All posts by Dr. Shailendra Goel

kidney dysplasia

What is kidney dysplasia?

Dysplasia is the abnormal development of body organs or tissues. Kidney dysplasia is a structural disorganization of the kidney parenchyma during embryogenesis. While in utero, problems can occur during kidney formation, resulting in a multicystic dysplastic kidney (kidney dysplasia), explains the urologist in Noida.

What are the causes of kidney dysplasia?

Little is known about the failures in the early development of the kidneys that result in kidney dysplasia. Most of them occur spontaneously or through exposure of the mother to certain medications or drugs and some, on the other hand, are genetic and transmitted from parents to children through autosomal dominant processes. Thus, these dysplasias are caused by a single defective gene from one of the parents. Each child born to a parent with kidney dysplasia has a 50% chance of inheriting a defective gene and being affected, says the best urologist in Noida.

What is the physiological mechanism of kidney dysplasia?

Fluid-filled cysts take the place of normal kidney tissue, and as a result, kidney function can deteriorate before or after birth.

What are the main clinical features of kidney dysplasia?

Kidney dysplasia is often combined with ureteropelvic junction obstruction, ureteral atresia, urethral obstruction, vesicoureteral reflux, and other urinary tract abnormalities. Thus, patients’ signs and symptoms depend on the extent and severity of kidney anomalies, explains the urologist in Greater Noida.

In the prenatal period, kidney dysplasia is always found by ultrasound screening and manifests as a multicystic kidney, pelvic cyst, kidney agenesis, or perception of a genital mass. In childhood and adulthood, conditions related to kidney dysplasia include voiding dysfunction, urinary incontinence, repeated urinary tract infections, flank pain or abdominal pain, vaginal discharge in women, palpable genital masses, and chronic kidney failure, states the urologist in Greater Noida.

Dysplasia usually only occurs in one kidney. With only one kidney affected, the baby can grow normally and have no or few health problems. But, if kidney dysplasia affects both kidneys, in most cases, the fetuses do not survive to the end of the pregnancy. Those who survive will need, from a very early age, to undergo dialysis and undergo a kidney transplant. A baby with kidney dysplasia may also have problems with the digestive system, nervous system, heart, blood vessels, muscles and skeleton or other parts of the urinary tract, says the urologist in Ghaziabad.

How does the urologist in Ghaziabad diagnose kidney dysplasia?

Kidney dysplasia or other congenital problems may be found during prenatal ultrasounds or ultrasounds performed after birth to assess for other symptoms. Symptomatic kidney dysplasia may be best investigated by kidney ultrasound, magnetic resonance imaging, and magnetic resonance urography. Eventually, a definitive diagnosis of kidney dysplasia can only be made after removal of a non-functioning kidney, by nephrectomy or autopsy, explains the urologist in Vaishali.

How does the urologist in Noida treat kidney dysplasia?

Nephrectomy (kidney removal surgery) of the dysplastic kidney is routine treatment, although there is currently a trend towards conservative management with careful monitoring. If the condition is limited to one kidney and the patient has no symptoms, he is monitored with periodic ultrasound to examine the affected kidney. A nephrectomy should only be considered when there are very bothersome symptoms that surgery can cure. Children with end-stage kidney function will require blood-filtering treatment (kidney dialysis) until a kidney is available to be transplanted, says the best urologist in Ghaziabad.

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kidney cancer treatment

Kidney cancer and its evolution

What is kidney cancer?

Kidney cancer, hypernephroma or renal adenocarcinoma is a malignant tumour that affects kidney cells and can be restricted to that organ or spread to other parts of the body, explains the best urologist in Noida.

What are the causes of kidney cancer?

The causes of kidney cancer are not entirely clear. It is only known that it begins when some kidney cells undergo mutations in their DNA, which start to grow and multiply in a fast and disordered way, forming a tumour that can expand to other parts of the body (metastases) and cause serious complications, says the urologist in Noida.

Although the causes of kidney cancer are not yet known, some factors seem to contribute to it, such as advanced age, treatment for kidney failure such as dialysis, von Hippel-Lindau disease (an inherited condition that affects the blood vessels of the brain, eyes and other body parts). In addition, smoking, high blood pressure and obesity also interfere negatively. Also, some rare genetic syndromes can increase the risk of developing kidney cancer, states the urologist in Noida.

What is the pathophysiology of kidney cancer?

The kidneys are two organs about the size of a fist, located in the back and upper part of the abdomen, behind the abdominal organs, juxtaposed to the spine, one on each side. The kidneys are responsible for the balance of water and salts in the body and eliminate harmful substances metabolized by the body. Each kidney is made up of a million tiny filtering structures called nephrons.

