molding into crystals that deposit on the bladder or kidney walls.
- Enlarged prostate is a condition in which the prostate gland, that is situated just below the bladder surrounding the upper part of the urethra, starts growing as males head towards their middle age.
- Kidney disease such as glomerulonephritis causes swelling of the kidneys, thus disrupting the filtering system.
- Bladder, kidney and prostate cancer are also possible causes.
- Hereditary disorders such as sickle cell anemia (a hereditary disease of the red blood cells in the hemoglobin) can also pose as a cause behind this disorder.
- Kidney injury as a result of heavy blows, accidents or injuries sustained while playing a spot can also contribute to this condition.
- Medications such as penicillin or the anti-cancer drug ‘cyclophosphamide’
- Strenuous physical exercises like intense workout or running may also result in Hematuria.
There is no fixed cure for Hematuria; instead the doctor would work on treating the repressed conditions behind the symptoms, such as prescribing antibiotics to heal the urinary tract infection or a medicine to shrink and normalize the enlarged prostate or administer a shock wave therapy to destroy the kidney or bladder stones. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
I just want to know can we operate Nephrectomy by laparoscopy, When the test reports showing the left side kidney completely not working and two kidney stone sized 15 mm, 9 mm. After consulting a doctor he said should make a Nephrectomy surgery to remove the left kidney, But I want it to make operations by laparoscopy is it possible.
Only men have prostate gland and it surrounds that part of the tube which carries urine out of the body from the bladder. When cells in this gland start growing without any control and get clumped with each other, they form tumors. It is then the chances of prostate cancer arise in the men's body. These tumors can be malignant, and they can kill the healthy tissues of your body and spread to other body parts.
Chances of getting prostate cancer
The chances of getting prostate cancer are among men who are over 65 years of age. The ratio of getting prostate cancer is one among six men. It is more common in black men compared to white men, Hispanic men and Asian men. Moreover, when there is history of prostate cancer in your family, the chances of having prostate cancer increases.
Now, let's find out the symptoms that will let you know that you may have prostate cancer.
Symptoms of prostate cancer
There are different stages of prostate cancer and depending upon the stage you can get to know various symptoms.
However, the problem is that in the early stages there are no specific symptoms of prostate cancer. Certain urinary symptoms may suggest that you are suffering from prostate cancer. Such symptoms are:
- Frequent urination
- Difficulty with starting urine flow
- Urination that burns
- Blood in the urine
- Weak flow, or 'dribbling'
These symptoms always do not mean that you are suffering from prostate cancer, as these symptoms may be there when your prostate gland gets enlarged.
Another symptom associated with prostate cancer is pain in different parts of the body. When the cancerous cells spread they cause pain around the prostate gland. There can be pain in the hips, pelvis, and lower back or upper thighs.
Prostate gland also plays a major role in the male reproductive system. Thus, if there is any sexual dysfunction, there are chances that it may be due to prostate cancer. If you are having a problem in getting an erection or maintaining it also becomes difficult, one problem can be prostate cancer. Sometimes you may experience painful ejaculation, which also points towards chances of having prostate cancer.
Thus, if you experience any of the above mentioned symptoms, its right time to get to your physician. Remember that as there are no early symptoms, the moment you find any of these symptoms, you should pay a visit to your Doctor.
Related Tip: "Prostate Cancer and Its Psychological Impact"
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.