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Enlarged Prostate Health Feed

Urinary disturbances due to prostatic enlargement (BPH) and urinary tract infections • Indicated for enlargement of prostate gland with constant urge to urinate, more marked at night • with burning pain, urine is passed drop by drop.

Dr. Amit Tuli 93% (905 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Urinary disturbances due to prostatic enlargement (BPH) and urinary tract infections
• Indicated for enlargement of...
Pls get USG abdomen and pvrv and urine routine and culture and sensitivity done. Start tab urimax d once daily for 1 month and see how is the response.
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I am currently taking tamdura in the night which causes to wake up thrice daily for urination. Could I have the tablet during the day.

Dr. Amit Tuli 93% (905 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
I am currently taking tamdura in the night which causes to wake up thrice daily for urination. Could I have the table...
Stop taking fluids after 7 pm in the evening. It is because of increased fluid intake after 7 pm. It is not because of medicine.
4 people found this helpful
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Top Reasons To See A Urologist!

Dr. Rajesh Kumar Agrawal 90% (11 ratings)
M.Ch - Urology, DNB (General Surgery), MS - Urology, MBBS, DNB - Urology
Urologist, Jalandhar
Top Reasons To See A Urologist!

Be it frequent urination, painful urination, or change in color of urine, you must not hesitate to visit a urologist, especially when the symptoms persist for more than two days. Typically, an abnormal urge to urinate is directly affected by any infection in the bladder or due to any underlying medical condition. A urologist who is specialized in the study and treatment of disorders related to the urinary system is the right person to diagnose the problem and put you on the right treatment. Read on to have an insight into symptoms that would necessitate a urologist visit.

Inability to urinate: Many people tend to have calcium depositions in their urinary tract. This is what is known as a stone. When this stone grows big in dimension, it can block the ureters or the urethra. In both these situations, the total urine output reduces to a great extent or can stop completely. The first symptom, in this case, will be an intolerable pain in the back or lower abdomen. This is also a common sign in males with an enlarged prostate.

As the prostate grows in size, it pushes onto the bladder, thus again making it difficult to release urine.

  1. Pain in the lower abdomen: Pain in the lower abdomen is also a symptom of various kinds of urinary problems. If the pain is accompanied by urinary frequency or a burning sensation during urination, it inevitably prompts a visit to the urologist to check for bladder cancer or prostate.
  2. Blood in urine: Irrespective of the gender of the sufferer, blood in the urine is never a good sign. An immediate visit to the urologist is suggested as he can order tests which can highlight an infection or a disease or in extreme cases, even the early signs of cancer in kidney or bladder.
  3. Repeated urinary tract infections: Cases might arise, when a particular person is suffering from two or more infections in a span of 6 months. This situation should never be ignored, and immediately a doctor should be visited as this can be a serious health problem in both men and women. Prophylactic or some antibiotic treatments will be prescribed in this case.
  4. Chronic pain in the pelvic region: This is again another urinary condition which can affect both sexes. This condition is characterized by increased frequency of urination and nocturia and pain in the lower abdomen are also reported. Nocturia is severe nighttime urination. The treatment for this condition depends on the reason. A series of tests and examinations have to be carried out to find out the reason, and accordingly, a treatment plan has to be charted out.

Apart from the symptoms mentioned above, if you experience uncontrolled urine leakage or any sediments in urine or if you sense any abnormality concerning the lower abdominal area a urologist visit is warranted. No need to shy away from reporting even such minor discomfort as it could help avoid dire consequences.

Overactive Urinary Bladder - What Can Possibly Help Manage It?

Dr. Kuldip Singh 88% (199 ratings)
Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
Overactive Urinary Bladder - What Can Possibly Help Manage It?

Overactive bladder (OAB) is a set of symptoms that causes a sudden urge to urinate to an extent that can negatively affect a person’s life. OAB incidence increases with age but it is not part of the normal aging process. Many affected people may feel embarrassed and isolate themselves from work and social activities. During normal urination, the detrusor muscle of the bladder contracts when the bladder is full and relaxes when empty. A normal adult bladder contains up to 600cc of urine, in OAB, as little as 200cc of urine can trigger bladder contraction. Certain neurological conditions like stroke, multiple sclerosis, Alzheimer’s disease, tumors, diabetes, bladder stones, enlarged prostate and other abnormalities that obstruct bladder outflow can lead to an overactive bladder. Excessive consumption of caffeine or alcohol could also obstruct the process of normal urination.

