Doctors in Fortis Hospital Anandapur - Kolkata
PMR (Physical Medicine & Rehabilitation)
Patient Review Highlights
He is so pleasant to talk to and always ready to answer your doubts. It was so quite pleasant in the Fortis Hospital & Kidney Institute. Overall reconstructive was very effective. I am so thankful that Pushkar Shyam Chowdhury has given me the best advice and I am now finally able to get back to my normal self. I feel strange that I am suffering from reconstructiveOne of my cousin's referred to Pushkar Shyam Chowdhury. I have consulted so many doctors but nobody till now was able to understand my concern properly, until i consulted Pushkar Shyam ChowdhuryBoth Pushkar Shyam Chowdhury and staff were very helpful.
My boss referred me this Pushkar Shyam Chowdhury. He is not just friendly, but also is very motivating. Pushkar Shyam Chowdhury has so much knowledge that for everything my family takes his reference. The atmosphere in the Fortis Hospital & Kidney Institute is always so positive and full of life. I found the Fortis Hospital & Kidney Institute itself quite pleasant. I was quite depressed due to my condition, but my Pushkar Shyam Chowdhury guided me to change my attitude. I am so happy with the results of my treatment, that I will surely recommend Pushkar Shyam Chowdhury to anyone gladly.
It was a very good experience on the whole as Doctor Pushkar's efficiency & profundity in his sphere of work helped my father to recover after the immediate diagnosis of his Urinary Bladder tumour and removal that helped him to come back to his normal lifestyle. I am really grateful to Doctor Chowdhury for is brilliant treatment as well as his kind & pleasant behaviour with his patients that is found very occasionally in today's materialistic world. I would strongly recommend the patients with similar disorders to visit Doctor Pushkar.
I was shocked to experience kidney pain for which I consulted Dr Pushkar. He suggested me Minimally Invasive Urology.The surgery helped me alot to deal with the problem.Thanks to him for the treatmnet he gave me has given brilliant results. With great ease he explained us the problem and how the treatment will be carried out. I am very much benefitted with his treatmnet that I am completely fine now.
Never thought I will suffer from issue of open prostatectomy like this. He is very professional and is a really patient listener. The lab in the Fortis Hospital was very clean and well managed. During the treatment, Dr Pushkar supported me a lot. I am so happy with the results of my treatment, that I will surely recommend him to anyone gladly.
Due to my testicular pain i was feeling very depressed and had no hope. I was quite impressed with Dr Pushkar's concept of holistic healing. He is not just friendly, but also is very motivating. Overall testicular pain treatment was very effective. The facilities available in the Fortis Hospital are very nice.
I was very tensed when I got to know that I am suffering from urinary tract infection and didn't know what to do. Thanks to Dr Pushkar for giving the best possible treatment. His advice and counselling has helped me immensely. The overall atmosphere in the Fortis Hospital is very soothing.
I was suffering from urology minimally invasive. After following Dr Pushkar's guidance, I feel so great. He is very patient with all his patients. So many doctors I consulted, but his treatment was the best. I owe him a big thank for treating me so well.
My 6 month old son had rt pub obstruction with gross hydronephrosis. Dr. Pushkar did wonderful surgery @ fortis kolkata. Hats off to his wonderful work.my son is now 3 yr doing well no complication. Thanks a lot sir
Kishore Barman Roy
he is a very generous person. but lybrate is disgusting. Firstly the charges shown in wdbsite is wrong and also after pre booking, we found that the name was not present in hospital's list.
His manner didn't appear deliberate or even conscious. The kindness and friendliness that I saw in him were genuine, and appeared to be from the heart. less
Very approachable and calm doctor. He knows his job to the core. Amazing behavior. Very very reliable. He gave my father a new life.
Dr Chowdhury is looking after my all urological cases and I am proudly to say that he is very competent in his field
The soothing, assuring and cool demaneaur of the doctor perhaps was a great start to the actual treatment process
I found the answers provided by the Dr. Pushkar Shyam Chowdhury to be very helpful. Thank you, doctor.
