Book Clinic Appointment with Dr. Chetan Sheladia
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of UTI
Treatment of Bladder Stones
Treatment of Enlarged Prostate
Treatment of Urine Leakage
Treatment of Urinary Incontinence
Treatment of H.I.V
Treatment of Sensitive Bladder
Treatment of Urine Stone
Hydrocele Treatment (Surgical)
Treatment of Urinary Tract Problems
Treatment of Urinary Passage Disorders
Treatment of Epididymitis
Treatment of Benign Prostatic Hypertrophy
Treatment of Blood in Semen
Urinary Incontinence (Ui) Treatment
Treatment of Urethral Stricture
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Patient Review Highlights
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The kidneys filter the blood and eliminate the waste products through urine. The waste deposition is sometimes in the form of excessive calcium, uric acid and other undesirable contents. It causes the urine to get highly saturated. The solid depositions then turn into stone like formations, also termed as renal lithiasis or calculi. There are different kinds of kidney stones, which are differentiated based on its varied constituents. Kidney stones cause excruciating pain and uneasiness. Frequent urination and discomfort during urination, presence of blood in the urine, are some major signs of kidney stones.
Kidney stones can be prevented by maintaining a healthy lifestyle and a balanced diet with sufficient nutrients:
- Calcium and oxalate-rich food should be consumed together. This leads to the binding of calcium and oxalate together in the stomach intestines, before they can be processed in the kidneys. This helps to control the formation of calcium and oxalate depositions in the kidneys.
- Do not cut down on calcium. Since most of the kidney stones are found to be calcium depositions, many people tend to cut down on their calcium intake. It is important to continue with food that is rich in calcium such as milk. However, it is necessary to reduce intake of other calcium supplements. Decrease in calcium can lead to degeneration and deformation in bones and muscles.
- Too much of red meat consumption and high fat dairy products can lead to the formation of stones in the kidneys. Animal protein is rich in purine that increases uric acid, saturating the urine and creating stones. It is important to balance your diet by including lots of green vegetables, whole grains, fibres, fruits and low-fat dairy products. Opt for non-animal protein such as lentils or legumes.
- Cut down on sugary and aerated drinks. They contribute to the formation of depositions due to their high and unhealthy levels of fructose and preservatives.
- Reduce or abstain from alcohol. Alcohol is known for its multiple disadvantages to the human body. It has also been found to increase the levels of uric acid in blood.
- Keep your body hydrated. Drink adequate quantity of water throughout the day, preferably 3 litres or more depending on your physical activities. It prevents the solidification of the depositions and helps to eliminate wastes smoothly.
- Increase the intake of anti-oxidants in the form of green tea, dark chocolates and fruits.
- Lower the intake of salt.
Infection caused in the kidneys, bladder, urethra or the ureters is known as urinary tract infection. According to doctors, women are generally more at risk of suffering from this condition than men. Some of the causes which contribute to the development of this infection are-
1. Invasion of bacteria
Like any other infection, one of the causes of urinary tract infection is the invasion of the bacteria Escherichia coli in the bladder. This type of bacteria is most commonly found in the gastrointestinal tract and is most often held responsible for urinary tract infection.
2. Spreading of the bacteria from anus to urethra
The spread of the gastrointestinal bacteria from the anus to the urethra leads to the infection of the urethra thereby causing urinary tract infection.
1. A nagging urge to urinate
One of the most predominant symptoms of urinary tract infection is a persistent, nagging urge to urinate. You would know your urinary tract is infected when you feel the urgency to urinate extremely frequently.
2. There is a burning sensation when you urinate
The symptoms of urinary infection are extremely visible and are felt intensely by the one suffering from it. If you feel a burning sensation while urinating, chances are extremely high that you are suffering from urinary tract infection.
3. Red colored urine
Sometimes your urine may contain perceptible amount of blood in them. In most cases, presence of blood in urine is a definite sign of urinary tract infection.
4. Foul smelled urine
An internal infection in the urinary tract manifests itself in different ways. One of the chief symptoms of this infection is discharging foul smelling urine.
5. Pain in the pelvic area
Women who suffer from urinary tract infection experience excruciating pain near the pelvic area, sometimes extending to the pubic bone.