The most common kidney cancer results from the transformation of the cells of the tubules that form the nephrons, which begin to proliferate abnormally and can invade the organ and even, in some cases, circulate through the body and produce tumours in other parts of the body. (metastases).

There is usually a single tumour, but two or more tumours can arise within one or both kidneys simultaneously. One of the first consequences of the kidney tumour is the breakdown of kidney functions, says the urologist in Greater Noida.

What are the main clinical features of kidney cancer?

Kidney cancer is usually silent or only produces very mild and nonspecific symptoms. It can cause bleeding in the urine and pain in the side of the belly. More intense symptoms and the possibility of palpation of the tumour only occur when the disease is more advanced. At this stage, persistent back pain, abdominal pain, weight loss, fatigue, and intermittent fever may be present. In many cases, the first overt symptoms may result from metastasis rather than from the primitive tumour, explains the urologist in Ghaziabad.

How does a doctor diagnose kidney cancer?

The first tests and procedures used to diagnose kidney cancer include blood and urine tests, ultrasound, CT scan, and MRI. Lastly, a biopsy may be performed, to remove a sample of kidney tissue, to be sent for examination in a pathology laboratory.

The earlier the diagnosis, the greater the chances of cure because it allows identifying the tumour in its early stages, still located in the kidneys and not spread to other parts of the body. Often the discovery of the tumour is accidental, during exams by urologist in Ghaziabad for other purposes or even in routine exams.

How do doctors treat kidney cancer?

Kidney Cancer Treatment in Noida depends on the size of the tumour and whether or not it has metastasized, but surgery is the only definitive treatment. Removal of the kidney, adrenal gland, and regional lymph nodes is the most commonly indicated treatment. When the disease has already produced metastases, the goal of treatment becomes to stop or slow down its progress. For this, the treatment must be with medications that block the fundamental biological processes for the proliferation and survival of cancer cells, especially chemotherapy, explains the urologist in Vaishali.

How does kidney cancer evolve?

In general, the patient’s recovery depends on how severe the cancer has reached. In about a third of cases, the cancer has already spread throughout the body and the patient, at the time of diagnosis, has already developed metastases. For these patients, the chances of cure are considerably reduced, says the urologist in Vaishali.

How to prevent kidney cancer?

There is no absolute way to prevent kidney cancer. However, some measures seem to reduce the incidence: not smoking, maintaining a healthy weight and eating properly, suggests the best urologist in Noida.

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Uroloigist in Noida

How to detect kidney disease early

Chronic kidney disease (CKD) is nicknamed the silent killer because it usually does not cause any symptoms until it is in an advanced stage and is already irreversible. “It is a forgotten pathology, even by health policies, and it is only treated when there is no cure and the only thing that can be done is to alleviate the symptoms,” explains the best urologist in Noida.

In the terminal phase of this disease, the kidneys stop performing their function and survival is only possible with renal replacement therapy: dialysis or a kidney transplant. However, if it is detected when it is still very early, it is possible to stop its development by treating the pathologies that cause this renal deterioration (diabetes and hypertension, above all) and with a healthy lifestyle, explains the urologist in Noida.

Warning Signs

“There really isn’t a clear symptom because normally there is no pain,” says the urologist in Greater Noida. These are some of the warning signs that can warn of the existence of a kidney disease. But beware! These signs usually appear when the problem is already advanced, that is, in the first three phases of the 5 with which the progression of the disease is described:

  • Fluid retention that results, among other things, in swollen ankles.
  • Changes in how your urine looks and how often you pee.
  • Tiredness and fatigue.
  • Anemia.
  • Citrin color of the skin.
  • Rashes, itching.

In the initial phases (1, 2 and 3a) of chronic kidney disease, according to the urologist in Ghaziabad, some more subtle changes can be seen, such as the presence of foam in the urine, which could indicate (although not always because it can be something specific) the presence of protein in the urine. However, urologist in Ghaziabad clarifies that to detect this sign “it is necessary to look very closely, but the general population is not used to paying attention to aspects such as the amount of urine, the color, if it is very concentrated or diluted … We lack a lot of information and education about”.

Blood and urine tests

Blood tests that are routinely performed on the healthy population both in health centers and in company medical check-ups usually include a marker of kidney function, creatinine, which is an enzyme that is eliminated in the kidney and is produced by the metabolism of the muscles. “It has to be around 0.9 and 1.1, that is, around 1”, indicates the president of Alcer. “If it is a little higher, there is a kidney problem”, says the best urologist in Ghaziabad.

