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Dr. Adil

Urologist, Hyderabad

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Dr. Adil Urologist, Hyderabad
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
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Dr. Adil is an experienced Urologist in Alpha Hospital, Hyderabad. You can consult Dr. Adil at Dr. Adil@Alpha Hospital in Alpha Hospital, Hyderabad. Save your time and book an appointment online with Dr. Adil on Lybrate.com.

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#23-1-864, Mogulpura, Charminar, Landmark: Near Taher Function Hall.Hyderabad Get Directions
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Tips on Treating Urinary Incontinence:

Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.


1. Stress incontinence

Non-medical treatment

• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Biofeedback
• Electrical stimulation

Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.

Surgical treatment

• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters

Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.

The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.

Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.

An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.

Surgical treatment

Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.

Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.

3. Overflow incontinence

Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.

4. Total incontinence

Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.

Treating faecal incontinence

Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.

Let’s look at some of the treatment options available for FI:

Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.

Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.

Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.

Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.

Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
13 people found this helpful

I have urinary tract infections recurrently. I did a test which showed e.coli growth'about a year ago. Now again I have same type of infection. Pain during urination. Frequent urination. Smelly urine. What should I do now?

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
I have urinary tract infections recurrently. I did a test which showed e.coli growth'about a year ago. Now again I ha...
It's a recurrent urinary tract infection. Common in females. Get a urine routine and urine culture test. Go for ultrasound whole abd. Review with reports. Take plenty of liquids.
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I am 36 years old. My Urine flow is going very slow from last few days. Is this because of heat or some other? Please clarify.

MBBS
General Physician, Cuttack
I am 36 years old. My Urine flow is going very slow from last few days. Is this because of heat or some other? Please...
It could be due to dehydration due to inadequate intake of water. Drink plenty of water(8-10 galss daily)
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Dear sir , I am 62 years mail , suffering from frequent urine passing 3 times during night and also suffering from insomnia . Pl advise .

pg general medicene
Ayurveda, Hyderabad
Dear sir ,
I am 62 years mail , suffering from frequent urine passing 3 times during night and also suffering from in...
Dear Maruthi sir Do Pranayama meditation regularly and take following Chandra prabha vati 2tabs morning and evening with water Manasa mithra vati 2tabs morning and evening twice daily Take Luke warm milk at bed time.Review after one month
3 people found this helpful
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I am 25 years old male, and I am married man, some time my sperm leak through urine please tell what is the remedy for it.

Diploma in Naturopathy, M.D. Alternative Medicine
Sexologist, Delhi
I am 25 years old male, and I am married man, some time my sperm leak through urine please tell what is the remedy fo...
The situation may indicate towards diabetes. So first get your sugar test. The condition is generally associated with burning micturation and other urinary tract diseases, some patients also suffer from night fall along with it. We have a proper ayurvedic treatment for these conditions. Contact for the same.
1 person found this helpful
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My friend who is 20 years old got hurt in the anal area while having sex. She was in a lot of pain. She fainted in some time. What could be the reason that she fainted?

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
She must have developed an anal fissure. Anal Fissure is a painful condition and extreme pain can sometimes lead to fainting. She should have sitz bath at least twice a day. Keep the stools soft by taking plenty of fluids and fibre rich diet. She can take some stool softener at bed time for few days. She must avoid non -veg, fried and spicy food. A pain killer sos may help. Thanks.
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I have severe UTI according to the doctor. So what kind of foods should I avoid? And what type of foods are recommended?

MBBS
General Physician, Mumbai
I have severe UTI according to the doctor. So what kind of foods should I avoid? And what type of foods are recommended?
Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and eat only curd rice or khichdi for few days and drink only boiled water.
1 person found this helpful
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Is taking soda bicarb safe and is ENO is same and can it be taken for UTI if so how many times can it be taken.

C.S.C, D.C.H, M.B.B.S
General Physician,
Is taking soda bicarb safe and is ENO is same and can it be taken for UTI if so how many times can it be taken.
Eno contains a mixture of sodium bicarbonate ( ), citric acid ( ) and sodium carbonate ( ). Initially, citric acid is inert when dry (or anhydrous). Upon the addition of water, the citric acid will start to dissociate and eventually becomes reactive. and is not good for UTI
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Lower limb swelling earlier related with hypertension drug. But this time not reducing even after changing drugs. Earlier history-nilol 1/2-0-1/2 4 years then l.l.swelling drug changed to envas 5 +attend 25 for 1 year then again l.l. Swelling, drug changed to ctdt40 .for one year ,again l.l. Swelling noticed. Sr. Creatine value 1.1 on 17th feb 17.

