Tag Archives: Urologist in Noida

Urinary Tract Infection

Know the 6 Main Causes of Urinary Tract Infection

Urinary tract infection can affect three parts of our body: the urethra, the bladder, and the kidneys. When the problem occurs in the urethra, the infection is called urethritis. In the bladder and kidneys, it is called cystitis and pyelonephritis, respectively, explains the Urologist in Noida.

Usually, the urinary tract infection is caused by bacteria that live peacefully in our intestines. E. Coli is part of the intestinal microbiota and only becomes pathological when it leaves its natural habitat.

According to the Best Urologist in Noida, in women, the chance of an infection settling in the urethra is much greater than in men. This is because the woman’s urethra is short, that is, the path that the bacteria travel to the internal environment is shorter.

The female urethra measures about 5 cm and is completely internal, while the male urethra can measure up to 20 cm and has a large part of its extension outside the body.

In addition, the urethral orifice in women is located in the vagina, which is very close to the anus. The short distance facilitates contamination, especially after incorrect intimate hygiene.

The most common symptoms are pain and burning when urinating, constant urge to go to the bathroom, bad smell in the urine, feeling of heaviness in the bladder and urgency to urinate.

Low back pain and fever will more severe symptoms and is indicative of pyelonephritis – as the kidneys are organs later, says the Urologist in Noida.

Find out what are the main causes of urinary tract infection and change your habits!

  1. Drink little water

According to the Urologist in Greater Noida, when we drink little water, little urine is formed. The formation of urine depends on the work of filtering blood through the kidney. If the kidney detects that there is little fluid in the body, the rate of water reabsorption is increased.

Thus, the urine is concentrated, and the body maintains acceptable levels of fluids. This mechanism is important for maintaining stable blood pressure.

However, when the flow of urine is small, bacteria have the free path for longer and can reach organs such as the bladder.

This is because the continuous flow of urine clears the walls of the bladder, ureters, and urethra. The ideal is to drink about 2 liters of water during the day, suggests the best urologist in Greater Noida.

  1. Do an incorrect intimate cleaning

Our gut has a microbiota formed by several bacteria. There, they do not cause disease and are important for the balance of the body.

However, several bacteria come out in the stool and can reach the urethra when intimate hygiene is done incorrectly.

The correct thing is to pass the toilet paper from front to back, thus avoiding the contact of feces with the vagina, suggests the Urologist in Ghaziabad.

  1. Do not urinate after sex

During sex, the body comes into contact with various bacteria.

Eliminating urine after intercourse helps to eliminate pathogens that clumped in the urinary tract during the act, says the Sexologist in Noida.

  1. Holding urine in the bladder

Some people have a bad habit of holding pee for a long time. Whether due to lack of time at work or out of habit, this attitude damages the health of your urinary system.

The accumulation of urine inside the bladder favors the growth of bacteria, since the urinary tract is not cleaned regularly.

In addition, as the urine reaches the bladder, it expands to accommodate all the fluid. When urinating, the bladder cannot contract completely and there may be some fluid left inside, which also causes infection.

  1. Do not change absorbents frequently

During the menstrual period, the body eliminates various residues that can serve as a culture medium for bacteria.

When a woman stays with a dirty pad for a long time, these microorganisms can reproduce there and ascend to the urethra.

The ideal is to change the pad every 4 hours – or whenever you notice a decrease in menstrual flow, suggests the Urologist in Vaishali.

  1. Wear tight underwear

Underwear stuck to the body increases the temperature of the region, favoring the proliferation of bacteria. In addition, other microorganisms can benefit from the increase in temperature, such as fungi.

To prevent one of the causes of urinary tract infection, the ideal is to wear comfortable underwear and sleep without panties to ventilate the area, advices the urologist in Noida.

If you have recently experienced the above symptoms or have infections repeatedly, seek medical help and schedule an appointment with a urologist in Delhi.

kidney cyst

Is Kidney Cyst Severe? Do I need to be afraid?

One of the main reasons for the concern of patients is the appearance of a renal cyst in some imaging exam due to unspecific pain or check-up. And then the question arises: is kidney cyst serious?

This problem tends to affect people of both sexes as they age and most of the time it is harmless. However, in some cases it can be associated with kidney disorders with potential severity, says the urologist in Noida.

Let’s learn more about kidney cyst symptoms and characteristics, causes and forms of treatment.

What is a renal cyst?

The cysts are filled with water round bags formed within the kidney. Usually asymptomatic, they are detected during some type of image exam requested by the best urologist in Noida.

According to data from Harvard Medical School, the chances of a simple kidney cyst appearing with age: at 30, the probability is 5%, at 70, the percentage of chances rises to 36%.