Urinary incontinence, commonly known as loss of bladder control can really cause embarrassment. The severity of this condition may range from once in a while leaky urine to the sudden and forceful urge to urinate, due to which you end up urinating before reaching the toilet.
Types of Urinary Incontinence:
- Stress Incontinence: When you feel the urge to urinate due to sneezing, coughing, laughing or while doing physical exercise
- Urge Incontinence: When you feel the urge to urinate, suddenly. This may occur during the day and even at night.
- Functional Incontinence: When you cannot reach the toilet on time because of a physical or mental impairment.
- Mixed Incontinence: When you involuntarily urinate due to more than one incontinence
Stress incontinence is the most common type in women. The activities which increase your risk, are:
You have had more than one pregnancy and vaginal delivery.
You have pelvic prolapse. This is when your bladder, urethra, or rectum slide into the vagina. Delivering a baby can cause nerve or tissue damage in the pelvic area. This can lead to pelvic prolapse months or years after delivery.
Female urinary stress incontinence is the involuntary release of urine during any physical activity that puts pressure on your bladder. This potentially embarrassing condition differs from general incontinence in that it happens when the body is under immediate physical stress. Activities that can put stress on your bladder include coughing, sneezing, laughing, lifting heavy objects, or bending over. This condition is particular to women, many of whom experience symptoms after muscles have been weakened due to a vaginal childbirth, following menopause, or during pregnancy.
Ensure that you consult a doctor:
- If this condition hinders your day to day activities
- If the urinary incontinence is the result of a serious underlying problem
Causes of Urinary Incontinence:
Urinary incontinence may be temporary or permanent. Causes for temporary incontinence are-
- Caffeine and caffeinated drinks
- Decaffeinated tea or coffee
- Spicy and sugary foods
- High intake of Vitamin B or C
- Urinary tract infection (UTI)
Causes for Permanent Incontinence are:
- Old age
- Prostate cancer
- Enlarged prostate
- Neurological disorders
Chronic urinary incontinence can lead to certain complications like:
- Skin Problems: Skin rashes and infections can develop around the vaginal area, because of the constant wetness one feels. It may also cause sores.
- Urinary Tract Infections: Urinary incontinence can also result in UTI
- Impact on Personal and Social Life: Urinary incontinence can lead to great embarrassment, thus affecting the social and personal life of an individual.
Treatment for Female Stress Urinary Incontinence:
There are several types of treatment available. Treatment options include lifestyle changes, medications, nonsurgical treatments, and surgeries.
- Lifestyle Changes: Make regular trips to the restroom to reduce the chance of urine leakage. Drink fewer fluids and avoid activities such as jumping and running.
- Medications: Medications that reduce bladder contractions.
- Nonsurgical Treatments: Kegel exercises strengthen your pelvic muscles. Done regularly, these exercises can strengthen your muscles, allowing you to control when urine is released from your body.
- injectable therapy, in which collagen is injected into your urethra to reduce incontinence
- tension-free vaginal tape (TVT) surgery, in which mesh is placed around the urethra to give it support
- vaginal sling surgery, in which a sling is placed around the urethra to support it
- anterior or para-vaginal vaginal repair surgery to repair a bladder that is bulging into the vaginal canal
- retropubic suspension surgery to move the bladder and urethra back into their normal positions
Some doctors even try electrical stimulation and medication. When the condition is highly advanced interventional therapies and surgery is recommended.
Some interventional therapies are:
- Bulking material injections
- Botulinum toxin Type-A
- Nerve stimulators
The urinary system in both men and women are susceptible to infections and many other internal disorders. Although many of the disorders may be caused due to underlying diseases or hereditary causes, many others may be caused due to bad lifestyle habits as well as personal hygiene issues. Personal hygiene issues will not only lead to infections, but if left unchanged, may cause more serious problems such as tumors overtime. However, with the help of some basic tips and following some daily routine, you can ensure good urological health overtime. Some of these are mentioned below:
- Drink plenty of water daily: This is applicable to both men and women and it is important, especially in a country like India where hot and humid conditions prevail for most of the time. A common figure quoted most of the time is 2 to 3 liters of water daily although this is quite arbitrary and may change from person to person and climate to climate. What is important is that you should remain hydrated and calculate an ideal amount of water consumption. This is necessary to stop stone formation in the gallbladder, kidney, ureter and other areas of the genitourinary system.
