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Prostate Cancer

Prostate Cancer: Symptoms and Treatment options

Prostate cancer is the second most common type of cancer among men. An international research estimates that there are nearly 2 million cases of newly diagnosed prostate cancer in the world each year. Prostate cancer is the second leading cause of cancer death in men in the world, with approximately 100,000 men dying each year.

The prostate is a walnut-sized gland that is located in the male reproductive system in front of the rectum, just below the bladder. It surrounds the urethra, the tube that carries urine from the bladder through the tip of the penis. Also, the nerves responsible for erections are located on both sides of the prostate. The main purpose of the prostate is to produce seminal fluid, which transports sperm during male orgasm. The normal prostate gland is quite small, weighing only about an ounce.

Prostate cancer occurs when a malignant tumor forms in the prostate gland. If left untreated, the cancer can grow and spread beyond the prostate to surrounding tissues and lymph nodes, as well as to distant parts of the body such as the bones, lungs, and liver.

Risk factor’s

  • Age (most patients are older than 65 years)
  • Family history
  • Diets rich in red meat and high-fat dairy products and low in vegetables and fruits.
  • physical inactivity

The symptoms

  • Frequent urination, especially at night
  • Difficulty starting or holding back urination
  • Weak or unable to urinate
  • pain when urinating
  • painful ejaculation
  • Difficulty having an erection
  • Blood in semen or urine
  • Pain in the lower back, hips, or thighs

Detection and diagnosis

If a patient has multiple symptoms or risk factors, the following tests may diagnose prostate cancer.

  • PSA (prostate-specific antigen): PSA has been used as an indicator of early, potentially curable prostate cancer. Urologist in Ghaziabad can identify patients with undetectable prostate cancers by digital rectal exam with the help of a blood test.
  • Computed Tomography and MRI:  Computed Tomography (CT scan) is a series of detailed images of areas inside the body taken from different angles; the images are created by a computer linked to an x-ray machine. Magnetic resonance imaging (MRI) is a procedure that uses radio waves and a powerful magnet linked to a computer to create detailed pictures of areas inside the body. These two tests are used to assess whether the tumor has spread outside the confines of the prostate gland or into the lymph nodes around the prostate.
  • Pelvic lymph node evaluation
  • Radionuclide bone scan: A test used to see if prostate cancer has spread to the bone. This test is used to rule out metastases in the bony structure of the body.

Treatment options

Many factors affect the choice of a prostate cancer treatment in Delhi, including the stage of the cancer, the patient’s age, and general health.

Traditional surgery is the most common prostate cancer treatment in Noida, particularly for early-stage prostate cancers. By making an incision in the abdomen (radical retropubic prostatectomy) or between the scrotum and anus (radical perineal prostatectomy), the urologist in Noida can remove the entire prostate, including surrounding lymph nodes. Or, in a transurethral resection of the prostate (TURP), the surgeon uses electricity generated at the end of a small instrument to remove just the cancerous portion of the prostate. Loss of bladder control and impotence are common side effects of prostate surgery.

Robotic Surgery Robotic
Prostatectomy a minimally invasive method of removing the prostate gland through advances in robotics and computer technology. By using the da Vinci robot, the best urologist in Noida has more precision, reducing the risk of incontinence and impotence for patients compared to standard prostate cancer surgery.

If the cancer has spread to nearby lymph nodes, surgery may not be a practical option.

External beam radiation therapy kills cancer cells with intense x-rays directed only at the cancerous growth. With technological advances, particular medical equipment can emit radiation from outside the patient’s body, or radioactive materials can be placed internally in the target area. Patients may receive one or both forms of radiation therapy, depending on the size of the cancer.

Brachytherapy, it is the most advanced method of implanting radioactive seeds. This method uses the latest advances in computer calculation of internal seed placement for maximum effect and minimal side effects. The dose of each seed is customized at the time of surgery to fit the size of the individual prostate gland. In general, side effects of radiation therapy include extreme fatigue, although doctors recommend staying active throughout treatment. Patients may also experience painful or frequent urination, diarrhea, or impotence. External beam radiation often causes hair loss and skin irritations in the treatment area. Meanwhile, internal radiation is less likely to affect erectile function,

Hormone therapy can prevent prostate cancer cells from getting the male hormones they need to grow, even if they have spread to other parts of the body. Although it will not cure prostate cancer, hormone therapy can control it.

In cryotherapy, the prostate is quickly frozen to kill cancer cells. This procedure is done by placing probes into the prostate while the patient is under anesthesia. Survival data suggest that cryotherapy for localized prostate cancer is at least equal to seed implantation or external beam radiation therapy.