For the occurrence of renal cysts, the causes have not yet been fully defined.

Renal cyst may appear on the left or renal cyst on the right with different sizes, from subcentimeter to large 20 cm structures.

The definition of medical conduct will depend on some factors, which we will discuss below.

Simple renal cyst

A simple kidney cyst is a benign clinical condition and does not usually cause symptoms. Its main characteristics are thin walls, with a rounded and regular shape, with clear and crystalline content, states the urologist in Greater Noida.

However, when the kidney cyst grows in size, the symptoms can be:

  • Pains between ribs and pelvis;
  • Upper abdominal pain.

Complex cyst

This type of cyst has solid parts or other changes, such as irregular contours, septa or fibrosis. To determine the complexity, it is necessary to perform more specific exams, such as tomography or MRI of the abdomen, says the best urologist in Greater Noida.

Unlike simple cysts, in this case we may be facing a kidney tumor but with characteristics of a cyst.

The Bosniak Classification will determine the degree according to the aspect of the images obtained in the exam and, with that, guide the best treatment conduct.

  • Bosniak kidney cyst 1: simple and benign cyst;
  • Bosniak kidney cyst 2: less complex and benign lesions, which may be a cyst with calcification;
  • Bosniak 3: complex cysts that present contrast absorption used in the exam. In these cases, there is a high chance that we are facing a tumor;
  • Bosniak 4: malignant lesions.

What is a cortical cyst?

According to the urologist in Ghaziabad, many patients do not understand the terms used in the examination reports and arrive with many doubts. The term “cortical cyst” refers to the anatomical location. When talking about cortical cyst it is because the lesion is in the most superficial region of the kidney, which is called the cortex. Parapelic cysts are close to the renal pelvis.

Polycystic kidney disease

This disease has nothing to do with simple sporadic kidney cysts. The appearance of cysts can be started at a young age and needs to be monitored by nephrologists and best urologist in Ghaziabad, because the disease can lead to chronic renal failure. This disease is associated with hereditary factors.

Renal cyst treatment

Most kidney cysts do not require treatment. The definition of medical follow-up will be based on the results of exams and characteristics of the cysts, explains the urologist in Noida.

A more invasive treatment will only be necessary in 2 situations:

  • Complex Bosniak cysts 3 or 4;
  • Bulky simple cysts with pain and local repercussion.

In cases of complex cysts, surgical removal using an open, laparoscopic or robotic approach is necessary for a better evaluation and accurate diagnosis.

In cases of large simple cysts, puncture with a needle through the skin can be an interesting alternative, says the urologist in Vaishali.

There is no hard data to speak of cysts prevention. Still, moderate eating habits, adequate water intake, physical activities, controlling blood pressure and avoiding smoking (proven cause of bladder and kidney cancer) are beneficial to the body, suggests the urologist in Delhi.

prostate cancer and impotence

Prostate Cancer: Risk of Erectile Dysfunction

Prostate cancer is the most common among males. According to a study, more than 1,30,000 new cases appear worldwide. It is also the third in mortality, behind lung and colorectal cancer, with some 5,841 deaths, in 2018. The positive thing is that the survival rate is high: it is estimated to be 90%. That is why prevention and early diagnosis is very important, says the urologist in Noida.

But there is an essential issue that usually occurs when a man suffers from this type of cancer that is usually irrelevant to many oncologists, not for those who suffer from it: erectile dysfunction.

WHAT IS PROSTATE CANCER?

The prostate is a gland in the male reproductive system, located under the bladder and in front of the rectum. It is the size of a walnut and surrounds a part of the urethra (the tube that conducts urine to the outside from the bladder). It is in charge of semen production.

Prostate cancer originates when the cells in this organ begin to grow out of control. Although there are different types of prostate cancers, the most common is adenocarcinoma. It occurs mainly in older males: 90% of cases appear in people over 65 years of age. Prostate cancer should not be confused with benign prostate hyperplasia, which is a noncancerous enlargement of prostate hyperplasia, and occurs as men age, when the prostate can enlarge and block the urethra or bladder, which can lead to difficulty urinating or interfering with sexual function, explains the sexologist in Noida.

While the causes of prostate cancer are unknown, there are risk factors such as advanced age, genetics, family history, obesity, tobacco, and high testosterone levels that could increase the risk.

At first, prostate cancer has no obvious symptoms, but in more advanced stages some such as the frequent need to urinate (feeling not emptying the bladder well), involuntary loss of urine, pain and stinging when urinating, difficulty starting to urinate, and urinary retention if the urethra becomes clogged by the tumor, states the best urologist in Noida.

