All posts by Dr Anil Agarwal

urologist in Delhi

Can Enlarged Prostate Cause Erectile Dysfunction (Sexual Impotence)?

The relationship between an enlarged prostate (called Benign Prostate Hyperplasia – BPH) and erectile dysfunction (sexual impotence) is one of the topics that raises more questions and uncertainties.

After all, one thing is certain: both problems affect the quality of life of patients, so their combination results in even greater concern.

However, over time, several myths emerged about this relationship that it is important to clarify.

What is Benign Prostate Hyperplasia?

This is a pathology that is characterized by an increase in the number of prostate cells, resulting in an increase in its volume and size. This change occurs especially in a region called the transition zone, around the urethra.

In general, the incidence of this problem tends to increase with age: it is estimated that it affects around 20% of men over 40 years of age and one in three over 65 years of age.

Among the main risk factors that seem to increase the probability of developing a benign prostate growth is testosterone, which is responsible for cell proliferation in this organ that causes the pathology, explains the best urologist in Pitampura.

Main Symptoms of BPH

As the increase in volume develops mainly around the urethra, causing its compression, it is common for some urinary complaints to appear, known as LUTS (Lower Urinary Tract Symptoms, which means Lower Urinary Tract Symptoms).

Some of the most common symptoms are:

  • Decreased urinary stream;
  • Inability to urinate;
  • uncomfortable or painful urination;
  • Frequent feeling of a full bladder;
  • Urinary incontinence (inability to retain urine).

What is Erectile Dysfunction (Sexual Impotence)?

Erectile dysfunction is often known as impotence, which is characterized by the inability to initiate or maintain an erection strong enough for satisfactory sexual intercourse, explains the sexologist in Rohini.

As there is often a lot of shame in admitting this problem, the truth is that this problem is much more common than you think.

Having difficulty getting an erection is natural at some point in life, for both younger and older men – so it doesn’t necessarily mean there is a problem.

However, when it occurs frequently it is important to understand the reason so that the condition can be resolved.

Despite being a non-life-threatening disorder, in most cases it has undesirable consequences for many men: it affects not only their personal and sexual life, but also their self-image and self-esteem, negatively influencing interpersonal relationships, states the sexologist in Pitampura.

What is the relationship between BPH and Erectile Dysfunction?

There are several myths that associate the prostate and its function with the ability to erection – and they are not true.

In fact, they represent different mechanisms: the prostate plays a fundamental role in the ejaculation process but not in the erection process.

Male sexual function depends on the normal interaction between the following systems:

  • hormonal;
  • Neurological;
  • Vascular (arterial and venous);
  • Psychological.

So, a change in any one of them can cause some sort of dysfunction, resulting in impotence.

Although some prostate diseases can interfere with sexuality, they usually do not represent direct causes.

An enlarged prostate by itself does not cause impotence, unless there is compression of the nerves responsible for an erection. Some of the treatments for diseases of this organ, however, can cause impotence, explains the Best Urologist in Delhi.

What Treatments Can Cause Erectile Dysfunction?

BPH is a pathology for which, nowadays, there is a wide variety of therapies that, although they resolve the condition, may have some sexual side effects, namely in terms of the ability to erection.

Furthermore, they can also affect libido (sexual desire) as well as the ejaculation mechanism.

Medical therapy is one of the treatments with the most side effects of this type, especially 5 alpha-reductase inhibitors (finasteride and dutasteride).

  • Finasteride was associated with erectile dysfunction in a high percentage of treated men, so they are not first-line drugs for BPH.
  • Alpha-blockers can decrease the volume of ejaculated sperm.

As for prostate surgery in Pitampura, whether open or endoscopic, they present very rare risks of erectile dysfunction, although they carry risks in terms of ejaculation.

Early Diagnosis and Expert Counselling

Prostate treatment in Pitampura for an enlarged prostate can increase the risk of impotence.

Even so, it is sometimes possible to avoid these consequences thanks to an early diagnosis.

When it is discovered at an early stage, it may not even be necessary to resort to medical or surgical therapies, but to actively monitor the evolution of the disease.

This is an attempt to reduce the risk of developing sexual consequences from the treatments carried out.

But the first step is up to you.

Look for a specialist urologist in Delhi to have complete and personalized advice, which will show you the most favorable path to follow.

Also Visit:

https://thestoneclinicurology.wordpress.com/2022/05/15/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence/
https://besturologistindelhi.blogspot.com/2022/05/can-enlarged-prostate-cause-erectile.html
https://draniluro.tumblr.com/post/684308059867201536/can-enlarged-prostate-cause-erectile-dysfunction
https://diigo.com/0okjb3
https://www.pearltrees.com/draniluro/blogs/id37510351/item444399527
https://www.reddit.com/user/thestoneclinicuro/comments/uq2fk3/can_enlarged_prostate_cause_erectile_dysfunction/
https://sites.google.com/view/urologist-dr-anil/blogs/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence
https://www.evernote.com/shard/s503/sh/0d90d02a-ca09-1fe1-b718-f44ca350174e/f959c4f73424d52ac9d20503c24b21eb
https://site-3512930-4639-9072.mystrikingly.com/blog/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence
https://shortkro.com/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence/
https://www.debwan.com/blogs/420301/Can-Enlarged-Prostate-Cause-Erectile-Dysfunction-Sexual-Impotence
https://thestoneclinicurol.wixsite.com/dranilagarwal/single-post/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence
http://thestoneclinic.weebly.com/blog/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence
https://624564be87449.site123.me/blog/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence
https://www.atoallinks.com/2022/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence/
https://telegra.ph/Can-Enlarged-Prostate-Cause-Erectile-Dysfunction-Sexual-Impotence-05-15
http://hellobiz.in/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence-806299
http://www.doctorsdirectoryindia.com/blog/blogDetails/4954
https://yourhealthblog.gq/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence/
https://jswebblog.tk/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence/
https://newageblog.tk/can-enlarged-prostate-cause-erectile-dysfunction-sexual-impotence/
Testicular Pain Treatment

When Should We Worry About Testicular Pain?