Surveillance for a disease process is an accepted alternative for those who wish to avoid or postpone the side effects of other forms of therapy. Good candidates for surveillance have a relatively short life expectancy, based on age and coexisting medical conditions. The disadvantage of surveillance is the risk of subsequent, possibly incurable, disease progression. In addition, surveillance places the patient at risk for complications of disease progression, such as pain, urinary obstruction, pathologic fractures, obstruction of the ureters, and spinal cord compression. Therefore, the option of surveillance must be weighed against the possible disadvantages of stopping treatment.

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urologist in Noida

Sore on the penis: 7 main causes and what to do

The wound on the penis can arise due to an injury caused by friction with very tight clothes, during sexual intercourse or due to poor hygiene, for example. It can also be caused by an allergy to clothing or hygiene products, by dermatitis, but it is also possible that it arises due to infections, such as syphilis or genital herpes, or even due to cancer of the penis.

As there are various causes, if a wound on the penis appears, it is necessary to look for the best urologist in Noida, to evaluate the characteristics of the lesion and request tests, when necessary. Treatment will depend on the cause, and may include healing ointments, antibiotic, antifungal, antiviral, among others. In case the wound is due to a sexually transmitted infection (STI), it is important that the partner is also treated.

In addition to the wound, the man may also notice changes in the penis, which may correspond to genital warts, caused by HPV, for example.

  1. Friction on the glans

The wound on the glans, also known as the head of the penis, can happen due to friction that occurs in vaginal, anal or oral sexual intercourse, and it can also be due to the friction of the penis with clothes, for example, resulting in local redness, pain and bleeding, in some cases, requiring immediate treatment.

What to do: in the presence of a wound on the head of the penis possibly related to friction, it is recommended that the doctor be consulted so that an evaluation can be carried out and the most appropriate treatment to be initiated to heal the wound.

  1. Skin irritation

Some people may have a sensitivity to the fabric of clothes, soap or hygiene products, for example, which can cause areas of redness, scaling or ulceration on the skin, accompanied by itching and burning.

Skin irritation can be caused by rubbing against certain clothes or during intimate intercourse. It can also arise from poor hygiene in the region, which causes the accumulation of sweat, oil and micro-organisms on the skin, which can cause an inflammation known as balanitis.

What to do: It is necessary to identify and avoid contact with the allergen. In the case of an allergy, it is possible to use anti-allergy medication in an ointment or tablet, such as hydroxyzine, to relieve symptoms or creams that help facilitate healing, such as Nebacetin or Bepantol, for example. Balanitis is treated with corticosteroid, antifungal, or antibiotic ointments. When properly treated, the wound will heal in about a week.

  1. Genital herpes

Genital herpes is one of the most common causes of a sore on the penis and is caused by the herpes simplex virus, which can be acquired by contact with another person with active lesions, resulting in the appearance of redness and small blisters, accompanied by pain and burning in the penis. place.

What to do: the treatment of genital herpes is guided by the urologist in Vaishali and includes the use of antiviral drugs such as acyclovir, fanciclovir and others, in pills or ointments, which help to reduce the replication of the virus, in addition to local anesthetic ointments or gels, like lidocaine, to reduce bothersome symptoms such as pain and burning.

  1. Syphilis

Syphilis is an infection caused by the bacterium Treponema pallidum, and causes the appearance of a painless ulcer about 3 weeks after being infected by intercourse without a condom with a partner infected with the virus. The lack of treatment can cause the disease to progress to more advanced stages, such as secondary or tertiary syphilis.

What to do: it is important to go to the general practitioner or urologist in Noida, so that they can evaluate the signs and symptoms and indicate the most appropriate treatment.

  1. Other infections

Other sexually transmitted infections also associated with sores on the penis include lymphogranuloma venereum, donovanosis or HPV, for example. Penile lesions can also arise internally, as in urethritis, which causes pain and a yellowish or lighter discharge, and can be caused by bacteria, such as Neisseria gonorrhoeae, which causes gonorrhea.

What to do: after the diagnosis is made, it is recommended to undergo treatment with medications recommended by the doctor, which include antibiotics or, in the case of HPV, cauterization of the lesions.

  1. Autoimmune diseases

Some autoimmune diseases can also favor the appearance of sores on the skin and in the genital region, especially on the penis, such as Behcet’s disease, pemphigus, lichen, Crohn’s disease, Reiter’s disease, erythema multiforme or dermatitis herpetiformis, for example. These diseases are often accompanied by lesions elsewhere in the body and systemic symptoms, such as fever, tiredness, or weight loss.