Despite the fact that it is a very good marker and “if you have it altered it is a sure indicator of kidney failure”, it only detects the existence of problems of a certain severity (from stages 3-4 of kidney disease), since in the incipient phases the creatinine levels are usually fine.

To evaluate the functioning of the kidneys in these early stages, it is necessary to resort to the gromerular filtration rate, which measures what the kidney is capable of filtering. It is calculated using a mathematical formula that compares a person’s height, age, gender, and race to their serum creatinine levels.

“If both the glomerular filtration rate and the 24-hour urine sample were included in the analyzes carried out in primary care, many more cases of chronic kidney disease would be detected and early detection would be made,” urologist in Vaishali highlights.

Prevention before it’s too late

But since it is not possible to carry out systematic tests on all people and against all pathologies, those that should pay more attention to their kidney function are those that present a higher risk of chronic kidney disease, which are:

  • Patients with hypertension.
  • Diabetic patients.
  • Patients with established cardiovascular disease.
  • Relatives of patients with chronic kidney disease.

In these groups, the estimation of the glomerular filtration rate in a blood sample and the determination of the albumin/creatinine ratio in a urine sample are recommended as a systematic screening or analysis method. It has been proven that early detection of those affected by this silent killer and its treatment decrease cardiovascular complications and the speed of progression of kidney disease, explains the best urologist in Noida.

As for the rest of the population, the essential thing is to keep in mind that advanced age, obesity, a diet with excess sodium, the abuse of medications, a sedentary lifestyle, the consumption of tobacco, alcohol and other drugs… factors that increase the probability of suffering kidney diseases. Therefore, the best way to prevent chronic kidney disease is a healthy lifestyle. It is advisable not to lower our guard because it is a very common problem: it is estimated that approximately 10% of the population suffers from some type of kidney disease.

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urologist in Noida

In which situations should you urgently consult the urologist?

How many times have you consulted with a urologist?

It is recommended to carry out, from the beginning of sexual life, routine consultations with the best urologist in Noida once a year. This care makes it possible to identify diseases early, before they can cause complications.

But, in addition to routine consultations, there may be situations where urgent care is needed, either because of the pain caused by the disease or even the risk of serious complications and even death.

Diseases that require urgent consultation with the urologist

Acute urinary retention

The urinary retention can be defined as the inability to urinate, the bladder is full, but the patient can not empty it.

This can occur when there is obstruction of the urine channel, most commonly related to benign prostatic hyperplasia (enlarged prostate) or even failure of the bladder muscles to contract, which can occur from medication use or nervous system injuries.

The patient should be submitted, as soon as possible, to the placement of a probe in the urine channel, in order to avoid complications such as loss of kidney function.

Renal colic (kidney stone)

When the stones are located inside the kidneys, they do not usually cause pain. But when the stones travel through the urinary stream and reach the ureter, the canal that connects the kidney to the bladder, they cause obstruction of the drainage of urine, which accumulates, causing the ureter and kidney to dilate. This dilation is responsible for intense low back pain, known as renal colic l.

Kidney stone is a sharp, intense pain that cyclically increases and decreases, starting in the lower back and radiating (walking) to the lower abdomen.

It may be accompanied by sweating, nausea and vomiting.

Acute scrotum (sharp pain in the testicle)

There are several causes of testicular pain, but one in particular requires urgent care, testicular torsion.

Some patients have a failure to attach the testicle to the inner part of the scrotum, and there may be twisting of the testicle. This condition prevents the arrival of blood with oxygen to the testicle, causing very intense pain.

The condition must be corrected through surgery as soon as possible, in order to avoid the loss of this organ.

Urinary tract infection is also treated by the urologist in Noida

Urinary tract infection can occur in both women and men. In females, the most commonly affected organ is the bladder, causing local inflammation, which we call cystitis. When this occurs, symptoms such as burning when urinating, the urge to go to the bathroom very often, cloudy and foul-smelling urine appear.

In males, the most commonly affected organ is the prostate. Infection of the prostate causes symptoms similar to those described above, in addition to pelvic pain.

Although the diagnosis and treatment of urinary tract infection is relatively simple, proper evaluation by a urologist in Ghaziabad is necessary, who should examine the patient in addition to ordering urine and blood tests.

If not treated properly, a urinary tract infection can cause serious complications. Cystitis, for example, can progress to kidney infection, which we call pyelonephritis.

Some of the most common symptoms associated with this condition are fever, chills and lower back pain.

There are many other conditions that also require prompt care, including trauma, penile fracture, Fournier’s paraphimosis gangrene.

