Doctor in One Health Urology Clinic
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
Submit a review for One Health Urology ClinicYour feedback matters!
Patient Review Highlights
I am very satisfied with the doctor advice.he is very friendly and listen to your problem patiently.
Excellent, very true advice, saved from surgery
Excellent, very helpful.
Dr. Shalabh Agrawal is well experienced in his speciality. He has execellent diagonsis. He is very humble and give attention to all details and concurrent disease
Knowledgeable , listens patiently, correct advise
An experienced surgeon and a thorough gentle. He stood by me through out the course of surgery and stay. He is very confident in his work. The kind of person you would like to be at your side when you are going through surgery. I am very happy and satisfied with his treatment.
I found the answers provided by the Dr. Shalabh Agrawal to be very helpful, knowledgeable, thorough and professional. Listened and Answered all my queries patiently.
He is an excellent doctor. Analyse the problems very patiently and doesn't give avoidable unnecessary medicines or tests.
Best urologist in gurgaon. Suggested the right approach. Would recommend to everyone.
Great experience, very helpful and understanding
He is an excellent doctor with great knowledge
The kidneys are bean-shaped organs located on either side of the spine behind the abdominal organs. Their main function is the removal of wastes from the body. On any given day, the kidneys filter out about 200 litres of blood and remove the toxins from the body via water.
In addition to this, the kidneys also produce hormones which help in vitamin D regulation and blood pressure control. Also, the red blood cell production in the bone marrow is promoted by the kidneys.
Due to ageing or injury, the kidneys can get damaged which can deeply affect their function. Chronic kidney disease is caused by damage to the kidneys that occurs over months to years. The normal rate of filtration of the kidneys is known as glomerular filtration rate (GFR), and the normal value is about 90.
Lower the GFR, greater the severity of the kidney disease, as below
- Stage I – Slight kidney damage reduction of about 90
- Stage II – Mild kidney damage with GFR in the range of 60 to 90
- Stage III – Moderate kidney damage with GFR between 30 and 60
- Stage IV – Severe kidney damage with GFR between 15 and 30
- Stage V – Kidney failure which often requires dialysis.
GFR is calculated using a formula that includes a person’s age, gender, race, and serum creatinine levels. Once kidney damage onsets, it may take years for progression. The sooner it is identified, the better is the prognosis.
Older age, feminine gender, diabetes, hypertension, smoking, obesity, cardiovascular disease, diabetes, kidney problems like polycystic disease, and recurrent kidney infections are some risk factors for developing chronic kidney disease.
Kidney damage can occur for a long time before the symptoms become evident. Also, if one kidney is affected by the loss of function, the other kidney often will compensate by taking the additional load. Over a period of time though, given that it has various functions, different symptoms will manifest. Common ones include:
- Increased frequency of urination, especially at night
- Increased fluid retention in the body, leading to puffiness of the ankles and eyes
- Increased blood pressure
- Increased fluid accumulation in the lungs, leading to shortness of breath, even with minimal exertion
- Fluid around the heart leading to chest pain
- Reduced red blood cell production, leading to anemia
- Weak bones, due to vitamin D deficiency, leading to bone pain and even fractures
- Generalized weakness and lethargy
- Increased blood pressure
In a person who has likely risk factors, these symptoms should be watched for. Early detection helps in arresting disease progression and reduced treatment interventions.
Haematuria is a condition wherein there is blood in the urine because of excessive red blood cells in it. Up to 12,500 red blood cells/mh can be occasioned in a healthy individual, but more than this may cause blood in the urine.
Types of haematuria:
- Gross haematuria: Also known as macroscopic haematuria, it is a condition in which the colour of the urine changes to pink, bright red or reddish brown.
- Microscopic haematuria: In this case, the colour of the urine remains normal because of low RBC count (15000-20000 cells/mh), which can be found only through a microscope.
Causes of macroscopic haematuria:
The red or brown discolouration of the urine is the cause of gross haematuria
Painful gross haematuria is usually caused by one of the following:
- Kidney stones
- Strenuous exercise
- Blunt trauma
- Kidney infection i.e. Pyelonephritis
- Urinary tract infection i.e. cystitis
- Painless gross haematuria may be caused due to the following:
- Kidney or Bladder Tumour with following risk factors:
- Age over 35 years
- Occupational exposure
- History of smoking
- Reduced urination
- High blood pressure
In glomerulonephritis, haematuria with oedema, hypertension and oliguria may be present. Other benign causes include:
- Basement membrane disease
- Vascular malformations
- Non-glomerular bleeding (outside the kidneys i.e. ureters, urinary bladder, prostate, and urethra) has three most common causes:
- Urinary tract infection (UTI)
- Benign prostate hyperplasia (BPH)
- Tract stones
Your physician will examine the sample of your urine. He will ask about your family’s medical history related to kidney disease, prostate, bleeding disorders or bladder problems. Your doctor would want to know about any strenuous exercise you may have been doing, or any medication you have been on. The urine sample given for urinalysis will reveal whether you have a problem of kidneys or bladder or glomerulonephritis. Depending on this, tests such as ultrasound, CT scan, cystoscopy, blood tests etc. may be suggested.
