Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 34 years of experience on Lybrate.com. You can find Urologists online in Jalandhar and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of H.I.V
Hydrocele Treatment (Surgical)
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Urology Minimally Invasive Surgery
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Blood In Urine (Hematuria) Treatment
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I am facing some problem when I am going to toilet, at that time I am having pain in my anus, so what should I do and why this problem is happening?
My daughter she is 5 years and she is suffering in acute rectal pain in night from last 3 years please provide me some medicine for this problem thank you.
I am 22 years old. I am suffering from toilet problem. I go to toilet 3 to 4 times in morning. What should I do? Please advise.
Hi, I am Dr Sarwar Eqbal. I am Urologist and I hav done MBBS in the year 1999, MS in General surgeon in 2002. Later I have done snior residency in Urology from reputed Insitute of Delhi. Then I have done the urology in kidney transplant in Sir Gangaram Hospital, Delhi, in the year of 2008. I am working as a consultant urologist from last 8 years. And I would have attached to reputed hospitals in the Delhi NCR region.
Today I am going to talk about the major problem which people are facing in Delhi, that is, Urolithiasis or Kidney stones. The kidney stone issue has become very commonin the Delhi-NCR region. Out of 8-10 cases of OPD, we a can see 5-6 cases of kidney stone, and it is more common in male. The most common cause we see is an inadequate hydrateion body because of which there occur crystallization of urine which sediments in kidney and become stones later on. So , you have to be more carefull about your health. This kind of problem is very common in summers because of the sweating, there is a lack of water in the body which gets precipitated in the kidney and takes the shape of a stone.
Stone is one of the common cause of destruction or damage of the kidney world wide. So, what we do in case of the kidney stone?
The first thing is the awareness. They should know the cause of kidney stones, or how it can be checked or prevented. So, keep yourself hydrated throughout the summer. You are supposed to have that much amount of water which can make you produce atleast 2 litres of urine pe day.
In certain cases, it is very common amongst the family. May be in the family, or may be related to some kind of food which is very common, specially the non veg which may cause urinary stones.
Now, let us come to the different kind of stones which is vry common all around India;
- Oxalate stone
- Ureteral stones and the other stone
Now, what does these Kidney stones cause?
These types of stones are formed in the kidney and they grow with time and they can take the size of the stone, ehrein they are called size of the kidney. So they start forming in the kidney. If proper precautions are not taken , they can take the shape of the kidney and can enlarge to the kidney size. This is called staghorn calculus, which can cause complete destruction of kidney and leads to kidney failure. When the stone size is small, they can cause obstruction of the kidney at certain point, like the pigeon of the kidney is the common cause of obstruction, which leads to swelling in the kidney, pain, infection. If it is not treated on time, it can cause complete damage to kidney permanently. They can trickle down to uretor. Uretor is a line that connects kidney and the urinary bladder. So, they can obstruct the uretor at any point of kidney upto the bladder level. This can cause urinary chronic which is a severe pain associated with Nausea, vomiting, burning sensations and also sometimes can cause blood in the urine. If it is not treated on time, it can lead to complete destruction of kidney.
Sometimes these stones enetrs the urinary bladder and can choke the urethera. Due to this, patients may have some problem in passing urine, which is called obstruction of the retention of urine for which we may require catheterization and later the removal of the stone.
What are the modality in the treatment of kidney stones?
The modalities depends on the size of the kidney stones as well as the location of the stones. The other parameters like the diabetes, hypertension, CADS related conditions with the patients.
The size and position of the stone.
The management depends on the stone size and the location. If the size of the stone is < 1 cm and lies anywhere inside the kidney. Then the treatment procedure is very simple, which is known as ESWL lithotripsy. It requires some small waves targeting the stones which makes the stone pulverised (sand like) and expelled out through the urine itself. But if the stone size is big, like more than 1 cm or 1.5 cm, then the choice of treatment will be miniperc. And if the size of the stone is < 1.5 cm and the patient is not ready for ESWL. Because ESWL requires some staging, then the other great option is RIRS, which is known as the Retrograde Intrarenal Surgery.
In RIRS, we put the endocscope through urinary passage and break the stone through laser. The fragments are taken out from the kidney itself. The patient does not require any kind of incision, not even the button hole incision. When the stone is inside the ureter, then the treatment of choice is URS, which is called Ureteroscopy. If the stone is inside the bladder, then the treatment procedure will be Laser lithotipsy. In this process, we pass the endoscope through the bladder and pulverise the stone and take out the fragments through it.
If you have any such problem. Like stones in the kidney or ureter or bladder, you can contact me through Lybrate.