Therefore, if you have symptoms of any of these diseases, urgently seek the best urologist in Ghaziabad.

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Female Urinary Incontinence

TREATMENT OF FEMALE URINARY INCONTINENCE

The urinary incontinence in female is a common problem, especially in young women and may have an impact significant and important in the quality of life of the patient. Female urinary incontinence involves an involuntary leakage of urine, which can lead to a number of symptoms, which include urinary urgency (sudden need to urinate and the difficulty or inability to avoid it), urinary frequency (urinating more than 8 times during a 24-hour period) and nocturia, explains the urologist in Noida.

Female urinary incontinence can be classified in different ways. Depending on what causes it, it can be:

  • Stress urinary incontinence: It is related to the actions that generate increased pressure within the abdominal cavity and the bladder (laughing, coughing, sneezing, climbing stairs, among others)
  • Urge urinary incontinence: It presents as involuntary urine leakage that is accompanied by the sudden need to urinate.
  • Functional urinary incontinence: It is related to the inability to retain urine within the bladder due to neurological injuries and / or existing injuries in the urinary tract (delirium, psychiatric disorders, urinary infections, among others).
  • Mixed urinary incontinence: It is presented as the combination of stress urinary incontinence and urge urinary incontinence, which is why it is characterized by both involuntary urine leakage and various actions (laughing, sneezing, climbing stairs, among others).

Although urinary incontinence tends to occur more frequently in women who are going through menopause, anyone can be affected. It is difficult to determine the exact number of patients who suffer from urinary incontinence, says the best urologist in Noida.

It is estimated that female urinary incontinence affects 20-30% of young women, 30-40% of middle-aged women, and 30-50% of elderly women.

What is the treatment for female urinary incontinence?

Currently there are multiple ways to manage and treat female urinary incontinence. The treatment to be used will largely depend on the type of urinary incontinence that the patient presents:

  • Stress urinary incontinence: It can be managed through surgery, exercises that strengthen the pelvic floor, as well as anti-incontinence devices and medications.
  • Urge urinary incontinence: It can be managed with changes in lifestyle, which include modifications in diet, exercises are also used to strengthen the pelvic floor, medications and in some cases, surgery can be used.
  • Functional urinary incontinence: It is due to the underlying condition that causes urinary incontinence.
  • Mixed urinary incontinence: It can be managed with medications (anticholinergics) and sometimes surgery.

Although, in many cases surgery can be used as a treatment option, it is preferable to use medical treatment (pelvic floor exercises, medications, among others) before submitting the patient to surgery, says the urologist in Greater Noida.

In cases of severe urinary incontinence, it is advisable to use surgery as the first-line treatment, unlike mild or moderate cases.

Treatment of conditions that may cause or accentuate female urinary incontinence is widely recommended by the urologist in Greater Noida and necessary to minimize symptoms of urinary incontinence.

Absorbent devices as a treatment for female urinary incontinence

Absorbent devices are products (pads or garments) designed to absorb urine and thereby protect both the patient’s skin and clothing. Because they reduce the odour and moisture of absorbed urine, they help maintain a certain comfort and facilitate the performance of daily activities, says the urologist in Ghaziabad.

While absorbent devices help control the symptoms of urinary incontinence, they are not a cure for the problem. Patients who benefit from the use of these devices are those who meet the following criteria:

  • Persistent urinary incontinence despite having used the appropriate treatments.
  • Lack of ability to participate in behavioural programs due to various illnesses or disabilities.
  • Presence of urinary incontinence disorder that cannot be improved with the use of medications.
  • Presence of urinary incontinence disorder that cannot be improved with the use of surgery.

Surgical treatment for female urinary incontinence

Surgical treatment for urinary incontinence is offered by the urologist in Vaishali when patients have already undergone drug treatment as well as pelvic floor exercises and there is no improvement.

There are different types of surgeries that can be performed as treatment; however, it will depend on what type of urinary incontinence is present, states the best urologist in Greater Noida.

For patients with stress urinary incontinence, surgeries are recommended to strengthen the urethral sphincter (suspension of the bladder neck, among others).

For patients with urge urinary incontinence, surgeries are recommended by the best urologist in Ghaziabad that increase the elongation of the bladder, as well as the amount of urine it can retain (sacral nerve modulation, injection of neurotoxins such as botulinum toxin, bladder enlargement).

Pharmacological treatment for female urinary incontinence

The purpose of drug treatment is to reduce the frequency of symptoms of urinary incontinence. The medications used are anticholinergics, antispasmodics, and tricyclic antidepressants.

Depending on the type of urinary incontinence that the patient presents, the drugs that are going to be administered will be administered.