While sometimes one may have an urgent urge to urinate due to diet or lifestyle modification, but mentioned below are few symptoms mentioned below should not be ignored:

  • Urgency to urinate for a longer period of time, however, a patient may or may not urinate after feeling this urge.
  • Patients may leak urine after feeling a sudden urgency. They find it unable to control the flow leading to leakage of few drops or sometimes a gushing large amount of urine.
  • Frequent urination, more than 8 times in 24 hours.
  • Nocturia i.e waking up one or more times at night to urinate.

Treatment

  1. Diet, lifestyle modification should be the first line of treatment

    • Weight loss in obese patients reduces episodes of incontinence
    • Avoiding caffeine and alcohol can do the trick.
    • Kegel exercises are exercises of pelvic muscle, which strengthen the muscles of the pelvis and the urethra which support the opening to the bladder. Recommended 30-80 times every day for 8 weeks.
    • In women, vaginal weight training can be really helpful. In this small weights are held by the vagina by tightening the vaginal muscles. It should be practiced for 15 minutes twice daily for 4-6 weeks.
    • Bladder training is generally done with the help of physical therapist or urologist. It also uses pelvic floor muscle contractions to expand the intervals between voiding and to suppress the urge to void.
  2. Medications: Used as the second line of treatment as the drugs in most cases are only moderately helpful.
    • Anticholinergics act by relaxing the bladder, they decrease the hyperactivity of the detrusor muscle. There are several other medications that may be prescribed by the doctor depending upon the severity of the condition.
  3. Other procedures: third line of treatment
    • Botox injections can be given directly into the bladder wall. It suppresses involuntary bladder contractions by blocking nerve signals.
    • Neuromodulation uses electrical stimulation to reorganize spinal reflexes involved in bladder control.
    • Reconstructive bladder surgery enlarges the size of the bladder by using part of the intestine.

How Beneficial Is Use Of Laser In Urology?

Dr. Kuldip Singh 88% (199 ratings)
Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
How Beneficial Is Use Of Laser In Urology?

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.

  1. 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. Bladder outlet obstruction occurs usually in younger males due to bladder neck narrowing. Blood tranfusion is usually not required in prostrate surgery especially if lasers are used. 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.
  2. 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 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.
  3. 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.
  4. 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.
 

1 person found this helpful

I have enlarged prostate since 20 yr. I take one cap of Geroppd D 8 mg at night since 6m0nths. Please tell me should I continue with it or change the medicine? Please also tell the side effect of Geropod D cap 8 mg. Regards.

Dr. Prashant K Vaidya 91% (4520 ratings)
Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
I have enlarged prostate since 20 yr. I take one cap of Geroppd D 8 mg at night since 6m0nths. Please tell me should ...
SIDE EFFECTS: New Geripod-D Capsule is primarily used by men. It reduces signs and symptoms of BPH. On using this medication you may experience side effects such as dizziness, decrease in sexual libido, skin rash, hives, discoloration of skin or eyes, chest pain, swelling of body parts or darkening of the urine and painful erection.
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I am taking URIMAX tablet for the last 8 years at bed time. My nipple was slightly itching and slowly the teat is enlarged in due course of 3 years. Any thing I could do to bring it to the original size. Thanks.

Dr. Rashmi Ravindra 84% (10 ratings)
MD - Dermatology, MBBS
Dermatologist, Bangalore
I am taking URIMAX tablet for the last 8 years at bed time. My nipple was slightly itching and slowly the teat is enl...
Dear Mr. lybrate-user, dryness in the areola (center of the breast, brownish area) and nipple may cause itch. As the teat is enlarged over a period of time (could be hormonal), better to consult a dermatologist in person, till then apply moisturizer twice a day.
1 person found this helpful
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Dots in mri scan in prostate gland but psa is 6.9 my age is 71. Biopsy done 2 years back was non malignant. Please advise.

Dr. Vinod Goyal 89% (6290 ratings)
Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Dots in mri scan in prostate gland but psa is 6.9 my age is 71. Biopsy done 2 years back was non malignant. Please ad...
Hi sir what are ur problems, clarify. If some problem u can take our prostate medicine course--4 months for recovery
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