- Cleaning tips for men: It is important to ensure proper hygiene for good penile health. Uncircumcised males should retract their foreskin while taking a bath and clean out the smegma or white accumulations from around the glans. This will reduce the chances of inflammations and urinary tract infections from occurring. Circumcised males should thoroughly wash the penis as well to keep it clean.
- Regular ejaculation: Men are advised to ejaculate regularly either through masturbation or through sexual stimulation as it is beneficial in many ways. Ejaculation helps clear the tracts, exercises the prostate and also keeps the pattern of proper blood flow to the penis active. It maintains urological health as well as you sexual health.
- Don’t hold your urine for too long: Although this is especially applicable for women, it can be bad for men too. Holding the urine within your body for too long may result in an infection and may also make your bladder muscles weaker resulting in urinary incontinence later in life. Women, especially should be careful as they have a shorter urethra leading from the bladder and thus are more prone to getting urinary tract infections in this manner.
- Avoid harsh soaps and use milder ones to regularly cleanse the groin area: The groin is one of the moistest areas, as it remains covered up most of the time. This makes it an ideal breeding ground for bacteria. It is important that you clean this area every day thoroughly with mild soap. Also, after urination, women should wipe front to back i.e. from the opening of the vagina towards the anus while wiping down after urinating or cleaning. This is to ensure that fecal bacteria don’t get into the vagina as it can cause a host of infections.
- Tips for sexual intercourse: It is important for both men and women to urinate, wash and clean after sexual intercourse as this can help clean the bacteria that may have come from one partner’s genitals into the other. Women should especially follow this advice as it can help keep many infections at bay.
- Changes in certain foods: Reduce caffeine intake through tea or coffee as it can irritate your bladder. It can also act as a diuretic which makes you urinate frequently. This will result in your bladder becoming weaker. Also reduce salt intake as it can increase blood pressure and end up damaging the kidney to the point of permanent kidney damage or kidney failure.
The kidneys make urine, which is a fluid through which wastes from the body including urea are eliminated from the body. There are two kidneys on the right and left side, which make urine, and pass it down to the bladder through tubes known as ureter. The bladder acts as a reservoir of the urine that is formed in the kidneys. It is stored temporarily there before being excreted out of the body through the urethra. The urinary bladder is a highly muscular organ and has a rich connective tissue.
Interstitial cystitis (IC) or painful bladder syndrome (PBS) is a very common condition, which affects females more than males. While the exact etiology is not known, it could be age-related and also lifestyle related. People who are used to controlling the urge to pass urine are highly likely to develop this condition. The simple logic is that there is additional pressure on the bladder from the urine that is contained for longer period of time. As such, the muscular wall stretches and begins to feel stressed.
When this habit continues over a period of time, the bladder wall may become irritated or inflamed or even scarred in severe cases. There is no role of bacteria in this condition, and antibiotics are of no help in managing this condition (though the name cystitis usually indicates infection).
- One may suffer from pain and pressure in the bladder as it continues to collect more and more urine.
- This pressure in the bladder also puts pressure on the surrounding tissues in the abdomen including the pelvis, urethra, abdominal organs, uterus, etc.
- Women may experience pain in the vaginal tract including vulva and behind the vagina.
- Men may experience pain in the area of the scrotum, testicles, prostate, and penis.
- There is an increased urge to urinate, which may be as much as 9 to 10 times a day. As the condition progresses, there could be more visits, as many as 40 to 50 visits a day.
- This tendency and urge to urinate increases during nighttime.
- For women, this urge to urinate and other symptoms including pain are worse during menstruation.
- There could be pain during intercourse for both men and women.
- There could be pain even otherwise, which can range from a mild dull ache to a piercing pain.
- At a structural level, this constant pressure leads to pinpoint bleeding (glomerulations) and sometimes even ulcers in the bladder wall.
There is no definitive treatment for IC or PBS. However, bladder distention and instillation are proven methods of increasing bladder capacity, which therefore helps in relieving symptoms.
Interstitial cystitis (IC), also known as painful bladder syndrome, is a difficult condition. It is difficult to diagnose and though there are treatments that can make life easier, there is no long-term cure. Interstitial cystitis is a lifelong bladder problem, that causes pressure and pain below the belly button. Symptoms can be constant, or they may fluctuate. It causes painful and urgent trips to the bathroom. In severe cases, you may need to urinate about 40 to 60 times in a day.
