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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
It was getting very difficult for me to cope us with my kidney stones. He is very talented and seasoned doctor. I was in too much pain because of kidney stones, but even after consulting a number of doctors, I was not getting any relief. Thanks to the expert care and guidance, I feel much better than before. The guidance Abhinav Agarwal gave me has helped me immensely with my situation.
I have consulted so many doctors , but no one was able to solve my hydrocele. Dr Abhinav 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 treats his patients very nicely. I would surely suggest to consult him if anyone facing the same issue.
I have taken consultations with 2 other urologist in gurgaon before Dr. Abhinav Agarwal for the same problem but didn't get proper solution and was very much worried but once i took consultation from Dr. Abhinav, i got relax a lot. now i am very comfortable. I would suggest patients like me, need to visit him for any urological problems. Thanks Dr. Abhinav.
Due to my sensitive bladder i was suffering from number of problems. I chose to visit Apollo miracle clinic, where I met Dr Abhinav . He is a well known urologist. 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 him for my treatment as now I am perfectly fine.
I am so thankful that Dr Abhinav has given me the best advice and I am now finally able to get back to my normal self. He with great ease handled my hydrocele case with graet ease. I am back to my normal self after getting treatment from him.
I was in too much pain because of my urinary infection. But Dr Abhinav helped me alot to deal with this issue. He is a well known urologist in the city and I am glad that I chose to consult him.
While certain health conditions cause physical trauma, there are conditions that cause mental trauma as well. One such problem is urinary incontinence that causes embarrassment in the sufferer. Urinary incontinence is a clinical condition where there is a loss of bladder control which invariably leads to accidental leakage of urine. An individual suffering from this condition may feel an urgent need to pass urine right before passing a significant amount of urine.
The severity of the condition can be under control, or it could be a major concern. Some people are not able to take part in the day to day activities such as lifting heavy weights or exercising, and it leads to emotional distress. The condition may cause other issues and increase one's chance of developing other health issues like high blood sugar and obesity.
What are the possible causes?
- Urinary incontinence in men occurs when the brain fails to give the signal to the bladder for the sphincters to squeeze properly. It may cause contraction of the bladder muscles to a great extent or fail to contract altogether. If the sphincter muscles or the associated nerves are damaged, it can lead to various issues.
- Moreover, some people are born with problems in the urinary tract, which increases the chances of developing urinary incontinence. Also, a history of surgery involving the urinary tract or prostate cancer or radiation therapy for prostate cancer may cause this problem in men.
- It is important to note that urinary incontinence is not a disease. It is instead regarded as a symptom of some health issue or any incident.
Knowing the type is crucial to decide on the treatment
There are mainly four types of urinary incontinence in men which include:
- Urgency incontinence: This happens when a person starts urinating involuntarily after the urgent need to urinate. It is primarily caused by involuntary bladder contractions triggered by abnormal nerve signals.
- Stress incontinence: This may result from movements exerting pressure on the bladder and causing leakage of urine. This stress may result from coughing, sneezing, laughing or any other physical activity.
- Functional incontinence: This type of urinary incontinence takes place when some physical disability or external obstacles or problems keep a person from urinating at the right time. For instance, a man in a wheelchair may face difficulties in going to the toilet in time.
- Overflow incontinence: If the bladder is not able to empty correctly then it may result in the spilling of excess urine leading to urinary incontinence. People suffering from urinary incontinence may require frequent urination since they are only able to release a small part of what their bladder can hold.
What are the treatment options for urinary incontinence in men?
A healthcare professional may recommend behavioral and lifestyle changes along with other therapies such as pelvic floor exercises and bladder training to help reduce the severity of urinary incontinence in men. In severe cases, medications are prescribed to establish bladder control.
A pretty common condition in the elderlies, urinary incontinence can be treated and managed with an awareness and medical help. In case you have a concern or query you can always consult an expert & get answers to your questions!
A kidney stone may not be as big as the stones in your garden, but can be quite a pain. Kidney stones are actually mineral crystals that are usually a combination of calcium and phosphates. The size of a kidney stone ranges from the size of a sugar crystal to a ping pong ball. While some kidney stones pass out of the body along with urine, others can block the ureter and become painful.