It has been observed that when drug treatment is combined with pelvic floor exercises the results are even better and the symptoms decrease is greater.

If you or any of your family members have symptoms such as those mentioned, do not hesitate to contact urologist in Delhi to treat these types of problems.

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Advanced Prostate Cancer

Prostate Cancer Treatment in Advanced Stages

Although we strive to detect prostate cancer early, we do not always succeed. Thus, in up to 20% of cases, the diagnosis is made with prostate cancer in advanced stages. In addition, we would like to list some more data:

  • When symptoms of the disease appear, it is likely that cancer is no longer an initial disease – 95% of the time
  • Provided the diagnosis is made in the early stages, the chance of a cure for prostate cancer is about 90%.

However, what do we consider to be advanced stages?

  • Tumors that have already spread, that is, are no longer just in the prostate.
  • Cases of early diagnosis, submitted to curative treatments, but later returned.

Does advanced stage prostate cancer have treatment?

Once prostate cancer is diagnosed in advanced stages, we must treat it according to your condition. For this, we also have an arsenal to keep the problem under control.

What are the treatment options for Prostate Cancer in advanced stages?

First, urologist in Rohini points out that prostate cancer has the male hormone testosterone as its main “food”. In this sense, the central androgenic block for testosterone reduction, with subcutaneous / intramuscular injections or surgery, is the initial treatment of choice for advanced or metastatic prostate cancer. It is effective in 90% of cases.

However, there are situations in which the tumor cells become resistant to androgenic blockage. Then we can indicate a new line of hormonal treatment orally: drugs like Abiraterone and Enzalutamide. Chemotherapy is also a prostate treatment in Rohini in this situation. Certainly, Docetaxel is the most used chemotherapy in the first line.

In addition, for patients with bone metastases, there are specific medications that help prevent bone fractures and nerve compression. To this end, zoledronic acid is the most widely used.

When do I consider that the Tumor returned, after treatment with a curative intention?

Second, best urologist in Rohini explains what a recurrence of Prostatic Cancer is: “We consider a recurrence or biochemical relapse of prostate cancer when the PSA starts to rise after initial treatment: radical prostatectomy or radiotherapy”.

In order to be more specific, urologist in Pitampura comments that the biochemical recurrence, after a radical prostatectomy, occurs when the PSA is greater than or equal to 0.2ng / ml, confirmed after two collections. Similarly, after radiotherapy, it is defined as an increase in PSA greater than or equal to 2ng / ml after reaching its nadir (lowest PSA value after treatment). Another criterion, used by ASTRO (American Society of Radiology Oncology), is defined as three consecutive increases in PSA, after it reaches its lowest point.

The staging for these cases, however, has no defined pattern, according to urologist in Delhi. So, it can be done with digital rectal examination, transrectal ultrasound and / or prostate magnetic resonance. Bone scintigraphy is indicated in a patient with PSA greater than or equal to 10 ng / ml or when there is bone pain regardless of the PSA level. A new exam has emerged in recent years and can also be used in this situation is PET / CT with PSMA

How is the treatment when Prostate Cancer returns?

Biochemical recurrence is usually treated with hormonal therapy, under the same point of view mentioned by urologist in Pitampura: testosterone as a “food” for the tumor.

In short, prostate cancer treatment in Delhi for the patients with biochemical recurrence after prostatectomy, we usually use radiotherapy with or without associated hormonal therapy. For patients treated primarily with external radiation therapy, we normally use hormonal therapy. However, best urologist in Delhi highlights, the choice of the most appropriate treatment must be individualized.

Urologist in Noida

Urological Ages of Men: Most Frequent Problems And Prevention

During the life of man, different urological pathologies associated with each stage manifest. Precisely for this reason,  Dr. Shailendra Goel, urologist in Delhi, reviews the main urological conditions of men in order to encourage knowledge of them and their prevention.

The most frequent problems in men’s urology can arise from the age of 20, which is when shadows such as premature ejaculation tend to come to the fore, which can affect almost 40 percent of the male population.

Faced with such a problem, urologist in Rohini is blunt. “The man should not look the other way when he has problems of this nature, the ideal is to consult a specialist. Urologists are repetitive but men must get used to the idea that going to the urologist in Delhi should be as normal as it is for women to go to the gynecologist. This pathology is usually one of the main causes of dissatisfaction of the couple”.

If this problem is not solved, it can be prolonged for life, adding other pathologies since, from the age of 30, a man begins to experience an enlarged prostate. This happens naturally and does not usually show symptoms until years later.

