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Dr. Kartick Saha

Urologist, Kolkata

500 at clinic
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Dr. Kartick Saha Urologist, Kolkata
500 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Kartick Saha
Dr. Kartick Saha is an experienced Urologist in Sinthee, Kolkata. You can consult Dr. Kartick Saha at Dr. Kartick Saha's Clinic in Sinthee, Kolkata. Save your time and book an appointment online with Dr. Kartick Saha on Lybrate.com.

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46/2 B. T Road,South City Stoppage,Sinthee, KolkataKolkata 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 am a 75 years old. My PSA last year was 4.03 this year it has elevated to 5.83. This has me stressed and worried. My urologist has recommend I have a biopsy. I have been reading and go ogling about prostate cancer and biopsies. The more I read and learn, the more confused I get. I am 50- to get a.

M. Ch. (Urology)
Urologist, Tirupati
I am a 75 years old. My PSA last year was 4.03 this year it has elevated to 5.83. This has me stressed and worried. M...
Regarding prostate cancer lot of literature is available on net. You will get confused as you said. If you r otherwise healthy you have to undergo biopsy.
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Whenever I urinate I feel burning sensation. Urge to urinate increase. Have kidney stone in left kidney. please suggest treatment.

MBBS, M.S. (General Surgery), MBA (Healthcare), M.Ch - Urology/Genito-Urinary Surgery
Urologist, Gurgaon
Whenever I urinate I feel burning sensation. Urge to urinate increase. Have kidney stone in left kidney. please sugge...
You possibly have a urinary tract infection which could be on account of the stone. Need to treat the UTI based on your urine test results. Stone management would depend on multiple factors such as size and evidence of any obstruction.
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I have 3 mm stone in left kidney Sometimes it pains What should I do ? Is it possible to break it and leave from kidney without surgery.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have 3 mm stone in left kidney
Sometimes it pains What should I do ?
Is it possible to break it and leave from kidn...
Take 1 cup of horse gram + Add ½ L water + Heat the mixture till water level reduces to 1/5th + Strain and collect the soup + add 2 tsp of crushed pomegranate + Mix well + Drink once a day
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I am 55 years Male single, suffering from CKD, High BP, and overweight - due to spine operated in 2009 as tuberculosis, My Creatinine is very 3.1 and have swelling in left leg. My weight is 145 kg want to reduce weight also can you recommend effective an long lasting medication.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
I am 55 years Male single, suffering from CKD, High BP, and overweight - due to spine operated in 2009 as tuberculosi...
Due to ckd avoid any medicine that loses weight. Just follow our diet charts to reduce weight effectively.
1 person found this helpful
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My husband C. S. K. Jayachandar, past three years he is suffering from severe kidney stone pain. He is 50 years old. Pls. Sir, suggest me to take suitable treatment for that.

BHMS
Homeopath, Delhi
My husband C. S. K. Jayachandar, past three years he is suffering from severe kidney stone pain. He is 50 years old. ...
Hello, you can take homoeopathic medicines 1.Lycopodium 30 ( 4 drops in little water) every morning empty stomach only one dose in a day for 15 days. 2.Berberis Vulgaris Q ( 10 drops in half cup of water) thrice a day for 15 days and revert.
2 people found this helpful
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I have burning sensation after i. Pass urine sometimes but urine test and kub ultrasound normal, RFT normal It's almost being 6 months I m. Suffering from it. Please suggest the needful.

MBBS
General Physician, Mumbai
I have burning sensation after i. Pass urine sometimes but urine test and kub ultrasound normal, RFT normal It's almo...
Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet and For pain take tablet paracetamol 650 mg and take syp cital two tsp mixed with a glass of water twice a day
2 people found this helpful
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I am 24 year old. I am suffering from a problem that I am getting some whitish glue while urinating with little pain and in some other situation also. And also some burning sensation in the organ also. Please help me to come out this problem. Next week planning to undergo a urine test.

MD - Psychiatry, MBBS
Psychiatrist, Patna
Right you may have UTI, tell me after urine results, till the time drink plenty of water, syrup alkasol 10 ml TDS, and multivitamins.
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How to prevent kidney stone and what to do if somebody suffering from this problem?

BHMS
Homeopath, Faridabad
How to prevent kidney stone and what to do if somebody suffering from this problem?
Hi, prevention of kidney stones may include a combination of lifestyle changes and medications. Lifestyle changes you may reduce your risk of kidney stones if you: drink water throughout the day. For people with a history of kidney stones, drink 12-14 glasses of water everyday. If you live in a hot, dry climate or you exercise frequently, you may need to drink even more water to produce enough urine. If your urine is light and clear, you're likely drinking enough water. 1 eat fewer oxalate-rich foods. If you tend to form calcium oxalate stones, restrict foods rich in oxalates. These include rhubarb, beets, bhindi (okra), spinach, swiss chard, sweet potatoes, nuts, tea, chocolate and soy products. Choose a diet low in salt and animal protein. Reduce the amount of salt you eat and choose non animal protein sources, such as legumes. Consider using a salt substitute. Continue eating calcium-rich foods, but use caution with calcium supplements. Calcium in food doesn't have an effect on your risk of kidney stones. Continue eating calcium-rich foods unless your doctor advises otherwise. Ask your doctor before taking calcium supplements, as these have been linked to increased risk of kidney stones. You may reduce the risk by taking supplements with meals. Diets low in calcium can increase kidney stone formation in some people. Medication: take homoeopathic medicine - berberis vulgaris q/ 10 drops in 1/2 cup of water/ thrice daily for 4 weeks. Revert me back.
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My brother is 55 yrs. What prophylactic measures he shud take to avoid prostate hyperplasia. Regards.

MS - General Surgery, FMAS, FIAGES
General Surgeon, Jamnagar
My brother is 55 yrs. What prophylactic measures he shud take to avoid prostate hyperplasia. Regards.
Proatatic hyperplasia is age related disease. As one cant stop whitening of hair as age grows, can't stop prostatic enlargement. Once it give rise to treatment, then only needed to consult a surgeon/ urosurgeon for conservative or operative management.
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