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Percutaneous Nephrolithotomy Procedure
Blood In Urine (Hematuria) Treatment
Treatment Of Erectile Dysfunction
Treatment of H.I.V
Hydrocele Treatment (Surgical)
Kidney Transplant Treatment
Treatment Of Male Sexual Problems
Minimally Invasive Urology Surgery
Open Prostatectomy Surgery
Reconstructive Surgery Procedures
Reconstructive Urology Surgery
Transurethral Incision Of The Prostate (Tuip) Proc
Transurethral Resection Of The Prostate (Turp) Pro
Urinary Incontinence (Ui) Treatment
Urology Minimally Invasive Surgery
How to show my report. As desired USG KUBP report is as under As per report -Right Kidney- normal. Left Kidney - normal in size and shape and echotexture - No evidence of any calculous or hydronephrosis is seen. Urine bladder is seen in distended state. No evidence of calculous or mass lesion is seen. Pre-void urine volume- 262cc Significant post void residual urine volume-48cc Prostate is normal in size (25X40X26mm) Volume (14cc) and attenuation. No diffuse or focal Opinion- Ultrasound KUB reveals significant post void residual urine. Advise - clinically correlation. Some time when there is pressure for long time I feel this as in this case. If I go without too much pressure then in one or two time I feel relief by passing urine in drops also.
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%.
I am 24 years old, Past few months I have UTI .I went to local Hospital and they gave Medicine's like Citralka etc. I am drinking at least 2 to 2.5 liter water per day but still Its not curing. If take medicine its work for few days again irritation starts. What should I do? Is this serious problem?
I have Fissure in ano, I do not have - BP or Diabetics and no other ailments, except - fissure in ano. I am 62 year old, without any liabilities no wife nor children. I am under No Work - No Pay system. I could not offer for surgeries. Any diets I can strictly follow. Please suggest diets.
I am 60year old male, 5' 6" ht and weight about 72 kg. I have prostate enlargement problem since last 6years. There is constant pains in waste and lower side stomach. Night I have to go urinal 3 to 4 times. I was taking geriflow D tablets. Please advise.
Sir 13 months boy has Non Functional Right kidney (MCD) found in DTPA Test, size rt kidney is 3.8*1.6 cm whereas Left Kidney is normal in size.
I am 25 years old male, I am feeling pain at anus, sometimes high, sometimes low, sometimes no pain, while delivering. I also ensured that its not bleeding. What could be the possible cause. Any serious consultation necessary?
Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:
- Stress Incontinence– when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
- Urge Incontinence– when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
- Overflow Incontinence (chronic urinary retention)– when you're unable to fully empty your bladder, which causes frequent leaking.
- Total Incontinence– when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking.
It's also possible to have a mixture of both stress and urge urinary incontinence.
What causes urinary incontinence in men?
Urinary incontinence in men results when the brain does not properly signal the bladder, the sphincters do not squeeze strongly enough, or both. The bladder muscle may contract too much or not enough because of a problem with the muscle itself or the nerves controlling the bladder muscle. Damage to the sphincter muscles themselves or the nerves controlling these muscles can result in poor sphincter function. These problems can range from simple to complex.
A man may have factors that increase his chances of developing UI, including
- birth defects—problems with development of the urinary tract
- a history of prostate cancer—surgery or radiation treatment for prostate cancer can lead to temporary or permanent UI in men
UI is not a disease. Instead, it can be a symptom of certain conditions or the result of particular events during a man’s life. Conditions or events that may increase a man’s chance of developing UI include
- benign prostatic hyperplasia (BPH)—a condition in which the prostate is enlarged yet not cancerous. In men with BPH, the enlarged prostate presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty, leaving some urine in the bladder. The narrowing of the urethra and incomplete emptying of the bladder can lead to UI.
- chronic coughing—long-lasting coughing increases pressure on the bladder and pelvic floor muscles.
- neurological problems—men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
- physical inactivity—decreased activity can increase a man’s weight and contribute to muscle weakness.
- obesity—extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
- older age—bladder muscles can weaken over time, leading to a decrease in the bladder’s capacity to store urine.
Treating Urinary Incontinence
Initially, your GP may suggest some simple measures to see if they help improve your symptoms. These may include:
- lifestyle changes – such as losing weight and cutting down on caffeine and alcohol
- pelvic floor exercises – exercising your pelvic floor muscles by squeezing them, taught by a specialist
- bladder training – where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
- You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
- Medication may be recommended if you're still unable to manage your symptoms.
- Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
- Surgical treatments for stress incontinence, such as tape or sling procedures, are used to reduce pressure on the bladder or strengthen the muscles that control urination.
- Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles.
I have got itching in my vagina from last few months also I am getting white discharge coming out from vagina on and off n after fet minutes its become thick cheesy clots and after this itching starts in my vaginal area what is it what do I do is It harmful. Also I have frequent urination problem after evry 30 mnts pr 50 mnts I get urine pressure Sumtimez itz after 15-. 20 mnts could you please suggest it it harmful what do I do I am really so scared and worried so pls suggest me wt I do? Is there any possibilities to cure by taking natural food?
What is Diabetic Nephropathy?
Diabetic nephropathy (Diabetic Kidney Disease) is defined as the progressive damage to the kidneys caused by diabetes. It is characterised by the scarring of the glomeruli in the kidneys due to prolonged diabetes mellitus.
What Causes Diabetic Nephropathy?
Diabetes is a condition characterized by high concentration of blood sugar. Although the cause of Diabetes Nephropathy is not yet well defined, it is likely that the high sugar levels in the blood damage the blood vessels present in the kidneys that help to filter waste products, thus resulting in decreased kidney function and ultimately, kidney failure.
Not everyone with diabetes suffers from diabetic nephropathy. Although, factors that can increase your chances of getting diabetic neuropathy are-
Poor control of blood glucose
High blood pressure
History of kidney diseases
What are the symptoms of diabetic nephropathy?
In the early stages, there may be no symptoms at all, but as the disease progresses, you may notice swelling in the extremities like your feet. Thus it is recommended to get your blood albumin levels tested on a regular basis. If it is diagnosed in early stages, the damage can be reversed. Other symptoms that can indicate damage to the kidneys are-
Lack of appetite
Itchiness of skin
General feeling of illness
Diagnostic tests that can confirm diabetic nephropathy are-
Routine urine test (urinalysis) - Kidney diseases are detected by the presence of a protein in the urine called albumin and this condition is called albuminuria. Other parameters that must be regularly monitored are-
Cholesterol levels in your blood
How can you treat/ manage diabetic nephropathy?
If this type of nephropathy is diagnosed in the early stages, the damage to the kidneys can be reversible. The key to managing diabetic nephropathy are-
Diet: Reduce the dietary intake of salt, phosphorous and potassium in the advanced stages.
Glycemic Control: Monitor your blood glucose levels regularly
Management of Hypertension: It is important to manage your blood pressure as it can have a direct effect on the coronary blood vessels which in turn pump blood to the various blood vessels of the body
Renal Replacement Therapy: In chronically ill patients, renal replacement therapy is the best option. This can include haemodialysis (a procedure to flush out toxins from the blood, such as urea), peritoneal dialysis or ultimately renal transplantation.