Androcare Andrology & Men's Health Institute

An overactive bladder is marked by problems with one’s bladder storage system that results in sudden urge to urinate. Involuntary and leakage of urine is also a possibility in such a case.

The problem of an overactive bladder arises when the muscles of the bladder contract involuntarily. The conditions contributing to overactive bladder are:

1. Excessive production of urine due to diabetes, poor kidney function or excessive fluid intake
2. Medications that increase urine production by the bladder
3. Acute infections in the urinary tract
4. Abnormalities in the bladder, for instance, bladder stones or tumors
5. Factors hindering bladder outflow such as constipation, enlarged prostate or earlier treatments for incontinence (loss of bladder control)
6. Excessive intake of alcohol or caffeine
7. Decline in one’s cognitive abilities due to factors such as ageing, thus making it hard for the bladder to comprehend the signals it gets from the brain
8. Incomplete emptying of the bladder, leaving only a little storage space for the urine
9. Constipation
10. Neurological disorders

How it can be treated?

1. Behavioral interventions help to manage overactive bladder effectively and without side-effects. They include-
   • Exercises to strengthen one’s urinary sphincter and pelvic floor muscles
   • Maintaining a healthy weight
   • Regulating fluid consumption
   • Planning a schedule for trips to the toilet
   • Employing a catheter to empty the bladder entirely
2. Medications to alleviate the symptoms of incontinence and overactive bladder are-
   • Fesoterodine
   • Mirabegron
   • Darifenacin
   • Solifenacin
   • Trospium
   • Oxybutynin gel
   • Oxybutynin as a skin patch
   • Tolterodine
3. Injecting small doses of Botox (Botulinum toxin), protein-bacteria, directly into the bladder tissues to partially paralyze the bladder muscles, thus delaying urination.
4. Surgery to magnify bladder capacity

However, it is a must that you seek the guidance of a urologist on immediate basis. If you wish to discuss any specific problem, you can consult an urologist.

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 -
 

1. Mild: A small area of the bladder bulges in the vagina
2. Moderate: The bladder bulges near the vaginal opening
3. Severe: Protrusion of the bladder occurs through the vaginal opening
4. 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: 

1. Feeling of intense pressure around the pelvic area
2. Infections related to the bladder
3. Pain during sexual intercourse
4. Tissues bulging out through the vaginal opening
5. Pain in the lower back region

Prolapsed bladder is caused by:

1. Childbirth: It can cause ligaments and pelvic muscles to weaken thus increasing their vulnerability to a prolapsed bladder
2. The chances of this disorder increases when one is overweight
3. Lifting heavy things
4. Strain caused by bowel movements 
5. In some cases, it may result from a chronic cough
6. 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. 

Kidneys are an important part of the human body. From filtering wastes from the blood to maintaining the blood pressure and red blood cell count in the body, the kidney does it all. Both the kidneys are essential organs and should there be any discomfort in the kidneys, one should consult a medical practitioner as soon as possible. Kidney failure is a common problem in people. This issue manifests itself with certain signs and symptoms. One should listen to these symptoms and act quickly before the condition worsens. Here are some of the signs and symptoms of kidney failure.

Interestingly, in the initial stages, kidney failure portrays no symptoms. It starts developing slowly and steadily causing discomfort in other parts of the body and hindering the working of other organs.

1. Weakness: If you are suffering from kidney failure, you will start feeling weak. Weakness is however not a symptom which can confirm a kidney failure. Weakness is caused due to many other health issues and thus, you need to verify with other symptoms to be sure of the fact that you are suffering from kidney failure only.

2. Shortness of Breath: You may start experiencing heavy breathing right after doing some rigorous work. In fact, you might feel shortness of breath or be panting for long moments after climbing just a set of stairs. Shortness of breath is quite common indicating that the body is getting tired after doing work. Such indication, more than once a day, calls for an immediate check up of the body.

3. Lethargy: While most people, especially the young generation to those in the early thirties jokingly declare themselves as lazy people; lethargy, however, is a symptom of many diseases. Various health issues develop if you feel lethargic of working. Apart from kidney failure, diabetes is also manifested in lethargic body movements. At times, just getting out of the bed in the morning seems very tiring and one continues to lie on the bed even after he/she is fully awake.

