Tag Archives: urologist in Delhi

Kidney Stones

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

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

What is the difference between kidney stones and renal colic?

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

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

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

What are the symptoms of kidney stones?

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

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

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

What complications can kidney stones cause?

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

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

How do you know if you have kidney stones?

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 Today, these tests have been replaced by abdominal tomography, says the Urologist in Delhi.

How to prevent kidney stone?

Feeding directly influences the formation of kidney stones.

To prevent kidney stone formation, we must:

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

Can kidney stones be caused by excess vitamin C?

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

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

Is the incidence of kidney stones higher in the summer?

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

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

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

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

No, this is just a legend.

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

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

Who has had kidney stones again?

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

Who is the doctor who treats kidney stones?

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

How is kidney stone treatment in Delhi done?

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

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

Can kidney stone surgery be done at any clinic?

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

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

 

Benign Prostatic Hyperplasia

Understand what Benign Prostatic Hyperplasia is

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

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

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

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

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

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

Symptoms of benign prostatic hyperplasia:

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

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

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

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

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

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

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

Main surgical treatments for benign prostatic hyperplasia

Transurethral Prostate Resection (TURP)

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

Enucleation of the prostate

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

Prostate vaporization

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

Needle transurethral ablation of needle

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

Prostatic stents

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

Embolization of the prostate arteries

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

Consult with a specialist beforehand to treat benign prostatic hyperplasia

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

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.

urinary tract infection

Meet 6 Unusual Causes of Urinary Tract Infection in Women

The differences between the body of a woman and that of a man go beyond those that stand out in our eyes. The urethral canal, where the urine comes out, is one of the diversities that are hidden. While in the women’s wing this exit route measures about 5 centimeters.

The consequence of the discrepancy is not at all advantageous for women. That’s because, in them, bacteria that intrude have a much shorter way to go until they reach the bladder. When they reach the organ, they usually do damage. Hence the urge to urinate becomes intense, there is pain, and urine is sometimes accompanied by blood. It is cystitis, the formal name of urinary tract infection, which affects 20 to 30% of the female population at a certain stage in life.

1. Obesity

The bond is indirect, but it exists. Follow the reasoning: those who are very overweight usually show folds in various parts of the body. The feature often hinders perfect hygiene of the genital region after urinating and creates the perfect setting for bacteria to make the party.

But beware: excessive cleaning is also not good. “This changes the vaginal flora, resulting in an expulsion of protective bacteria from there,” explains urologist in Rohini. The recommendation is to avoid intimate showers, scented sprays and other items capable of unbalancing the flora.

2. Holding the pee

“Don’t use public restrooms”… There is a mother’s advice that you can ignore, taking care of dirty surfaces, of course. It is that pee standing in the bladder for a long time creates the perfect environment for the proliferation of evil bacteria. “Urinating works like a continuous wash,” says urologist in Pitampura.

Although not romantic, the act is also indicated right after sexual activity, when microcracks can occur in the urethra region, facilitating the adhesion of microorganisms. With a getaway to the bathroom, you expel the little invaders.

3. Diabetes

Any disease that compromises the body’s defenses, making them very lame, predisposes to urinary tract infection. This is the case with diabetes and AIDS. “There, our body cannot defend itself right from bacteria”, justifies urologist in Delhi.

Certain medications, such as those indicated for those living with lupus, and excessive physical exercise also contribute to the drop in immunity.

4. Constipation

In most constipation, the problems go beyond abdominal discomfort. Because of the female anatomy, the bacteria in the gastrointestinal tract, stuck, have an easy migration to the urethra, contaminating it. “The culprit for most episodes of cystitis goes by the name of Escherichia coli, This is a bacterium that lives in the intestine, where it does not create problems. But, when it passes into the vagina area, it competes with microorganisms that live naturally there”, describes best urologist in Rohini. Hence, if the intruder dominates the terrain, the risk of infection increases. “In fact, in constipated patients, we detect a greater colonization of microorganisms from the intestine in the vaginal region”, confirms the best urologist in Pitampura.

5. Condom

Calm! Do not think that in this topic you will find a green light to dispense with condoms during sex. Never. The only setback is that spermicides – substances responsible for killing sperm – modify the vaginal flora, leaving women more susceptible to the harmful action of bacteria.

The way out, then, is to look for condoms without the spermicide or that have the substance inside, so that the gel stays in contact only with the penis.