In addition to being painful, a kidney stone can cause permanent damage to your kidneys. Since large kidney stones are usually painful, they rarely go undiagnosed. However, if a kidney stone is left untreated, it could cause the kidney to atrophy and lower the functionality of the kidney. Kidney stones that are related to an infection can also lead to chronic urinary tract infections and damage the kidney through scarring and inflammation. This could eventually lead to kidney failure.
Not all kidney stones need to be treated with surgery. If the kidney stone is very small, your doctor may prescribe plenty of water and medication to treat the pain. With plenty of water, you should be able to pass the stone in your urine. Ideally, you should take plenty of rest until the stone is passed.
Larger kidney stones may need you to be hospitalized for treatment. These are:
- Extracorporeal shock wave lithotripsy (ESWL): To begin this of treatment, a painkiller is administered. Ultrasonic waves are used to determine the location of the kidney stone. Shock waves are then passed through the kidney stone to break it into smaller pieces, which can then pass out of the body through urine.
- Ureteroscopy: This is also called retrograde intrarenal surgery and is performed when the kidney stone is stuck in the ureter. A ureteroscope is passed through the urethra and bladder into the ureter. Laser energy may then be used to break the stone into smaller pieces to unblock the ureter.
- Percutaneous nephrolithotomy (PCNL): This surgery is performed under general anesthesia. It involves a small incision being made in the back and a nephroscope passed into the kidney through it. Laser or pneumatic energy is then used to break up the stone into smaller pieces and pull them out.
- Open surgery: Open surgery is performed only in the case of an abnormally large stone or abnormal anatomy of the person. An incision is made in the back that allows the doctor to access the kidney and manually remove the stone. In case you have a concern or query you can always consult an expert & get answers to your questions!
Do you know that if you are obese, or frequently dehydrated or if you have a family history of kidney stone you at risk for developing the same as well? Furthermore, if you had kidney stone previously, you may develop one again. But there is no need to panic as you may follow certain simple measures to prevent the formation of kidney stone and avoid the accompanying discomfort.
Important precautionary measures
When it comes to improving the health of your kidneys, drinking an adequate amount of liquid, mainly water is of utmost importance. Unless you are suffering from kidney failure, urologists recommend having around 6 to 8 glasses of water in a day. Since studies also indicate that being overweight puts you at a higher risk of developing kidney stones, consult an experienced dietitian who can aid you in planning meals for helping you lose weight. And, if you already had a kidney stone in the past, adopt the following measures to avoid recurrence.
- Calcium oxalate stones: It is essential to reduce the amount of oxalate in the diet to reduce the level of oxalate in the urine. For instance, you should reduce the consumptions of nuts, peanut legumes, spinach, rhubarb, and wheat bran. You should also reduce the amount of sodium and animal protein in the diet. You should also aim to get enough calcium from your diet.
- Calcium phosphate stones: Regardless of what type of stones you are likely to be affected with, taking too much of sodium increases the risk of having kidney stones. You should also limit animal protein which includes eggs, fish and shellfish, beef, chicken, pork, milk, cheese and other dairy stuff. You should also consult an expert about what are the best sources of calcium for your specific condition.
- Uric acid stones: Even though you have to limit the amount of animal protein in your diet, you should ensure to get enough protein in the diet. You may consider replacing some amount of animal protein with some of the plant-based foods such as soy foods, legumes, nuts and nuts products and sunflower seeds. If you are overweight, you should consider losing the required weight for preventing the occurrence of uric acid stones.
- Cystine stones: To avoid cysteine stones, drinking enough water is the most significant lifestyle alteration that you can make. You should also check if the foods you are eating are sources of hidden sodium. For instance, you must limit the intake of baking soda, baking powder, disodium phosphate, sodium nitrate or nitrite and monosodium glutamate.
As can be seen, no one shoe fits all concept when it comes to kidney stones.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Urological problems such as urinary tract infection, urinary incontinence, and kidney stones are highly prevalent across gender and age groups. But there are several simple measures you may undertake to improve urological health and prevent such problems.
