Book Clinic Appointment with Dr. Irfan Shaikh
Treatment of Erection Problems
Treatment of Kidney Stones
Treatment Of Erectile Dysfunction
Treatment of Bladder Stones
Treatment of Enlarged Prostate
Treatment of Urine Leakage
Kidney Stones Treatment
Treatment of Sensitive Bladder
Treatment of Kidney Transplant
Treatment of Urine Stone
Treatment of Urinary Tract Problems
Treatment of Benign Prostatic Hypertrophy
Urinary Incontinence (Ui) Treatment
Treatment of Urethral Stricture
Urology Minimally Invasive Surgery
Prostate Cancer Surgery Treatment
Prostate Laser Surgery
Treatment of Urinary Bladder Cancer
Submit a review for Dr. Irfan ShaikhYour feedback matters!
Very friendly consult
Cancer is the most dangerous disease noticeable throughout the world. The most common type of cancer that affects men is prostate cancer. Prostate is a small exocrine gland situated directly below the bladder and in front of the rectum. This is gland is approximately in size of a walnut and plays an important role in production of a milky fluid during orgasm of sex in which the semen travels. During the climax stage of the prostate gland is forced to push the fluid and remove the semen out of the reproductive structures.
Prostate gland is a slow progressive disease which makes many males left unidentified even the presence of prostate cancer even until they die. 6 out of 100 male over the age of 60 are getting prostate cancer. Though prostate cancer can be cured at a better rate when compared to other type of cancer it is always best to stay protected. Prevention is always better than cure. Here are few tips to keep your prostate healthy.
Signs and symptoms of prostate cancer-
During the early stages of prostate cancer there are usually no symptoms. Most men at this stage find out they have prostate cancer after a routine check up or blood test. When symptoms do exist, they are usually one or more of the following:
The patient urinates more often
The patient gets up at night more often to urinate
He may find it hard to start urinating
He may find it hard to keep urinating once he has started
There may be blood in the urine
Urination might be painful
Ejaculation may be painful (less common)
Achieving or maintaining an erection may be difficult (less common).
If the prostate cancer is advanced the following symptoms are also possible:
Bone pain, often in the spine (vertebrae), pelvis, or ribs
The proximal part of the femur can be painful
Ways to have a healthy prostate –
Diet and weight – the most important factor is the diet to maintain a healthy weight. Avoid fatty food items and take fats from vegetables than from animals. Avoid dairy products and increase the intake of fresh fruits and vegetables.
Exercise – have a regular practise of doing exercise at least for 30mins a day. This really helps you to keep your body fit.
Be precautious – if you have a family history of prostate cancer or if you feel you are at high risk of getting prostate cancer talk with your doctor about it and take preventive drugs as per the doctor’s advice.
Red foods – research shows that men who consume red foods like watermelon, tomato and other red fruits are at lower risk of getting prostate cancer as they contain a powerful antioxidant called lycopene
Caffeine – three to four cups of coffee per day reduces your risk of getting prostate cancer.
- Stop smoking – if you are at high risk of getting prostate cancer it is best advised to quit smoking and alcohol.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Paraganglioma is a rare condition where tumors grow in the peripheral nervous system. Basically, these tumors are found near nerve clusters in the adrenal gland and even near certain blood vessels. There is no way to ascertain, whether these tumors are malignant or benign, which is why doctors should monitor such growths at regular intervals to check for cancer. Sometimes, the tumors may be caused outside the adrenal gland. These growths are often known as extra-adrenal paragangliomas. If you or anyone else you know suffers from paragangliomas, here are 3 ways by which this condition can be treated -
- Surgery: Almost all patients suffering from paragangliomas are recommended to undergo surgery. This is the best course of treatment and ensures that the tumor is removed from the source. However, owing to certain medical conditions, some people may not be able to undergo surgery. For these patients, other forms of treatment have to be used. However, if you are cleared for surgery, you will need to prepare for the same extensively. For instance, alpha-blockers will be used at least 10 to 14 days prior to the operation. These medications will ensure that the effects of adrenaline can be limited during the administration of anesthesia during the surgery. Doctors will also check whether the alpha blockers are working. Just 3-4 days prior to the operation, the patient may also be prescribed beta blockers, in a bid to slow down the heart. The surgery is caused with the help of general anesthesia and the patient is put to sleep. In most cases, an open surgery is conducted to remove the paraganglioma tumor. However, minimally invasive laparoscopic surgeries may also be successful in some cases. Generally, laparoscopic surgeries have a shorter recovery period and lesser pain post operation.
