Tag Archives: Urologist in pitampura

Kidney Stones

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

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

What is the difference between kidney stones and renal colic?

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

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

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

What are the symptoms of kidney stones?

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

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

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

What complications can kidney stones cause?

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

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

How do you know if you have kidney stones?

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 Today, these tests have been replaced by abdominal tomography, says the Urologist in Delhi.

How to prevent kidney stone?

Feeding directly influences the formation of kidney stones.

To prevent kidney stone formation, we must:

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

Can kidney stones be caused by excess vitamin C?

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

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

Is the incidence of kidney stones higher in the summer?

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

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

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

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

No, this is just a legend.

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

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

Who has had kidney stones again?

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

Who is the doctor who treats kidney stones?

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

How is kidney stone treatment in Delhi done?

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

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

Can kidney stone surgery be done at any clinic?

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

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

 

Benign Prostatic Hyperplasia

Understand what Benign Prostatic Hyperplasia is

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

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

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

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

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

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

Symptoms of benign prostatic hyperplasia:

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

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

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

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

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

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

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

Main surgical treatments for benign prostatic hyperplasia

Transurethral Prostate Resection (TURP)

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

Enucleation of the prostate

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

Prostate vaporization

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

Needle transurethral ablation of needle

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

Prostatic stents

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

Embolization of the prostate arteries

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

Consult with a specialist beforehand to treat benign prostatic hyperplasia

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

Urinary Incontinence

Urinary incontinence: how to combat it?

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

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

TYPES OF URINARY INCONTINENCE

There are four most common types of urinary incontinence:

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

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

CAUSES

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

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

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

HOW IS URINARY INCONTINENCE TREATED?

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

PREVENTION

There are some steps that can help prevent UI:

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

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