6. Renal stone

“In certain cases, the stones that form in the kidneys are caused by a bacterium that interferes with the acidity of the urine, facilitating the deposit of salts”, explains the best urologist in Delhi. The problem? The risk of this microbe also financing dreaded cystitis. “There is the possibility, even, that the kidney stone culminates directly in the most serious type of infectious disease, which is pyelonephritis”, warns urologist in Delhi.

“But this relationship between kidney stones and urinary tract infection is the exception, not the rule,” says the kidney specialist in Rohini. Anyway, the message is always to investigate. This prevents the constant use of antibiotics and the emergence of a dangerous army of resistant bacteria.

The two sides of the problem

Cystitis is the most common type of urinary tract infection. It hits the bladder, and symptoms include an urge to pee at all times, as well as burning and bleeding when urinating. Antibiotics, analgesics, and hydration usually do the job.

Pyelonephritis, in turn, is the most ominous form of the condition, as the bacteria reaches the kidneys, causing fever and malaise. Treatment is longer and may require hospitalization.

Vaccine

Those who live with urinary tract infection several times a year can use a vaccine to improve the body’s defenses. It is a little different, to start with the shape – why it is a pill.

Kidney Cancer – Diagnosis and Treatment

Kidney Cancer

Kidney cancer is the third most common of the genitourinary system and represents approximately 3% of malignant diseases in adults. Kidney cancer is also known as hypernephroma or renal adenocarcinoma. The most frequent is clear cell kidney cancer, accounting for 85% of diagnosed tumours.

Kidney cancer usually affects individuals between 50 and 70 years of age, being twice as frequent in men than in women.

According to urologist in Dwarka, approximately 54% of the kidney tumours diagnosed today are confined to the kidney, 20% are locally advanced (affecting regional ganglia close to the kidney) and 25% already have metastases of the disease, mainly to the lungs, liver and bones.

Some risk factors for kidney cancer are known, including:

  • Smoking.
  • Obesity.
  • Hypertension.
  • Family history of the disease.
  • Von Hippel-Lindau disease and dialysis.

Diagnosis

6% to 10% of patients have flank pain, blood in the urine and a palpable abdominal mass. However, the most frequent form of diagnosis is incidental findings in routine examinations such as ultrasound of the abdomen.

The definitive diagnosis of the disease is made by ultrasound and computed tomography of the abdomen.

Tomography, in addition to making the diagnosis of the disease, is very useful in its staging (checking the extension to other organs) and in planning the most appropriate therapy, says the best urologist in Dwarka.

Chest radiography is used to assess the involvement of the lungs, and in some cases, it can be used for a more detailed assessment.

Nuclear magnetic resonance is rarely used in the evaluation of these tumours and is only performed in very specific situations.

Preoperative renal biopsy is usually not performed, and is only necessary in exceptional situations, in order to differentiate between malignant and benign lesions, which would not require treatment, explains urologist in Janakpuri.

The most important prognostic factors in kidney cancer, which assist in therapeutic planning and disease follow-up, are:

  • Clinical internship.
  • Obesity.
  • Histological graduation (Fuhrman degree).
  • Histological type.
  • Clinical status of the patient (“performance status”).

In order to be able to make adequate therapeutic planning, the performance status is fundamental for the type of procedure as well as it will be able to determine the response to the kidney cancer treatment. The other prognostic factors all refer to the volume of tumour existing at the time of diagnosis and the aggressiveness that certain tumours exhibit, explains the best urologist in Janakpuri.

Treatment

Surgery is the only definitive curative kidney cancer treatment. Radical nephrectomy, ie the removal of the kidney en bloc with its linings, adrenal gland (only in large tumours or in the upper pole of the kidney) and regional lymph nodes in the traditional treatment for kidney tumours.

However, with the evolution of diagnostic methods and the increasingly early findings of small renal masses, radical nephrectomy, in most cases, is no longer indicated, and partial nephrectomy should be chosen. This type of treatment consists of removing the tumour with a small safety margin, thus preserving the rest of the renal parenchyma, explains urologist in Uttam Nagar.

The oncological results of partial surgery are similar to that of radical nephrectomy for selected cases of tumours smaller than 4 centimetres, less aggressive, and can even be applied to larger tumours as long as they are in a favourable anatomical situation.