4. Stomach Pain: If you experience pain in the stomach, especially in the sides, then it should be immediately checked by a medical practitioner. Doctors say that kidney failure can bring about stomach pains.

5. Unusual Urine Discharges: This would include clear urine discharges which indicate that the kidney has stopped filtering the waste products.

Thus, these are some of the most important and common symptoms of kidney failure. If you notice any of these, it is advised to visit a doctor for a check up.

Enlarged prostate surgery is a very common type of surgery that many have to undergo nowadays. An enlarged prostate causes many health problems including urinary tract obstructions and urinary tract infections. It may also lead to the passing of blood via urine. Thus, enlarged prostate must be treated as soon as possible as neglect may lead to prostate cancer and its associated health issues. There are various types of prostate surgeries that a doctor performs on his/her patients. However, of late, radical prostatectomy is the most popular of them all.

What is Radical Prostatectomy?

This process can be handled in two ways. Firstly, the prostate can be reached through an incision in the abdomen. This would help the doctor work with precision and carefully avoid all the other nerves and muscles in the area the operation take places. The prostate is examined and any nodule or lymph formed over it is carefully removed. The advantage of this surgery is that the patient is less likely to suffer from any erectile problems post- surgery. The second option would be to make an incision between the scrotum and the anus. This process is best for those who are obese. The surgery is performed quickly and there is less loss of blood. Furthermore, the healing time is less too.

How To Recover From The Surgery?

Like most other prostate operations, even in radical prostatectomy, you would have to wear a catheter till you recover completely. For a few days post the surgery your urine would be collected through a urine bag attached to the catheter. One might feel a little sore in his/her genitals after the surgery, but that is quite normal to occur. The soreness is caused due to the surgery and the incisions made and would heal in a matter of a few days. Interestingly, since the urethra plays an important role in this surgery, the catheter has to be in place for at least two to three weeks but the patient can be discharged after a two to three night stay at the hospital. It is advised that the patient takes ample rest. But this does not mean all rest and no work. In fact, it is seen that patients can walk a little and even go back to a normal diet within a week to ten days of the operation. But regular checkups, till the urethra is healed, are compulsory.

Hence, these are some of the recovery procedures after an enlarged prostate surgery. Such surgeries are quite common and heal quickly. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

The causes and treatment of male infertility

Hello viewers. I am Doctor Rahul Reddy from Androcare Andrology Institute. I am microsurgical Andrologist. Today I am going to discuss about male infertility problems. Why a patient a male patient with low sperm count has to go for ICSI procedure. So there is treatment for male infertility. At least 40% of the patients without any major treatment, they can improve. And another 30% of patients with minimal procedure, they can come back to normalcy. The reason for sperm count going down is Lifestyle issues, hormonal imbalance and obstructions, because of the infections and prosthetic and seminal vesicle infections. What happens in Lifestyle, we don't sleep properly, we don't do workouts, the testosterone will go down.

When testosterone goes down it suppress the sperm count, the ejaculate volume the semen volume will go down and the penetrating capacity of the sperm is also low when your testosterone is low. So we have to change your lifestyle to improve our sperm count. Second common cause for a low sperm count is infections. A male genital tract if you understand that there is testis and there is a sperm tube and from the sperm tube there is a small cement reservoir which is called seminal vesicle and from there whenever a male ejaculate, the semen comes out into the urine passage then it comes out. So in these practice in this complete track wherever there is infection sperm can get affected so whenever we see a patient with low motility the common cause is epididymal infection and these are easily treatable.

So if you start treatment in early days we can completely make this patient normal. The third part is the semen tube. If the semen tube is blocked then it is difficult to treat. The fourth part is the semen reservoir. Why we call it a seminal vesicle? The prostate and seminal vesicle, they produce the white colour fruit which is in the semen. So most of the times we see patients has zero sperm count but he ejaculate. But what they ejaculate is the fluid from the prostate or seminal vesicle which is where there is no sperm inside. So this sperm tube is directly connected to your urine Pathways and the seminal vesicle with the semen reservoir is closely associated with the rectum which is a motion pipe.