What to do: the investigation and treatment of these diseases is carried out by the rheumatologist or dermatologist, with drugs that help regulate immunity, such as corticosteroids or immunosuppressants, for example, which also promotes the improvement of symptoms.

  1. Cancer

Penile cancer is a rare type of tumor that can arise in the organ or just the skin that covers it, causing the appearance of sores, nodules, or changes in the color and/or texture of the skin. This type of cancer is more common in people over 60 years of age, but it can also happen in young people, especially men who do not have good intimate hygiene or who smoke.

What to dotreatment for penile cancer is recommended by the oncologist and urologist in Ghaziabad, and includes the use of medication, surgery to remove as much of the affected tissue as possible, as well as chemotherapy or radiation therapy, depending on the severity and degree of the injury.

In addition to the appearance of sores, the penis can undergo other changes that need to be evaluated by a urologist in Greater Noida.

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Penile Cancer

PENILE CANCER: KNOW THE CAUSES, SYMPTOMS AND TREATMENTS

Do you know what penile cancer is? What can increase the risk of developing penile cancer? What are the main symptoms and signs of penile cancer? How is penile cancer diagnosed? What tests to perform to detect penile cancer? How is penile cancer treated? What is the importance of early diagnosis in the fight against penile cancer? What is the risk group for developing penile cancer? We created this blog post with the main information about penile cancer, in order to raise awareness and help everyone about this disease. Follow until the end!Penile cancer is a tumor with sporadic cases, with its highest incidence in men over the age of 50 years, but nothing prevents it from also being developed in male citizens under the age of 50 years.

In the large portion of penile cancer records, the main potentiators are lack or poor intimate hygiene, as well as human pipolma virus (HPV) infection and failure to remove the foreskin from the glans of the penis. In view of this, early diagnosis is essential in order to prevent the development of penile cancer and, in serious situations, amputation of the genital, producing numerous negative effects, both psychological, sexual and physical for the patient, explains the best urologist in Noida.

Want to know more about penile cancer? Below we list the main topics that we will cover on the topic.

1. What is Penis Cancer?

Characterized as an infrequent tumor, penile cancer can manifest itself in the organ or in the skin that covers it, causing noticeable changes in the color and texture of the skin, as well as wounds with difficult healing.

The group that most affects penile cancer is male individuals aged over 60 years. However, nothing prevents some cases in young people. In addition, the main factors that contribute to the emergence of penile cancer are poor organ hygiene, smoking and sexual intercourse without the use of condoms.

Despite this, penile cancer is curable, reaching high rates when diagnosed early on, says the urologist in Noida.

2. What causes Penis Cancer?

As mentioned earlier, penile cancer is a disease that can have negative consequences for men. In view of this, it is necessary to know which are the main factors that cooperate for the development of penile cancer. They are:

  • Lack of education and awareness on the subject.
  • Poor or lack of organ hygiene.
  • Narrowing of the foreskin. For men who have not removed the foreskin, that is, the skin that covers the glans, the risk of developing penile cancer is higher.
  • HPV virus infection.

3. What are the symptoms of Penis Cancer?

Now that you know what it is and what are the main factors that increase the risk of developing penile cancer, you need to be aware of the first signs in order to seek medical advice as soon as possible. So, pay attention to the following symptoms:

  • Difficulty healing wounds;
  • Sores present on the glans or foreskin;
  • Unpleasant-smelling secretion originating from the urethra;
  • Bleeding from the penis;
  • Pain and swelling in the groin area;

It is necessary to be very attentive to these symptoms and seeking specialized medical help is essential, as some of these signs may be signs of other diseases, such as herpes or syphilis. Because of this, when you present the symptoms mentioned above, schedule an appointment with the urologist in Ghaziabad to obtain the correct diagnosis of your case.

4. How to diagnose Penis Cancer?

In general, the diagnosis of penile cancer is performed through biopsy, that is, an incision is made at some point that is injured and that is under suspicion of the tumor, in order to understand what stage, it is in, if it is malignant., among others.

After the biopsy points out the appearance of the tumor, the specialist doctor will make an analysis in order to understand the best treatment for the situation. Remembering that cases of penile cancer, when diagnosed early, have high cure rates. However, the reality is that, because penile cancer is a tumor that develops slowly, most men do not pay due attention to the first signs of the disease, allowing the tumor to spread throughout the body.

5. What is the treatment for Penis Cancer?

To perform the penile cancer treatment in Delhi, the patient should seek a specialist in oncology or urology. Doctors commonly perform the initial treatment procedure to remove all or as much of the tissue that is affected as possible. After this procedure, the patient may be referred for chemotherapy or radiotherapy sessions, in order to expel all the tumor cells that remained.