Most men, on more than one occasion, may present localized pain in the testicles, which, with the passing of hours or days, improves spontaneously or, on the contrary, persists or progressively worsens.
As indicated by the urologist in Rohini, pain can be understood as an alarm sign that warns of a problem with an organ and from this point of view it is not normal for testicular pain to exist, although sometimes the cause of this ailment originates from a mild or transitory alteration. The specialist adds that “the testicles, unlike other organs housed in the abdominal or pelvic cavity, are more exposed in the scrotum, without many anatomical barriers to protect them, so that, most of the time, the presence of Mild, transient and occasional testicular pain originates from small compressions or local trauma.

What are the main causes of testicular pain?

The urologist in Rohini tells us that there are various causes for cases of pain, including:

  1. Presence of varicocele (varices of the spermatic cord): it usually produces pain of mild or moderate intensity, associated with exercise or some movements.
  2. Inflammation or infection (orchitis or epididymitis) caused by viruses that circulate in the environment, bacteria that cause urinary infection or others that are acquired during unprotected sexual intercourse.
  3. Torsion of the testis. In this case, the testicle rotates and the testicular blood supply decreases or is completely interrupted, putting the vitality of the tissue at risk. It occurs mainly in children, adolescents and young adults.
  4. Tumor pathologies: although testicular cancer can cause pain, it must be taken into account that testicular pain is often mild or even absent.
  5. Trauma: a blow or compression in the genital area can cause pain and serious damage, depending on the magnitude of the injury.
  6. Pathologies of a benign nature, such as cysts or hydroceles of significant size, can also cause pain.
  7. Spreading or radiating pain: there are conditions that, without directly compromising the testicle, can be associated with testicular pain, for example renal colic, due to stones in the urinary tract, or inguinal hernias.

What happens when one testicle is larger than the other?

The urologist in Pitampura points out that it is normal for there to be a slight asymmetry in the size and position of the paired organs. Such is the case of the kidneys, the ovaries in women and the testicles.

“However, the difference in size in the testicles should be minimal and any rapid variation in testicular volume (either growth or decrease) should prompt an urgent consultation with a urologist in Pitampura. The vast majority of testicular tumors or cancer initially manifest with an increase in the volume of the testicle (rapid growth and increased consistency) before pain”, emphasizes the specialist.

The best urologist in Pitampura is emphatic in stating that “men should not be afraid to consult a urologist in Delhi if they have pain or other alterations in their testicles, because the timely diagnosis of some of the pathologies that cause these symptoms is essential to maintain sexual and sexual health. reproductive. And in the case of testicular tumors it can mean the difference between life and death.”

What are the consequences of not treating the causes that lead to testicular pain?

It is essential to specify the specific problem that causes testicular pain, through the interview and physical examination during the consultation and laboratory tests or imaging tests (particularly testicular ultrasound).

“All this must be done quickly and in a timely manner, since there are pathologies that require immediate treatment to avoid damage to the testicle (torsion of the spermatic cord), long-term sequelae that decrease or alter fertility (infectious orchiepididymitis or varicoceles) or, in the worst-case scenario, that put the patient’s life at risk (testicular cancer)”, adds the best urologist in Pitampura.

What are your treatments?

The treatment can start at home with some general measures recommended by the best urologist in Rohini:

  • Use of a scrotal suspender or somewhat tight underwear.
  • Cold compresses or local ice intermittently, in periods of 20-30 minutes.
  • Take a dose of common pain reliever.

If with these measures the pain does not subside or worsens, it is essential to consult a urologist in Delhi on a scheduled basis or to the emergency service, or if in addition to the pain there are other warning signs: fever, nausea, vomiting, increased volume, etc.

Treatment Options

Once the diagnosis is made, treatment will be indicated according to the probable cause.

  • Analgesics/anti-inflammatories in the appropriate dose and period, according to each patient.
  • Specific antibiotics in proven or highly suspected cases of bacterial infections.
  • Urgent surgery in cases of testicular torsion, testicular tumor or infectious complications (abscesses) or derived from local trauma (hematomas, wounds).
  • Deferred or scheduled surgery: in cases of benign pathologies that do not endanger the life or functionality of the organ and that, therefore, can give a waiting period, or be initially treated with drugs to reduce symptoms (varicocele, hydrocele, cysts, testicular hydatid torsion, etc.).
  • Pharmacological or surgical treatment of other pathologies that can secondarily produce testicular pain: renal colic, inguinal hernias, “elevator” testicle, diabetic neuropathy, chronic idiopathic testicular pain (without apparent cause).

What care must be taken in the treatments?

In general, the main recommendations can be summarized as follows:

  • Do not self-medicate. Avoid taking medications without a medical prescription.
  • Follow your doctor’s instructions exactly. Go to the controls.
  • Consult the best urologist in Delhi in a timely manner. Remember that not only pain is a warning sign (abrupt change in size or consistency of the testicle can be an indication of serious pathologies, such as testicular cancer).
  • Take into account the possible consequences derived from the consultation or late treatment: infertility, irreversible damage to testicular tissue, chronic pain, etc.