Avoid smoking as it causes urine-related tumours.
Stay hydrated to improve the flow of blood in your body.
- Urinary tract stones can be removed by lithotripsy, which enables the stones to break.
- Treatment for traumas depends upon the severity of the trauma. In worst case scenarios, surgeries may be done.
- Surgeries, chemotherapy, immunotherapy, or radiation therapy may be opted for if tumour is found either in the kidneys or the bladder.
- Antibiotics may be prescribed to improve and increase the urination so that toxins flush out of the body.
Haematuria caused by exercise, medication, small kidney stones, UTI or prostate problems can be cured with complete recovery. In case of tumours in the bladder and kidneys, if detected on an early stage, it can be successfully cured.
Acute renal failure is an exceptional condition that befalls when the kidney loses the ability to eradicate salts, waste material and fluid from the blood. Since waste elimination is the core function of the kidney, failure to do so results in body fluids rising to dangerous levels. Acute renal failure is often witnessed by people who are already under medical supervision. The condition can aggravate in a matter of few days to few weeks. It is potentially a life-threatening condition and requires expert medical care under supervision.
Potential causes of acute renal failure: There could be a flurry of reasons for a renal failure. Some of the common ones include conditions that slow down the flow of blood to the kidney, kidney gets directly damage, the uterus gets blocked and the waste can’t leave the body through the urine etc. Here is more on the causes:
- Kidney failure due to slow blood flow to the kidney: Some diseases or conditions that might slow down the flow of blood to the kidney include fluid loss, heart attack, allergic reaction, infection, extreme dehydration, cardiac diseases, liver failure, consumption of blood pressure related medication, use of drugs such as ibuprofen, naproxen etc., severe burns etc.
- Kidney failure due to a direct damage to the kidneys: Some of the agents/diseases or condition that can directly damage the kidneys include
- Cancer of the plasma cells
- Premature destruction of the RBC, a condition known as the Haemolytic Uremic Syndrome
- Certain medication including but not limited to chemotherapy drugs, dyes that are utilized in imagery tests, zoledronic acid etc.
- An inflammation of the blood vessels
- A disorder of the immune system leading to glomerulonephritis. This condition is known as lupus
- A rare disease affecting the connective tissues and skin, known as scleroderma.
- Inflammation of the kidney filters known as glomerulonephritis
- Consumption of certain toxins including but not limited to heavy metals, alcohol, cocaine etc
- A blood disorder, known as the Thrombotic thrombocytopenic purpura.
Renal failure due to blockage of the urine: There are certain conditions, diseases that can block the passage of urine leading to acute renal failure. The urinary obstruction can result from an array of conditions including enlarged prostate, kidney stones, blood clots in the tract of the urine, cancer in the bladder, cancer in the colon, damage of the nerve that controls the bladder, cancer-related to the cervics etc.
Some special condition: Apart from the condition mentioned-above, there are certain disorders that can lead to acute renal failure due to clotting of the blood vessels. Some of the conditions are malignant hypertension, hemolytic uremic syndrome, transfusion reaction, ITTP, scleroderma etc.
Hi, I have problem in testicle near my penis and I have only one testicle from my childhood Is there any problem in my future.
Urinary tract stones begin to form in a kidney and may enlarge in a ureter or the bladder. Depending on where a stone is located, it may be called a kidney stone, ureteral stone, or bladder stone.
I have been diagnosed as enlarged prostate gland with low flow of urine in the range of 10. I am 56 years old and having this trouble since 2014. Six months back owing to severe urine infection PSA level was 10, which has come to normal after medication. Again my PSA is 4.210. Earlier since Mach 2018 I am taking Silofast, which has been changed to now Floral 10 mg. Urologists is advising of removal of prostate gland now if urine flow does not improve after one month. What is your opinion? What will be sex life after removal of prostrate gland? I am having no blood pressure and sugar.
Sir, I have never cleaned my private part. Since last 2 weeks I have seen some white things between foreskin and head, which is smelling sometimes. And white things can be removed by washing. The penis is sometimes itchy and swelling but no pain. what can be the problem and whats the cure?
I have to go for passing the urine again & again (frequently) than a normal person. Around every one hour. Next is when I pass the urine it falls on my feet only instead of the pressure. Please help me in this by giving me a very good remedy.
1 Excess oxalates and not calcium leads to kidney stones.Moderate calcium in diet is important for bone strength, kidney health and general well being.Milk and dairy products are important sources of calcium and should be regularly included in diet.Calcium supplements taken with proper medical advise are absolutely safe.
2.Green leafy vegetables are important sources of vitamins and minerals and hence form a very important part of diet. They contain oxalates which increase risk of stone formation hence should be taken in moderation.
3. A diet with low salt, low fat, moderate calcium is best to prevent stone formation
4. Take at least 1.5 to 2.0 liters of fluid distributed uniformly through out the day to prevent stone formation.