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Dr. Anand Utture

Urologist, Mumbai

700 at clinic
Dr. Anand Utture Urologist, Mumbai
700 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. Anand Utture
Dr. Anand Utture is an experienced Urologist in Mahim, Mumbai. You can visit him at S.L.Raheja Hospital in Mahim, Mumbai. Book an appointment online with Dr. Anand Utture on Lybrate.com.

Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 29 years of experience on Lybrate.com. You can find Urologists online in Mumbai 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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Hindi

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Raheja Rugnalaya Marg,Mahim. Landmark: Near Police Quarters ColonyMumbai Get Directions
700 at clinic
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Sir. I am facing a sudden urinal urgency for 1 year I don't know what's the reason. And also please tell me the reason and precautionary measures to be taken for it. And also urinal frequency of the day.

MBBS
General Physician,
Sir. I am facing a sudden urinal urgency for 1 year I don't know what's the reason. And also please tell me the reaso...
decrease the amount of water intake.avoid excess intake of sugars,caffeine,alcohol. get your fasting blood sugar and serum and urine osmolality and specific gravity checked. if after restriction of water intake your 24 hr urine volume is more than 3 litres then u r having polyuria.
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What are the remedies to be taken to get rid of kidney stones n what diet should be followed.

BAMS
Ayurveda, Ambala
What are the remedies to be taken to get rid of kidney stones n what diet should be followed.
You should follow these very important and simple things to prevent stone formation & to get sure treatment of kidney stones: 1. First take a lot of fluid daily. The more you drink water and fluid, the less amount of deposit accumulate in kidney. So you have to make your kidneys healthy just only by drinking 2-3 liters (10-12 glasses) of water. 2. Stones are mainly formed of calcium and oxalate. So take very low quantity of milk, cheese, cream and dairy products. 3. Do not take strawberry, plum, spinach and tomatoes. These fruits and vegetables are rich in oxalate. So avoid them to prevent from kidney stones. 3. Stop taking supplementary vitamin d and calcium medication. 4. Avoid animal protein diet- eggs, red meat, fish in diet. 5. Take less amount of salt, pickle and western foods. They have high amount of sodium. So avoid it. 6. Urinary infection are also one of the cause of stone. So take proper antibiotic treatment of urinary infection on time. Even when you feelburning sensation or pain during urination, don't avoid it. Take medication as soon as possible. I hope you follow them in your life andstay healthy. 7. You can take gokshur tablets of himalaya for 3 months. It definitely get relief from kidney stones.
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I have diuresis since 2 weeks.

DNB (ENT), MBBS
Ear-Nose-Throat (ENT) Specialist,
Hi . Diuresis or excessive urination can be due to an underlying urinary tract infection. Drink plenty of fluids (upto 2 litres per day) and some cranberry juice if available. Get your blood sugars tested (fbs, ppbs and rbs) as sometimes diuresis is an early sign of diabetes.
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I had read that boiling parsley and coriander leaves and drinking the water helps flush kidneys. Is this correct?

MBBS
General Physician, Mumbai
I had read that boiling parsley and coriander leaves and drinking the water helps flush kidneys. Is this correct?
It acts as an anti oxidant and there is no supporting evidence for the claim of doing kidney flushing
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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.
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I am a 20 year old male who has problems urinating after sex. Why do I have to wait a long time to urinate properly? I've been masturbating since I was 15, this problem started a few months back. Someone please help me!

MBBS
General Physician,
I am a 20 year old male who has problems urinating after sex. Why do I have to wait a long time to urinate properly? ...
Your pelvic floor muscles are weak so after sex they need some time to recoil you need proper exercises and medicines.
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I have very weak digestion system. I often get loose motion. Whatever I eat, I need to go to the toilet soon. I feel very uncomfortable because of this. Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have very weak digestion system. I often get loose motion. Whatever I eat, I need to go to the toilet soon. I feel ...
first of all you should follow some basic thing 1.avoid=hot and cold at time 2.less the sugar as much as possible if you want to eat sweet take juggery which is black 3.dont drink water after meal drink at the time of meal sip by sip up to 150 ml 4.avoid late night sleep 5.panchamrut parpati 1 tab before lunch and dinner 2.audumbaravleha 2 tsp before lunch and dinner
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What are the main side effects of renal failure? Please advice.

MBBS
General Physician,
The main side effects are swelling of leg and face also mainly because of sodium, pottasium and chlorine imbalance and low urine excretion. The other worrying effect is hypertension that can cause heart disease, stroke which may cause haemorrhage and death or coma or paralysis of whole body or part of body. Because of rise in urea, there may be uremia and shock also and lastly multi organ failure death at last.
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I am a sugar patient And my right kidney Size 7.0 cm and left kidney size 3.4 cm.my kidney Size not Normal. And Day By Day size reduce. Sir/Mam. Tell your suggestion.