What causes interstitial cystitis (IC)?
The bladder is a hollow, muscular organ that holds the urine your body needs to dispose. The reason why IC occurs isn’t that clear, but there a few ideas:
1. An issue with bladder tissue allows chemicals in your urine to irritate the bladder.
2. Chemicals that are released when there is an inflammation in your body can cause the symptoms.
3. The bladder can be attacked by your immune system
4. Substances in your urine can damage your bladder
5. Nerve problems can wreak havoc on your bladder
Signs and Symptoms
People suffering from IC don’t display the same symptoms. The symptoms keep changing, be it every day, every week or every month. Sometimes, the symptoms may entirely disappear without treatment. Some common IC symptoms include:
1. Bladder pressure and pain that worsens after the bladder gets filled with urine
2. Pain in your urethra (the tube that drains the urine from your bladder), pelvis, lower back and lower tummy
3. Women experience vaginal pain (or the area behind it) or in the vulva
4. In men, a sensation of pain in the penis, testicles, scrotum or the region behind the scrotum
5. The urge to urinate, even if you had urinated a few moments ago
6. Women experience pain during intercourse
7. Men experience pain after sex or during orgasm
One common symptom shared by all people suffering from IC is a swollen bladder. There are certain things that can worsen your condition. These include:
1. Certain drinks or foods
2. Physical or mental stress
3. Menstrual cycles
The testes are an important part of the human reproductive system and are susceptible to injuries as well as internal problems. One such problem which is known to afflict younger men mostly from the age of 12 to 16 is testicular torsion. It can affect older men, but is commonly seen in the aforementioned age group. It is a painful condition that will require medical attention and if left untreated might even result in removal of the organ in rare cases.
What is testicular torsion?
There are many intricate functions performed by multiple blood vessels within the scrotum that supply the testes with blood. However, one of the testicles might rotate and thus end up twisting the spermatic cord. This cord brings blood to the testicles and if twisted, will reduce the flow of blood significantly. Thus the scrotum may swell up and also become quite painful.
Symptoms of testicular torsion
1. Significant swelling of the scrotum
2. Mild to extreme pain in the scrotum.
3. Abdominal pain, especially in the lower abdomen
4. Unusually positioned testicle such as one significantly higher, behind, or in front of the other one.
6. Feeling nauseated and may be accompanied by vomiting
7. Pain during urination
8. Inability to sleep or waking up in the middle of the night due to the constant pain
What causes testicular torsion?
In certain cases, testicular torsion may occur and then go away on its own when the testicle rotates, resulting in the untwisting of the spermatic cord (which is also known as de-torsion). However, it is still advisable to visit a doctor and ascertain what caused it so that the risk factor could be eliminated as torsion and de-torsion could keep happening frequently. Some of the common causes for testicular torsion are mentioned below.
- Hereditary factors: If someone in your family has suffered from this condition, you could be susceptible to it.
- Injuries: If you receive minor trauma such as the one during playing any kind of contact sports, outdoor activities or even while doing house work, it can be a reason of this condition as well.
- Activities that put stress on the scrotum: Heavy exercising or running in an unbalanced or improper manner can cause torsion as well.
- Improper sleeping positions: This can also cause torsion and is a common cause behind frequent torsion and de-torsion.
- Other factors: These factors can include excessively cold temperatures wherein the scrotum contracts rapidly and prolonged contraction can cause torsion. Even the rapid growth of the scrotum during the adolescent years after puberty may cause this.
The word colic directly refers to the colon. Colic pain is a sharp abdominal pain followed by bouts of crying usually occurring in infants below the age of one year. The pain only last for a short period of time ranging from a few weeks to a couple of months. Very few number of babies will cry endlessly indicating towards an underlying condition.
- It is mainly characterized by sharp crying for supposedly no apparent reason, irregular sleep patterns, and restlessness or owing to deviation from normal postures. The apparent causes of colic pain include indigestion and negative reaction of the sensitive gut to the breast or formula milk, although no concrete cause of the state has been discovered.
- Doctors often suggest home remedies such as swaddling, pacifiers, holding and comforting the baby and more frequent feedings to reduce the condition. Since it is so common among infants and relatively less harmful, no proper medication is usually given. Physicians suggest mothers to reduce the content of caffeine, alcohol or spice in their diet. Sometimes a warm bath, burping the baby or going on more frequent walks is useful. Background music draws the attention of the baby and hence drives their focus, away from the abdominal pains.
