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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of Urinary Tract Infection
Treatment of Urine Stone
Hydrocele Treatment (Surgical)
Urinary Incontinence (Ui) Treatment
Urology Minimally Invasive Surgery
Kidney Transplant Treatment
Treatment of Urinary Retention
Blood In Urine (Hematuria) Treatment
Reconstructive Surgery Procedures
Transurethral Resection Of The Prostate (Turp) Pro
Reconstructive Urology Surgery
Minimally Invasive Urology Surgery
Transurethral Incision Of The Prostate (Tuip) Proc
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Patient Review Highlights
I found the answers provided by the Dr. Devendu Laxmikant Shah to be very helpful. Thank sir, sure i will get examined, sir whether it is serious prblm
I found the answers provided by the Dr. Devendu Laxmikant Shah to be very helpful, knowledgeable and helped me improve my health. Thank you doc..
The prostate gland in males surrounds the urethra, through which urine and sperm are passed out of the body. Its function is to secrete a fluid, which provides nourishment to the sperm. It is about the shape of a walnut and is present between the pubic bone and the rectum.
As a man crosses 40, the prostate gland begins to increase in size due to an increase in the number of cells. This is known as hyperplasia. The condition is usually benign and therefore the name benign prostate hyperplasia (BPH). As it continues to grow, there is an increased pressure on the urethra. Therefore, there can be problems with urination. The bladder, being a muscular organ, compensates to some extent and so the problems with urination are mostly managed. If left untreated, this can continue to be a major problem and the bladder may not be able to compensate. In men who are 60-plus, BPH is very common.
Signs and symptoms
- One of the initial symptoms of BPH is when the urine stream begins to grow weak.
- There could also be a reduced speed of passing urine.
- Men with BPH never have a feeling of complete emptying of the bladder.
- On the other hand, there is also a constant difficulty in initiating a urine stream. There could be intermittent breaks in the urine stream.
- The person may feel the need to strain to initiate the stream and to ensure complete emptying.
- There could be dribbling of urine after passing urine.
- The duration between two bathroom visits can constantly reduce, with the constant urge to urinate.
- There is a constant urge to visit the bathroom, which is more common in the night. One of the most annoying features of BPH is the waking up at night to urinate, but with an inability to initiate a stream and an inability to completely empty the bladder, it leaves the person very irritated and frustrated.
- There could be blood in the urine. In fact, blood in the urine accompanied by fever, chills, nausea, and vomiting are indications of an emergency.
- There could be a blockage of urine completely if the enlargement is quite severe.
If you are having any of these symptoms, then the doctor will first test for an enlarged prostate through a digital rectal exam. Then a test is done to check a chemical called prostate-specific antigen. In addition, X-rays, Ultrasonography, and scanning may be used to confirm the diagnosis.
Though medications are available, confirmatory treatment is through surgical removal. The procedure needs a minimum of 2 to 3 days.
Lower Urinary tract obstruction refers to a condition of hindrance to urinary flow from bladder outwards. This can occur in all the age groups and affect either sex. The symptoms can be poor urine flow, intermittent flow, straining to pass urine or empty bladder, sense of incomplete emptying of bladder, difficulty in starting urination. Other problems can be increased urine frequency and difficulty to hold on with or without occasional urine leak in clothes. The cause and treatment vary in different age groups.
Few common reasons behind Lower urinary Tract Obstruction:
Congenital Urethral Stricture and PUV: These defects can be detected either before or after birth and need correction at earliest to avoid long-term complications. It is usually brought to attention by parents who observe abnormal urine flow pattern of their child OR found out during evaluation for repeated urinary tract infections.
Neurogenic Bladder: This is caused due to defects of nerves that are responsible for controlling bladder function. This can be due to diseases of brain, spinal cord or peripheral nerves. These defects can occur by birth or later in life. It is very important to take early consult to avoid long-term complications and progression to renal failure.
Urethral Stricture: This is narrowing in a long tube that starts from bladder to the external urinary opening. It can be idiopathic, post-traumatic, or due to urethral infections. Usually, a person is able to recognise poor urine flow and bring it to the attention of urologist.? Treatment for stricture depends on various factors and range from simple endoscopic surgery to open surgeries.
Bladder Neck Obstruction: Bladder neck is a network or a group of muscles that connect the bladder to the urethra. The muscles tighten to hold urine in the bladder, and relax as they release it through the urethra. Urinary tract obstruction occurs when there are abnormalities blocking the bladder neck that restricts its opening during urination.
BPH: This occurs due to enlarged prostate obstruction urine flow out of bladder. Prostate enlargement is mostly age-related and rarely due to prostatic tumors. Urinary stones. This can be usually recognized by sudden obstruction to urine flow in person who was voiding normally. These episodes might be recurrent due to movement of stone in between bladder and urethra.
Bladder Tumors: The are mostly characterized by blood in urine. Sometimes there might be blood clots that obstruct the urine flow. Phimosis: Usually occurring post-puberty, it is referred to as the inability to retract the glans (the sensitive structure at the end of the penis). It is a condition in which the distal foreskin, which was previously retractable, is unable to retract anymore.