- Medical therapy: If the patient suffering from the paraganglioma cannot be operated upon, he/she needs to undergo treatment with medicines. While these are effective in reducing the level of adrenaline in the body, medication alone is rarely as effective as surgery.
- Radiation therapy: If the tumor from paraganglioma turns malignant or cancerous, standard treatment comprising medicines and surgery may not be feasible. In such cases, radiation therapy may be the best course to follow. Chemotherapy may also be prescribed for dealing with these cancer cells.
At any rate, it is essential to start treatment for paragangliomas immediately after it is diagnosed. Leaving the condition unattended can lead to severe complications that may be difficult to treat.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Kidneys are an important part of the human body. From filtering wastes from the blood to maintaining the blood pressure and red blood cell count in the body, the kidney does it all. Both the kidneys are essential organs and should there be any discomfort in the kidneys, one should consult a medical practitioner as soon as possible. Kidney failure is a common problem in people. This issue manifests itself with certain signs and symptoms. One should listen to these symptoms and act quickly before the condition worsens. Here are some of the signs and symptoms of kidney failure.
Interestingly, in the initial stages, kidney failure portrays no symptoms. It starts developing slowly and steadily causing discomfort in other parts of the body and hindering the working of other organs.
Weakness: If you are suffering from kidney failure, you will start feeling weak. Weakness is however not a symptom which can confirm a kidney failure. Weakness is caused due to many other health issues and thus, you need to verify with other symptoms to be sure of the fact that you are suffering from kidney failure only.
Shortness of Breath: You may start experiencing heavy breathing right after doing some rigorous work. In fact, you might feel shortness of breath or be panting for long moments after climbing just a set of stairs. Shortness of breath is quite common indicating that the body is getting tired after doing work. Such indication, more than once a day, calls for an immediate check up of the body.
Lethargy: While most people, especially the young generation to those in the early thirties jokingly declare themselves as lazy people; lethargy, however, is a symptom of many diseases. Various health issues develop if you feel lethargic of working. Apart from kidney failure, diabetes is also manifested in lethargic body movements. At times, just getting out of the bed in the morning seems very tiring and one continues to lie on the bed even after he/she is fully awake.
Stomach Pain: If you experience pain in the stomach, especially in the sides, then it should be immediately checked by a medical practitioner. Doctors say that kidney failure can bring about stomach pains.
Unusual Urine Discharges: This would include clear urine discharges which indicate that the kidney has stopped filtering the waste products.
Thus, these are some of the most important and common symptoms of kidney failure. If you notice any of these, it is advised to visit a doctor for a check up.
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.
In case you have a concern or query you can always consult an expert & get answers to your questions!
There is a prevalent misconception that gynecologists are for women what urologists are for men. But urologists also deal with certain women-related health issues. These include overactive bladder, pelvic organ prolapse, and urinary incontinence.
Following are the 5 points which every female should know:
- Women sometimes pee in their pants too: A majority of the female population between 40 and 60 suffer from either stress incontinence (when you cough, sneeze or laugh) or urgency incontinence (leaking when you want to go badly). Urologists want you to know that there are less invasive options and medications available to treat this problem.
- Recognize pelvic organ prolapse: This condition is defined by a bit of bladder, rectal, or uterine tissue bulging into your vagina. An urologist can provide non invasive options to deal with this.
- Age related factors affect both men and women: Right around the time when menopause and andropause strike, changing hormone levels affect the pelvic floor, bladder, urethra and vagina in women causing problems like urinary tract infection and incontinence. These conditions are effectively treated by an urologist who can also probe for underlying conditions like kidney stone, polyp, or tumor in severe cases.
- An overactive bladder is more common than you think: Around 40% women have to hit the bathroom every hour or so owing to this. Simple lifestyle changes like lowering the intake of caffeine and alcohol, in combination with pelvic floor exercises can solve the problem.
- Pelvic pain: If it is not gynecology then it is urology. A general pain in the pelvic region triggers a visit to the gynecologist first for most women.From menstrual cramps to ovarian cysts, all of this may well be taken care of by your gynecologist too. But when the usual culprits are not the cause for your discomfort, it's time you get the urology aspect examined thoroughly too. In case you have a concern or query you can always consult an expert & get answers to your questions!
Sir I have stone problem in my kidney. There are 4 stone in right kidney largest size 24 mm and 2 stone in left kidney largest size 15 mm so I want a easy solution for this. What can I do? Sir.