- Colic pains are mainly treated by care rather than medicine. The baby is made to feel comfortable and the distress is reduced just by being around the infant. The primary care giver plays an important role in consoling the child and helping them get through the sudden pain which further plays a significant role in personality development. Colic pains are extremely short lived and probably one of the first few challenges of parenthood. They are primarily dealt with care and feeding except in extreme cases where medicinal cures such as lactase drops and simethicone drops are used to treat the abdominal pain.
What are kidney stones?
The primary function of the kidney is to filter the blood and eliminate the waste products through urine. The waste deposition is sometimes in the form of excessive calcium, uric acid and other undesirable contents. It may cause the urine to get highly saturated. This is when stone-like formations take place inside the kidneys. Kidney stones are also termed renal lithiasis or calculi. There are different kinds of kidney stones, which are differentiated based on its varied constituents. Kidney stones cause excruciating pain and uneasiness. Frequent urination, extreme discomfort during urinating and presence of blood in the urine are some of the major signs of kidney stones. The symptoms are not evident if the stones are very small in size.
Causes of kidney stones:
- Incorrect calcium intake: High amounts of calcium can lead to high calcium depositions in the kidneys. It is important to keep the calcium intake moderate. Calcium supplements must be checked if you have already included dairy products in your diet.
- Abnormal rates of sodium in the body: Sodium, just like calcium, gets deposited in the kidneys.
- Excessive animal protein intake: Too much of animal protein intake can make the urine turn acidic, leading to uric acid depositions in the kidneys.
- Sugary, aerated drinks: These lead to undesirable waste deposition in the blood stream and eventually in the kidneys.
- Inadequate water intake: Not keeping the body well hydrated can cause the urine to turn acidic and increase waste deposition.
Potential risks and complications of kidney stones:
- Kidney stones may cause an infection in the kidneys which may eventually spread to the other internal organs and surrounding tissues.
- Kidney stones block the ureter and cause severe pain and discomfort that make sitting, standing or any other posture difficult.
- Kidney stones rarely cause kidney failures but the severe blockage and infection may cause such detrimental results in the human body.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Bladder cancer can be caused by a variety of factors which include genetic factors, inheritance, drugs, chemicals, environment-related factors and smoking. In fact, smoking tobacco is one of the major causes of bladder cancer around the world. The chemicals present in tobacco can irritate the bladder lining which ultimately leads to bladder cancer. Besides smoking other important environmental factors might be chemotherapy, exposure to chemicals from newspaper, dye, leather, paints industries.
Symptoms of bladder cancer are as follows:
Most often it occurs in people more than 50 years of age. It can present in different ways but common symptoms being :
- Painless hematuria - reddish or brownish colored urine with or without clots Increased frequency of urination Pain while passing urine .
- Difficulty in passing urine
The diagnosis requires a proper imaging workup including ultrasound, CT scan and urine examinations. Following the initial imaging, a biopsy is required to confirm the diagnosis and stage the disease. This is done by cystoscopy under anesthesia.
Treatments for bladder cancer depend on the stage of cancer. Broadly bladder cancers can be categorised into Non-invasive and Invasive cancers.
- For non-invasive cancers: It requires recurrent cystoscopic surveillance and resection. For those with high risk of tumor recurrence or progression, intravesical chemotherapy or immunotherapy might be required.
- For invasive cancers the various treatment choices are:
- Surgery: For localised tumor which are amenable to resection perhaps surgery is the best possible treatment. This is a major undertaking where in whole of bladder along with accessory organs is removed. The surgeon may offer choices for reconstruction between neobladder (refashioning bladder with patient's gut) or ileal conduit (fashioning a stoma over which bag can be worn to collect urine). Following surgery a regular follow up is required and the prognosis is good.
- Chemotherapy: This modality is reserved for patient's where surgery is not possible or they have metastatic disease (disease spread to other body parts).In this method, medications are used to target and destroy cancer cells.
- Radiation Therapy: This might be and option for patient's that are not suitable for surgery. Radiation therapy uses gamma rays to destroy cancer cells in the body The key to good prognosis in bladder cancers is early detection timely intervention and good follow up.