All posts by Dr. Shailendra Goel


When should you visit the Urologist?

Having problems when urinating, such as pain or itching, and noticing blood in the urine can be signs that something is not quite right in your urinary system. Who should you go to solve a possible urine problem? Although not everyone thinks about it from the first moment, the most important thing, especially if your age is over 40, is to see a specialist in the urinary system, that is, a urologist in Noida.

In the case of men, going to the best urologist in Noida is even more important since the urologist not only treats urinary tract problems but is also in charge of preserving male sexual health.

The first visit to the urologist step by step

The first step of the urological consultation is the doctor’s interview with the patient. This part of the first visit to the urologist is divided into two steps. The first is the patient’s medical history, knowing why he goes to the urologist in Ghaziabad and what pathologies he suffers or has suffered, as well as knowing if he is currently taking any relevant medication. Among the data that the doctor will ask you for are your age, the surgeries you have had, if any, your lifestyle, especially in terms of tobacco and alcohol consumption, etc.

The second part of the interview with the best urologist in Ghaziabad is to find out the patient’s family history. This is important because there is a direct relationship between genetics and the appearance of certain pathologies. Obviously, what the specialist will be most interested in is whether there is a urological history in your family, that is, problems related to prostate cancer, hematuria (blood in the urine), urinary lithiasis, incontinence or erectile dysfunction. In the case of women, the urologist will also ask about the history related to the muscles of their pelvic floor such as childbirth, postpartum, abortions, etc.

What is the next step after the interview with the urologist?

The next step in the first visit to the urologist in Greater Noida is the physical examination. When the specialist already knows all the necessary details of the patient’s health and the causes that led him to come to the consultation, it is time to assess him physically.

In the urology consultation, the general examination is mainly based on detecting if there is any urinary infection or renal involvement. However, the urologist also observes and studies the abdomen to rule out masses as well as a bladder balloon. After that, the specialist will also observe how the perineum area is located, the vaginal area in women, especially in search of pelvic organ prolapse, and the scrotal area in men to verify that its size, consistency, and sensitivity are correct.

Finally, the best urologist in Greater Noida will carry out a rectal examination in men focused on assessing the size of the prostate as well as its volume, consistency and sensitivity. This digital rectal examination is especially indicated to rule out the existence of prostate cancer.

Finally, during the first visit to the urologist in Rohini and after the history and examination, some basic tests may be necessary. Among them, the urologist usually requests a flowmetry or urine sediment test where the pH of the urine is analyzed and the presence, if any, of hematuria, bacteria, or leukocytes.

In addition, it is also common to perform a blood test to check the PSA levels in men and creatine (kidney function) of the patient. In addition to these tests, if the doctor considers it necessary, sometimes a urological ultrasound is also performed.

What happens at the end of the urological consultation?

After completing the urological consultation and the tests that have to be carried out, the urologist in Delhi will be in charge of explaining to the patient whether or not a treatment is necessary. There are many treatments and all of them depend on each particular case. For this reason, a personalized and individualized assessment is essential to ensure the most appropriate solution for each patient.

thick sperm

What can be thick sperm and what to do

The consistency of sperm can vary from person to person and throughout life, and it can be thicker in some situations, and in most cases it is not a cause for concern.

The change in sperm consistency can be caused by certain habits, such as changes in diet, physical exercise or consumption of certain substances, such as alcohol or drugs, for example. In addition, infrequent ejaculations can also make the sperm thicker and with greater volume.

However, in some cases, sperm may appear thick for reasons that should be treated or seen by a urologist in Noida, such as some of the following:

1. Hormonal imbalance

Hormonal changes can make sperm thicker, as hormones, such as testosterone, are part of the composition of semen, contributing to the protection of sperm. The person may suspect that the thick sperm is the result of a hormonal change, if other symptoms appear, such as decreased sexual desire, difficulty maintaining an erection, loss of muscle mass or tiredness, for example.

What to do: If the man presents these symptoms, he should go to the best sexologist in Noida, in order to make a diagnosis and the appropriate treatment. In addition, it is also important to eat a balanced diet, practice regular physical exercise and avoid excessive consumption of cigarettes and alcohol.

