#UrologistinNoida

[yatharth-hospital]

Urinary Tract Infections among Women

Most of us find travelling to be a pleasurable experience. Even travel, however, is not easy for us women. We bring a prayer for security, safety, and cleanliness along with our clothes, headphones, and excitement. We are always at risk of having a urinary infection, therefore finding a clean, useable washroom is a monumental challenge. Since a urinary infection can affect any person at any given point of time, even top hospitals in Delhi NCR are equipped to make a quick diagnosis, treat the infection at the speed of light.

A urinary tract infection (UTI) affects the kidneys, ureters, bladder, and urethra, among other parts of the urinary system. The most usually infected components of the urinary tract are the bladder and urethra. A urinary tract infection is more common in women than in men. While a bladder infection is obviously excruciatingly uncomfortable, if a UTI spreads to your kidneys, it might have significant implications.

Ordinarily, your family doctor, nurse or other general physician can treat most urinary tract infections. If you have frequent recurrences or a chronic kidney infection, you may be referred to a urologist in Noida, a doctor who specializes in urinary disorders.

Urologists at Yatharth Super Specialty Hospitals in Noida elucidate that the urethra, which conducts urine from the bladder to the outside of the body, is close to the anus. Urinary tract infections are caused by bacteria entering the urinary tract through the urethra and multiplying in the bladder. The urinary system is designed to keep such little invaders out, but these defences do not always succeed. If this happens, bacteria may take root and grow into a full-blown infection in the urinary system. Bacteria from the large intestine, such as E. coli, can pass through your anus and into your urethra. If the infection isn't treated, they can travel up to your bladder and infect your kidneys.

A burning sensation when you pee, a frequent or severe urge to pee, even though little comes out when you do, or pee with a hazy appearance or a weird odour are all indications of a UTI. You may also feel weary or unsteady, have a fever or chills, and have discomfort or pressure in your back or lower abdomen in severe cases, according to urologists at Yatharth Hospitals in Noida. A fever, however, could indicate that your illness has migrated to your kidneys. When treated early and effectively, lower urinary tract infections rarely cause difficulties. A urinary tract infection, on the other hand, might have serious consequences if left untreated, therefore it is advisable to consult a urologist in Noida at the earliest.

Being one of the top hospitals in Delhi NCR, the Urology Department at Yatharth Hospitals is well-equipped with cutting-edge technology to treat a wide range of urological disorders and conditions, including kidney stones, bladder troubles, urinary tract infections, and prostate concerns, to name a few. The department is made up of skilled and experienced urologists in Noida, who use a comprehensive approach to give patients with the best urological care.

When it comes to urinary tract infections, antibiotics are usually the first line of defence. Your health condition and the type of bacteria discovered in your urine will determine which drugs are administered and for how long. Symptoms of a UTI usually go away within a few days of commencing medication. However, antibiotics may be required for a week or more. Urologists in Noida advise to follow the antibiotics' instructions and the medical advice to the letter.

Your doctor may recommend a shorter period of therapy, such as taking an antibiotic for one to three days, if you have an uncomplicated UTI and are otherwise healthy. However, depending on your symptoms and medical history, this short course of treatment may or may not be sufficient to treat your infection. At Yatharth Hospitals, one of the top hospitals in Delhi NCR, your doctor may use a cystoscope in order to make a clearer diagnosis if the problem persists.

Although treatment is done using antibiotics, here are some basic steps which you can take, in order to reduce your risk of Urinary Tract Infections. For starters, it is very important to drink plenty of water and other beverages, according to urologists in Noida. Drinking water dilutes your urine and encourages you to urinate more frequently, allowing bacteria in your urinary system to be cleared out before an illness develops.

Avoid using any feminine products that could irritate you. Using deodorant sprays or other feminine products in the genital area, such as douches and powders, might irritate the urethra. If used, be forthcoming with your urologist and let him know of the irritant product. Most importantly, make sure you carry a suitable disinfecting product while using public washrooms, as bacteria fester and thrive in unhygienic environments. In case of any trouble, Yatharth Super Specialty Hospitals in Noida, being among the top hospitals in Delhi NCR, can provide you with quality care. Nevertheless, it is important to stay safe and comfortable.

[drrahulguptaurology]

#UrologistSpecialistNoida #BestAndrologistinNoida #UrologistinNoida

[drpradeepprakash]

Artificial sweeteners, spicy foods, alcohol, coffee, acidic fruits, citrus, or caffeinated drinks — can irritate your bladder, and may worsen UTI symptoms. Treat it immediately with Dr Pradeep Prakash.

