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Dr. P.n. Vasawani

Urologist, Mumbai

Dr. P.n. Vasawani Urologist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. P.n. Vasawani
Dr. P.n. Vasawani is one of the best Urologists in Colaba, Mumbai. He is currently associated with P.N. Medical Centre in Colaba, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. P.n. Vasawani on Lybrate.com.

Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 35 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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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

My wife suffer from the bladder pain and urine burning last 2 years ago what can I do.

MBBS
General Physician, Cuttack
My wife suffer from the bladder pain and urine burning last 2 years ago what can I do.
She should take plenty of water.Get her urine examined including culture and sensitivity.Consult doctor with report
1 person found this helpful
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My urine colour is very yellow every day. How can we solve them it now? And I am not cause of any dease. Please give me a write answers thank-you.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
My urine colour is very yellow every day. How can we solve them it now? And I am not cause of any dease. Please give ...
Few of the common reasons for yellow urination are jaundice less water intake over exertion urinary tract infection or it may be due to any drug effect like multivitamins etc. so it would be better to find out the cause first and then proceed for treatment.
2 people found this helpful
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Hi I m 35 years old n healthy. For the past 3 years I m suffering from kidney (i have copper t inserted after my second child). When detected I had 3 stones, while last when I checked only 1is remaining. My stones were detected because I use to have back pain on my right side, but then the pain had reduced. But now recently again the pain had started I usually it is in the morning when I sleep for long hours. Also I have observed the there is blood passing in my vaginal discharge. Please help.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Hi I m 35 years old n healthy. For the past 3 years I m suffering from kidney (i have copper t inserted after my seco...
Unenhanced helical computed tomography is the best radiographic technique for diagnosing urolithiasis shock wave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy have replaced open surgery for treating urolithiasis most simple renal calculi (80-85%) can be treated with shock wave lithotripsy percutaneous nephrolithotomy is the treatment of choice for complex renal calculi staghorn calculi should be treated, and percutaneous nephrolithotomy is the preferred treatment in most patients ureteroscopy is the preferred treatment in pregnant, morbidly obese, or patients with coagulopathy most ureteral calculi <5 mm in diameter will pass spontaneously within four weeks of the onset of symptoms.
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Information given above is of my baby girl of two months. She is not doing motion everyday since from 15 days and from 3 days onwards she is doing urination only 3 to 4 times daily. Is tat normal in this summer? Are there any solutions for tat?

MBBS
General Physician, Mumbai
Information given above is of my baby girl of two months. She is not doing motion everyday since from 15 days and fro...
Small babies many times do not pass stools for 7 days but we have to see that they have soft abdomen at all times and if the urine quantity is adequate than its okay as far as the frequency of urine output is concerned.
1 person found this helpful
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Hello sir. Sir I want to know the food or fruits which should be taken or avoided in case of kidney stone so that one can easily get rid of kidney stone properly. please sir name d fruits to avoid and take so that a middle class person can have it.

BAMS
Ayurveda, Sonipat
Hello sir. Sir I want to know the food or fruits which should be taken or avoided in case of kidney stone so that one...
kharbuja tarbooj orange mosmi papita khera kakri nariyal water nimboo pani soda water safe avoid guava banana apple onoin garlic cabbage etc. green vagitable except leafy vagitables like loki tori tinda parval moog dal safe
2 people found this helpful
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Mujhe peshab karne me thori awarodh utpan karta h. ultrasound karwaya usme urinary blader increase aya h. Please meri help kare.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Mujhe  peshab karne me thori awarodh utpan karta h. ultrasound  karwaya usme urinary blader increase aya  h. Please m...
please text exact report language at remark . if its inflamation to bladder this may due to infection.
1 person found this helpful
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Is Polycystic Kidney Disease Preventable?

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Is Polycystic Kidney Disease Preventable?

The general perception that hereditary diseases cannot be prevented is changing. Polycystic kidney disease (PKD) is one such hereditary condition. The kidneys are the body's detox machine, which remove all impurities and flush it out of the system through urine. PKD is a condition where there are multiple, fluid-filled cysts which develop in the kidneys. These can vary in size and though noncancerous, can grow to a very large extent, producing severe symptoms including extremely high blood pressures and kidney failure.

In the recent past, however, there have been various theories that put forth how a modified and healthy lifestyle can prevent PKD. A child with a parent who suffers from PKD has 50% likelihood to develop the same. That cannot be prevented; however, changes can be made which can delay the onset and reduce the severity of symptoms of PKD, most notably high blood pressure and kidney failure which may require lifelong dialysis.

Symptoms and complications: The most common symptoms include high blood pressure, kidney pain (behind the back above the buttocks), infections of the kidneys or the bladder, bloody urine, kidney failure, headache, bloated abdomen due to the fluid-filled cysts, frequent urination, and kidney stones. There could be impact on pregnancy plans, with high blood pressure complicating the pregnancy. This needs extra care in management and is not life-threatening in most cases.