Phimosis: Phimosis is another major reason behind urinary tract obstructions.
A Sexually Transmitted Disease or STD is transmitted by means of sexual contact and sexual intercourse. These diseases are caused by parasites, virus or bacteria. Usually, STDs are preventable provided you make the right choices concerning your sexual health. Refraining from sex isn’t a feasible idea at all. But fortunately there are alternatives too to curb the menace that STDs are:
- Abstain. The most effective way to avoid STIs is to abstain from sex.
- Mutual monogamy: Two people who have sex only with one another don’t have any opportunity to bring a new STD into the relationship. If you and your partner have been tested and are healthy, remaining faithful to each other is a very good way to reduce your chances of contracting an STD.
- Get Vaccinated: One important prevention tool against STIs is vaccination. Currently, vaccines are available to protect against infection with HPV, hepatitis A and hepatitis B. Talk to your healthcare provider to see which vaccines might be recommended for you.
- Protect Yourself: Condoms work really well in stopping most STIs from being passed from an infected partner to another when they are used consistently and correctly every time a person has oral, vaginal or anal sex. Consistently and correctly means that a person makes sure they use a condom every time they have oral, vaginal or anal sex and put it on and use it the right way.
- Avoid alcohol and drug use: Avoiding alcohol and recreational drug use reduce the risk of contracting an STI, having an unwanted pregnancy, or being coerced to have sex. Alcohol and drug use can reduce our ability to make good decisions. It may also make us more likely to be talked into participating in an activity without being able to give our full consent.
If left untreated, STDs can lead to even death. The affected patient should see a Urologist immediately.
Between those extremes is a host of other potential losses — trust between partners, plans to have children, and the joyful embrace of your sexuality and its expression.
The advent of Laparoscopy has given a new dimension to surgery. Gone are the days when one had to go through painful surgical procedures with many associated complications. Laparoscopic surgery is minimally invasive involving small incisions. There are negligible complications associated with a quick recovery. In the last few years, there has been a steady rise in people opting for Laparoscopic Urological Surgery. A person may undergo a laparoscopic urological surgery to treat problems of the genitor-urinary tract (which includes the kidneys, ureter, bladder, testes, and penis).
Mentioned below are some of the laparoscopic urological surgeries performed to treat a diseased condition.
- Laparoscopic Nephroureterectomy: This surgery is used to treat conditions of renal cancer (Transitional Cell Carcinoma affecting the kidney or the ureter). The surgery involves removal of the ureter (a tubular structure that passes the urine to the bladder from the kidneys). Though considered safe, in some cases, laparoscopic nephroureterectomy may result in blood loss and infection.
- Laparoscopic Simple or Radical Nephrectomy: It comes as a blessing for people dealing with different types of kidney problems such as renal cancer, serious injury to the kidney, renal calculus (kidney stones), polycystic kidney disease (the condition is an inherited problem characterized by the formation of cysts within the kidney), symptomatic hydronephrosis and chronic infection. A person may undergo a Laparoscopic Simple Nephrectomy (a laparoscopic surgery which involves removal of one of the kidneys) or a Laparoscopic Radical Nephrectomy (here, along with the kidney, the surgeon may also remove adjacent lymph nodes and adrenal glands) based on the severity of the kidney problem.
- Laparoscopic Pyeloplasty: This surgery is used to treat patients with an obstruction of ureteropelvic junction (UPJ). The ureteropelvic junction is the merger point where the kidney connects to the ureter. UPJ obstruction is often found to be a congenital problem (present from birth). Due to the UPJ obstruction, the urine stored in the kidneys fail to move out of the system. If left untreated, UPJ obstruction can even result in kidney failure. Laparoscopic Pyeloplasty involves clearing the obstruction at the ureteropelvic junction. The surgery, however, comes with certain risk factors. There may be blood loss along with infection at the incision site. In some cases, the surgery may even result in injury to the neighboring organs and tissues (rare).
- Laparoscopic Partial Nephrectomy: In the case of a renal tumor, the diseased part of the kidney is removed by a specialized surgical procedure medically termed as Laparoscopic Partial Nephrectomy. Here, only the affected area of the kidney is removed sparing the healthy part. Laparoscopic Partial Nephrectomy is done to prevent further aggravation and kidney failure.
- Laparoscopic Radical Prostatectomy - It is a surgical procedure used in the case of a localized prostate cancer (prostate cancer that has not metastasized beyond the prostate gland). Laparoscopic radical prostatectomy involves removal of the prostate gland along with some neighbouring tissues.
Kidney stones are formed inside the kidneys and tend to block them up. They are nothing but a type of mineral deposits inside the kidneys. An excruciating pain is caused when a person has stone in his kidney. But the right change in your lifestyle can prevent your kidney stones. People with family history of kidney stones should take extra precaution. Mentioned below are a few ways that can help prevent kidney stones:
- Drink Plenty of Water: Water is the best friend for your excretory system. It has the ability to flush out all the toxic substances from your body without causing them to form a lump inside your kidneys. So, your urine will not become more concentrated than necessary.
