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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.

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.