Read on to know how to go about it.
- Drinking adequate amount of fluids: Waste products are mostly eliminated through urine, and when you drink more water, you will be able to remove more toxins from the body. The general recommendation is having 8 glasses of water in a day even though this varies on an individual basis. You must also consider drinking cranberry juice which offers protection from various types of infections of the urinary tract. And you should drink an extra amount of water while exercising and when you are spending a lot of time outside as you might excrete more water through perspiration.
- Cutting down the intake of caffeine and alcohol: Both alcohol and caffeine act as a diuretic and they irritate the lining of the urinary bladder. This causes frequent urge to urinate.
- Avoid holding urine: You should never practice holding the urine for a long span of time but try going to the toilet whenever you feel the urge.
- Controlling the daily intake of salt: When you consume too much of salt, the sodium in the body increases and it causes retention of fluids in the body. This is invariably linked with high blood pressure which can cause damage to the kidneys and formation of kidney stones. Thus, it is essential to reduce the intake of canned foods, fried stuff, and processed foods.
- Keeping the genital area clean: You should always aim to keep the genital area clean by washing it with plain water or some mild cleanser once in a day. Also, while indulging in sexual intercourse, bacteria along with other micro-organisms can enter into the urinary tract causing infection. Women are at a higher risk of developing urinary tract infections since they have a shorter urethra. Male groins and female vaginas are considered breeding grounds for different pathogens which can transfer from one partner to another during intercourse hence care should be taken.
- Preventing urological problems in women: Once you use the washroom, you should wipe the genital area from the front part to back. You should not use perfumed soaps and cleansers in the vaginal areas. Wearing cotton panties is always a healthier option than other fabrics. One should also avoid using vaginal deodorants and spermicidal creams to prevent infections.
Though numerous treatment options are available for these disorders since prevention is always better than cure, adopt these practices to steer clear of these common problems. Further, incorporating lifestyle changes such as eating a balanced diet coupled with exercise and leading a stress-free routine can pave the way for general good health.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Human urine is a useful tool for the diagnosis and detection of several health conditions. The color, smell and density of your urine can reveal a lot about the state of your health. Color, especially, is a strong determinant of many ailments or concerns.
Here is a list of the health conditions you might be suffering from, based on the color of your urine:
- Straw color to transparent yellow color: This urine color signifies that your body is healthy and perfectly hydrated. This should be the normal color of urine, which shows you are in good health.
- Transparent or clear: Transparent and extra clear urine indicates that you have drunk too much water, which leads to the transparent appearance. It happens due to overhydration.
- Dark yellow color: This shade of urine is considered normal, but it may indicate some amount of dehydration. You need to drink more water to eliminate the darker yellowish tinge from your urine.
- Honey color: Urine of honey color signifies dehydration and you must consume increased amounts of water.
- Pink or red color: Your urine may have a pinkish red shade when you consume foods like carrots, beets, blackberries and rhubarb. This may also happen due to the effect of some antibiotics or a drug which treats urinary tract infections. The presence of blood in your urine is indicated by these colors too, and it can lead to kidney diseases, UTI, prostate problems or tumors.
- Orange color: Your urine may have an orange color which resembles the color of orange soft drinks. This occurs as a result of high dose of vitamins and several antibiotics. This color may also indicate dehydration or problems related to the kidney or bile duct.
- Blue or green color: Such shades may be present in your urine because of dyes present in food items and medications. Your urine may turn blue or green, signifying several other medical conditions which require immediate medical attention.
- Foamy: If your urine has a foamy appearance, irrespective of the color and shade, you need to consult a doctor. Consistent foamy or frothy appearance of your urine may indicate the presence of protein in your urine, which further signifies problems in the kidneys.
- Maple syrup color: Urine of this shade indicates a severe case of dehydration or liver diseases
Your urine tells a lot about your health by its color, odor and density. The color is an essential determinant for detecting several health conditions, which may be simple or chronic in nature.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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.