What measures are useful to prevent this problem?

Symptoms cannot always be prevented, however, the best urologist in Delhi points out that the following measures are very important:

  • All men should perform a self-examination on a regular basis to be able to detect changes related to the size or consistency of the testicles.
  • They must be protected during the practice of risky activities or contact sports.
  • Practice safe sex (single partner, condom use).
  • Mumps vaccine: This viral infection can cause orchitis (inflammation of the testicle) and infertility in some cases. The vaccine is included in the mandatory childhood vaccination plan (at one year and at 6 years of age), and a booster dose can also be applied between 20 and 30 years of age.

 

Also Visit:

https://thestoneclinicurology.wordpress.com/2022/04/16/when-should-we-worry-about-testicular-pain/
https://besturologistindelhi.blogspot.com/2022/04/when-should-we-worry-about-testicular.html
https://draniluro.tumblr.com/post/681692968037548032/when-should-we-worry-about-testicular-pain
https://diigo.com/0o7g6h
https://www.pearltrees.com/draniluro/blogs/id37510351/item439636150
https://www.reddit.com/user/thestoneclinicuro/comments/u4x0ta/when_should_we_worry_about_testicular_pain/
https://sites.google.com/view/urologist-dr-anil/blogs/when-should-we-worry-about-testicular-pain
https://thestoneclinicurol.wixsite.com/dranilagarwal/single-post/when-should-we-worry-about-testicular-pain
http://thestoneclinic.weebly.com/blog/when-should-we-worry-about-testicular-pain
https://the-stone-clinic.webnode.com/l/when-should-we-worry-about-testicular-pain/
https://www.evernote.com/shard/s503/sh/8ee0a96d-673a-86dd-2178-79742cc1ec29/f51629e12cd0fc4cc5e75d99c5ee709f
https://site-3512930-4639-9072.mystrikingly.com/blog/when-should-we-worry-about-testicular-pain
https://shortkro.com/when-should-we-worry-about-testicular-pain/
https://624564be87449.site123.me/blog/when-should-we-worry-about-testicular-pain
https://www.atoallinks.com/2022/when-should-we-worry-about-testicular-pain/
https://www.debwan.com/blogs/378750/When-Should-We-Worry-About-Testicular-Pain
https://telegra.ph/When-Should-We-Worry-About-Testicular-Pain-04-16
https://trendingnewswala.online/p/6299683e-f446-4e20-a4fd-e29678a68607/
http://hellobiz.in/when-should-we-worry-about-testicular-pain-996488
http://www.doctorsdirectoryindia.com/blog/blogDetails/4678
https://www.hiidoc.com/when-should-we-worry-about-testicular-pain/
Penile Fracture

How to identify and treat penile fracture

Penis fracture occurs when the erect penis is pressed strongly in the wrong way, forcing the organ to bend in half. This usually happens when the partner is on top of the man and the penis escapes from the vagina, causing her to feel abruptly on the partner’s organ, causing the cavernous bodies of the penis, where the fracture occurs.

Another rarer cause is bending the erect penis with the hand in an attempt to stop the erection, as when a child enters the room, for example. In general, treatment is done with surgery and full recovery takes about 4 to 6 weeks, explains the Best Urologist in Delhi.

Signs of a fracture in the penis

The fracture in the penis is easy to identify, as it is possible to hear a popping noise at the moment when the organ’s tissues rupture.

Then, soon after, there is severe pain, loss of erection, bluish or black bruises and great swelling, which can also increase the size of the scrotum. If the injury also affects the urethra, you may notice blood when urinating, says the Urologist in Delhi.

What to do

As soon as you feel the signs of penile fracture, you should go to the Best Urologist in Delhi for help. Fracture confirmation is done through clinical examination, ultrasound, cavernosography, and when there is bleeding in the urine with suspected trauma to the urethra, cystourethrography can also be performed, explains the Urologist in Rohini.

In some cases, it may also be necessary to have a cystoscopy, a procedure in which a small tube with a camera is placed in the urethra, the channel where urine exits, to assess whether it has also been injured, states the Best Urologist in Rohini.

How to deal with

After diagnosing the fracture of the penis and identifying the location of the injury, it is usually necessary to have surgery to repair the torn tissues, which must be done within 6 hours after the fracture, because the sooner it is done, the better the recovery and less the possibility of sequelae, such as erectile dysfunction or penile tortuosity. In general, the length of stay is 2 to 3 days, says the sexologist in Rohini.

Treatment with anti-inflammatory drugs and antibiotics is only done when the fracture is very small, without urethral injury, with few bruising and swelling. In addition, during recovery it is necessary to put ice on the region, take drugs that inhibit involuntary nocturnal erection and not have intimate contact for about 4 to 6 weeks, suggests the sexologist in Rohini.

Complications

Complications of the fracture can be the presence of curvature in the erect penis and erectile dysfunction, as the scar tissue prevents the penis from being erect normally, explains the sexologist in Pitampura.

However, these complications usually only happen when treatment in the hospital is not done or when the man takes too long to seek medical help, says the Best Urologist in Delhi.