Laparoscopic radical nephrectomy is a new method that can be applied in kidney cancer treatment, offering the same cure rates as open surgery. Among the advantages is the fact that it is a less invasive method, with less morbidity and shorter hospital stay, in addition to the aesthetic advantage (small holes instead of the large scar from open surgery).

It is possible to use laparoscopic surgery to perform partial nephrectomy, however in very selected cases, and with complication rates even higher than those of open surgery.

It is also worth mentioning the treatment methods for kidney cancer that lead to tumour destruction through freezing (cryotherapy) or heat (radiofrequency) and the minimally invasive methods using needles, indicated in special situations, says the best urologist in West Delhi.

In patients with advanced disease, with distant metastases, there are forms of systemic treatment with immunotherapy (interferon or interleukin) or with the use of drugs that inhibit angiogenesis. These drugs, associated or not with surgical treatment, can lead to disease control and regression.

According to a urologist in Delhi, the kidney tumour responds very poorly to chemotherapy treatments and radiation therapy. The only modalities that have proven objective responses are immunotherapy with interferon or interleukin with modest responses and high toxicity. More recently, angiogenesis inhibiting drugs have appeared, which have shown very promising response rates, being the main therapeutic option in patients with metastatic disease.

Kidney Stones: Risks and Consequences

Knowing the most frequent complications produced by kidney stones is essential since improper kidney stone treatment in Janakpuri can impair the functioning of the kidneys, making it more difficult for the toxins that our body produces to leak.

Dr. Shailendra Goel, a urologist in Uttam Nagar explains that “if a patient has renal colic means you are removing a calculus that is blocking one or both kidneys. If both are compromised, it corresponds to a urological emergency, since the patient can quickly present renal failure with the consequences that it entails.”

Likewise, it indicates that “if the obstruction is unilateral, it is very feasible that the other kidney can replace the function of the organ that is compromised and the patient can continue to urinate, but the permanent obstruction of a kidney for a few weeks will lead to deterioration in the compromised kidney function that may become irreversible. Another complication that is generated with the obstruction of a kidney, is the greater probability of developing a urinary infection that in this context could quickly trigger a septic picture”.

In addition, it clarifies that “everything indicated above is in the context of obstructive lithiasis at the ureteral level, but in the case of coral-shaped lithiasis (coral-shaped kidney stones) these are usually colonized with bacteria, generating a chronic inflammatory process of the kidney which slowly deteriorates its function until it generates its exclusion or a serious infectious condition ”.

It also specifies that “in the context of complicated lithiasis associated with urinary infection or causing renal failure, this accumulation of toxins can rapidly compromise liver, circulatory and finally neurological function, putting the patient’s life at risk”.

Diseases related to kidney stones

The best urologist in Uttam Nagar points out that there are multiple pathologies that are associated with the formation of stones. Among them, the most frequent are:

Intestinal disease: fluid loss or chronic diarrhea can alter urinary PH by breaking the balance in the urine. This increases the possibility of the formation of uric acid stones, calcium stones, and even struvite stones.

Diabetes: the mechanisms by which this disease increases the incidence of urolithiasis are varied, ranging from the modification of the gastrointestinal epithelium to immunosuppression that increases the risk of urinary infections and the subsequent appearance of struvite stones.

Obesity: people with a BMI greater than 30, excrete a greater amount of oxalate, uric acid, sodium, and phosphate. All these changes significantly increase the risk of kidney stone formation.

Gout: Many times, the diagnosis of this disease is made by relating it to the formation of recurrent uric acid stones.

Hyperparathyroidism: the disease that affects this gland generates enough alterations of phosphorus and calcium metabolism for the formation of stones with this composition.

Prevention measures

To prevent the appearance of kidney stones, the urologist in Hari Nagar recommends the following measures:

Control of chronic pathologies: chronic diseases such as hypertension, obesity, gout, hyperparathyroidism, among others, generate favorable conditions for the formation of stones.

Increased fluid intake: lithiasis formation occurs because the crystals removed in the urine fail to dissolve in the proper amount. The type and quantity of liquid recommended are variable, obviously, water is better because it has no associated sugars, nor does it generate any other type of unwanted contribution.

Decrease salt intake. The high salt intake increases the appearance of kidney stones.

Maintain a low-protein diet of animal origin: exaggerated protein consumption, especially in patients suffering from changes in uric acid management, favors the production of lithiasis.

Urologist in Delhi states that these recommendations are general and that it is always necessary to carry out an aqueous metabolic study for each patient suffering from kidney stones.