Dr. Pradeep Prakash Consultant Urology and Uro-oncology Yashoda Hospital, Nehru Nagar

Book an appointment: 📷 Visit my website: www.drpradeepprakash.com 📷 Contact: +91-7428737159 📷 Email: drpradeepprakash@gmail.com

#DrPradeepprakash #uti #utifaqs #FAQs #urologistinnoida #cancercare #urology #urological #urooncology #minimallyinvasive #roboticsurgery #Ghaziabad #Yashodahospitals #Hapur #sanjayagar #delhincr #noidacity #gaurcity #gaurcity2 #NoidaExtension #GreaterNoidaWest

[urologistinnoida]

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. Read the full article

[urologistinnoida]

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. Read the full article

[urologistinnoida]

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. Read the full article

[urologistinnoida]

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 Read the full article

[urologistinnoida]

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. Read the full article

[urologistinnoida]

Do you know the reasons why you should go to the urologist?

The urologist is the doctor specialized in the study of the urinary tract and the genital tract. This specialized doctor is not exclusive for men. It does not matter if you are a man or a woman, there are several health conditions that require a visit to the urologist. This doctor who specializes in the study of the urinary tract and the genital tract does not exclusively attend to problems that affect men. However, there is confusion about the role of urologists in the medical care of women. “It's funny because I see many women with urine or stone infections. When they arrive at the office and see that there are many women in the waiting room, they think that they were in the wrong place because they hope there will be more men,” best urologist in Noida said. For his part, urologist in Noida, explained that “the population associates urology with the prostate, but both men and women have a kidney, urethra, adrenal glands, bladder and other common areas”. In what differs the medical care of men and women is in the type of conditions that affect them most. They go to the best urologist in Noida to treat prostate cancer, prostatitis (inflammation of the prostate), kidney stone, or hematuria (blood in the urine). Meanwhile, they seek medical attention for frequent urinary infections, urinary incontinence, and kidney stones as well. “Usually, women go to a lot of doctors before coming to the urologist in Noida, but really, what they have are urinary problems. Read the full article

[urologistinnoida]

Discover the 7 most common diseases that affect the penis and learn how to treat them

We are all subject to the disease at any stage of life. In the case of men, some specific illnesses can directly affect the penis. They can be congenital, that is when the baby is born with the condition or acquired when it is developed throughout life. And there are many: from infectious, sexually transmitted to those caused by poor hygiene. It is important to keep an eye on the penis, literally, because the diagnosis of the most common diseases is noticeable from observation. The main symptoms are: discharge, blood, warts, redness and sore in the penile region. As there are many diseases involving the penis, we separated the most common in the offices, in conversation with three specialists in the field. Check the list below. Phimosis What it is: It is the inability to expose the glans ("head" of the penis) because of the foreskin, that skin that covers the organ. Most children are born with this, and 90% are no longer between 7 and 8 years old. Adults may develop phimosis due to other diseases, such as diabetes. Symptoms: Usually itching, redness in the area and pain during erections, which affects men during sexual intercourse. Treatment: In children, phimosis may disappear. If you don't leave, you can treat it in two ways: specific ointments or surgery (prostatectomy, better known as circumcision). Many children operate as young children. There are even studies that show that circumcised patients are less likely to contract sexually transmitted infections. Read the full article

[urologistinnoida]

Prostate Problems: Signs and Tips

Prevention and well-being Often, when prostate cancer is detected early, it is not necessary to proceed to aggressive prostate cancer treatment in Noida by opting only for close surveillance. The prostate is a small gland in man, the size and shape of a walnut. It is located below the bladder and in front of the rectum and surrounds the urethra (the tube that carries urine from the bladder to the outside). Its function is to produce a white fluid that is part of the sperm. With advancing age, the prostate tends to increase in size (it is not known exactly why) and, when it becomes too big, it can cause health problems, explains the urologist in Noida. Talk to your doctor if you notice ... If you notice any of the following symptoms, you should consult your urologist in Noida to assess the presence of a prostate problem. Willingness to urinate frequently Waking up several times during the night to urinate Blood in urine or semen Pain or burning when urinating Pain on ejaculation Frequent pain or stiffness in the lower back, hips, pelvic, rectal or thighs Involuntary loss of urine The most common prostate problems Consult your urologist in Greater Noida to see if your symptoms are due to any of the following problems: Benign prostatic hyperplasia Very common in men over 55, it occurs when the prostate enlarges. Annual Read the full article

[urologistinnoida]

Why Does Benign Prostatic Hyperplasia Occur?