Also Visit:

https://thestoneclinicurology.wordpress.com/2022/03/31/how-to-identify-and-treat-penile-fracture/
https://besturologistindelhi.blogspot.com/2022/03/how-to-identify-and-treat-penile.html
https://draniluro.tumblr.com/post/680226489262899200/how-to-identify-and-treat-penile-fracture
https://diigo.com/0o021h
https://www.pearltrees.com/draniluro/blogs/id37510351/item436993879
https://www.reddit.com/user/thestoneclinicuro/comments/tsv182/how_to_identify_and_treat_penile_fracture/
https://sites.google.com/view/urologist-dr-anil/blogs/how-to-identify-and-treat-penile-fracture
https://thestoneclinicurol.wixsite.com/dranilagarwal/single-post/how-to-identify-and-treat-penile-fracture
http://thestoneclinic.weebly.com/blog/how-to-identify-and-treat-penile-fracture
https://the-stone-clinic.webnode.com/l/how-to-identify-and-treat-penile-fracture/
https://www.evernote.com/shard/s503/sh/b35a389f-38e8-8d34-4f27-3975a37e1800/32979ac3e18113158cb1deb2b0925c8a
https://site-3512930-4639-9072.mystrikingly.com/blog/how-to-identify-and-treat-penile-fracture
https://shortkro.com/how-to-identify-and-treat-penile-fracture/
https://624564be87449.site123.me/blog/how-to-identify-and-treat-penile-fracture
https://www.atoallinks.com/2022/how-to-identify-and-treat-penile-fracture/
https://www.debwan.com/blogs/359119/How-to-identify-and-treat-penile-fracture
https://telegra.ph/How-to-identify-and-treat-penile-fracture-03-31
https://trendingnewswala.online/p/4869f9f7-00c2-49f7-9656-e2dc7da24bbd/
http://hellobiz.in/how-to-identify-and-treat-penile-fracture-954037
http://www.doctorsdirectoryindia.com/blog/blogDetails/4563
https://www.hiidoc.com/how-to-identify-and-treat-penile-fracture/
Prostate treatment in Pitampura

Benign Prostatic Hyperplasia: Symptoms, Causes & Treatments

What is Benign Prostatic Hyperplasia (BPH) or prostate adenoma?

Benign Prostatic Hyperplasia (or prostate adenoma) is the non-malignant growth of prostate tissue that occurs in middle-aged men onwards. In a young individual, the prostate gland is rudimentary, almost undetectable, and spreads like a cluster of seeds over the lining of the urinary tract. However, at puberty, this anatomy begins to change due to the high production of the hormones testosterone and dihydrotestosterone, explains the Best Urologist in Delhi.

Testosterone causes “seeds”, called acini, to germinate and grow. Thus, in adult life, and due to their growth and proliferation, these small glandular structures can cause obstructive symptoms associated with urinary flow disorders.

Benign Prostate Hyperplasia is one of the most common diseases in men and is considered part of the physiological aging process. The incidence of this disease is 51% in men 60 to 69 years of age and 75 to 90% in the eighth decade, says the Best Urologist in Delhi.

Symptoms

Although the concept of BPH encompasses an enlarged prostate and mechanical obstruction to voiding flow, there is not always a direct relationship between the volume of hyperplasia and the intensity of symptoms. Very enlarged prostates may not cause symptoms and minor ones can be a source of intense discomfort, explains the Urologist in Delhi.

The symptoms of Benign Prostate Hyperplasia can be divided into obstructive and irritative.

Obstructive symptoms

  • Weak and / or intermittent urine flow.
  • Decrease in the force and calibre of urine.
  • Feeling of incomplete emptying of the bladder.
  • Double urination (urinating a second time in a 2-hour period).
  • Post void drip.
  • Difficulty or delay in starting urination.
  • Urinary retention.

Irritative Symptoms

  • Polyakiuria, or increased frequency with which you urinate.
  • Nocturia, or the need to urinate frequently at night.
  • Sudden urgency.
  • Urge urinary incontinence.

Causes of benign prostate hyperplasia

Prostate hyperplasia is related to age, so that over 80 years of age, 9 out of 10 men have it, and may or may not produce symptoms depending on the magnitude of their growth, says the Urologist in Delhi.

How is benign prostate hyperplasia diagnosed?

Although prostate hyperplasia is a benign disease, in the presence of symptoms such as those mentioned in the previous section, prostate cancer must always be ruled out. To do this, it is necessary to perform a digital rectal examination, determine the concentration of PSA (prostate specific antigen) in a blood test, and perform an ultrasound of the prostate, says the Kidney Specialist in Pitampura.

In those cases where the PSA value is high, it is necessary to perform a prostate biopsy. The biopsy is done transrectally, that is, inserting a needle into the anus and puncturing through the rectum. For this, the biopsy is guided by rectal ultrasound.

An ultrasound probe is inserted through the anus and several biopsies are obtained with a fine needle. About 6 biopsies are usually obtained so as not to leave any area of ​​the prostate without evaluating, explains the Urologist in Delhi.

What care does it require?

Patients with this disease require periodic check-ups to assess the possibility of developing cancer. However, having benign prostatic hyperplasia does not imply that there is a higher risk of developing cancer.

How to treat benign prostate hyperplasia?

Early diagnosis of Benign Prostate Hyperplasia is essential to avoid complications such as urinary tract infections, kidney or bladder damage, bladder stones, or incontinence.

The possible existence of these secondary processes derived from urinary obstruction, together with the degree of discomfort of the patient, will determine the treatment against BPH.

The indications for Prostate treatment in Rohini, depends on the discomfort that the disease is producing. These discomforts are generally related to difficulty urinating, subsequent dripping and the permanent feeling of wanting to urinate, mainly at night. If there are no discomforts, no treatment is indicated, says the Kidney Specialist in Pitampura.

Medical treatment

Initial Prostate treatment in Rohini is usually with medication. Two types of drugs can be used, which are usually used together:

  • 5α reductase inhibitors. These drugs block the effect of male sex hormones (androgens) on the prostate, which prevents it from continuing to grow and even favours its reduction in size, with subsequent improvement in symptoms. A typical drug in this group is finasteride.
  • Α-adrenergic blockers. They relax the urethra and facilitate urine output. They do not modify the evolution of the disease or the size of the prostate. Drugs in this group are doxazosin, tamsulosin, and terazosin.

