Lybrate.com has top trusted Nephrologists from across India. You will find Nephrologists with more than 41 years of experience on Lybrate.com. You can find Nephrologists online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Submit a review for Dr. HussainiYour feedback matters!
Lower Urinary tract obstruction refers to a condition of hindrance to urinary flow from bladder outwards. This can occur in all the age groups and affect either sex. The symptoms can be poor urine flow, intermittent flow, straining to pass urine or empty bladder, sense of incomplete emptying of bladder, difficulty in starting urination. Other problems can be increased urine frequency and difficulty to hold on with or without occasional urine leak in clothes. The cause and treatment vary in different age groups.
Few common reasons behind Lower urinary Tract Obstruction:
Congenital Urethral Stricture and PUV: These defects can be detected either before or after birth and need correction at earliest to avoid long-term complications. It is usually brought to attention by parents who observe abnormal urine flow pattern of their child OR found out during evaluation for repeated urinary tract infections.
Neurogenic Bladder: This is caused due to defects of nerves that are responsible for controlling bladder function. This can be due to diseases of brain, spinal cord or peripheral nerves. These defects can occur by birth or later in life. It is very important to take early consult to avoid long-term complications and progression to renal failure.
Urethral Stricture: This is narrowing in a long tube that starts from bladder to the external urinary opening. It can be idiopathic, post-traumatic, or due to urethral infections. Usually, a person is able to recognise poor urine flow and bring it to the attention of urologist. Treatment for stricture depends on various factors and range from simple endoscopic surgery to open surgeries.
Bladder Neck Obstruction: Bladder neck is a network or a group of muscles that connect the bladder to the urethra. The muscles tighten to hold urine in the bladder, and relax as they release it through the urethra. Urinary tract obstruction occurs when there are abnormalities blocking the bladder neck that restricts its opening during urination.
BPH: This occurs due to enlarged prostate obstruction urine flow out of bladder. Prostate enlargement is mostly age-related and rarely due to prostatic tumors. Urinary stones. This can be usually recognized by sudden obstruction to urine flow in person who was voiding normally. These episodes might be recurrent due to movement of stone in between bladder and urethra.
Bladder Tumors: The are mostly characterized by blood in urine. Sometimes there might be blood clots that obstruct the urine flow. Phimosis: Usually occurring post-puberty, it is referred to as the inability to retract the glans (the sensitive structure at the end of the penis). It is a condition in which the distal foreskin, which was previously retractable, is unable to retract anymore.
Phimosis: Phimosis is another major reason behind urinary tract obstructions.
It is from a few month I find it problem to urinate after intercourse, I have to wait for long time to initiate urine.
In February 2016 I started having a bladder infection. Frequent urge to go but very little concentrated urine coming out. There was NO bleeding or pain of any kind. I consumed ayurvedic cystitis syrup and the problem got resolved. The same situation repeated itself in March. I drank syrup and it got cured. But for some few months since May-June now I find my bladder is behaving very strange. It acts perfectly normal during the daytime. I urinate not more than 7-8 times a day. The urine is clear and healthy looking - not concentrated at all. When I am upright (walking/standing/sitting) my urination is not noticeably frequent. But ANYTIME I lie down I feel bladder pressure and an increasing urge to void. The urge to void is frequent. And the urine is actually quite dilute. Even when I drink VERY little water during the day, at night the urine is surprisingly light and dilute. And also it is rather frequent. The trend is very different compared to my cystitis. When I had infection I had to urinate ALL the time, whether sitting down or lying down. Those days very little VERY small amount of urine used to come out. I had to strain to pass urine. Nowadays I am normal when I stand up or walk but when not active and especially lying down I feel the bladder fullness. I urinate a relatively dilute solution without much straining. Some background information: I am an 18 year old girl. I have been physical lethargic and inactive and tired for since around mid-2015 because of a gradual depression. I also suffer from a very mild case of piles since December 2015. It comes on and off - sometimes it's not even recognisable. I did a urine test in June which showed rather normal results. There were no pus cells at all. Absolutely NO foreign bodies or organisms of any kind. The epithelial cell count was 2-4 hpf and the pH was 5. Other than the above mentioned issues I function healthily. Don't have any previously diagnosed condition or abnormality. These health problems of mine have started quite recently - within the past ONE year. Please let me know what are the possible conditions I may be suffering from based on my bladder habits. Thank you.
Hi doc I'm 23 years old. I got kidney stone at age 13 at that I used homeopathy medicine to get that shit out. I was fair looking guy before using those medicine. Nw except my face full body is white. I need a good suggestion to get my old skin back.
At the stage of my starting uti according with urine lab reports I took clarithromycin AMOXCYLIN antibiotics but its not cure with that Then doctor proffered me vancomycin with my urine culture report with this drug I got some change with beat result but with that drug i got some reactions on body I stolled using that drug and later I went with homeopathy but my problem got increased with homeopathy then I stopped using homeopathyesicine then again o go with some small quantity antibiotics like gentamycin, neeri tablets but I do not get change in my symptoms then again I done urine test in that lab report there is no pus cells in my urine then doctor proffered me DIFERANCIN HYDROBROMIDE RELEASED CAPSULED dariten OD 7.5 MG To avoid urine urgency now I am ok.
Kidney cancer (renal cancer or renal cell carcinoma) is one of the ten most common cancers in both men and women.
It occurs when the cells in kidney grow uncontrollably and start invading surrounding tissues (i. E, undergoes malignant change). The risk factors are age > 40 years, smoking, obesity, long term dialysis, certain genetic conditions, family history, high blood pressure and male gender. However, it can occur to anybody.
What are the symptoms of kidney cancer?
1. Blood in urine
2. Pain or lump in side of upper abdomen
3. Weight loss or loss of appetite
4. Long term fever
However, many of kidney cancers are detected on routine ultrasonograms done for other purposes. Thus, regular ultrasonogram testing can pick up these tumors very early.
What are the diagnostic tests?
Contrast enhanced computed tomography (ct scan) of abdomen is the current gold-standard test to diagnose kidney tumors and evaluate for local spread. Chest x-ray or ct chest helps in diagnosing spread to lungs. Some blood tests will help to evaluate function of kidney and general health condition.
What are the best treatment modalities?
Surgical removal is the best treatment for kidney cancer. Chemotherapy or radiation therapy does not act on kidney cancer and hence are not used.
If the size is small, only the tumor is removed and rest of kidney can be preserved (nephron sparing surgery or partial nephrectomy).
For large tumors, the whole kidney, surrounding tissues and lymph nodes are removed totally (radical nephrectomy).
Both these surgeries can be done through keyholes (laparoscopy), thus reducing the pain and leading to faster recovery.
If the tumor has spread all over the body, then targeted therapy is given using specific drugs (usually in the form of tablets) like pazopanib, sunitinib, sorafenib etc.
How to follow-up after treatment?
Regular check up using ultrasonogram, ct scan, chest x-ray, renal function tests, liver function tests are needed to maintain good health.
Take home message:
Regular ultrasonograms after the age of 40 years (at least annually) can help in diagnosing these tumors and curing them 100%.