Prevention: The kidneys take the brunt of all the toxins that a body is subjected to. It is therefore, very important to reduce the exposure of body, especially kidneys to toxins. One of the best ways to keep the kidneys in good health is to control blood pressure. Some of the ways to do this include:

  1. Following a low-sodium diet with a good amount of hydration
  2. Reduce fat in the diet as much as possible
  3. Include a lot of berries, broccoli and apples
  4. Be diligent in taking your blood pressure medications as directed
  5. Ensure that your weight is within the prescribed limits for you
  6. Quit smoking and drinking
  7. At least 30 minutes of moderate physical activity should be included in your daily regimen

Read up on symptoms of PKD and keep an eye on them. If you are having a bloated feeling or pain in the kidneys or blood in the urine, consult a doctor. If you are planning on having a baby, genetic counseling may be useful to see if there is a risk of passing on the genes to the baby. Keep a positive outlook and have a frank discussion with family and friends on your overall condition. So, as much as PKD is a hereditary disease, there are ways to manage it and improve the quality of life.

4351 people found this helpful
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I am 43 years man, feeling too much tired. Urin comes with bad smell with light yellow/red colour. Always pain in feet. Not any examine done.

MBBS
General Physician, Mumbai
I am 43 years man, feeling too much tired. Urin comes with bad smell with light yellow/red colour. Always pain in fee...
Get your blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports and also start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
1 person found this helpful
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Sir I have some problems related to digestion. Stomach burning. Burning in cloaca after spicy food. And problem in ex creating stool. Tightness in stomach. And urine me rukavat si lagti hai.

MBBS
General Physician, Cuttack
Sir I have some problems related to digestion. Stomach burning. Burning in cloaca after spicy food. And problem in ex...
You may be having gastritis. Take antacids tablet for four week, avoid spicy food, take bland diet, don't remain in empty stomach.
2 people found this helpful
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White color comes out through my urine and I m sitting position. Which medicine will solve this problem and why this caused.

MBBS, cc USG
General Physician, Gurgaon
White color comes out through my urine and I m sitting position. Which medicine will solve this problem and why this ...
It may be Sperm in urine (can be caused both by prostatitis and retrograde ejaculation) consult Surgeon for further management
1 person found this helpful
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Mera urine kafi samay se pila colour ho raha hai lekin jab mai pani jyada pita hu to colour sahi ho jata hai yani normal so koi problem to nhi hai please help.

C.S.C, D.C.H, M.B.B.S
General Physician,
Mera urine kafi samay se pila colour ho raha hai lekin jab mai pani jyada pita hu to colour sahi ho jata hai yani nor...
I, Tis colour is due to concentrated urine and that is the reason it goes if you drink water. Make it a habit to drink at least 10 glasses every day and check urine for BS and BP also
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I have got right hemicolectomy (open) surgery in october. I was diagnosed with chronic disease. Can I start push ups workout?

M.S in Shalya tantra (Samanya)
Ayurveda, Puttur
Now is it repaired back or still in same condition. Better you consult your surgeon once bfore you start up.
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To decrease pain by fissures what I have to do please suggest me any tip can we do any weight lifting.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi for pain relief from fissure avoid constipation by all means, take sitz bath mor & evening. Weight lifting can be done if not severely intense pain dear thanks regards welcome
2 people found this helpful
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I was so exited during intercourse and done very satisfactorily. After intercourse I gone to washroom, I found blood cots in urine. Is there any emergency?

BHMS
Homeopath, Delhi
I was so exited during intercourse and done very satisfactorily. After intercourse I gone to washroom, I found blood ...
First you need to notice carefully that blood in urine or with semen. Blood in urine may be due to cystities, urethritis, stone in kidney or bladder. If, blood in semen then may be due to prostrate infection, epididymis, or may be to another infection in male genitals. Get urine culture, ultrasound of lower abdomen or genitals, CBC with ESR tests done first. Share reports for further management.
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Sir when I urinate. Sone drops of urine comes out after I come out of my washroom. Sometimes I press my testes but still some drops remain unleft which cones out after I come out of washroom. Kindly suggest.

BHMS
Homeopath, Faridabad
Sir when I urinate. Sone drops of urine comes out after I come out of my washroom. Sometimes I press my testes but st...
Hello , take Acid phos 30CH , 3 drops once daily in the morning daily for 7 days then revert me . Take care.
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I dribble after finishing my urination. The amount of dribbling depend on anxiety. Urine test is normal. Can it be caused by excessive masturbations or it is psychogenic.

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
I dribble after finishing my urination. The amount of dribbling depend on anxiety. Urine test is normal. Can it be ca...
Dear Amit, Anxiety might be a cause for dribbling of urine after urination. Excessive masturbation does not cause dribbling of urine. To confirm whether it is psychogenic i need to examine you completely. All d best!!!
1 person found this helpful
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Preventive measures for kidney stones and other diseases like. Fiabities, asthma, red eyes an the major stuff the pimples?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Preventive measures for kidney stones and other diseases like. Fiabities, asthma, red eyes an the major stuff the pim...
for kidney stone/pimple plenty of water intake. For asthma avoid asthma trigers like dust/ smoke/pollution,pollens and so for red eyes.
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