Surgical Treatment

When the discomfort continues to be very important despite Prostate treatment in Pitampura with medicines, when infections are frequent, when there is bleeding with the urine or when there are stones in the bladder, the prostate surgery in Pitampura is usually recommended by the urologist in Delhi.

The prostate surgery in Rohini involves removing the prostate, which is called a prostatectomy. Prostatectomy can be done through the urethra (transurethral route) or by opening the abdomen and directly accessing the pelvis. The decision to perform one technique or another depends on the size of the prostate, the patient’s health status and their preferences.

The most used are transurethral resection techniques. These techniques are done through the urethra (the hole in the penis where urine comes out) and can be done with general anaesthesia, spinal anaesthesia, or epidural anaesthesia (leaving the lower half of the body asleep after puncturing the anaesthesia in the spine) or with local anaesthesia and sedation. There are different ways to remove the prostate transurethrally:

  • Prostate Urethral Lift (PUL): This procedure uses permanent implants to lift and keep enlarged prostate tissue out of the way, so it no longer blocks the urethra.
  • Transurethral resection of the prostate (TURP): This procedure involves the use of a heated wire to cut the prostate tissue and has been used for years to treat an enlarged prostate.
  • Transurethral Incision of the Prostate (TUIP): One or two small cuts are made in the prostate gland, making it easier for urine to pass through the urethra.
  • Transurethral Microwave Thermotherapy (TUMT): Microwave energy from the electrode destroys the inner portion of the enlarged prostate gland, reducing it and facilitating the flow of urine.
  • Transurethral needle ablation (TUNA): An endoscope is passed into the urethra to place needles into the prostate gland. Radio waves pass through the needles, heating and destroying excess prostate tissue that blocks the flow of urine.

For more info contact the best urologist in Delhi.

Kidney Stones

Everything you wanted to know about kidney stone, but had no one to ask

Kidney stones are formed by substances that aggregate and crystallize inside the kidneys or urinary tract. The concretions are very reminiscent of stones, hence its name, explains the Urologist in Delhi.

What is the difference between kidney stones and renal colic?

When the stones are located inside the kidneys, they do not usually cause pain. Often the patient has kidney stones and has no symptoms at all.

But when the stones move through the flow of urine and reach the ureter, the channel that connects the kidney to the bladder. They cause obstruction of the urine drainage, which accumulates, causing dilation of the ureter and kidney. This dilation is responsible for severe pain, which is known as renal colic.

Renal Colic is an acute, intense pain, which increases and decreases cyclically, starting in the lumbar region and radiating (walking) to the lower abdomen, explains the Best Urologist in Delhi.

What are the symptoms of kidney stones?

Often, the disease is asymptomatic (has no symptoms) so for this reason, it can go unnoticed for a long time.

However, when the stones start to obstruct the drainage of urine, they cause very severe pain, which can be felt in the lower back or lower abdominal region. In addition, these pains are not the only symptoms. There may also be:

  • Nausea
  • Vomiting
  • Chills
  • Abdominal distension
  • Fever
  • Frequent desire to urinate
  • Blood in the urine

What complications can kidney stones cause?

An untreated renal colic can result in several problems. The main ones are:

  • Intense pains
  • Decrease or even loss of function of the affected kidney
  • Urinary infection
  • Arterial hypertension

How do you know if you have kidney stones?

The diagnosis of kidney stone is confirmed by imaging tests. In the past, X-rays of the abdomen, excretory urography and ultrasound were used. Today, these tests have been replaced by abdominal tomography, says the Urologist in Delhi.

How to prevent kidney stone?

Feeding directly influences the formation of kidney stones.

To prevent kidney stone formation, we must:

  • Drink enough water to urinate 2 to 3 liters a day.
  • Increase the consumption of citrus juices (natural, especially orange and lemon)
  • Perform physical activities regularly
  • Reduce salt consumption (remove the salt shaker from the table, avoid sausages and industrialized spices)
  • Decrease protein intake (white, red meat and fish)
  • Decrease consumption of oxalate-rich foods (coffee, black tea, chocolate)

Can kidney stones be caused by excess vitamin C?

Vitamin C is known to generate many benefits for the body, even being used to prevent colds and flu. However, when taken in excess, vitamin C can lead to the formation of kidney stone.

Vitamin C is metabolized by the liver, leading to the formation of oxalate, which joins calcium in the urine and forms kidney stone.

Is the incidence of kidney stones higher in the summer?

Yes, during the summer the number of kidney stones increases. This is because temperatures are higher at this time of year. Thus, we sweat more, urinate less and the crystals that form the kidney stones come together more easily.

If I drink enough water, can I prevent stones from forming?

Yes, the main way to decrease the risk of kidney stone and to drink 2.5-3L of water per day.

Does consumption of foods with calcium increase the chances of developing kidney stones?

No, this is just a legend.

In fact, 85% of the kidney stones are made up of a calcium compound, but this does not require a reduction in the mineral intake.

But when the patient stops consuming calcium, there is an increase in the absorption of oxalate in the intestine and the patient continues to form kidney stones and may even develop osteoporosis, explains the Best Urologist in Delhi.

Who has had kidney stones again?

Yes. If you already have kidney stone, the chance of forming a new stone is 90% in 10 years.

Who is the doctor who treats kidney stones?

The specialist doctor who treats Kidney Stone is the Urologist in Delhi.