HOW CAN IT AFFECT MY SEX LIFE?

Once prostate cancer is diagnosed through a rectal touch, a PSA (PSA) test — a protein that is produced in the prostate and increases in various diseases — and a biopsy of prostate tissues, your oncologist will recommend the treatments to follow.

What you need to know is that prostate cancer treatment in Delhi, such as surgery, radiation therapy, chemotherapy, and hormone-decreasing medications) can cause side effects on your sexual function. Although these are not necessarily the only culprits: anxiety and depression can also contribute negatively.

The most common (and most feared) sexual problem in prostate cancer patients is erectile dysfunction, which is the inability to get or maintain an erection to maintain a satisfactory sexual relationship, but there are others such as difficulty ejaculating, retrograde ejaculation (ejaculating “inward”) or urinary incontinence during intercourse, explains the best sexologist in Noida.

In the case of surgery, if the nerves near this gland, which control blood flow to the penis, were damaged when the prostate is removed (radical prostatectomy), erectile dysfunction may occur. Currently, laparoscopic surgery and robotics have reduced this problem, although it is estimated that there is a possibility of more than 60% postoperative erectile dysfunction.

If you have radiation therapy, you may also have erection problems. The higher the radiation dose and the wider the irradiated area, the greater your chances of suffering them. Radiation damages the arteries that supply blood to the penis.

For chemotherapy, chances are you’ll retain your normal erection capacity. However, you may experience problems after receiving a session, although you’ll recover right away. Chemotherapy can sometimes affect sexual desire and erection ability by slowing down testosterone production, explains the sexologist in Ghaziabad.

CAN ERECTILE FUNCTION BE RECOVERED?

It will depend on several factors such as the type of treatment, the patient’s age and erectile function before cancer. Generally, recovery time is around 18 to 24 months.

The main treatment to recover erections aims to improve blood flow to the penis. But psychological therapy can also help. Anxiety and stress can be the most harmful elements when it comes to an erection, says the sexologist in Greater Noida.

Treatments include:

  • Medications: They are usually effective in most men. They are drugs that improve blood flow to the penis. However, they are not effective if the prostate nerves were not preserved after surgery.
  • Injection into the penis: It is a very effective treatment that works within a few minutes of administration. It can cause pain in the penis and a prolonged erection.
  • Vacuum device: It is effective in 66-71% of patients, but can cause numbness or bruising. It is a plastic tube that is placed on the penis, a manual pump, and a band that is placed around the base of the penis once it is erect (constriction ring).
  • Penile prostheses: Its introduction requires surgery and consists of 2 cylinders that are introduced into the cavernous bodies of the penis and by placing a device inside the scrotum (between the testicles), the patient may cause the erection at his discretion.
Advanced Prostate Cancer

Prostate Cancer Treatment in Advanced Stages

Although we strive to detect prostate cancer early, we do not always succeed. Thus, in up to 20% of cases, the diagnosis is made with prostate cancer in advanced stages. In addition, we would like to list some more data:

  • When symptoms of the disease appear, it is likely that cancer is no longer an initial disease – 95% of the time
  • Provided the diagnosis is made in the early stages, the chance of a cure for prostate cancer is about 90%.

However, what do we consider to be advanced stages?

  • Tumors that have already spread, that is, are no longer just in the prostate.
  • Cases of early diagnosis, submitted to curative treatments, but later returned.

Does advanced stage prostate cancer have treatment?

Once prostate cancer is diagnosed in advanced stages, we must treat it according to your condition. For this, we also have an arsenal to keep the problem under control.

What are the treatment options for Prostate Cancer in advanced stages?

First, urologist in Noida points out that prostate cancer has the male hormone testosterone as its main “food”. In this sense, the central androgenic block for testosterone reduction, with subcutaneous / intramuscular injections or surgery, is the initial treatment of choice for advanced or metastatic prostate cancer. It is effective in 90% of cases.

However, there are situations in which the tumor cells become resistant to androgenic blockage. Then we can indicate a new line of hormonal treatment orally: drugs like Abiraterone and Enzalutamide. Chemotherapy is also a prostate treatment in Noida in this situation. Certainly, Docetaxel is the most used chemotherapy in the first line.

In addition, for patients with bone metastases, there are specific medications that help prevent bone fractures and nerve compression. To this end, zoledronic acid is the most widely used.

When do I consider that the Tumor returned, after treatment with a curative intention?

Second, best urologist in Noida explains what a recurrence of Prostatic Cancer is: “We consider a recurrence or biochemical relapse of prostate cancer when the PSA starts to rise after initial treatment: radical prostatectomy or radiotherapy”.