Even so, during the decade of 30 years and up to 40, urologist in Pitampura highlights the most common pathology, infertility, something that worries many couples: “Male infertility is increasing, being responsible for 50% of the couple’s fertility problems. There are many causes that can alter the number or quality of sperm, genetic, congenital, hormonal, vascular (varicocele), infectious, obstructive, toxic. Whenever possible, specific treatments are applied, medical (antioxidant, hormonal treatment) or surgical (varicocele, epididymis, deferent or ejaculatory duct surgery) ”.

From the age of 40, the urology of men will be marked by erectile dysfunction. The best urologist in Rohini affirms that “it is more frequent than you think and at least one in four 40-year-old men suffers from it. This figure increases over time, but it is important here to consult the sexologist in Pitampura, because there are highly satisfactory treatments. In addition, erectile dysfunction is often caused by underlying diseases that have not yet faced, such as high blood pressure, diabetes, arteriosclerosis, ischemic heart disease, and it is important to recognize this first symptom in order to correct the contributing factors and prevent its progression to further pathologies. serious ».

Once a man reaches 50 years of age, in addition to the aforementioned lack of erection, he usually experiences the symptoms inherent to an enlarged prostate or, what is the same, benign hyperplasia. It is at this time that you may begin to have symptoms such as an urge to urinate, getting up to urinate at night, having less intensity in the “stream” of urine and discomfort during bladder emptying, which are a consequence of benign hyperplasia of prostate.

Despite the discomfort, men in our country do not usually go to the best urologist in Pitampura until the condition is quite advanced. Dr. Goel comments “Benign prostate hyperplasia today has very effective, fast and simple treatments, such as laser prostate enucleation, which allows the individual to return to normal life a few days after the intervention with minimal risk. This intervention, besides being minimally invasive, allows the man to preserve erectile function, which is already diminished by age”.

Finally, the other pathology that most worries men in our country and that usually occurs after the age of 60, is prostate cancer, a disease of which 60,000 cases are diagnosed annually. In this case, Dr. Goel encourages you to continue going to the best urologist in Delhi from the age of 50 “if a patient has a family history, the determination of PSA is essential from the age of 40. The urologist must decide for each patient the periodicity of subsequent check-ups. Our only chance to cure prostate cancer is early diagnosis of the disease. The use of PSA has recently been questioned but it remains a useful tool when used appropriately”.

CAN UROLOGICAL PROBLEMS BE PREVENTED?

There are diseases inherent over time, such as benign prostatic hyperplasia and there are even pathologies that are given in themselves. Even so, delaying the time of appearance of some diseases is possible. A high-fat diet has recently been shown to be a fierce enemy of prostate health. Dr. Goel explains: “Eating a healthy diet and practicing frequent exercise can be a favorable preventive measure. The Mediterranean diet and avoiding being overweight, tobacco and alcohol are a good way to eliminate possible risk factors for the appearance of prostate problems”.

Finally, before the appearance of news such as that coffee is a friend of the prostate, the Dr. comments: “of course, a diet rich in foods that contain omega 3 fats (they correct prostate defects), lycopene (helps to stop the aging of the prostate), selenium (helps to reduce inflammation of the prostate) and zinc (fundamental mineral in the sexual function that helps to prevent prostate lesions) can be of great help in the prevention of frequent pathologies ”.

The Dr. confirms “A varied and balanced diet, in which tobacco is eliminated and to which sport is added, can be a great source of urological health”.

Kidney Stones

Urinary Stones: Symptoms and Treatment

What it is?

Popularly known as a stone in the urinary tract, the urinary stone affects mainly adults aged 30 to 40 years.

About 12% of the population will receive this diagnosis, with a higher incidence in males, with 2 men for each affected woman.

The stones are formed by crystals – minerals and solidified acid salts – that come together and form the stones. Almost 80% of these pieces contain calcium, but there are also those composed of uric acid, says the best urologist in Rohini.

Diagnosis

The confirmation of the disease is made through the evaluation of clinical history and imaging exams that detect the presence of stones in the urinary tract. Among these exams, the most suggested is the computed tomography of the abdomen, which is able to find most stones in this region, says the urologist in Rohini.

Other procedures that are also effective are ultrasound and X-ray.

Risk factors

The formation of stones can be related to:

  • Genetic predisposition
  • Environmental factors, such as the hot climate that causes greater dehydration
  • Obesity
  • Protein-rich diet, including red meat, fish, egg, milk and dairy products
  • Diet rich in sodium. The indication of salt consumption is 1 teaspoon per day
  • Low fluid intake
  • Diseases such as Hyperparathyroidism, responsible for regulating calcium metabolism, and inflammatory bowel diseases such as Crohn’s disease, which affects the lining of the digestive tract.