How is kidney stone treatment in Delhi done?

Small Kidney stone, less than 5-6mm, they can be expelled through urine, without surgery. However, this is not always the case. Large kidney stones are hardly eliminated spontaneously and almost always require surgical treatment.

There are different surgeries for Kidney Stone Treatment in Pitampura. The Urologist in Delhi, based on the patient’s history, laboratory tests and kidney stone characteristics provided by imaging tests (size, location and hardness) is the one who must decide which technique is best suited for each case.

Can kidney stone surgery be done at any clinic?

Laser surgery is a procedure that presents few risks, but that must be done at the hospital by a urologist in Pitampura. But the ideal is to look for a Kidney Specialist in Pitampura, who has the knowledge and experience to perform the procedure safely.

So, do not choose the doctor just for the price. Consider the experience of the professionals and the structure offered by the hospital. This will reduce the risk of complication in the procedure, after all, cheap is often expensive, says the Urologist in Delhi.

 

Benign Prostatic Hyperplasia

Understand what Benign Prostatic Hyperplasia is

Before we talk about benign prostatic hyperplasia (BPH) it is important that you know what the prostate is. The prostate is a male-only organ.

It is found in the pelvis, close to the bladder and involves the urine channel. Its function is to produce a large part of the liquid that forms the sperm and that liquid, in turn, has the function of ensuring that the sperm survive.

Now that we know a little more about the prostate, let’s talk about benign prostatic hyperplasia (BPH).

As a man ages, the prostate enlarges. It is something so frequent that, at the age of 90, 90% of men will present this picture.

This is NOT prostate cancer; cancer is another disease. The 2 diseases can happen at the same time, but they are different diseases.

But if BPH is not cancer, what problem does it cause? As the urine channel (urethra) passes inside the prostate, as the prostate enlarges, it can compress the urine channel, making it more and more difficult to empty the urine through the bladder.

Symptoms of benign prostatic hyperplasia:

  • Thin and weak stream of urine.
  • It takes time to start pee.
  • Persistent drip at the end of the urination.
  • Interruption of the urine stream, making it necessary to “exert force” to restart it.
  • Frequent desire to urinate, causing the sensation of not having been able to completely empty the bladder.
  • Sudden and intense urge to urinate.
  • Pain when urinating.
  • Waking up at night more than once to urinate.
  • Presence of blood in the urine.

Only the best urologist in Delhi has adequate education and training to diagnose and treat this disease. After all, complex health problems require specialist treatment.

It is up to the urologist in Delhi, together with the patient, to decide which treatment is most appropriate for each case. But for this, we evaluated the intensity of the described symptoms and how much these symptoms are affecting your quality of life.

In addition, the test results requested by the urologist in Rohini may also influence the choice of treatment.

What are the most common treatments used to treat Benign Prostatic Hyperplasia?

Drug Treatment: The best urologist in Rohini prescribes medications that help the patient to urinate more easily. The medications can be alpha-blockers, which relax the muscles of the prostate, decreasing the obstruction of the urine channel and / or 5-alpha-reductase inhibitors, which decrease the size of the prostate.

The Urologist in Pitampura looks for other treatment options when the patient does not show improvement or good response to drug treatment. Whether due to the lack of results, intolerance to side effects.

Main surgical treatments for benign prostatic hyperplasia

Transurethral Prostate Resection (TURP)

T rata up procedure we put a small camera in the channel of urine and “scraped the prostate” internally. This is the standard surgical procedure.

Enucleation of the prostate

It would be something similar to RTU, using, however, the laser for removal of bloc. That is, in a single “piece” of the inner portion of the prostate that compresses the urine channel.

Prostate vaporization

This procedure is also surgery through the urine channel. The difference is that instead of removing the tissue from the prostate, we “evaporate” it, destroying that tissue, with no need for removal. We can use different energy sources like plasma or a special type of laser. It presents results similar to the techniques described above, but the major criticism is that there is no tissue sent for analysis.

Needle transurethral ablation of needle

It is a device inserted in the urine channel, which uses radiofrequency, generating heat and ablation (destruction) of the prostate tissue.

Prostatic stents

A stent is placed in the region of the urine channel compressed by the prostate, “arming” the urine channel and reducing this obstruction. The mechanism partly resembles coronary stents.

Embolization of the prostate arteries

This is an exceptional treatment, in which catheterization of the femoral artery is performed, by inserting a very thin tube, which is guided to the vessels that carry blood to the prostate. Through this tube, a material is injected to block the arrival of blood in the prostate, leading to a reduction in the arrival of oxygen and food to the prostate and a decrease in the organ.

Consult with a specialist beforehand to treat benign prostatic hyperplasia

It is important to note that if any symptoms of Benign Prostatic Hyperplasia are felt, you should seek a Urologist in Pitampura as soon as possible. Any treatment is more likely to succeed when the patient consults a urologist in Delhi in the early stage of the disease.

Urinary Incontinence

Urinary incontinence: how to combat it?

According to the definition of the International Continence Society (ICS), Urinary Incontinence (UI) is determined when there is “a complaint or discomfort derived from any involuntary loss of urine”. Incontinence may or may not be accompanied by an urgent sensation to urinate and entails the inability to retain urine permanently or temporarily. In addition, there is a significant decrease in quality of life that does not always correlate with the amount of urine lost.

It is a very common problem, but many patients hide it out of shame, so there are no exact figures. It is estimated that 50% of people with urinary incontinence do not consult their urologist in Delhi. It is estimated that 24% of women suffer from urinary incontinence, increasing to 30-40% in middle-aged women and up to 50% in elderly women. In the case of men, 7% suffer from it, reaching 14-29% in those over 65 years of age. It is not a situation of age, although aging favors it.