In order to be more specific, urologist in Ghaziabad comments that the biochemical recurrence, after a radical prostatectomy, occurs when the PSA is greater than or equal to 0.2ng / ml, confirmed after two collections. Similarly, after radiotherapy, it is defined as an increase in PSA greater than or equal to 2ng / ml after reaching its nadir (lowest PSA value after treatment). Another criterion, used by ASTRO (American Society of Radiology Oncology), is defined as three consecutive increases in PSA, after it reaches its lowest point.

The staging for these cases, however, has no defined pattern, according to urologist in Greater Noida. So, it can be done with digital rectal examination, transrectal ultrasound and / or prostate magnetic resonance. Bone scintigraphy is indicated in a patient with PSA greater than or equal to 10 ng / ml or when there is bone pain regardless of the PSA level. A new exam has emerged in recent years and can also be used in this situation is PET / CT with PSMA

How is the treatment when Prostate Cancer returns?

Biochemical recurrence is usually treated with hormonal therapy, under the same point of view mentioned by urologist in Noida: testosterone as a “food” for the tumor.

In short, prostate cancer treatment in Delhi for the patients with biochemical recurrence after prostatectomy, we usually use radiotherapy with or without associated hormonal therapy. For patients treated primarily with external radiation therapy, we normally use hormonal therapy. However, best urologist in Noida highlights, the choice of the most appropriate treatment must be individualized.

Urologist in Noida

Urological Ages of Men: Most Frequent Problems And Prevention

During the life of man, different urological pathologies associated with each stage manifest. Precisely for this reason,  Dr. Shailendra Goel, urologist in Noida, reviews the main urological conditions of men in order to encourage knowledge of them and their prevention.

The most frequent problems in men’s urology can arise from the age of 20, which is when shadows such as premature ejaculation tend to come to the fore, which can affect almost 40 percent of the male population.

Faced with such a problem, urologist in Ghaziabad is blunt. “The man should not look the other way when he has problems of this nature, the ideal is to consult a specialist. Urologists are repetitive but men must get used to the idea that going to the urologist in Vaishali should be as normal as it is for women to go to the gynecologist. This pathology is usually one of the main causes of dissatisfaction of the couple”.

If this problem is not solved, it can be prolonged for life, adding other pathologies since, from the age of 30, a man begins to experience an enlarged prostate. This happens naturally and does not usually show symptoms until years later.

Even so, during the decade of 30 years and up to 40, urologist in Greater Noida highlights the most common pathology, infertility, something that worries many couples: “Male infertility is increasing, being responsible for 50% of the couple’s fertility problems. There are many causes that can alter the number or quality of sperm, genetic, congenital, hormonal, vascular (varicocele), infectious, obstructive, toxic. Whenever possible, specific treatments are applied, medical (antioxidant, hormonal treatment) or surgical (varicocele, epididymis, deferent or ejaculatory duct surgery) ”.

From the age of 40, the urology of men will be marked by erectile dysfunction. The best urologist in Noida affirms that “it is more frequent than you think and at least one in four 40-year-old men suffers from it. This figure increases over time, but it is important here to consult the sexologist in Noida, because there are highly satisfactory treatments. In addition, erectile dysfunction is often caused by underlying diseases that have not yet faced, such as high blood pressure, diabetes, arteriosclerosis, ischemic heart disease, and it is important to recognize this first symptom in order to correct the contributing factors and prevent its progression to further pathologies. serious ».

Once a man reaches 50 years of age, in addition to the aforementioned lack of erection, he usually experiences the symptoms inherent to an enlarged prostate or, what is the same, benign hyperplasia. It is at this time that you may begin to have symptoms such as an urge to urinate, getting up to urinate at night, having less intensity in the “stream” of urine and discomfort during bladder emptying, which are a consequence of benign hyperplasia of prostate.

Despite the discomfort, men in our country do not usually go to the best urologist in Ghaziabad until the condition is quite advanced. Dr. Goel comments “Benign prostate hyperplasia today has very effective, fast and simple treatments, such as laser prostate enucleation, which allows the individual to return to normal life a few days after the intervention with minimal risk. This intervention, besides being minimally invasive, allows the man to preserve erectile function, which is already diminished by age”.

Finally, the other pathology that most worries men in our country and that usually occurs after the age of 60, is prostate cancer, a disease of which 60,000 cases are diagnosed annually. In this case, Dr. Goel encourages you to continue going to the best urologist in Greater Noida from the age of 50 “if a patient has a family history, the determination of PSA is essential from the age of 40. The urologist must decide for each patient the periodicity of subsequent check-ups. Our only chance to cure prostate cancer is early diagnosis of the disease. The use of PSA has recently been questioned but it remains a useful tool when used appropriately”.