So what happens is if there is a infection in urine pipe? This infection can enter the prostate or seminal vesicle and then it can cause severe infection. But why I say severe infections because these most of these infections are silent infections. If you know that there is an infection or there is any pain you can go to doctor. You will go to your doctor and get it treated but most of the time these infections are silent. Whenever a patient comes to us with low sperm count, then we do Semen analysis, we do semen culture, we find out what the kind of infection they have, kind of the bacteria they have and then we have to start treating these patients but only catch in these patients is they need long-term antibiotics and unlike urinary tract infections. So generally in urinary tract will give antibiotics for four five days but inseam infections you need antibiotics for 15 to 20 days. So don't get worried about male infertility. Nowadays 80%, up to 80% of patients with male infertility they can have normal count, normal improvement.

So if you have low sperm count go and see your local urologisy and he will help you in this matter. If you are not getting result you can reach me on lybrate.

The testes are an important part of the human reproductive system and are susceptible to injuries as well as internal problems. One such problem which is known to afflict younger men mostly from the age of 12 to 16 is testicular torsion. It can affect older men, but is commonly seen in the aforementioned age group. It is a painful condition that will require medical attention and if left untreated might even result in removal of the organ in rare cases.

What is testicular torsion?
There are many intricate functions performed by multiple blood vessels within the scrotum that supply the testes with blood. However, one of the testicles might rotate and thus end up twisting the spermatic cord. This cord brings blood to the testicles and if twisted, will reduce the flow of blood significantly. Thus the scrotum may swell up and also become quite painful.

Symptoms of testicular torsion
1. Significant swelling of the scrotum
2. Mild to extreme pain in the scrotum.
3. Abdominal pain, especially in the lower abdomen
4. Unusually positioned testicle such as one significantly higher, behind, or in front of the other one.
5. Fever
6. Feeling nauseated and may be accompanied by vomiting
7. Pain during urination
8. Inability to sleep or waking up in the middle of the night due to the constant pain

1. Hereditary factors: If someone in your family has suffered from this condition, you could be susceptible to it.
2. Injuries: If you receive minor trauma such as the one during playing any kind of contact sports, outdoor activities or even while doing house work, it can be a reason of this condition as well.
3. Activities that put stress on the scrotum: Heavy exercising or running in an unbalanced or improper manner can cause torsion as well.
4. Improper sleeping positions: This can also cause torsion and is a common cause behind frequent torsion and de-torsion.
5. Other factors: These factors can include excessively cold temperatures wherein the scrotum contracts rapidly and prolonged contraction can cause torsion. Even the rapid growth of the scrotum during the adolescent years after puberty may cause this. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

The word colic directly refers to the colon. Colic pain is a sharp abdominal pain followed by bouts of crying usually occurring in infants below the age of one year. The pain only last for a short period of time ranging from a few weeks to a couple of months. Very few number of babies will cry endlessly indicating towards an underlying condition.

It is mainly characterized by sharp crying for supposedly no apparent reason, irregular sleep patterns, and restlessness or owing to deviation from normal postures. The apparent causes of colic pain include indigestion and negative reaction of the sensitive gut to the breast or formula milk, although no concrete cause of the state has been discovered.

Doctors often suggest home remedies such as swaddling, pacifiers, holding and comforting the baby and more frequent feedings to reduce the condition. Since it is so common among infants and relatively less harmful, no proper medication is usually given. Physicians suggest mothers to reduce the content of caffeine, alcohol or spice in their diet. Sometimes a warm bath, burping the baby or going on more frequent walks is useful. Background music draws the attention of the baby and hence drives their focus, away from the abdominal pains.

Colic pains are mainly treated by care rather than medicine. The baby is made to feel comfortable and the distress is reduced just by being around the infant. The primary care giver plays an important role in consoling the child and helping them get through the sudden pain which further plays a significant role in personality development. Colic pains are extremely short lived and probably one of the first few challenges of parenthood. They are primarily dealt with care and feeding except in extreme cases where medicinal cures such as lactase drops and simethicone drops are used to treat the abdominal pain. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Here are types, causes and treatments of erectile dysfunction.

Hello viewers I am doctor Rahul Reddy. I am a microsurgical andrologist. I deal with the erectile dysfunction and male infertility and all men's problems. Today let us discuss about erectile dysfunction which is very common in all age groups.