Extremely well behaved and efficient physician. He is one of the best Urologists in Kolkata.
Dr. Pushkar reviewed the conditions of my father, age 72, well and recommended surgery
The Doctor has been very understanding and he has successfully treated me.
He is one of the best doctors I have ever met.very concerned for patients.
Very pleasant, Dr Chowdhury's diagnosis was accurate and thorough.
Great doctor,great behaviour and an epitome of optimism
Patiently listened to the problem and very supportive.
Bladder cancer can be caused by a variety of factors which include genetic factors, inheritance, drugs, chemicals, environment-related factors and smoking. In fact, smoking tobacco is one of the major causes of bladder cancer around the world. The chemicals present in tobacco can irritate the bladder lining which ultimately leads to bladder cancer. Besides smoking other important environmental factors might be chemotherapy, exposure to chemicals from newspaper, dye, leather, paints industries.
Symptoms of bladder cancer are as follows:
Most often it occurs in people more than 50 years of age. It can present in different ways but common symptoms being :
- Painless hematuria - reddish or brownish colored urine with or without clots Increased frequency of urination Pain while passing urine .
- Difficulty in passing urine
The diagnosis requires a proper imaging workup including ultrasound, CT scan and urine examinations. Following the initial imaging, a biopsy is required to confirm the diagnosis and stage the disease. This is done by cystoscopy under anesthesia.
Treatments for bladder cancer depend on the stage of cancer. Broadly bladder cancers can be categorised into Non-invasive and Invasive cancers.
- For non-invasive cancers: It requires recurrent cystoscopic surveillance and resection. For those with high risk of tumor recurrence or progression, intravesical chemotherapy or immunotherapy might be required.
- For invasive cancers the various treatment choices are:
- Surgery: For localised tumor which are amenable to resection perhaps surgery is the best possible treatment. This is a major undertaking where in whole of bladder along with accessory organs is removed. The surgeon may offer choices for reconstruction between neobladder (refashioning bladder with patient's gut) or ileal conduit (fashioning a stoma over which bag can be worn to collect urine). Following surgery a regular follow up is required and the prognosis is good.
- Chemotherapy: This modality is reserved for patient's where surgery is not possible or they have metastatic disease (disease spread to other body parts).In this method, medications are used to target and destroy cancer cells.
- Radiation Therapy: This might be and option for patient's that are not suitable for surgery. Radiation therapy uses gamma rays to destroy cancer cells in the body The key to good prognosis in bladder cancers is early detection timely intervention and good follow up.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A problem pertaining to the storage function of the bladder that results in bouts of sudden, often uncontrollable urge to urinate is referred to as an overactive bladder. This condition which is marked by unconditioned or involuntary loss of urine can sometimes be quite difficult to stop. People who experience such a condition often feel humiliated and as such tend to limit their social and work life. Despite such, only a few are conscious that a brief evaluation can help them manage and overcome an overactive bladder.
Mechanism of Urination
During urination, the urine proceeds from the bladder and flows into the urethra which is located at the tip of the penis in men and above the vagina in women. As the bladder fills, the nerve signals in the brain prompts urination by coordinating the relaxation and contraction of the urinary sphincter muscles.
Causes and Symptoms of an Overactive Bladder
Primarily caused due to involuntary contraction and relaxation of sphincter muscles, several conditions can lead to overactive bladder.
Some of them are:
1. Parkinson's disease, Alzheimer's and other neurological disorders
2. Poor kidney function due to diabetes
3. Medications that lead to increased production of urine
4. Bladder abnormalities like tumors or stones
6. Excessive consumption of caffeine or alcohol
Some of the common signs of an overactive bladder are:
1. Bouts of sudden, uncontrollable urge to urinate
2. Awakening at night frequently to urinate
3. Urinating more than eight times a day
The risk of an overactive bladder gradually increases with age. Conditions, such as diabetes and an enlarged prostate results in the increased likelihood of an overactive bladder. People who have previously faced strokes and heart attacks experience cognitive decline, which often times lead to the development of an overactive bladder.