CAN UROLOGICAL PROBLEMS BE PREVENTED?

There are diseases inherent over time, such as benign prostatic hyperplasia and there are even pathologies that are given in themselves. Even so, delaying the time of appearance of some diseases is possible. A high-fat diet has recently been shown to be a fierce enemy of prostate health. Dr. Goel explains: “Eating a healthy diet and practicing frequent exercise can be a favorable preventive measure. The Mediterranean diet and avoiding being overweight, tobacco and alcohol are a good way to eliminate possible risk factors for the appearance of prostate problems”.

Finally, before the appearance of news such as that coffee is a friend of the prostate, the Dr. comments: “of course, a diet rich in foods that contain omega 3 fats (they correct prostate defects), lycopene (helps to stop the aging of the prostate), selenium (helps to reduce inflammation of the prostate) and zinc (fundamental mineral in the sexual function that helps to prevent prostate lesions) can be of great help in the prevention of frequent pathologies ”.

The Dr. confirms “A varied and balanced diet, in which tobacco is eliminated and to which sport is added, can be a great source of urological health”.

Kidney Stones

Urinary Stones: Symptoms and Treatment

What it is?

Popularly known as a stone in the urinary tract, the urinary stone affects mainly adults aged 30 to 40 years.

About 12% of the population will receive this diagnosis, with a higher incidence in males, with 2 men for each affected woman.

The stones are formed by crystals – minerals and solidified acid salts – that come together and form the stones. Almost 80% of these pieces contain calcium, but there are also those composed of uric acid, says the best urologist in Noida.

Diagnosis

The confirmation of the disease is made through the evaluation of clinical history and imaging exams that detect the presence of stones in the urinary tract. Among these exams, the most suggested is the computed tomography of the abdomen, which is able to find most stones in this region, says the urologist in Noida.

Other procedures that are also effective are ultrasound and X-ray.

Risk factors

The formation of stones can be related to:

  • Genetic predisposition
  • Environmental factors, such as the hot climate that causes greater dehydration
  • Obesity
  • Protein-rich diet, including red meat, fish, egg, milk and dairy products
  • Diet rich in sodium. The indication of salt consumption is 1 teaspoon per day
  • Low fluid intake
  • Diseases such as Hyperparathyroidism, responsible for regulating calcium metabolism, and inflammatory bowel diseases such as Crohn’s disease, which affects the lining of the digestive tract.

Symptoms

The most common sign of urinary stones is severe pain on one side of the lower back. Similar to colic, the pain usually starts suddenly and spreads to the anterior abdomen.

Excessive pain causes great discomfort, nausea and vomiting. If they are still in the kidneys, that is, they did not descend into the bladder, the pain is less, but requires treatment.

Other symptoms such as a full bladder and bleeding in the urine may be related to this diagnosis, explains the urologist in Greater Noida.

Kidney Stone Treatment

Initially, pain control is performed, since many patients receive the diagnosis after presenting symptoms of severe pain in the lower back.

Managements that encourage spontaneous elimination of calculus are also adopted. In some cases, it may be necessary to perform a surgical procedure, chosen according to the position and size of the stone to be removed. Among them are:

  • Extracorporeal shock wave lithotripsy, considered a non-invasive method. The patient receives shock waves under the skin that dissolve the stones and facilitate the expulsion of the crystals.
  • Percutaneous surgery, with small perforations in the lumbar region that break and remove the fragments.
  • Endoscopic ureterolithotripsy, without surgical intervention, this procedure is done through the urine channel with the insertion of an endoscopic device that internally visualizes the location of the stones and performs the removal.

Conventional surgery, with the removal of the stones through an incision in the abdominal wall, states the urologist in Greater Noida.

Prevention

The first step is the inclusion of healthy habits with control of food and exercise. Decrease the intake of salt and foods rich in animal protein, such as red meat, increase and maintain the frequency of physical activities and, especially, the intake of water and natural juices, more specifically citrus fruits.

Some patients cannot control just by changing their lifestyle and need medication to change the composition of their urine, says the urologist in Ghaziabad.

COMMON QUESTIONS

Does drinking more water decrease the formation of stones?

Yes. Adequate water intake can reduce stone production by up to 60%.

What is the ideal amount of water per day?

The recommendation for patients suffering from kidney or urinary tract stones is to consume 2 to 3 liters of water per day.

Is there any relationship between kidney stones and the prostate?