Symptoms

The most common sign of urinary stones is severe pain on one side of the lower back. Similar to colic, the pain usually starts suddenly and spreads to the anterior abdomen.

Excessive pain causes great discomfort, nausea and vomiting. If they are still in the kidneys, that is, they did not descend into the bladder, the pain is less, but requires treatment.

Other symptoms such as a full bladder and bleeding in the urine may be related to this diagnosis, explains the urologist in Pitampura.

Kidney Stone Treatment

Initially, pain control is performed, since many patients receive the diagnosis after presenting symptoms of severe pain in the lower back.

Managements that encourage spontaneous elimination of calculus are also adopted. In some cases, it may be necessary to perform a surgical procedure, chosen according to the position and size of the stone to be removed. Among them are:

  • Extracorporeal shock wave lithotripsy, considered a non-invasive method. The patient receives shock waves under the skin that dissolve the stones and facilitate the expulsion of the crystals.
  • Percutaneous surgery, with small perforations in the lumbar region that break and remove the fragments.
  • Endoscopic ureterolithotripsy, without surgical intervention, this procedure is done through the urine channel with the insertion of an endoscopic device that internally visualizes the location of the stones and performs the removal.

Conventional surgery, with the removal of the stones through an incision in the abdominal wall, states the urologist in Delhi.

Prevention

The first step is the inclusion of healthy habits with control of food and exercise. Decrease the intake of salt and foods rich in animal protein, such as red meat, increase and maintain the frequency of physical activities and, especially, the intake of water and natural juices, more specifically citrus fruits.

Some patients cannot control just by changing their lifestyle and need medication to change the composition of their urine, says the urologist in Rohini.

COMMON QUESTIONS

Does drinking more water decrease the formation of stones?

Yes. Adequate water intake can reduce stone production by up to 60%.

What is the ideal amount of water per day?

The recommendation for patients suffering from kidney or urinary tract stones is to consume 2 to 3 liters of water per day.

Is there any relationship between kidney stones and the prostate?

One of the reasons associated with the appearance of these stones is the enlarged prostate. Its growth can partially obstruct the outflow of urine, which leads to an accumulation of crystals and residues, promoting the formation of stones, says the urologist in Delhi.

If someone in my family has kidney stones, will I have them too?

Several factors contribute to the appearance of urinary stones, but the genetic predisposition can facilitate the formation of crystals and the appearance of stones.

Is there a difference between kidney stones and urinary stones?

No. The formation of stones occurs in the urinary tract that involves the kidneys, ureter – the channel that takes urine from the kidneys to the bladder – and bladder. The stone is when this formation still occurs in the kidneys, with less severe pain and need for treatment. When “walking” through the urinary tract, these stones can obstruct the ureter, causing severe pain, or go to the bladder, making it difficult to exit and even causing a small bleeding in the urine, explains the urologist in Delhi.

Prostate Cancer

WHAT SYMPTOMS WARN OF THE APPEARANCE OF A PROSTATE CANCER?

Prostate cancer is the second most common cancer in the male population. More than 1 million new cases are diagnosed each year. Therefore, it is important to be attentive to the symptoms of prostate cancer and how to prevent its appearance.

The best way to prevent this oncological pathology from affecting a man is to periodically go to the best urologist in Dwarka for urological check-ups. Once a year from the age of 45, it is necessary to monitor the male urological system. Only in this way can this disease be diagnosed early to treat it appropriately in time.

What can be the causes of this pathology?

As in any other oncological pathology, it is not easy to determine the cause that originates the appearance of a malignant tumor. Today we can only talk about risk factors that can influence its possible appearance. Thus, among these factors are:

  • The genetic. As in all cancer processes, it is considered a very common risk factor that there is another person in the family who has suffered from this cancer.
  • Age. Normally it is a pathology that appears more frequently after the age of 45 and even more frequently in men over 60 years of age.
  • Genetic changes Genes such as HPC1, HPC2, HPCX and CAPB, ATM, and FANCA have been shown to increase the likelihood of prostate cancer in men.
  • Environmental factors such as pollution, exposure to toxic agents or food or other harmful lifestyle habits such as smoking or obesity.

Symptoms of prostate cancer

The prostate cancer may have symptoms very late, i.e. when the disease is already well advanced. In its initial stages, in fact, it can become asymptomatic or present very mild signs of obstruction, explains the urologist in Dwarka.