It should be noted that, after the surgical procedure and the stage of the tumor, the patient may have some complications, such as erectile dysfunction.

6. What is the difference between Penis Cancer and Prostate Cancer?

As a rule, according to the best urologist in Ghaziabad, penile cancer can be easily diagnosed, as it presents detectable and visible penile lesions and is associated with sexually transmitted diseases, while prostate cancer develops silently, being related to several factors., such as genetics, race, age, physical inactivity and inadequate diet. Remembering that for the diagnosis of prostate cancer, it is necessary to perform characteristic tests, such as digital rectal examination and PSA.

Get in touch and schedule your consultation with the best urologist in Noida!

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Prostatitis

What is Prostatitis? Causes, Symptoms, and Treatment

https://blimpt.com/what-are-the-top-10-symptoms-of-prostate-problems/The prostate is a gland of the urogenital system suitable for the production of prostate secretion, a fluid that during ejaculation, in the urethra, mixes with the sperm coming from the testicles to give rise to seminal fluid.

Prostatitis, acute and chronic, is an inflammatory disease of the prostate and mainly affects men under fifty years of age. It is a disease that often manifests itself with difficulty in urination, burning, hyperpyrexia and / or perineal discomfort or pain (anal, perineal, penile-urethral), explains the best urologist in Noida.

What is prostatitis?

Prostatitis is an inflammation of the prostate gland, affects 30% to 50% of sexually active men and generally affects those who have not yet reached the age of fifty.

Acute bacterial prostatitis is due to a bacterial infection of the gland.

Chronic bacterial prostatitis is not very common and is due to an on-site bacterial proliferation that can also involve the seminal vesicles, vas deferens, epididymis and testes.

Chronic abacterial prostatitis can begin at any age, but it generally affects men over 25. The symptomatic onset is not attributable to detectable causes, states the urologist in Noida.

Pelvic floor pain syndrome is characterized by persistent spasm of the perineal floor muscles (levator ani muscles), often resulting in inflammation of the pudendal nerves. The tests do not detect, even in this case, the presence of pathogenic bacteria, excluding enterobacteria coming from the rectal ampulla of the patient (E.Coli, Proteus, Klebsiella, Enterococcus, etc.).

Asymptomatic prostatitis, as indicated by the name, does not present symptoms that the patient is able to report, in fact its presence is not accompanied by pain or discomfort, resulting in a delay in diagnosis, explains the best urologist in Noida.

What are the causes of prostatitis?

Acute bacterial prostatitis is due to a bacterial infection of the urinary tract.

Chronic bacterial prostatitis, often relapsing over time, is caused by the proliferation of bacteria in the prostate.

The appearance of symptoms of chronic abacterial prostatitis is not directly linked to specific causes: the urine, sperm and urethral swab tests do not detect the presence of pathogenic bacteria. Symptoms may present, subside, regress, and then reappear, says the urologist in Noida.

The causes of the onset of painful pelvic floor syndrome can be many; the disease often occurs following a prostatitis. In other cases, it can arise as a result of proctological disorders such as fistulas, fissures and hemorrhoids or it can itself be responsible for their manifestation. It can also occur following a period of stress or psycho-physical overload.

What are the symptoms of prostatitis?

Characteristic signs and symptoms of prostatitis are:

  • dysuria
  • burning on urination
  • hyperpyrexia
  • pelvic pain
  • premature ejaculation
  • impotence
  • sometimes incontinence and infertility.

In particular, acute bacterial prostatitis can manifest itself with:

  • chills
  • fever
  • pain in the lower back and genital area
  • frequency – urge to urinate (often at night)
  • pain or burning when urinating
  • muscle aches

Asymptomatic prostatitis does not begin with patient-referable pain or discomfort, but there are signs of inflammation or infection in the sperm or prostate secretion, explains the urologist in Ghaziabad.

How to prevent prostatitis?

It is advisable to avoid activities with which there is a risk of perineal trauma. Regular sexual activity is also healthy.

Diagnosis

For the diagnosis, the doctor may use:

  • general physical examination;
  • urological examination with digital-rectal exploration aimed at palpation of the prostate;
  • laboratory tests: urinalysis, examination of the prostate secretion, examination of seminal fluid;
  • vesico-prostatic ultrasound and more rarely trans rectal ultrasound;

Treatments

According to the urologist in Ghaziabad, treatment can vary based on the type of prostatitis diagnosed.