MBBS
General Physician, Jalgaon
Lower limb swelling earlier related with hypertension drug. But this time not reducing even after changing drugs. Ear...
Please Don't worry Take Tab himplasia by Himalaya 30 11 Lohasav 10 ml twice a day Punarnavasav 15 ml twice a day These are safe medicine, don't worry Continue your hypertension medicine Reconsult after 15 days.
1 person found this helpful
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I have urine problems like incomplete urination to go again and again more urine .My age is 45.

MD - Pathology
General Physician, Amritsar
Get a urine complete examination done to rule out any infection. Get an ultrasound done to rule out any abnormality in urinary tract or prostatic hyperplasia. Treatment will be according to the underlying cause.
1 person found this helpful
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Anyone on here have chronic prostatitis. Iv'e dealt with mine for 6 years now. It's debilitating! Not sure if it came from infected bladder stones or unprotected sex.

MBBS, MS - General Surgery
General Surgeon, Bangalore
Anyone on here have chronic prostatitis. Iv'e dealt with mine for 6 years now. It's debilitating! Not sure if it came...
Mr. Lybrate-user, having a prob like prostatitis for 6yrs, I would advise you to consult a urologist to check if we are missing out something.
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I am suffering from fissure and the pain of this disease, I can't tell about this. I say doctor about this but he say you are all right but I feel more pain when I sit on chair and bed, etc .so tell me what I do .I feel stress because my mind is not forgot pain and all times I think about it. I feel more stress please tell me.

Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
General Surgeon, Bangalore
Drink lot of water, milk,eat banana, avoid spicy food, apply anovate ointment 3 times day drink 2 tsf of cremaffin syrup. A minor operation completes the treatment.
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Hello sir, I am 56years old man, approx two months ago I had a prostrate operation, still I had irritation in my penis (at tube) whenever I pee at pressure what could be the reason.

MS - General Surgery
General Surgeon, Kanpur
Hello sir, I am 56years old man, approx two months ago I had a prostrate operation, still I had irritation in my peni...
I think that is very much natural to have some pain after turp. Most likely it will go away with time. Pls consult your urologist to rule out uti.
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Hii doctors, my brother got fissure operation in 2013. Few day ago he said that he got blood when going bathroom (stool. Wat he has to do now? Again he has to undergo any operation? Give any remedies to control the pain.

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
Hi since your brother has already operated most important thing is avoid constipation, drink plenty of fluids, and high fibre diet. This will really help.
1 person found this helpful
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Hi, I am 25 year old male. I feel the problem of frequent urinating. 6-10 times. Within 24 hours. Sometimes I feel burning sensation and uneasy feelings when urinating or before and after urination (not always. And urine not clears. Instantly. I got my KUB Ultrasound with PVR (Post Void.) everything is normal. But PVR shows 25 ml urine left. Is it the problem of 'BOO' or anything else. please advice me to get well.

pg general medicene
Ayurveda, Hyderabad
Hi, I am 25 year old male. I feel the problem of frequent urinating. 6-10 times. Within 24 hours. Sometimes I feel bu...
Dear lybrate-user Nothing to worry. Take plenty of water. Get urine examination and culture. Accordingly take treatment by your physician. Do Pranayama meditation regularly with good exercise and diet. Take following Chandra prabha vati 2tabs morning and evening with water Chandanasava 20 ml with equal quantity of water after meals twice a day. Review after one month. Drmurthylanka@gmail.com.
2 people found this helpful
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I am 21 year old male ,I study in the university , when I urine occasionally gets pain in vein of penis. Please give me advice.

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician, Bangalore
I am 21 year old male ,I study in the university , when I urine occasionally  gets pain in vein of penis. Please give...
Thanks for your query. Its quite probable that you may have developed a urinary tract infection. I advise you to do a urine routine exam in a lab and update me with the results in the private question section. Please feel free to ask a private question.
1 person found this helpful
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I have stone in my liver please hlp me its pain is too much please hlp me to remove it give some medicines nd home treatments to remove it.

Phd - Complementary & Alternative Medicine
Dietitian/Nutritionist, Mumbai
I have stone in my liver please hlp me its pain is too much please hlp me to remove it give some medicines nd home tr...
Take papaya regularly.Include high fiber like salads,green leafy veges in your diet. You can take our supplements for immediate relief like liver detoxifier,omega-3
1 person found this helpful
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