2. Infections

Infections in the genital area, especially those caused by bacteria, can make the sperm thicker, due to the increase in white blood cells, which can change the morphology of the sperm and even reduce the sperm volume. Some symptoms that may arise in these cases are difficulty and pain to urinate, presence of a milky discharge and presence of blood in the urine, for example.

What to do: In the presence of these symptoms, it is important to see a urologist in Ghaziabad, who may prescribe antibiotics to treat the infection.

3. Dehydration

Dehydration is also one of the causes of thick sperm, as it is mostly made up of water. If the person is dehydrated, the less fluid and more viscous the sperm will be. A man may suspect dehydration if he has symptoms, such as excessive thirst, dark urine or extreme tiredness, for example.

What to do: To avoid dehydration it is very important to drink fluids throughout the day. It is recommended by sexologist in Delhi to drink around 2 liters of water a day.

4. Changes in the prostate

In its composition, semen contains sperm from the testes, seminal fluid from the seminal vesicles and a small amount of fluid from the prostate. Thus, changes in the functioning of the prostate or seminal vesicles can make the sperm thicker, due to changes in the proteins released to the sperm or changes in the production of seminal fluid.

Some symptoms that can arise in men with prostate problems are painful ejaculation, painful urination and increased frequency of urinating.

What to do: In the presence of these symptoms, you should immediately go to the urologist in Delhi in order to avoid complications.

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7 reasons to look for a urologist urgently!

Although we are experiencing a difficult and delicate situation, some diseases and clinical conditions cannot wait for the end of the pandemic. Acute testicular pain and renal colic are examples of often critical situations that require urgent evaluation by the best urologist in Noida.

What does the urologist treat?

First of all, it is important to clarify which organs the urologist in Noida works in.

Although known as a prostate doctor, this specialist takes care of the urinary tract of men and women and the reproductive system of men. Therefore, the urologist treats diseases that affect the kidneys, ureters, bladder, prostate, urethra, penis and testicles.

Among the main diseases of these organs, we have cancers (usual acinar adenocarcinoma of the prostate, testicular cancer (“lump in the testicle”), carcinoma of the kidneys, bladder and others). In addition to these, these organs can be affected by inflammatory and infectious diseases (cystitis, urinary infections, acute prostatitis, sexually transmitted diseases STDs) and benign alterations, such as renal and testicular cysts, hydrocele, pain in the testicles (testicular torsion) among others.

What are the reasons to see a urologist urgently?

When we talk about emergency situations, it is important to know that it is about the need to look for a doctor or health unit for an evaluation in the next few hours or up to 2 days.

So, what are the 7 reasons to see a urologist?

Despite the dramatic situation we are experiencing, during the new coronavirus (Covid-19) pandemic, there are some signs and problems that cannot wait, and it may be too late with irreversible loss of the affected organ or important worsening of the condition.

The main reasons to seek an emergency urologist in Ghaziabad are:

  • acute urinary retention
  • Renal colic (ureterolithiasis)
  • Urinary tract infections (cystitis and pyelonephritis)
  • pain in testicles
  • paraphimosis
  • penis fracture
  • Bleeding in the urine (hematuria)

Acute Urinary Retention

Acute urinary retention means difficulty or inability to urinate. Urine is produced but for some reason is unable to be eliminated through the urethra. Urine is formed in the kidneys and stored in the bladder, which is an organ that has a large muscle and is responsible for urination. Acute urinary retention can occur in both sexes, but it affects more men. The reason is the presence of the prostate, an organ that only they have. The normal size of the prostate at age 70 is usually larger than the normal size of the prostate in young adults. In cases of urinary retention, the diagnosis is clinical. Ultrasonography can sometimes aid the diagnosis. In these cases, the MRI of the prostate will not bring more data.

That is, with age, the prostate tends to grow and can become a barrier to the passage of urine from the bladder. In this situation, the patient has pain in the abdomen and an increase in the volume of the belly in the lower part (bladder). If you are faced with this situation, urgent evaluation is necessary for prompt diagnosis and treatment.

