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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of H.I.V
Hydrocele Treatment (Surgical)
Urinary Incontinence (Ui) Treatment
Urology Minimally Invasive Surgery
Kidney Transplant Treatment
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
Open Prostatectomy Surgery
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Patient Review Highlights
The best doctor in town, very patient , intelligent and helpful.He actually gave the best consultation and others scared the hell out of us by asking to go for operation .Thanks a tonns Doctor Pawan , God Bless you and your family.
when we were about go for an emergency operation , we thought to take a second opinion. Dr pawan helped us a alot and gave us sone time and told us to have a little patience. thanks for Mr mittal
It was very positive experience since admission till discharge. Great job everyone.
Best doctor and very intellectual
Great and wonderful.
Yes Nice Dr
A problem pertaining to the storage function of the bladder that results in bouts of sudden, often uncontrollable urge to urinate is referred to as an overactive bladder. This condition which is marked by unconditioned or involuntary loss of urine can sometimes be quite difficult to stop. People who experience such a condition often feel humiliated and as such tend to limit their social and work life. Despite such, only a few are conscious that a brief evaluation can help them manage and overcome an overactive bladder.
Mechanism of Urination
During urination, the urine proceeds from the bladder and flows into the urethra which is located at the tip of the penis in men and above the vagina in women. As the bladder fills, the nerve signals in the brain prompts urination by coordinating the relaxation and contraction of the urinary sphincter muscles.
Causes and Symptoms of an Overactive Bladder
Primarily caused due to involuntary contraction and relaxation of sphincter muscles, several conditions can lead to overactive bladder. Some of them are:
1. Parkinson's disease, Alzheimer's and other neurological disorders
2. Poor kidney function due to diabetes
3. Medications that lead to increased production of urine
4. Bladder abnormalities like tumors or stones
6. Excessive consumption of caffeine or alcohol
Some of the common signs of an overactive bladder are:
1. Bouts of sudden, uncontrollable urge to urinate
2. Awakening at night frequently to urinate
3. Urinating more than eight times a day
The risk of an overactive bladder gradually increases with age. Conditions such as diabetes and an enlarged prostate results in the increased likelihood of an overactive bladder. People who have previously faced strokes and heart attacks experience cognitive decline which often times lead to the development of an overactive bladder.
Urinary incontinence as well as a host of associated factors can be detrimental to your life. Emotional distress, interrupted sleep cycles and depression are some of the observed complications of this condition.
Thus if you experience or entertain suspicion of an overactive bladder, you should consider visiting a general physician who might refer you to a specialist, if need be.
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
1. Stress incontinence- When you feel the urge to urinate due to sneezing, coughing, laughing or while doing physical exercise
2. Urge incontinence- When you feel the urge to urinate, suddenly. This may occur during the day and even at night.
3. Functional incontinence- When you cannot reach the toilet on time because of a physical or mental impairment.
4. 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:
1. You have had more than one pregnancy and vaginal delivery.
2. 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
1. If this condition hinders your day to day activities
2. If the urinary incontinence is the result of a serious underlying problem
Causes of urinary incontinence
Urinary incontinence may be temporary or permanent. Causes fir temporary incontinence are :
Causes for permanent incontinence are :
Chronic urinary incontinence can lead to certain complications like
1. Skin problems- Skin rashes and infections can develop around the vaginal area, because of the constant wetness one feels. It may also cause sores.
2. Urinary Tract Infections- Urinary incontinence can also result in UTI
3. 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.
1. 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.
2. Medications - Medications that reduce bladder contractions.
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.
4. Surgery - If other treatments fail, you will have to go for surgical treatment.
Types of surgery include:
1. Injectable therapy, in which collagen is injected into your urethra to reduce incontinence
2. Tension-free vaginal tape (TVT) surgery, in which mesh is placed around the urethra to give it support
3. Vaginal sling surgery, in which a sling is placed around the urethra to support it
4. Anterior or paravaginal vaginal repair surgery to repair a bladder that is bulging into the vaginal canal
5. 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 -
1. Bulking material injections
2. Botulinum toxin type A
3. Nerve stimulators
Bladder is an organ of the lower abdomen which stores urine. Though it is a problem common to both men and women, women are two times more prone to be affected than men.
The following are some of the causes that give rise to bladder pain.
- Bacterial infection or urinary tract infection is one of the common causes of bladder pain. Women are more likely to encounter uninary tract infection. It occurs if bacteria sneak in through the urethra leading to develop an infection in the urinary tract, which in turn affects the urinary bladder.
- Sometimes bladder stones can also give rise to bladder pain.
- Painful Bladder Syndrome is yet another cause, wherein your bladder holds pee after your kidneys have filtered it but before you pee it out. This condition causes pain and pressure below your belly button, causing pain in the bladder.
- Chronic pelvic pain is pain in the area below your bellybutton and between your hips that lasts six months or longer. There are multiple causes for such pain.