In the case of abacterial prostatitis and chronic painful pelvic floor syndrome, the following may be useful:

  • anti-inflammatory drugs;
  • hot baths;
  • power changes;
  • increased fluid intake;
  • promote ejaculation, to facilitate prostate drainage and muscle relaxation;
  • infiltration of the pudendal nerves or the prostate.

In the case of chronic and acute bacterial prostatitis, treatment can include:

  • drugs (antibiotics and sulfonamides);
  • power changes;
  • supplements.

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https://www.blimpt.com/what-are-the-top-10-symptoms-of-prostate-problems/

 

prostate problem

What are the Top 10 Symptoms of Prostate Problems?

Prostate diseases are very common, usually with advancing age.

The good news is that, nowadays, there are already many diagnostic and treatment solutions, which seek to restore the patient’s quality of life.

However, for this to be possible, it is first necessary to recognize the signs that something is not right, to know when to act and seek help from urologist in Ghaziabad.

Today we are going to show you the first warning signs for you to be active in preserving a good state of health.

How to know that there is a problem in the Prostate?

When the prostate undergoes some change, its normal functioning is conditioned.

From there, it is quite common that some signs begin to be noticeable that, as a rule, tend to condition the lives of patients and are a source of discomfort and embarrassment.

Therefore, you should be aware of the following symptoms:

  1. Burning sensation or pain when urinating;
  2. Urge to urinate very often;
  3. Waking up several times during the night to urinate (nocturia)
  4. Difficulty stopping or starting urination;
  5. Blood in the urine ( hematuria ) or semen;
  6. Pain when ejaculating;
  7. Inability to retain urine;
  8. Erectile dysfunction;
  9. Weak or intermittent stream/urinary flow;
  10. Pain in the lower back, pelvic, rectal, inguinal, testicles or thighs.

However, keep in mind that even if you have the disease, it doesn’t mean you have to feel all the symptoms at the same time.

What is at the basis of this symptomatology?

When talking about prostate problems, it is common to think of cancer first.

Despite being a pathology that affects many men throughout their lives – it ranks among the most diagnosed oncological diseases in the world, it is not the only cause of this type of symptoms.

In fact, someone who is diagnosed with Prostate Cancer may not even show any of the signs described above.

Thus, there are three main prostate diseases with similar warning signs:

Benign Prostate Hyperplasia (BPH): is characterized by an increase in the volume of the prostate, causing compression of the urethra and consequent conditioning of the urinary system. It is very common from the age of 50, and the risk increases with advancing age;

Prostatitis: Causes inflammation of the prostate gland and the area around it. It can have various origins, such as a bacterial infection, but in some situations the cause is not known. It can be temporary or become chronic. It is the only one on the list that is more common in younger men, under 50;

Prostate Cancer: More common in men over 50, black, with a family history of disease, or with unhealthy eating habits. Despite sometimes presenting symptoms, in some situations they are only noticeable in more advanced stages of the disease.

Although cancer is the most serious pathology and can represent a real risk to life, none of the others should be ignored, in order to prevent them from becoming more serious health situations. For example, BPH can cause serious infections, bladder stones, blood in the urine, urinary retention and, more seriously, kidney failure (“kidney failure”).

What are the solutions for each pathology?

Regardless of the pathology, they all have one aspect in common: they are more easily treatable, and their effects are reversed when diagnosed at an early stage.

Therefore, you should be aware of the symptoms that may arise. In addition, you should regularly perform the recommended exams.

Furthermore, all conditions – Benign Prostate Hyperplasia, Prostatitis or Prostate Cancer – have treatment or, at least, methods that allow to mitigate their effects and symptoms.

In cases of Benign Prostate Hyperplasia, if the symptoms do not affect the patient’s daily life too much, this disease can only be actively monitored over time. On the other hand, if necessary, surgical techniques, minimally invasive methods or drugs can be used.

In the case of Prostatitis, if the origin is bacterial, antibiotics and other medicines are recommended that alleviate the symptoms of the disease.

Regarding Prostate Cancer, the procedures can be surgical or other techniques, such as brachytherapy or radiotherapy.

Do you recognize the symptoms? Consult a doctor as soon as possible!

The best advice in cases where patients identify some of the characteristic symptoms of prostate problems is always to ask for medical help, so that the best urologist in Noida is able to make an accurate diagnosis through clinical evaluation and the necessary tests, followed by an effective treatment.

If you let the signs evolve into more serious situations, the recovery of a normal life can be more difficult and time consuming.

So don’t delay the decision to see a urologist in Noida – book a diagnostic appointment and enjoy the experience and care of Dr Shailendra Kumar Goel.

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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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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.

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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