- Sodium Intake Should Be Cut Off: A high sodium diet increases the chance of formation of stones in the kidneys. When you have a higher concentration of salt in your urine, the calcium will not be reabsorbed into the blood. Thus, chances of formation of kidney stones will increase with the appearance of calcium in the blood. Packaged meals, canned soups, potato chips and smoked meats should be avoided.
- Calcium Intake Should Be Increased: Just as the sodium intake should be decreased, the calcium intake should be increased. Consuming calcium-rich foods will lessen your chances of kidney stones formation.
- Calcium Oxalate Should Be Avoided: Calcium oxalate is a strict no if you want to avoid the kidney stones and have a good renal health. This is because according to a study, the most composition of kidney stones includes the calcium oxalate. But this is only for those people who are at high risk of developing kidney stones but when calcium oxalate levels are maintained they can even work to reduce the risk of kidney stones.
- Curb Your Alcohol Consumption: Alcohol is the worst enemy to your health. Starting from liver problems to kidney stones, they can lead to a variety of diseases. They can lead to dehydration due to their ability to increase fluid output but at the same time preventing fluid absorption.
- Stop Taking Caffeine: The main property of caffeine is an increased rate of metabolism in the body and this leads to an increased form of dehydration as well. This leads to the formation of even a higher number of stones. So don’t consume coffee or other drinks that contain caffeine.
- Animal Protein Should Be Reduced: The animal protein has a tendency to form uric acids in the body and kidney stones as well due to their high acidity and thus they should be avoided.
- Herbal Remedies Are Helpful: There are quite a number of herbal remedies that are helpful in this case. Several herbs prevent the formation of stones in the kidney.
So, these are some of the ways in which you can prevent the formation of kidney stones and save yourself from the pain that follows. In case you have a concern or query you can always consult an expert & get answers to your questions!
I was having Kidney stone of 7 MM and I took Ayurvedic medicine after taking them I am suffering from problem of ejaculation so I want to ask did I need to take any medical treatment for it or will it be correct automatically?
Urology is a branch of medicine that deals with the diseases and disorders of the male and female urinary system and the male reproductive organs. It is a specialized branch of medicine that has been in existence for a long time and has advanced in many ways over the past two decades, courtesy the introduction of the laser technology. Laser technology has helped urologists tremendously and they have been able to treat a number of patients through laser-assisted surgery. The use of lasers has made it possible for the urologists to utilize endoscopic instruments with small-diameter that allow them to see the minutest details of the urinary tract and treat the complex cases with ease.
- Laser in bladder outlet obstruction: Bladder outlet obstruction is a blockage at the base of the bladder, which slows down or stops the flow of urine to the urethra, causing discomfort to the patient. Most men in their old age suffer from this problem and laser technology helps in conducting the surgical procedure to remove this blockage. It has been found that laser-assisted surgery results in lesser loss of blood as compared to open surgery. In some cases, blood transfusion after surgery is not required at all. Also, the hospital stay post operation is shorter, which ensures more comfort to the patient.
- Laser in urolithiasis: The formation of kidney stones in the urinary tract is known as urolithiasis. Treatment of this conditions requires surgical intervention and it is nowadays done with the help of endoscopic intracorporeal laser lithotripsy. This technique uses strong beams of laser light to locate the stones, fragment them, and remove them from the urinary tract. The laser technology is safe and can be used in the case of pregnant women too. It can easily access the hard stones present in difficult locations.
- Laser in benign prostatic hyperplasia: Benign prostatic hyperplasia (BPH) refers to the enlargement of the prostate. Some of the symptoms of this condition include a frequent urge to urinate, problems in urination, inability to urinate, and loss of bladder control. It can also lead to UTI (urinary tract infection) and stones. It can be treated with photoselective vaporization of the prostate (PVP) in which the excess prostate tissues are melted away and the prostate shrinks back to its original state. Holmium laser ablation of the prostate (HoLAP) also does the same but holmium laser enucleation of the prostate (HoLEP) cuts the excess tissue blocking the urethra.
- Laser in bladder cancer and urinary tract strictures: Bladder cancer refers to the abnormal growth of cells in the urinary tract and this is mostly found in the form of tumors. The tumors can be cancerous and transurethral bladder tumor resection (TURBT) laser technology can help in diagnosis, staging, as well as the treatment of malignant tumors. It makes use of cystoscope to remove the tumor. In case of urinary tract strictures, the urethra becomes narrow, hindering the passage of urine. It can be caused due to an infection or injury. With endoscopic urethrotomy and usage of the cystoscope, the urologist removes the stricture or makes it evaporate with the help of a laser.
Laser technology is of immense value to urologists and offers many advantages to the patients as well. It is more comfortable and with more advances being made in this field, the future looks even brighter for the doctors as well as patients. In case you have a concern or query you can always consult an expert & get answers to your questions!