So when there is a erectile dysfunction people get panic they visit sort of sexologists unqualified cracks and they get worried. See erectile dysfunction is of four types one the first one is psychological and second one is hormonal erectile dysfunction and third one is Vasogenie erectile dysfunction the fourth one is a neurological erectile dysfunction. So the first two like psychological erectile dysfunction and hormonal erectile dysfunction these are very easy to treat and it can be diagnosed by any urologist. Psychological erectile dysfunction is due to fear our performance anxiety, when a male tries to perform or how intercourse and if he fails he carries this fear to the next intercourse. Instead of going with excitement he is going with fear so obviously he fails. So if this gets carried away then he can never perform.

So most of the young males are they come to us they come to me with this these kind of problems. Generally these are the patients where we put them on medications to give them confidence. Once they perform normally with these medications they get confidence then after that they don't have to use this medications on a regular basis. Coming to second type of erectile dysfunction it is hormonal erectile dysfunction this is commonly seen in various of in young patient and as well as in old patients. Here when we talk about hormones the first hormone we discuss is testosterone. So why this hormone is on the lower side. Commonly the first common cause is lack of exercise.

Second one is stress at work. Third one is sedentary lifestyle and fourth one is lack of proper sleep. The twelve to five is a peak time for Hormone production. So if you are not in deep sleep in this time, then your Hormone production is not normal. Regularly work for 30 minutes a day and eat healthy food avoid junk food and third one you have to avoid anxiety and stress and fourth one you have to be properly sleep early in the night and wake up early morning. So if you maintain these things that testosterone levels will come to normal level and you see change in 15 to 20 days.

Then coming to third form of erectile dysfunction vasculagenic erectile dysfunction here the blood vessels inside the penis or are damaged so because of these damaged blood vessels the blood is not flowing properly into the penis. For what we advise these patients instead of treating the problem it's better to avoid the problem. So alcohol initial days it will give a boost later it will kill your erection. The same time people with high cholesterol have to avoid junk food, they have to regularly exercise, they have to maintain their cholesterol and triglycerides in the normal levels and when it comes the fourth one neurological erectile dysfunction this is very rare. This is commonly seen in patients who had spinal surgery and patients who had accidents so a spinal cord injury.

So if you have these problems just get your testosterone test done and visit a local urologist. Urologists are the right people to find out and treat these patients so ideally for an erectile dysfunction patient the cost of initial evaluation should not be more than six or seven thousand rupees. With the help of lybrate you can book my appointment. You can come to my clinic which is located in Jubilee Hills Hyderabad.

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:

1. 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.
2. 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.
3. 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.
4. 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.

The pair of kidneys that human beings have, forms an important part in the excretory system. They perform specific and important functions. They excrete urine as well as help in eliminating the toxins, which accumulate in the body. Kidney stones occur when the minerals present in the urine without being discharged, keep on accumulating. This gives rise to an extremely painful and uncomfortable situation. Though sometimes the situation gets revoked all by itself, many a times it requires medical intervention. 

Some of the symptoms of kidney stones are: 

1. Excruciating pain in the back
2. Pain while urinating
3. Tendencies to vomit
4. Dizziness
5. Fever 

However, there are several preventive measures which you can undertake in order to avert the situation. Some of them are:

1. Drink lots of water: Kidney stone is one of those rare conditions that once occurred, always carry the latent threat of recurring again. Therefore, drinking water in large quantities becomes essential. The more you drink water, the more frequently you would urinate, thereby curbing the chances of the minerals settling in the kidneys.
2. Avoid certain foods: Food like beets, spinach, those which are replete with calcium oxalate should be avoided in order to minimize chances of having kidney stones.
3. Change your diet: If you are trying to avoid the eventuality of developing kidney stones, it is imperative that you change your diet a bit. It is recommended that you exclude animal protein as much as possible and assiduously avoid the intake of salt as much as possible.
4. Take less calcium supplements: Calcium generally is considered a nemesis to your kidneys and is prescribed by doctors to be avoided. However recent research has thwarted this claim. Calcium does not pose a threat to kidneys. However calcium supplements definitely do and therefore, should be avoided.