There is also a tendency to differentiate the symptoms of a local tumor from those of an advanced prostate tumor, although in general terms the warning signs can be such as:

  • Hematuria: appearance of blood in the urine.
  • Increased urination frequency.
  • Urge incontinence or urge to urinate urgently.
  • Post-void drip, that is, an intermittent drip when the bladder has already been emptied.
  • Pain and burning during urination which is known as dysuria.
  • It takes a long time to start urination and the stream is weak.
  • Feeling of not having completely emptied the bladder.
  • Urinary retention if the urethra has become obstructed.
  • Pain in the lower back
  • Difficulties in sexual relations, that is, the appearance of erectile dysfunction.

However, it is important to note that these symptoms are not exclusive to prostate cancer and may refer to another urological pathology. In fact, almost all obstructive symptoms usually appear in cases of benign prostatic hyperplasia, explains the urologist in Janakpuri.

How is this tumor diagnosed?

The diagnosis of prostate cancer should always be in the hands of a specialist in Urology who has performed the relevant tests to detect it. Thus, traditionally, when a patient had symptoms of this possible pathology, a rectal examination and a urological ultrasound were performed in addition to a urinalysis and a prostate specific antigen (PSA) analysis.

These types of tests are basic in a consultation with the urologist in Uttam Nagar and, on occasions, are increased to the indication of a flowmetry or a transrectal ultrasound. However, when the specialist suspects that there may be a malignant tumor, he or she tells the patient to perform a prostate biopsy.

Traditionally, an invasive intervention was performed to effectively detect this tumor. However, nowadays medical advances have allowed the prostate fusion biopsy to be performed, a novel diagnostic test that improves the reliability of the diagnosis and facilitates the recovery of the patient.

How is prostate cancer treated?

There are many types of prostate cancer treatment available today, each with specific benefits and side effects. Only a careful analysis of the patient’s characteristics (age, life expectancy, etc.) and of the disease (low, intermediate or high risk) will allow the urologist specialist to recommend the most suitable and personalized strategy and to agree on the therapy also based on preferences of who has to undergo prostate cancer treatment.

Overactive Bladder

5 Risk Factors for Overactive Bladder

The overactive bladder is a condition in which the individual feels an uncontrollable urge to urinate, more times a day than normal. This occurs due to the malfunction of the musculature that lines and surrounds the organ, which is unable to relax so that it can fill. As a result, the internal pressure increases, even with small volumes of urine, explains the best urologist in Delhi.

Urinary urgency is the main symptom, bringing disruption to the patient’s daily life, who has impaired sleep – in many cases, it is necessary to get up several times at night to go to the bathroom.

It is worth noting that it does not mean the same as urinary incontinence, but it can also lead to the development of this problem. In this post, we’ll learn more about the condition. Check out!

Symptoms, causes and treatment

It is not common for patients suffering from overactive bladder to complain of pain. However, some symptoms can turn on the alert and indicate that it is time to see the doctor. The main one is the sudden urge to urinate, which is difficult to control and can lead to involuntary loss of urine in some cases, explains the urologist in Delhi.

Therefore, the urinary frequency increases to such an extent that it will be necessary to go to the bathroom more than eight times a day. During the night, the person gets up more than four times to urinate.

If this is your case, look for a specialist urologist in Rohini. Although it is a neuromuscular problem, which has no apparent cause, it is possible that the doctor chooses to investigate diseases, such as diabetes, spinal cord injuries, anxiety or Parkinson’s.

Most of the time, the diagnosis is made in view of the severity of symptoms and impaired quality of life. Treatment may vary, ranging from exercises to strengthen the pelvic muscles to specific medication or even surgical intervention.

Currently, the operation is usually simple, but its need will be evaluated by the best urologist in Rohini.

Risk factors

As we mentioned earlier, there are no specific causes for the problem. However, some situations can contribute to triggering the condition:

  1. Diabetes: the disease can impair the functioning of the bladder nerves;
  2. Diseases of the nervous system: in the event of spinal cord injuries, the patient may lose the ability to feel the bladder;
  3. Obesity: obese individuals tend to have increased pressure inside the abdomen, compressing the bladder and other pelvic organs;
  4. Smoking: smoking can cause serious damage to the lungs, leading the person to suffer with severe and constant coughing attacks. The effort made can make the situation worse;
  5. Aging and consequent muscle weakness in the pelvic region: in the elderly, the musculature of the region usually becomes weaker, causing urinary loss.

Prevention of overactive bladder

There is no proven scientific evidence about prevention. Some healthy habits, however, such as avoiding the consumption of alcoholic beverages, teas, caffeine, citrus juices and chocolates are measures that can mitigate the impact of the overactive bladder on the patient’s life, suggests the urologist in Delhi.