One of the reasons associated with the appearance of these stones is the enlarged prostate. Its growth can partially obstruct the outflow of urine, which leads to an accumulation of crystals and residues, promoting the formation of stones, says the urologist in Vaishali.

If someone in my family has kidney stones, will I have them too?

Several factors contribute to the appearance of urinary stones, but the genetic predisposition can facilitate the formation of crystals and the appearance of stones.

Is there a difference between kidney stones and urinary stones?

No. The formation of stones occurs in the urinary tract that involves the kidneys, ureter – the channel that takes urine from the kidneys to the bladder – and bladder. The stone is when this formation still occurs in the kidneys, with less severe pain and need for treatment. When “walking” through the urinary tract, these stones can obstruct the ureter, causing severe pain, or go to the bladder, making it difficult to exit and even causing a small bleeding in the urine, explains the urologist in Delhi.

Prostate Cancer

WHAT SYMPTOMS WARN OF THE APPEARANCE OF A PROSTATE CANCER?

Prostate cancer is the second most common cancer in the male population. More than 1 million new cases are diagnosed each year. Therefore, it is important to be attentive to the symptoms of prostate cancer and how to prevent its appearance.

The best way to prevent this oncological pathology from affecting a man is to periodically go to the best urologist in Noida for urological check-ups. Once a year from the age of 45, it is necessary to monitor the male urological system. Only in this way can this disease be diagnosed early to treat it appropriately in time.

What can be the causes of this pathology?

As in any other oncological pathology, it is not easy to determine the cause that originates the appearance of a malignant tumor. Today we can only talk about risk factors that can influence its possible appearance. Thus, among these factors are:

  • The genetic. As in all cancer processes, it is considered a very common risk factor that there is another person in the family who has suffered from this cancer.
  • Age. Normally it is a pathology that appears more frequently after the age of 45 and even more frequently in men over 60 years of age.
  • Genetic changes Genes such as HPC1, HPC2, HPCX and CAPB, ATM, and FANCA have been shown to increase the likelihood of prostate cancer in men.
  • Environmental factors such as pollution, exposure to toxic agents or food or other harmful lifestyle habits such as smoking or obesity.

Symptoms of prostate cancer

The prostate cancer may have symptoms very late, i.e. when the disease is already well advanced. In its initial stages, in fact, it can become asymptomatic or present very mild signs of obstruction, explains the urologist in Noida.

There is also a tendency to differentiate the symptoms of a local tumor from those of an advanced prostate tumor, although in general terms the warning signs can be such as:

  • Hematuria: appearance of blood in the urine.
  • Increased urination frequency.
  • Urge incontinence or urge to urinate urgently.
  • Post-void drip, that is, an intermittent drip when the bladder has already been emptied.
  • Pain and burning during urination which is known as dysuria.
  • It takes a long time to start urination and the stream is weak.
  • Feeling of not having completely emptied the bladder.
  • Urinary retention if the urethra has become obstructed.
  • Pain in the lower back
  • Difficulties in sexual relations, that is, the appearance of erectile dysfunction.

However, it is important to note that these symptoms are not exclusive to prostate cancer and may refer to another urological pathology. In fact, almost all obstructive symptoms usually appear in cases of benign prostatic hyperplasia, explains the urologist in Greater Noida.

How is this tumor diagnosed?

The diagnosis of prostate cancer should always be in the hands of a specialist in Urology who has performed the relevant tests to detect it. Thus, traditionally, when a patient had symptoms of this possible pathology, a rectal examination and a urological ultrasound were performed in addition to a urinalysis and a prostate specific antigen (PSA) analysis.

These types of tests are basic in a consultation with the urologist in Ghaziabad and, on occasions, are increased to the indication of a flowmetry or a transrectal ultrasound. However, when the specialist suspects that there may be a malignant tumor, he or she tells the patient to perform a prostate biopsy.

Traditionally, an invasive intervention was performed to effectively detect this tumor. However, nowadays medical advances have allowed the prostate fusion biopsy to be performed, a novel diagnostic test that improves the reliability of the diagnosis and facilitates the recovery of the patient.

How is prostate cancer treated?

There are many types of prostate cancer treatment in Delhi available today, each with specific benefits and side effects. Only a careful analysis of the patient’s characteristics (age, life expectancy, etc.) and of the disease (low, intermediate or high risk) will allow the urologist specialist to recommend the most suitable and personalized strategy and to agree on the therapy also based on preferences of who has to undergo prostate cancer treatment in Noida.

Prostate Cancer

Prostate Cancer: Diagnosis and Treatment

Many men still ignore the importance of prostate examination for the prevention or early diagnosis of cancer. The main reason is the prejudice against digital rectal examination, which allows the doctor to check the size and shape of the prostate, investigating the existence of other abnormalities.

