Minimally Invasive Urology Surgery
Reconstructive Urology Surgery
Reconstructive Surgery Procedures
Urology Minimally Invasive Surgery
Urinary Incontinence (Ui) Treatment
Kidney Transplant Treatment
Hydrocele Treatment (Surgical)
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I found the answers provided by the Dr. Mandeep Phukan to be very helpful. thanks sir..
If caught early, penile cancer is treatable. In early stages, a cancerous tumour can be removed with little or no damage to the penis. But if it is diagnosed late, a man may lose part of or all of his penis and sometimes his life too. Hence, it’s vital that you know more about this cancer.
But first, a small primer on the penis…
The penis has two types of erectile tissues, the spongy tissue that gets engorged with blood leading to an erection:
- Corpora cavernosa: This tissue forms most of the penis.
- Corpus spongiosum: This tissue forms a small portion of the penis. It also surrounds the urethra, a tube that transports urine and sperm to outside.
The erectile tissue comes wrapped in connective tissue and skin to form the organ.
Penile cancer is usually found on the ‘glans’ or tip of the penis, but can also occur on the shaft of the penis. Some of the common symptoms of penile cancer include sores and lumps on the penis, redness or irritation on the penis and blood discharge.
Factors that increase the risk of developing penile cancer
- Infection with human papillomavirus (HPV): This virus causes cervical cancer in women. Unprotected skin-to-skin contact as well as unprotected sex with multiple partners, increases the risk of a man getting HPV infection.
- Not being circumcised at birth: Circumcision, an operation in which a part or the entire foreskin is removed surgically is a big protection from penile cancer.
- Phimosis: This is a condition in which the foreskin cannot be pulled back over the glans or tip of the penis.
- Poor hygiene
- UV treatment for psoriasis
- Use of tobacco: The chemicals in tobacco smoke lead to genetic changes in cells of the penis, thereby leading to cancer.
Diagnosis and Treatment
Detection and diagnosis are done using tests like a biopsy in which a small sample of tissue is removed from the penis and tested for abnormalities due to cancer.
Chances of Survival
Treatment of penile cancer depends on what stage it is detected at and so is prognosis. The location and size of tumour, and whether cancer has just been diagnosed or has recurred also affect prognosis.
For stage I and II penile cancer or cancer that is limited only to the penis, the five-year survival rate is 85%.
The survival rate dips substantially if cancer is diagnosed after it has spread to surrounding tissues or lymph nodes in stage III or IV. The five-year survival rate is just about 59%.
Treatment for Kidney stones varies depending on the size and type of the stone or the symptoms caused by it. In case of small stones, medication and simple changes in lifestyle can be enough to treat it, but surgeries and extensive treatments are required if symptoms are severe. Following are treatment options for kidney stones:
Small stones with minimal symptoms:
- Drinking water: Drinking around 3 liters of water a day will regulate your urinary system and can effectively eliminate small stones. Unless your doctor advices otherwise, drinking ample amount of fluids, usually water, is one of the commonest way to get rid of small kidney stones.
- Pain relievers: There might be a considerable amount of pain and discomfort associated with passing the stone through urine. Your doctor may recommend pain killers like Ibuprofen, Naproxen sodium or acetaminophen.
- Medical therapy: In order to eliminate the kidney stone, your doctor may administer medical therapy. Medication like alpha blocker helps in passing the kidney stone with least pain and more quickly. It relaxes the muscles in the ureter and makes the process relatively easy.
Large stones with severe symptoms:
- Using sound waves to break up stones: In this technique, a procedure called Extracorporeal Shock Wave Lithotripsy (ESWL), is employed. ESWL uses the help of sound waves to create vibrations which breaks the stones in smaller pieces. This procedure takes about an hour and can cause mild pain and discomfort. Your doctor may administer sedatives to reduce your sensitivity. ESWL has side effects like blood in urine or bruising in the abdomen.
- Surgical removal of kidney stones: Surgical removal of stones is done with the help of a procedure called nephrolithotomy. It uses small telescopes and other instruments which are inserted in your back through a small incision. It is generally done in case of large stones and when ESWL fails.
- Ureteric calculi (Using a scope to remove stones): A thin illuminated tube called ureteroscope is used to remove a comparatively smaller stone in the kidney or ureter. The ureteroscope is equipped with a tiny camera which determines the location of the stone which is then broken into pieces with the help of other instruments. It may require general or regional anesthesia. If you wish to discuss about any spIfecific problem, you can consult an urologist.
The urinary tract starts from the kidneys to the urethra where urine is passed out. Given the rich concentration of minerals and toxic wastes, it is highly prone to multiple infections. UTI, as urinary tract infections are often referred to, is one of the most common infections. In women, especially, every 1 in 2 women is affected by an UTI. Whichever part of the tract is affected, the symptoms and treatment are mostly the same. Read on to know some of the most common symptoms and treatment options for these.
- A burning sensation with urination
- Pain with urination
- Burning sensation or pain in the urethra or vagina
- Frequent urge to urinate, though not much urine is passed out
- Sense of incomplete emptying of the bladder
- Pain in the lower back on the sides of the spine
- Change in the urine characteristics color, smell, or appearance
- Fever or chills, maybe associated with shivering, nausea and vomiting
Most urinary tract infections are bacterial in nature, and these could find their way into the body through multiple ways.
- The most common is through the urethra, which could happen due to unclean toilet habits.
- Women especially are advised to wipe the urethra after each toilet visit. The bacteria from the feces can also enter the urethra due to close proximity
- Use of unclean public toilets is another reason for UTIs
Though most often UTI does not require specific testing, the following are useful in confirming the diagnosis.
- Culture and sensitivity: The urine is sent for a culture to identify the exact organism that has caused the infection. It also helps identify the right antibiotic which will help bring the infection under control.
UTIs are very common infections and though there is nothing to worry, it should be cleared completely.
- Antibiotic course to get rid of the infection. Though you begin to feel better, the complete course should be completed to clear the infection.
- Following culture testing to ensure the infection is cleared
- Improve water intake to get rid of the toxins
- Fever and pain to be controlled with medications
- Healthy hygiene habits to ensure clearing of infection
Recurrent UTIs is a common problem, and the following can help prevent.
- Ensure complete emptying of the bladder
- Drink adequate water
- Safe toilet habits, including before and after sex
- Comfortable and clean underwear to prevent infection
If you wish to discuss about any specific problem, you can consult an urologist.