TYPES OF URINARY INCONTINENCE

There are four most common types of urinary incontinence:

  • Stress urinary incontinence: involuntary loss of urine associated with physical exertion that causes increased abdominal pressure, such as coughing, sneezing, laughing, or during physical activity. It affects more middle-aged women. It is the “incontinence of the pregnant woman”, explains the urologist in Pitampura.
  • Urge urinary incontinence: involuntary loss of urine associated with a sudden and urgent need to urinate, which occurs as a result of an involuntary contraction of the muscle that causes the expulsion of urine. It affects both sexes equally, especially in advanced age, says the urologist in Pitampura.
  • Mixed urinary incontinence: combination of the two above.
  • Overflow Urinary Incontinence: They call this “unconscious urinary incontinence.” Small losses occur during the day and the bladder, due to muscle weakness or obstruction, does not empty completely. This causes the bladder to fill to the maximum and with an increase in pressure in the abdomen, small amounts of urine escape, explains the urologist in Pitampura.

Urinary incontinence affects the quality of life of those who suffer from it, since it prevents a good rest, or hinders leisure and work activities. It not only has physical effects (skin lesions and hygiene problems), but also psychological, says the best urologist in Delhi.

CAUSES

The causes are varied. There are the congenital ones caused by some disease and the acquired ones such as:

  • Bladder disorders: muscle instability, increased abdominal pressure, obstruction of evacuation and atonic bladder.
  • Endocrine disorders: diabetes or estrogen deficiency in menopause that influence the functioning of the bladder.
  • Neurological problems that affect the ability to control the bladder.

There are some factors that contribute to the appearance of urinary incontinence such as pregnancies, traumatic deliveries, gynecological interventions, medications (consumption of diuretics, hypnotics or antidepressants), and certain psychological situations such as depression, says the best urologist in Pitampura.

HOW IS URINARY INCONTINENCE TREATED?

  1. Modify habits: Control the liquids (water, alcohol, infusions, etc.) that are drunk to avoid excessive formation of urine and train the bladder so that the patient can progressively delay emptying from the moment they feel the desire to urinate until they You can do it in a suitable place (get to the bathroom).
  2. Re-educate the pelvic floor muscles (Kegel exercises):
    1. Try to stop the flow of urine while you are urinating.
    2. Make two or three short stops each time you urinate.
    3. Contract your bladder muscles and hold for three seconds (the idea is to reach 10 seconds) three times a day.
  3. Medications: The most widely used are those which decrease the contractile capacity of the detrusor muscle, increase tolerance of bladder filling and continence.
  4. Intermittent self-catheterization: A catheter is inserted into the bladder through the urethra to empty it. It is used mainly in incontinence caused by neuronal damage.
  5. Use absorbents for urinary incontinence: on the market there are absorbent pads or pads specially designed for urine leakage.

PREVENTION

There are some steps that can help prevent UI:

  • Reduce diuretic foods: Some foods stimulate kidney function by producing more urine. For example, melon, watermelon, asparagus, endives, grapes, onions, among others.
  • Also reduce the consumption of diuretic drugs (whenever possible).
  • Reduce the consumption of drinks that contain alcohol or caffeine.
  • Follow a balanced diet.
  • Reduce overweight and obesity.
  • Avoid spicy foods.
  • Increase your fiber intake to avoid constipation.
  • Avoid drinking liquids between two and four hours before going to sleep.
  • Get regular exercise.

If you suffer from urinary incontinence, you should consult with your urologist in Delhi and not resign yourself to living with the problem. The solution can be very simple, and it can improve your quality of life.

food to avoid kidney stone

The diet that detonates stones

Who knew that food choice would even take stones (pain and other complications) out of your way?

The stone that appears in the kidneys is a measly millimeter. Even so, it is capable of making an adult cry out in despair. Not for nothing, they say that it is the pain closest to childbirth that a man can feel. But, if you do not want to suffer from the birth of a kidney stone, know that, in most cases, it is in your hands, or rather, in your diet, a way to prevent the problem.

Increase your consumption of…

Liquid

So that the kidneys are not suitable for the formation of stones, the first rule is to drink plenty of fluids. According to the best urologist in Delhi it is right to drink enough to make about 2 liters of pee a day. Since you can’t tell how much urine is leaving each time you visit the bathroom, a simple way to get a sense of whether everything is within the standards is to spy on its color. It must be clear. If it is very yellow, it means that it is well concentrated. Then the risk of the crystals coming together grows.

Coffee

The production of urine does not depend only on pure, fresh water. To close the account, juices, soups, fruits, vegetables, teas are worth… Even coffee. A study by the Catholic University of the Sacred Heart, in Italy, evaluated three major surveys, with a total of 217 883 participants. And he concluded the following: in the first study, those who consumed more coffee had a 26% lower risk of having kidney stones; in the second, the reduction was 29%; and, in the third, 31%. Caffeine makes the urine more diluted, explain the Italian researchers.

Citrus fruits

One type of drink that has already been favored by kidney specialist in Rohini is the juice of citrus fruits, such as orange and lemon. These foods have citrate, a protective element. In practice, this molecule has a special affection for calcium. When added to it, it generates a soluble compound, easily released by urine. Thus, calcium is not free to form stones. Vegetables, legumes and other fruits also have their doses of the blessed citrate.