MBBS, DNB
General Physician,
I am a sugar patient And my right kidney Size 7.0 cm and left kidney size 3.4 cm.my kidney Size not Normal. And Day B...
For 26 year old female with 5.6 feet, the size of both kidneys are sub 8 cm. Which is quite abnormal. I would suggest you to do usg to rule out any obstructive cause for that. If nothing obstruction was there means, get detailed renal function tests with serum electrolytes.
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He have anal fistula from 3 years. What to do?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist,
Dear, you should consult a proctologist or a general surgeon for surgery which is a must other wise it progress and complicate straight forward surgery to risky surgery with uncertain results. Alternatively you may go to ayurvedacharya for treatment called ksharsutra which is less painful and less cumbersum. But treatment is must. Do not wait.
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I am 50 years old man hight-5.3" weight-65kg. Tummy big my problems hyper acidity bed smell in stool urine yellowish frequent Gas passing Snoring in Sleep-Big Sound uneasiness after Meal BP problem since 2002 daily dose in the morning @ Tenolol D SR 25 @Loprin 75 kindly guide.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am 50 years old man hight-5.3" weight-65kg. Tummy big my problems
hyper acidity
bed smell in stool
urine yellowish
...
Take powder of roasted cumin and coriander seeds (25 gm each) and mix with 50 gm of sugar. Take half spoon of it 3 times a day to get rid of hyperacidity. Mix 1 gm of garlic paste with a glass of buttermilk. Drink this buttermilk once a day. Avoid oily n spicy food...drink plenty of fluids....do walk n yoga twice daily...try to sit in vjraasana whenever u sit like while watchin tv reading newspaper...etc..
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Does 1.5 cretnine is risky. Is there any threat to kidneys. But I dont have any problem in urination or abdomen pain. My bp is also normal.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
upper limit for creatinine is 1.4 mg, above that means there is some difficulty, which in the long run can cause serious problem with the kidneys. At present level it is an indicator of forth coming problem. To bring it under control avoid excess protein foods, high salt contents or take a salt restricted, control bp, keep it normal. Avoid unnecessary analgesics or nsaids like ibuprofen, diclofenac etc.
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I am 28 years old I drink water heavily but night I used to go wash room more then 10 times any solutions.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
I am 28 years old I  drink water heavily but night I used to go wash room   more then 10 times any solutions.
Dear, solution is simple to start with. Do not drink that heavily. Normally person need to produce 1 liter daily-in 24 hours. You aim for 1.5 liter in 24 hours. If you then need to urinate at night then we can think of investigate you further.
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My father is suffering from urine infection, bacteria is clebsila species from 1 months and his right scrotum is big from normal in size and infected in some fluid. For this admitted him to the hospital.At first Doctors give him Xylisten Forte 2mlu. But doctors say that fluids are taken out by the operation now. At this time what do I do?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My father is suffering from urine infection, bacteria is clebsila species from 1 months and his right scrotum is big ...
Just go by their advice as fluid if formed is most likely hydrocele. And infection might have reached there also ..so yes operation is needed to drain that fluid...
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After one year of prostrate operation it is necessary to check up again ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Dear if you do not have any problem as you had before operation then need not to worry. Take care.
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Dr. my have phosphates positive in urine test and before urine test if she eat she always vomit and nort feel hungry after we go. Hospital they told us phosphates positive Dr. this is any dangerous or it normal and she pregnant 2 and half month.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Dr. my have phosphates positive in urine test and before urine test if she eat she always vomit and nort feel hungry ...
High urine phosphate levels may be caused by kidney diseases, an over-active parathyroid gland (hyperparathyroidism) and too much vitamin d in the body. During early pregnancy such report is possible even when there is no abnormality. As she is vomiting a lot, you should get urine ketone done which will help her. Also you can repeat the test for phosphate from anothe lab once vomiting subsides.
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My father is suffering from heart and protest disease. Doctor has advice for CABG for heart. And for frequent urinate that is protest problem they had advice for surgery. please suggest me which operation will be good to do first?

Cardiologist, Chennai
My father is suffering from heart and protest disease. Doctor has advice for CABG for heart. And for frequent urinate...
As your father has been advised cabg, he should under go it first, followed by surgery for prostate.
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My father 65 years old is a htn, type 2 diabetes and a CKD patient undergoing HD thrice a week. At this age if he undergoes a renal transplant is he likely to lead good life after the transplant?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
My father 65 years old is a htn, type 2 diabetes and a CKD patient undergoing HD thrice a week. At this age if he und...
Yes quality of life will improve for sure. He will be off the hd but he needs to continue immunosupressants like steroids and calcineurin inhibitors. He might be off insulin depending upon his daily insulin requirements.
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