- Bladder cancer is another possible cause of bladder pain. If uncontrolled cancer cells are formed in the bladder, then it gives rise to bladder cancer. Bladder cancer is one of the most common cancers and generates unbearable pain in the bladder.
- Interstitial cystitis is another condition which gives rise to severe bladder pain. This condition is more commonly seen in women. The bladder becomes inflamed and irritated and the pain gets worse when the bladder is full or during menstruation. It is a chronic condition.
- Urethral stricture is another cause of bladder pain. Men are likely to be more affected by this condition. In this case, the urethra becomes inflamed and narrow creating difficulties to pass urine.
- Yeast infection also known as, Torulopsis is another cause of bladder pain.
Bladder pain can vary from being mild to severe. But, no matter what the degree of pain is, it requires serious medical attention. It is highly recommended that if you are suffering from bladder pain you must consult and seek a doctor's advice right from the beginning.
A kidney stone may not be as big as the stones in your garden but can be quite a pain. Kidney stones are actually mineral crystals formed that are usually a combination of calcium and phosphates. The size of a kidney stone ranges from the size of a sugar crystal to a ping pong ball. While some kidney stones pass out of the body with urine, others can block the urethra and become painful.
In addition to being painful, a kidney stone can cause permanent damage to your kidneys. Since large kidney stones are usually painful, they rarely go undiagnosed. However, if a kidney stone is left untreated, it could cause the kidney to atrophy and lower the functionality of the kidney. Kidney stones that are related to an infection can also lead to chronic urinary tract infections and damage the kidney through scarring and inflammation. This could eventually lead to kidney failure.
Not all kidney stones need to be treated with surgery. Of the kidney stone is very small, your doctor may prescribe plenty of water and medication to treat the pain. With plenty of water, you should be able to pass the stone in your urine. Ideally, you should take plenty of rest until the stone is passed.
Larger kidney stones may need you to be hospitalized for treatment. These are:
- Extracorporeal shock wave lithotripsy (ESWL)
To begin this form of treatment, a painkiller is administered. Ultrasonic waves are used to determine the location of the kidney stone. Shock waves are then passed though the kidney stone to break it into smaller pieces. These can then be passed out of the body through urine.
This is also called retrograde intrarenal surgery and is performed when the kidney stone is stuck in the ureter. A ureteroscope is passed through the urethra and bladder into the ureter. Laser energy may then be used to break the stone into smaller pieces to unblock the ureter.
- Percutaneous nephrolithotomy (PCNL)
This surgery is performed under general anesthesia. It involves a small incision being made in the back and a nephroscope passed into the kidney through it. Laser or pneumatic energy is then used to break up the stone into smaller pieces and pull them out.
- Open surgery
Open surgery is performed only in the case of an abnormally large stone or abnormal anatomy of the person. An incision is made in the back that allows the doctor to access the kidney and manually remove the stone.
Benign Prostate Hyperplasia (BPH) is a condition which results in the enlargement of the prostate gland. The prostate grand is situated near the Urethra (a tube which helps flush out the urine from the bladder). Generally, the chance of developing BPH increases after one crosses the age of 50. But it is yet unknown as to why some men experience more severe symptoms than others.
Causes of BPH
This condition generally occurs because of old age and affects almost all men above the age of 75. It occurs because of the various hormonal changes and changes in cell growth that the body goes through, as one becomes old. Sometimes BPH can set in due to genetics. If BPH sets in due to genetically reasons, it usually is quite severe and affects men before they reach 60.
Symptoms of BPH
Quite a few men who develop BPH, experience no symptoms at all. But when symptoms of BPH, known as lower urinary tract symptoms (LUT) start, they can be either mild or very severe. The severity of the symptoms is not related to the extent of the enlargement. Many a times men with only a mild enlargement complain about severe symptoms, while men with a highly enlarged prostate gland have not complained about any discomfort faced.
Symptoms of BPH tend to worsen due to cold weather and also because of physical and emotional overexertion. There are certain medicines, which should be avoided if you suffer from BPH, as they have a tendency to worsen your symptoms, for example diphenhydramine, pseudoephedrine, oxymetazoline spray and other antidepressants.
The symptoms of BPH are related to bladder emptying and issues with bladder storage.
Symptoms related to the urine drainage from the bladder are:
- Strain while urinating
- Weak urine flow
- Some dribbling after urination
- Sudden urge to urinate
- Pain while urinating
Symptoms related to storage of urine in the bladder are:
- Waking during the night to urinate
- Urinating frequently during the day and at night
- Sudden urge to urinate, which may be hard to control
It however, has to be kept in mind that these symptoms may not primarily occur due to prostate enlargement, but are the result of other conditions like urinary tract infections, prostatitis, prostate cancer, neurological disorders and even diabetes. Thus, it is essential that you visit a doctor and get the cause for these symptoms diagnosed properly. If you wish to discuss about any specific problem, you can consult a urologist.