Doctor Sir/Madam, Sub: Prostate Gland Enlargement and Stone removing from urine bladder, is it any treatment without operation? I am asking about my father health. My father age is 90, he is suffering with Enlargement of Prostate Gland (EPG). please advice
Hi Doctor, My mother is 54 years old. She is diabetic, has fatty liver, she keeps having urinary tract infections repeatedly. Her kidneys r fine. Currently for diabetes she is on Galvus met twice a day and glyciphage 500 mg once in a day. She is taking niftras 100 mg for 10 days now, the current report says 1-2 epithelial cells/HPF and 1-2 inflammatory cells/HPF. No growth Please advise if we can continue the tablets and for how long can she take niftas 100 mg. Thank you.
The tube transporting urine from the bladder out of the body is known as the urethra. Under normal circumstances, this tube is wide enough for urine to flow freely but in some cases, one or more section can get narrowed and restrict the flow of urine. This may be diagnosed as a urethral stricture. This length of this stricture can range from 1 cm to affecting the entire length of the urethra.
This is caused by scar tissue or inflammation of tissue in the urethra. While this is a common condition that affects men, it is rarely seen to affect women. An enlarged prostate, exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation and irritation or having had a catheter recently inserted can increase the risk of suffering from a urethral stricture. An injury or tumour located near the urethra can also cause this condition. Hence, preventing this condition is not always a possibility.
Common symptoms to look out for include:
- Inability to urinate
- Reduction in the flow of urine
- Increased urge to urinate frequently
- Pain while urinating
- Urinary incontinence
- Abdominal pain
- Swelling of the penis
- Discharge from the urethra
- Blood in the urine or semen
- Dark urine
- The bladder feeling gull even after urinating
A physical examination and tests that measure the rate of urine flow and chemical composition of the urine can help a doctor determine a diagnosis of urethral strictures. You may also need to undergo STD tests and a cystoscopy. An X-ray may also help locate the stricture. The treatment for this condition depends on the severity of the symptoms.
Non-surgical treatment for this condition involves using a dilator to widen the urethra. However, there is no guarantee the blockage will not recur at a later date. Alternatively, a permanent catheter may also be inserted.
There are two forms of surgical treatment for a urethral stricture.
- Open urethroplasty: This involves removing the infected or scar tissue and restructuring the urethra. The results of this procedure depend on the size of the blockage. It is usually advised only in cases of long, severe strictures.
- Urine flow diversion: In the case of a severe blockage and damage to the bladder, the doctor may advise rerouting the flow of urine to an abdominal opening. This process involves connecting the ureters to an incision in the abdomen with the help of part of the intestines. If you wish to discuss about any specific problem, you can consult a Urologist.
My Glomerular filtration rate shows 120 where normal. Rate is 90 .Any proper way to bring it to. Normal.
My wife is four month pregnant and she is currently suffering from kidney stone. Can anyone help me out for stone treatment which is also safe in pregnancy.
Nephropathy is also known as renal disease. It is any type of damage or disease relating to the kidneys. Though not everyone with diabetes has nephropathy, however, diabetic nephropathy can cause kidney failure.
How does diabetes affect the kidney?
Kidneys are responsible for taking waste out from your blood. They have a lot of tiny blood vessels to do this. High blood sugar may kill such blood vessels. Once these blood vessels are destroyed, the kidneys may not function as well or it may even lead to kidney failure.
What increases your risk of getting diabetic nephropathy?
There are several factors which increase your risk of getting diabetic nephropathy including: \
- High blood pressure
- High cholesterol
- Being Native American, African American or of Hispanic origin, for whom risk factors have proved to be magnified
- If you have family history of diabetic nephropathy
Symptoms and diagnosis:
There are very few noticeable symptoms, which appear when you have diabetic nephropathy, except swelling in your arms and legs. The diagnosis is done by checking for a type of protein in your urine known as albumin, which is not supposed to be there. Getting the diagnosis done early is crucial.
You can prevent kidney damage by doing the following:
- Keeping your blood sugar levels under control - keep HbA1C < 6-7%
- Keeping your blood pressure under control in the range of 130/80
- Eating healthy food
- Exercising regularly
- Not eating too much protein
- Not eating too much salt
- Reducing smoke or excessive tobacco usage
Medicines for treatment:
If you do get diabetic nephropathy, here are some medicines, which can help cure it
- ACE inhibitors which are also called angiotensin-converting enzyme inhibitors
- Angiotensin II Receptor Blockers (ARBs)
- Blood pressure may rise
- Triglyceride levels and cholesterol levels may rise.