Hello, I have hydrocele problem since long time, please tell me the best way to cure hydrocele problem.
If a survey is done for the most common male sexual problem, the outcome would be erectile dysfunction. Commonly referred to as ED, it is a major problem for the male but it can be treated in simple ways.
By definition, ED is the repeated inability of a male to achieve and/or maintain an erection for a healthy and satisfying sexual relationship. The key word here is “repeated” as a quicker erection or softer erection is very common in many men, which could be a one-off instance and caused by transient factors like stress or lack of sleep. When this happens repeatedly, then it needs attention.
Symtoms: Erectile dysfunction is when:
- Erection is too soft, not allowing for sufficient penetration and prolonged intercourse
- Erection duration is very short
- There is difficulty in arousal
Risk factors: ED has been noted to be commonly seen in people, who have following behaviours:
- Advanced age (>60 years)
- Excessive alcohol abuse
- Sedentary lifestyle with no exercise
- History of diabetes
- History of groin surgical procedures for prostate, bladder, etc.
Causes: ED has both physiological and psychological reasons.
- Most common psychological reasons are strained relationships, performance anxiety, and other life stressors.
- Physical causes include reduced hormone levels and other chronic medical conditions like obesity, diabetes, and hypertension.
Diagnosis: While ED is easy to diagnose medically, the truth is that not many would be forthcoming for a diagnosis. Given that this issue could be a jolt to the “manhood,” it is often not brought out in the open for discussion. Once that is done, the following steps can help in diagnosis.
- Medical history and specifically sexual history
- Check for genital abnormalities
- Blood testosterone levels
- Other vitals including blood pressure, sugar, and cholesterol levels to identify overall health
- Sexual counseling involving the couple. Once they open up and get comfortable, the problem vanishes. Performance anxiety which is a major cause is taken care of, and ED is no longer an issue. Aligning the couple’s expectations also is very essential.
- Hormone supplements, both locally applied and taken into the system, help to a great extent
- Lifestyle changes like quitting smoking, moderating alcohol abuse, healthy eating habits, and moving away from sedentary lifestyle helps treat ED
- Medicines like Viagra are very useful for occasional cases of erectile dysfunction
As a last resort, there are advanced options like pumps, vacuum devices, implants, and surgical options, and implants. These are often not required, as in most cases, sexual counseling and hormone therapy help in managing ED.
A kidney stone is a hard, crystalline mineral development, which forms within the kidney or the urinary tract. It is called nephrolithiasis in medical terms. Kidney stones occur due to the decrease in urine volume or due to an excess of substances in the urine which are stone-forming in nature. Dehydration is considered to be a primary risk factor for kidney stones too.
Causes of kidney stones:Kidney stones develop when the urine contains increased amounts of crystal forming substances. They include calcium, oxalate and uric acid in amounts which the fluid in the urine cannot dilute. Your urine may also lack the substances which help in prevention of crystals from sticking to each other, thereby enhancing the conditions for kidney stones to form.
The balance of your urine can change due to several factors:
- Not drinking sufficient amount of water makes the salts, minerals and other substances present in the urine to stick together, which may lead to the formation of a stone.
- The normal urine balance may get disrupted due to several health conditions, which lead to kidney stone formation. Diseases such as gout or certain inflammatory bowel diseases can also cause kidney stones.
- Many cases of kidney stones are hereditary and run in families, affecting family members over many generations.
- A rare cause of kidney stone formation is the overproduction of hormones by the parathyroid glands, which results in increased levels of calcium leading to calcium kidney stones.
Types of kidney stones
Kidney stones are of different types, which occur due to several, different causes. They are as follows:
- Calcium stones: Calcium stones account for being the most common form of kidney stones. They occur due to excessive calcium in the urine. This may happen due to an inherited condition known as hypercalciuria, the overreaction of the parathyroid gland, kidney diseases, several cancers or from a condition known as sarcoidosis. The stones may be large and smooth or rough and spiky.
- Struvite stones: These stones are caused due to infections. And they usually occur after a urinary tract infection. This form of kidney stone is more common in women though.
- Uric acid stones: These stones occur due to large amounts of uric acid in the urine. It may occur from having a high protein diet, from a health condition called gout or from a hereditary condition where the amount of uric acid in urine increases.
- Cystine stones: These are rare kidney stones and occur due to a hereditary health condition known as cystinuria.
Kidney stones occur due to the change in balance of water, salts and minerals, which are present in the urine. Insufficient water consumption is often the most common cause of kidney stones. So make sure you drink lots of water to keep stone formation at bay.