Yogurt

As the stones are basically formed by calcium, there is an idea that stopping consuming cheese, milk and yogurt, sources of the mineral, would be positive. Wrong. In addition to this behavior opening the door to osteoporosis, it only damages the kidneys. Follow the reasoning: in the intestine, there is a large amount of a compound called oxalate. When he is alone, he ends up leaving for the urinary system, where he sticks to the calcium, forming the dreaded stone. Now, if the individual is careful with calcium intake, this junction of oxalate and mineral occurs in the intestine. And there they give rise to a soluble complex that comes out in the faeces.

Decrease consumption of…

Soft drinks

According to the best urologist in Rohini, there is evidence that taking these sugary drinks frequently can threaten your kidneys. One reason would be that the refills cause more calcium to end up in the pee. But there is more: gaseous liquids facilitate weight gain, a situation that favors resistance to the action of insulin. Under these circumstances, urine tends to become more acidic. And there, there is a greater propensity for the appearance of uric acid stones.

Sodium

Another essential guideline is to take it easy on the salt shaker. When the diet is high in salt, the passage of calcium into the urine is more intense. In addition to reducing pinches, use sausages (such as sausage, sausage and salami), instant noodles, canned food … Anyway, items known to be full of sodium. The ideal is to ingest about 2 400 milligrams of this mineral, something around 5 grams of table salt.

Animal protein

It is also worth reviewing how much animal protein goes into the dish. Because the end product of meat digestion is uric acid – and it can literally get stuck.  To make matters worse, excess protein makes the blood slightly more acidic. When this happens, there is a reduction in the excretion of citrate, that substance of good.

urinary tract infection

Meet 6 Unusual Causes of Urinary Tract Infection in Women

The differences between the body of a woman and that of a man go beyond those that stand out in our eyes. The urethral canal, where the urine comes out, is one of the diversities that are hidden. While in the women’s wing this exit route measures about 5 centimeters.

The consequence of the discrepancy is not at all advantageous for women. That’s because, in them, bacteria that intrude have a much shorter way to go until they reach the bladder. When they reach the organ, they usually do damage. Hence the urge to urinate becomes intense, there is pain, and urine is sometimes accompanied by blood. It is cystitis, the formal name of urinary tract infection, which affects 20 to 30% of the female population at a certain stage in life.

1. Obesity

The bond is indirect, but it exists. Follow the reasoning: those who are very overweight usually show folds in various parts of the body. The feature often hinders perfect hygiene of the genital region after urinating and creates the perfect setting for bacteria to make the party.

But beware: excessive cleaning is also not good. “This changes the vaginal flora, resulting in an expulsion of protective bacteria from there,” explains urologist in Rohini. The recommendation is to avoid intimate showers, scented sprays and other items capable of unbalancing the flora.

2. Holding the pee

“Don’t use public restrooms”… There is a mother’s advice that you can ignore, taking care of dirty surfaces, of course. It is that pee standing in the bladder for a long time creates the perfect environment for the proliferation of evil bacteria. “Urinating works like a continuous wash,” says urologist in Pitampura.

Although not romantic, the act is also indicated right after sexual activity, when microcracks can occur in the urethra region, facilitating the adhesion of microorganisms. With a getaway to the bathroom, you expel the little invaders.

3. Diabetes

Any disease that compromises the body’s defenses, making them very lame, predisposes to urinary tract infection. This is the case with diabetes and AIDS. “There, our body cannot defend itself right from bacteria”, justifies urologist in Delhi.

Certain medications, such as those indicated for those living with lupus, and excessive physical exercise also contribute to the drop in immunity.

4. Constipation

In most constipation, the problems go beyond abdominal discomfort. Because of the female anatomy, the bacteria in the gastrointestinal tract, stuck, have an easy migration to the urethra, contaminating it. “The culprit for most episodes of cystitis goes by the name of Escherichia coli, This is a bacterium that lives in the intestine, where it does not create problems. But, when it passes into the vagina area, it competes with microorganisms that live naturally there”, describes best urologist in Rohini. Hence, if the intruder dominates the terrain, the risk of infection increases. “In fact, in constipated patients, we detect a greater colonization of microorganisms from the intestine in the vaginal region”, confirms the best urologist in Pitampura.

5. Condom

Calm! Do not think that in this topic you will find a green light to dispense with condoms during sex. Never. The only setback is that spermicides – substances responsible for killing sperm – modify the vaginal flora, leaving women more susceptible to the harmful action of bacteria.

The way out, then, is to look for condoms without the spermicide or that have the substance inside, so that the gel stays in contact only with the penis.

6. Renal stone

“In certain cases, the stones that form in the kidneys are caused by a bacterium that interferes with the acidity of the urine, facilitating the deposit of salts”, explains the best urologist in Delhi. The problem? The risk of this microbe also financing dreaded cystitis. “There is the possibility, even, that the kidney stone culminates directly in the most serious type of infectious disease, which is pyelonephritis”, warns urologist in Delhi.

“But this relationship between kidney stones and urinary tract infection is the exception, not the rule,” says the kidney specialist in Rohini. Anyway, the message is always to investigate. This prevents the constant use of antibiotics and the emergence of a dangerous army of resistant bacteria.

The two sides of the problem

Cystitis is the most common type of urinary tract infection. It hits the bladder, and symptoms include an urge to pee at all times, as well as burning and bleeding when urinating. Antibiotics, analgesics, and hydration usually do the job.

Pyelonephritis, in turn, is the most ominous form of the condition, as the bacteria reaches the kidneys, causing fever and malaise. Treatment is longer and may require hospitalization.

Vaccine

Those who live with urinary tract infection several times a year can use a vaccine to improve the body’s defenses. It is a little different, to start with the shape – why it is a pill.

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