It is worth mentioning that the diagnosis of early prostate cancer significantly increases the chances of cure, says the best urologist in Noida.

Prostate: after all, what is its function?

The prostate is a gland and is located in front of the rectum, below the bladder. Its main function is to produce prostatic fluid, which grants more mobility to sperm when a man ejaculates, in addition to protecting them from the acidity of the vagina. During ejaculation, contraction of the prostate prevents urine from passing from the bladder to the urethra, leaving the pathway free for the sperm to drain.

In this context, the diseases that most affect the prostate are benign hyperplasia (enlarged prostate), prostatitis (bacterial infection) and the referred prostate cancer. Although it is not a vital gland for men, its surgical removal can bring two significant complications: urinary incontinence and sexual impotence. For this reason, it is crucial to have an annual prostate check-up, says the urologist in Noida.

Symptoms of prostate cancer

Prostate cancer, in the early stage, has no symptoms. Difficulty passing urine may be due to benign hyperplasia (natural enlargement of the prostate, which blocks the passage of urine) or the growth of a tumor, explains the urologist in Greater Noida.

In fact, when symptoms appear, it is because prostate cancer is already advanced, even presenting a great risk of reaching the ureters and bones. Once again, the data corroborate the importance of preventive exams by the urologist in Ghaziabad, every year, to detect possible abnormalities.

Check out the main signs of this type of cancer below:

  • Increase in urinary frequency;
  • Feeling that the bladder is always full;
  • Reduction of the urinary stream;
  • Pain when urinating.

Diagnosis: 4 main exams

  1. Digital rectal examination: This test allows the urologist in Noida to probe the prostate to check if the shape and size are normal or if there is a suspicious nodule.
  2. PSA: Through the blood test, it is possible to assess any changes in the PSA level. The increase in this enzyme indicates abnormality in the prostate, which can occur due to prostatitis or even prostate cancer.
  3. Ultrasound of the prostate: The ideal is to make the image examination through the rectum, since in this way a more detailed and effective analysis of the prostate is obtained.
  4. Biopsy: This test is performed only when prostate cancer is suspected. The collection of material is performed through the rectum.

Some men, because they feel ashamed and / or prejudiced against the digital rectal exam, believe that it is sufficient to take the PSA test. However, it is important to know that a PSA result within the standard does not exclude the possibility of a tumor. So, the ideal thing is to do both exams: digital rectal examination and PSA.

Prostate Cancer Treatment in Delhi

A prostatectomy is the surgical treatment indicated to remove the prostate and seminal vesicles in cancer patients. It all depends on the stage of the disease, general health and the age of the patient. Chemotherapy and radiotherapy are other treatments that can be recommended by the urologist in Delhi, in order to reduce the size of the cancer, before surgery, and eliminate cancer cells in other parts of the body, if the disease has been detected in an advanced stage.

urological oncology

Oncological Urology: The Types of Cancers Treated By The Urologist

Recently, penile cancer has made headlines in major Indian newspapers. Data on organ amputations and the growth of the disease in the country worried many people, including the government. So, in order to highlight the types of cancers treated in oncology urology, I write this text. First of all, I emphasize that penile cancer is one of the tumours treated by oncological urology. In this, especially, I highlight the cancers treated by this speciality. Want to know more? Read on!

What is oncological urology?

Like other medical specialities, this area deals with a specific cause. In other words, it is the field of urology dedicated to neoplasms that develop in the urogenital system. The best urologist in Noida has the responsibility to prevent, diagnose, investigate and treat malignant tumours. Usually, urological cancers are treated by surgical intervention, which, in most cases, are less invasive.

What are the types of cancers treated in oncology urology?

As I mentioned, penis cancer is included in the list of cancers treated by the urologist in Noida. The pathology, which represents 2% of the types of cancers, causes the death of more than 4000 men annually, in India alone. Generally, the lack of hygiene, the narrowing of the foreskin, as well as the manifestation of the human papillomavirus (HPV), are directly related to the disease. But, it doesn’t stop there, because there are other malignant neoplasms that integrate the attention of the speciality.

Diseases treated by oncological urology

Bladder cancer

Most of the time, white and older men tend to be the most affected by this problem. It is worth mentioning that smoking increases the risk of tumour manifestation up to 70%. In addition, certain chemical substances, such as pesticides, aluminium, drugs and oil contribute to the onset of the disease.

Kidney cancer

Wilms’ tumour, as it is also called, is of unknown cause. However, some genetic syndromes, such as WAGR, Beckwith-Wiedemann, and genitourinary abnormalities are commonly associated with its appearance. In this case, early diagnosis is essential for successful kidney cancer treatment in Delhi.