Renal colic

The presence of kidney stones can lead to a well-known clinical condition, renal colic. This problem is a symptom manifestation when a kidney stone goes down the ureter canal and gets stuck in the middle, causing a blockage of the urine produced in the kidney, the hydronephrosis. Renal cramps can have many reasons, the most common being the presence of a stone in the ureter (ureterolithiasis). The pain is intense, can lead to vomiting and if it does not improve with medication, urgent assessment should be considered. In some patients, surgery for kidney stone treatment in Noida will be necessary.

Urinary infection

Urine infection is a common problem especially in young women. Lower urinary tract infection, known as cystitis, is clinically easy to identify and simple to treat in most cases. When the patient performs tests, it is possible to identify the bacteria that is causing the problem. Attention should be redoubled when this infection does not resolve or when other symptoms appear, such as fever, low back pain (back pain) and malaise. This picture may be compatible with a kidney infection, acute pyelonephritis. It is a serious problem and requires urgent evaluation for immediate treatment, sometimes requiring hospitalization.

Pain in the testicles (testicular torsion)

The testes are 2 important male organs. They are responsible for man’s virility and fertility, and their main functions are the production of the male hormone (testosterone) and the production of sperm. Testicular pain is common, but acute testicular pain is rare and can be associated with a serious problem: acute testicular torsion. Testicular torsion is more common in childhood and young adults.

We still do not know exactly what the reasons for the predisposition of this problem are. In these affected men, the blood vessels that carry blood to the testicle turn around on their own axis, causing a pause in the organ’s irrigation, which leads to a heart attack or cell death and loss of testicle function. Therefore, severe and acute testicular pain should be taken seriously and need to be evaluated immediately by the best urologist in Ghaziabad.


Phimosis is a common problem that many people know about or have heard of. It is a narrowing of the skin of the penis that makes it difficult or impossible to expose the head of the penis (glans). It is a clinical condition that is often born and can be treated with postectomy, the surgery for phimosis. Paraphimosis is not the same as phimosis and should not be confused. This problem occurs in an acute way, due to an inflammation in the skin of the foreskin, generating a thick ring causing a strangulation of the head of the penis. It presents with intense pain and swelling, especially when not resolved promptly. After the initial evaluation and treatment, the removal of the foreskin (postectomy) should be performed at an opportune time.

Penis fracture

This is an unusual and fortunately rare problem. Although the penis does not have bone in its composition, when it is erect, its musculature is so rigid that when subjected to an intense impact it can tear, which is known as a penis fracture. The main time this can happen is during vigorous intercourse, especially in certain positions during the act. A click is heard and the patient has intense pain, evolving with a soft penis followed by an enormous swelling with a bruise, similar to an eggplant. Prompt evaluation and correction, in most cases surgical, should be done as soon as possible. This prevents the patient from developing erectile dysfunction and other organ changes.

Bleeding in the urine (hematuria)

Any bleeding that comes out of our body is often frightening and a cause for concern. The presence of blood in the urine (hematuria) can represent a number of clinical conditions. In most patients, the main reason is linked to urinary infection or kidney stones. However, bleeding in urine of moderate amount and bright color requires more attention. First, if there are clots, they can block the output of urine causing acute urinary retention. Second, the diagnosis could be bladder cancer or kidney cancer. Then, at the slightest sign of blood in the urine or hematuria, an urgent evaluation by urologist in Greater Noida is necessary.

If you already understand how to behave in the face of the reasons to see an emergency urologist, but still want to know more, be sure to seek more information, contact a urologist in Delhi or go to the emergency room. At this point, despite the guidance to avoid the hospital, there are situations in which following this rule can bring irreversible harm.

Urologist in Noida

The importance of seeing a Urologist

Urologist is the doctor responsible for the treatment of problems related to the urinary tract of men and women and genital of men. Conducts the men’s health program or check-up.

Regular follow-up with Urologist in Noida should start in adolescence and is essential for early diagnosis of many male diseases, including prostate cancer.

The fear of developing prostate cancer is something quite common among men. We must remember that it is a disease that does not present symptoms when in its initial phase, but it is precisely at this stage that we must make the diagnosis, because the chance of cure is high. In fact, prostate cancer treatment in Noida is quite effective at this stage.

However, for the diagnosis to be early, there is a need to consult with the urologist in Noida, who will perform a physical examination and request laboratory and imaging tests for this purpose. In addition, the urologist will determine, based on the characteristics of the patient and the tumor, the best way to treat prostate cancer.