Urinary incontinence as well as a host of associated factors can be detrimental to your life. Emotional distress, interrupted sleep cycles and depression are some of the observed complications of this condition.
Thus if you experience or entertain suspicion of an overactive bladder, you should consider visiting a general physician who might refer you to a specialist, if need be.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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.
Cause of urinary problems in men
Men experience urinary symptoms either due to inflammation of the prostate gland or prostatitis or symptoms may be the result of a blockage of the passage due to enlargement of the prostate gland.
Symptoms of urinary problems
Urinary symptoms commonly experienced with prostate problems include;
- The need to urinate frequently during the night.
- Urinating more often during the day.
- Urinary urgency is the urge to urinate can be so strong and sudden that one may not reach the toilet in time.
- The urine stream is slow to start.
- Urine dribbling for some time after finishing urination.
- A sensation that the bladder is not fully emptied after urination.
- A lack of force to the urine flow, which makes directing the stream difficult.
- The sensation of needing to go again soon after urinating
- A long course of antibacterial medication (for bacterial prostatitis) is prescribed, because infection is difficult to get rid of, the antibacterial medication will need to be taken for many weeks.
- Medication to improve urine flow and other symptoms (for obstruction caused by an enlarged prostate).
- Surgical procedures (for blockage caused by an enlarged prostate), such as Transurethral Resection of the prostate(TURP), Laser Resection of prostate, Transurethral Incision of the prostate(TUIP).
A number of other procedures that have been developed to reduce urinary symptoms.
Medication for urinary problems
Various medications to help ease your urinary problems, including;
- Medications to reduce the tone of the muscles of the urethra and prostate to minimize any obstruction to urine flow caused when these muscles contract.
- Medication to reduce the size of the prostate gland. These drugs work by blocking the action of male hormones produced by the prostate gland.
- Medications to relax the bladder, making unwanted contractions less likely and reducing the symptoms of urgency and frequency of urination.
- Over-the-counter medicine 'Saw Palmetto' (Serenoa repens) is used sometimes. This may help some men, especially if frequent urination at night is a problem. However, recent reviews of the evidence for using Saw Palmetto as a treatment for mild or moderate urinary symptoms did not show any improvement compared to no treatment, in men with BPH.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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:
However, there are several preventive measures which you can undertake in order to avert the situation. Some of them are:
- 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.
- 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.
- 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.
- 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. Upton 500 gms of calcium supplement is permissible daily. If you wish to discuss about any specific problem, you can ask a free question.
I am 22, and I am having pain in testicles, pain so much heavy and lasts about 1-2 hrs, I observe that, this happen when I meet my girlfriend, please help me with this.
Only men have prostate gland and it surrounds that part of the tube which carries urine out of the body from the bladder. When cells in this gland start growing without any control and get clumped with each other, they form tumors. It is then the chances of prostate cancer arise in the men's body. These tumors can be malignant, and they can kill the healthy tissues of your body and spread to other body parts.
Chances of getting prostate cancer
The chances of getting prostate cancer are among men who are over 55 years of age. The ratio of getting prostate cancer is one among six men. It is more common in black men compared to white men, Hispanic men and Asian men. Moreover, when there is history of prostate cancer in your family, the chances of having prostate cancer increases.
Now, let's find out the symptoms that will let you know that you may have prostate cancer.
Symptoms of prostate cancer
There are different stages of prostate cancer and depending upon the stage you can get to know various symptoms.
However, the problem is that in the early stages there are no specific symptoms of prostate cancer. Certain urinary symptoms may suggest that you are suffering from prostate cancer. Such symptoms are:
- Frequent urination
- Difficulty with starting urine flow
- Urination that burns
- Blood in the urine
- Weak flow, or 'dribbling'
These symptoms always do not mean that you are suffering from prostate cancer, as these symptoms may be there when your prostate gland gets enlarged.
Another symptom associated with prostate cancer is pain in different parts of the body. When the cancerous cells spread they cause pain around the prostate gland. There can be pain in the hips, pelvis, and lower back or upper thighs.