Prostate cancer

Unfortunately, this is the second type that kills the most Indian men, and, generally, old age is one of the risk factors for the appearance of the problem. However, there are other characteristics that increase the likelihood of the disease manifesting. In this sense, a urologist in Greater Noida highlights the excess of body fat, genetic factors and continuous exposure to certain chemical substances.

Testicular cancer

This type has low mortality when identified early. Therefore, it is always good to pay attention to risk factors, in this case, family history, exposure to pesticides, lesions in the scrotum and cryptorchidism, which is the absence of testicles (1 or 2).

Urinary tract cancer

Tumours of the excretory pathways are usually rare and are often associated with the histology of bladder cancer and smoking.

Oncological urology is a speciality dedicated to the treatment of tumours. That is, the professional in this segment is able to treat cancers related to the penis, bladder and prostate. So, if you are male, you are over 40 years old and have never been to the urologist in Ghaziabad, make an appointment as soon as possible, because prevention is still the best option. Want to know more? I am available to answer any questions you may have, and I will be very happy to answer your comments on this matter.

Urinary Incontinence

Urinary Incontinence in Men: Symptoms, Causes and Treatment

Urinary incontinence is characterized by involuntary urine loss, which can affect men. Incontinence usually occurs as a result of prostate removal, but it can also occur from an increase in prostate size, and in older adults with Parkinson’s disease or who suffered from a STROKE.

This disease can arise at any age, being more common from the age of 45, and especially after age 70. Loss of total urine control can be treated with medications, physiotherapy and exercises to strengthen the pelvic floor muscles, however, in case these treatments do not work, the urologist in Noida may indicate surgery.

Possible symptoms to identify

Symptoms of male urinary incontinence include:

  • Urine drops that can be seen on underwear after urination;
  • Frequent and irregular urine loss, even at night;
  • Loss of urine at times of exertion such as laughing, coughing, carrying something heavy, or sneezing;
  • You gain uncontrollable from urinating.

In addition to these symptoms, a man may present some feelings and emotions that may be present until the problem is diagnosed and treatment is initiated including worry, distress and anxiety, and there may even be changes in sex life.

Men who have the above symptoms should go to the urologist in Greater Noida, who is the doctor who specializes in the subject, to identify the cause of the problem and thus initiate the most appropriate treatment.

Treatment options

Treatment for male urinary incontinence may be done with medications, physical therapy, or surgery, depending on the cause of the disease.

  1. Medicines

Your urologist in Ghaziabad may recommend your intake of anticholinergic, sympathomimetic, or antidepressant medications, but you may also place collagen and microspheres in your urethra, the latter in case an injury occurs after prostate surgery.

  1. Physiotherapy and exercises

Some electronic devices such as “biofeedback” may be used in physical therapy; functional electrostimulation of pelvic floor muscles with endoanal electrode; tens or a combination of these methods.

Kegel exercises, which strengthen your pelvic muscles and should be performed with an empty bladder. To perform these exercises you must contract the muscles of the pelvis, keeping it for 10 seconds, then relax for 15 seconds, at least 10 repetitions should be performed three times a day.

Most men manage to control urine within 1 year after prostate surgery, using only Kegel exercises and biofeedback. However, if after 1 year the continuous situation the urologist in Noida may indicate surgery.

  1. Natural treatment

Avoiding coffee, alcoholic beverages and diuretic food are excellent strategies for getting urine on hold. Some diuretic foods are: green tea, matte, black tea, horsetail, watermelon, pineapple, cucumbers, among others, recommends the best urologist in Noida.

  1. Surgery

The urologist in Greater Noida may indicate as a last resort surgery, in which an artificial urinary sphincter or sling is placed, which is the creation of a blockage in the urethra to prevent urine loss, for example.

What Can Cause Male Urinary Incontinence

According to the urologist in Ghaziabad it is common for a man to have urinary incontinence after prostate surgery, known as prostatectomy, because muscles involved in urine control may be injured during the intervention. Other causes of male urinary incontinence include:

  • Loss of control of the pelvic floor muscles, mainly in the elderly;
  • Benign prostate hyperplasia;
  • Brain disturbances or mental illnesses, such as in people with Parkinson’s, who have suffered from a STROKE or have a brain tumor;
  • Urinary tract infections or the presence of a bladder tumor;
  • Problems with bladder inervation.

Using some types of medications to control blood pressure and heart, sedatives or muscle relaxants may also promote urine loss by decreasing pelvic muscle tone, says the urologist in Delhi.