But, as simple as the consultation and examination of the prostate are, most patients are afraid and ashamed to perform them.

That’s why we’re going to cover in this article why you should put fear aside and how it can benefit your health and ensure treatment success!

Routine consultation with a urologist in Noida

Routine appointments are essential for the health of our body. These are measures that guarantee the maintenance of our well-being and allow us to identify health problems before they become serious and bring complications.

However, it is still very common for patients to make appointments only when there are symptoms. This kind of behavior can lead to the aggravation of diseases that could be easily and effectively treated early on.

Also, when we think about prostate diseases, routine consultations with a urologist in Greater Noida are even more important.

As we wrote earlier, the prostate tumor starts silently, and the first symptoms only appear later, when Prostate Treatment in Noida are less likely to cure the patient.

How to choose a urologist in Delhi?

First, it is important to clarify that the urologist is not the enemy, but an ally. It is quite common to hear the expression “who seeks, finds”. But ignoring a medical problem won’t make it go away. The idea is to look for, find and treat the problem before it causes complications.

In addition, most doctors understand the individual moment of each patient, seeking to offer emotional comfort.

But if you still have reservations, here are some tips to choose a better professional:

  • Choose a urologist in Greater Noida recommended by a friend or family member;
  • Find out if the professional has solid training, has certifications, if he is experienced;
  • See if the professional has good evaluations of the professional and the way he communicates with his patients.

Demystifying the prostate touch exam

Routine consultation with the urologist in Ghaziabad sometimes includes a prostate scan. And there is still a lot of fear, prejudice and myths related to this exam, which is very important to identify prostate tumors.

It should be clarified that the touch examination is quick, does not cause pain, and the patient is usually positioned on the stretcher lying on his side.

best sexologist in Noida

Diabetes and Erectile Dysfunction

Risk factors

The one between diabetes and erectile dysfunction is a long-known pairing, confirmed by numerous epidemiological studies. It is precisely the statistical data that tell us that:

  • the erectile deficit is three times more frequent in the diabetic patient than in the healthy control population. The prevalence of this disorder in the diabetic population varies from 30% to 60% of subjects and increases:
    • with aging:
    • in case of poor glycemic control expressed by high values ​​of glycated hemoglobin
    • as the duration of the diabetic disease increases
    • in case of microvascular complications and neuropathy
    • in case of arterial hypertension associated with diabetes, and taking antihypertensive drugs (beta-blockers, methyldopa, and especially diuretics)
    • if the subject is a smoker
    • as alcohol consumption increases
    • in case of obesity-associated with a sedentary lifestyle
  • Diabetes and erectile dysfunction are so closely related that erection problems are the presenting symptom in 12% of male patients.


To explain why diabetes is so often associated with erectile dysfunction, various etiopathogenetic elements have been identified, that can complement each other:

  • causes of a psychogenic nature: the awareness that diabetes is a chronic disease often associated with erectile dysfunction and other complications, can trigger performance anxiety in men. Fear of failure during sexual intercourse is a common cause of erectile dysfunction and contributes to erectile deficits of another nature.
  • macro-vascular alterations: in the presence of diabetes not adequately controlled by drug therapies, excess glucose binds to the wall of blood vessels making them less elastic and altering their functionality. Diabetes is often associated with atherosclerosis, which reduces the patency of the great arteries by limiting the blood supply to the corpora cavernosa of the penis. Atherosclerosis can also directly affect the penile arteries.
  • nerve alterations and endothelial dysfunctions: the alterations of the small blood vessels that carry blood, oxygen, and nutrients to the nerves, cause damage to the same (neuropathy). This reduces the synthesis of nitric oxide by the endothelium and nerve endings (nitric oxide is the fundamental mediator of erection)


Identifying the causes of erectile dysfunction in the diabetic is the first step in establishing a suitable treatment for satisfying sex life. For his part, therefore, the diabetic patient with erectile deficit should, first of all, consult a sexologist in Noida, avoiding the spontaneous use of commonly used drugs for the erectile dysfunction treatment in Noida.