Prostate gland also plays a major role in the male reproductive system. Thus, if there is any sexual dysfunction, there are chances that it may be due to prostate cancer. If you are having a problem in getting an erection or maintaining it also becomes difficult, one problem can be prostate cancer. Sometimes you may experience painful ejaculation, which also points towards chances of having prostate cancer.
Thus, if you experience any of the above mentioned symptoms, its right time to get to your physician. Remember that as there are no early symptoms, the moment you find any of these symptoms, you should pay a consult an urologist.
Urinary incontinence, commonly known as loss of bladder control can really cause embarrassment. The severity of this condition may range from once in a while leaky urine to the sudden and forceful urge to urinate, due to which you end up urinating before reaching the toilet.
Types of Urinary Incontinence:
- Stress Incontinence: When you feel the urge to urinate due to sneezing, coughing, laughing or while doing physical exercise
- Urge Incontinence: When you feel the urge to urinate, suddenly. This may occur during the day and even at night.
- Functional Incontinence: When you cannot reach the toilet on time because of a physical or mental impairment.
- Mixed Incontinence: When you involuntarily urinate due to more than one incontinence
Stress incontinence is the most common type in women. The activities which increase your risk, are:
You have had more than one pregnancy and vaginal delivery.
You have pelvic prolapse. This is when your bladder, urethra, or rectum slide into the vagina. Delivering a baby can cause nerve or tissue damage in the pelvic area. This can lead to pelvic prolapse months or years after delivery.
Female urinary stress incontinence is the involuntary release of urine during any physical activity that puts pressure on your bladder. This potentially embarrassing condition differs from general incontinence in that it happens when the body is under immediate physical stress. Activities that can put stress on your bladder include coughing, sneezing, laughing, lifting heavy objects, or bending over. This condition is particular to women, many of whom experience symptoms after muscles have been weakened due to a vaginal childbirth, following menopause, or during pregnancy.
Ensure that you consult a doctor:
- If this condition hinders your day to day activities
- If the urinary incontinence is the result of a serious underlying problem
Causes of Urinary Incontinence:
Urinary incontinence may be temporary or permanent. Causes for temporary incontinence are-
- Caffeine and caffeinated drinks
- Decaffeinated tea or coffee
- Spicy and sugary foods
- High intake of Vitamin B or C
- Urinary tract infection (UTI)
Causes for Permanent Incontinence are:
- Old age
- Prostate cancer
- Enlarged prostate
- Neurological disorders
Chronic urinary incontinence can lead to certain complications like:
- Skin Problems: Skin rashes and infections can develop around the vaginal area, because of the constant wetness one feels. It may also cause sores.
- Urinary Tract Infections: Urinary incontinence can also result in UTI
- Impact on Personal and Social Life: Urinary incontinence can lead to great embarrassment, thus affecting the social and personal life of an individual.
Treatment for Female Stress Urinary Incontinence:
There are several types of treatment available. Treatment options include lifestyle changes, medications, nonsurgical treatments, and surgeries.
- Lifestyle Changes: Make regular trips to the restroom to reduce the chance of urine leakage. Drink fewer fluids and avoid activities such as jumping and running.
- Medications: Medications that reduce bladder contractions.
- Nonsurgical Treatments: Kegel exercises strengthen your pelvic muscles. Done regularly, these exercises can strengthen your muscles, allowing you to control when urine is released from your body.
If other treatments fail, you will have to go for surgical treatment. Types of surgery include:
- injectable therapy, in which collagen is injected into your urethra to reduce incontinence
- tension-free vaginal tape (TVT) surgery, in which mesh is placed around the urethra to give it support
- vaginal sling surgery, in which a sling is placed around the urethra to support it
- anterior or para-vaginal vaginal repair surgery to repair a bladder that is bulging into the vaginal canal
- retropubic suspension surgery to move the bladder and urethra back into their normal positions
Some doctors even try electrical stimulation and medication. When the condition is highly advanced interventional therapies and surgery is recommended.
Some interventional therapies are:
- Bulking material injections
- Botulinum toxin Type-A
- Nerve stimulators. If you wish to discuss about any specific problem, you can consult a Urologist.