Bladder cancer refers to a cancer, which arises from the epithelial lining or the urothelium of the urinary bladder. In the most common form of bladder cancer, the normal histology of the urothelium is recapitulated. It is called transitional cell carcinoma. Bladder cancer is a serious form of cancer that leads to many deaths too.
There are several modes of treatment for bladder cancer. They are:
1. Bladder cancer surgery: Surgeries are common for treating bladder cancer.
2. Transurethral resection of bladder tumor or TURBT: This mode is used for determining the presence of bladder cancer and to find out if it has invaded the bladder wall muscle layer. This treatment mode is generally used in the early stages of bladder cancer.
3. Cystectomy: A cystectomy is undertaken when bladder cancer is very invasive and parts of the bladder or the whole of it has to be removed. There are two types of cystectomy.
- Partial cystectomy is used when the cancer invades the bladder muscle layer in a small area. It can be removed without the whole bladder being taken out.
- A Radical cystectomy is undertaken in case the cancer affects a large area and is present in multiple areas of the bladder. This surgery removes the bladder entirely and all its nearby lymph nodes.
4. Intravesical therapy: In intravesical therapy, a liquid drug is put directly into the bladder via a catheter instead of injecting it or consuming it orally. The cells lining the bladder are affected without causing any harm to other body parts. This therapy is usually used after TURBT in non-invasive cases of bladder cancer to prevent recurrence.
5. Chemotherapy: Chemotherapy is an effective treatment for bladder cancer. Chemotherapy may be used in two ways:
- Intravesical chemotherapy, where the chemo drug is put directly into the bladder and is applicable only for early treatment stages.
- Systematic chemotherapy, which involves the injection of chemo drugs into the vein or muscle and can also be administered in the form of pills. The drug reaches all parts of the body via the bloodstream and affects all cancer cells.
6. Radiation therapy: This treatment procedure for bladder cancer involves the use of high energy radiation for killing cancer cells. It is used in early phases of treatment and is the primary remedy for people who cannot have a surgery. It is combined with chemotherapy to make the radiation effective. The most common type of radiation therapy for treating bladder cancer is called external-beam radiation therapy where radiation occurs from an outside source.
Bladder cancer is a severe form of cancer. Proper and ideal treatment is required among the several treatment methods available.
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
Kidney stones are of different types, which occur due to several, different causes. They are as follows:
- 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. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Prostate cancer is a cancerous tumor in a man’s prostate gland, a small gland that is responsible for producing the seminal fluid which transports and nourishes the sperm. It is a very common type of cancer among men. A few cases of prostate cancer tend to develop slowly while others may progress very fast.
In the initial stages, prostate cancer may not show any symptom. However, in the latter stages, there may be symptoms such as:
Pain in the bones.
Urination can get troublesome.
Presence of blood in the semen.
Pain and discomfort in the pelvic region.
The exact causes of prostate cancer are not known. It starts to develop when certain cells in the prostate gland start to mutate. These mutations cause these cells to multiply at a very fast rate and thus, soon form tumors. Although the causes are not known, certain factors tend to aggravate this condition; them being:
Color: According to certain medical reports, a darker skin may mean increased chances of suffering from prostate cancer.
Age: The risk of developing prostate cancer tends to increase with age.
Genetics and Family History: Faulty genes could be another cause of this condition. Also, having some member in the family who is diagnosed with this type of cancer only increases the risks of you suffering from them.
Obesity: If you are obese, then you are more likely to develop prostate cancer.
The treatments for prostate cancer include:
Radiation Therapy: In this procedure, high energy rays are used to target and destroy cancer cells. Usually X-rays or protons are used to treat the cancer cells.
Hormone Therapy: Hormone therapy is a type of treatment wherein certain medications are administered to prevent your body from producing testosterone.
Surgery: If the other treatment methods do not produce desired results, then a surgery is carried out for the removal of the prostate gland. In addition to the prostate gland, some adjoining lymph nodes and tissues are also removed.
- Chemotherapy: Chemotherapy is method of destroying cancer cells by injecting chemicals into the body. The medicines are injected into the veins in the arms.
If you wish to discuss about any specific problem, you can consult a specilized oncologist and ask a free question.