Beyond the additional risks deriving from a possible supply through channels other than the pharmacy, considering that among diabetics there are common complications affecting the heart, liver, and kidneys, which among other things require specific therapies with possible drug interaction, the drugs used for the erectile dysfunction treatment in Ghaziabad (such as Viagra, Cialis, or Levitra) may be contraindicated in the presence of diabetes. We, therefore, recommend that you consult the best urologist in Noida to establish the nature of this unpleasant sexual problem and remedy it through the numerous medical and pharmacological treatments available.

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laser surgery for kidney stone

Laser Surgery for Kidney Stones: Discover What It Consists of

Kidney stones are a fairly common condition that consists of the formation of solid pieces in said organs due to the accumulation of substances present in the urine. They vary in dimension from the size of a grain of sand to that of a pearl. Although, according to the best urologist in Noida, most kidney stones pass from the body without medical help, they can get stuck in the urinary tract or block the flow of urine resulting in a lot of pain.

Kidney stones are solid pieces of material that form in the kidney due to substances in the urine. It can be as small as a grain of sand or as large as a pearl.

Urine contains many dissolved minerals and salts. When urine has high levels of minerals and salts, hard stones can form that, although they start out small, can get larger and larger.

Some stones remain in the kidney and do not cause major problems, others can travel down the ureter (the tube through which urine passes from the kidney to the bladder). When this happens, the stone is expelled with the urine, however, it can also get stuck in the ureter and block the flow, causing a lot of pain.

There are several possible indicators of kidney stones, including:

  • Extreme pain in the back or side. Said pain won’t go away
  • Blood in the urine
  • Fever and chills
  • vomiting
  • Foul-smelling or cloudy-looking urine
  • Burning sensation when urinating

The causes of kidney stones are not very well defined. A big risk factor is having a low urine volume, something that can be caused by dehydration. Dehydration can result from fluid loss from exercising hard, spending time in very hot places, or not drinking enough fluids. When the urine volume is low, the urine becomes concentrated and cloudy in color causing less fluid to keep the salts dissolved.

Kidney stones can also be caused by a person’s diet, for example a high protein diet can raise acid levels in the body and urine causing calcium oxalate to be high enough to form stones. It is recommended to reduce or avoid the consumption of foods rich in oxalate.

Certain intestinal conditions can also cause the formation of kidney stones, for example diseases that cause diarrhea or some surgeries. Diarrhea in particular can lead to dehydration and reduced urine volumes.

Other possible causes of kidney stones are some types of medication, family history, and some rare hereditary disorders.

In the event of any sign or suspicion of having kidney stones, a urologist in Noida should be consulted for proper assessment. Because many early symptoms of kidney stones are similar to those of other conditions, it is necessary to obtain a diagnosis from a urologist in Greater Noida and follow the proper treatment, something that can only be established in consultation but that can range from medications to surgery.

Treatment Options

There are many options for kidney stone treatment in Noida that can be used when a patient presents stones in the kidneys or any other part of the urinary tract, from the classic open surgery to a new minimally invasive method, specifically laser surgery for stones.

The procedure consists of the application of anesthesia and later, by means of a filament as thin as an optic fiber (known as a ureteroscope), a camera is inserted through the urethra until the stone is found and the stone can be observed on the screen. fires a continuous stream of lasers across its surface until it breaks into smaller pieces. After this procedure is complete, the ureteroscope is removed. The remaining pieces of the stone pass through the urethra naturally when the patient urinates.

Laser surgery for kidney stones makes open surgery virtually obsolete.

The main benefits of laser stone surgery are the following:

  • It allows in most cases to visualize the stone directly and therefore to introduce special instruments such as the holmium laser to break it.
  • It passes through the body’s natural channels and therefore it is not necessary to make incisions in the skin.
  • In many cases it allows to eliminate the calculations in a single session.

Remember that the only person who can assess whether you can undergo minimally invasive surgery is a properly certified specialist urologist in Ghaziabad. Come to our clinic today and schedule a consultation to receive timely and tailored treatment. Get the benefits of efficient, quality and cutting-edge medical services. Dr Shailendra Goel, the best urologist in Ghaziabad, provides each of his patients with personalized attention and treatment, based on international clinical practice guidelines to always guarantee an optimal experience.

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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


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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What is Prostatitis? Causes, Symptoms, and Treatment 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.


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;


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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