The passage of time affects both men and women in various areas of life and health. Benign prostatic hyperplasia or benign prostatic growth is a physiological phenomenon where years count. And it is that this pathology occurs in all prostates of men from the age of 40. However, what are the causes that produce it, and what are the symptoms of benign prostatic hyperplasia? Causes of benign prostate growth Benign prostatic hyperplasia is a pathology that affects a large number of the male population at some point in their life. It is the result of the natural aging process of the male. In general terms, as a man ages, his body suffers deterioration and, in the case of the prostate, he suffers from hypertrophy, that is, growth. This means that the only cause responsible for the appearance of this pathology is age. What happens in the male organism is that the prostate increases in size and produces certain symptoms in the male that cause him to worry. In short, the prostate is a gland that is located around the urethra at the exit of the bladder and as this hypertrophy grows, it causes a closure inside the urethra. This causes the area to be obstructed and, therefore, certain signs occur that prevent the male from urinating normally, explains the best urologist in Noida. The Read the full article

[urologistinnoida]

Bladder Cancer: Causes, Diagnosis and Treatment

In the last decades there has been an increase in the incidence of bladder tumors. However, there have been significant advances in bladder cancer treatment in Delhi, leading to increased survival. The bladder is an organ whose function is to store the urine produced by the kidneys, until it is eliminated by contraction of its muscles. Internally, the bladder resembles the interior of the oral cavity, being covered by a thin film, or mucosa, called urothelium. This same urothelium also lines the inside of the ureters, the pelves and the renal chalices, which transport the urine produced in the kidneys to the bladder. Under the bladder mucosa is an even thinner layer, called the lamina propria, and below this, the bladder musculature. Externally, the bladder musculature is surrounded by fatty tissue.

Causes

Not yet known are all the changes that lead to the development of bladder cancer. However, a number of substances have already been identified that are associated with a higher incidence of this type of tumor, especially those related to cigarettes and some chemical substances, such as hair dyes. Smoking is associated with 50% of all bladder tumors diagnosed in India as an isolated factor. Prolonged exposure to paints and dyes appears to be the cause of these tumors in 20% to 25% of patients, says urologist in Noida. More than 90% of malignant bladder tumors originate in the urothelium, most of which are confined to the mucosa and submucosa (superficial tumors), with no muscle involvement (infiltrative tumors).

Symptoms

According to the best urologist in Noida, the most frequent symptom is the presence of visible bleeding in the urine (hematuria), usually bright red and accompanied by coagulated blood. More rarely, this bleeding can only be seen through a urine test. The exclusive presence of hematuria, microscopic or not, is insufficient for the diagnosis of bladder cancer, as it can be a symptom of other diseases, or even be considered "normal" for some individuals. Therefore, further tests are needed to diagnose bladder tumors. Other symptoms associated with bladder cancer are very frequent urination and painful urination (dysuria). Again, these symptoms are also nonspecific and only suggest the possibility of a bladder tumor.

Diagnosis

Through clinical history and physical examination, the urologist in Ghaziabad may suspect this disease. As the presence of bleeding in the urine can result from other diseases in the kidneys, in the collecting systems (goblets and renal pelves), in the excretory pathways (ureters) and in the bladder, the best urologist in Ghaziabad may order some imaging tests (computed tomography, ultrasound, resonance) magnetic, excretory urography) to assess these structures. The analysis of urine may also include the analysis of urothelial cells that are released and carried by the passage of urine (urinary cytology), as well as some substances dissolved in it and that may be related to urothelial tumors. The most important diagnostic test for bladder tumors is endoscopy (cystoscopy), which allows the urologist in Delhi to view the inside of the bladder. This examination can usually be performed without the need for hospitalization and under mild sedation, or even under local anesthesia through the introduction of an anesthetic jelly in the urine channel (urethra). If the urologist in Greater Noida diagnoses the presence of a tumor, or if they have already been diagnosed through imaging tests, there will be a need for hospitalization to perform an endoscopic surgery. This surgery takes place under general or epidural anesthesia / spinal anesthesia, in which we will try to "scrape" (transurethral resection - TURP) the entire visible tumor, which will allow the study of its microscopic characteristics (anatomopathological study), fundamental data for defining the prognosis and bladder cancer treatment in Noida. The anatomopathological study will allow the pathologist to examine tumor cells and compare them with normal cells in the same tissue. With this, the best urologist in Greater Noida will be able to conclude how much the tumor cells differ from the normal ones and classify the tumor in "low grade" and "high grade". The tumor grade reflects the aggressiveness of the tumor, that is, the probability of becoming infiltrative, if it is a superficial tumor, or of spreading through the body (developing metastases). The pathologist will also define how deep the tumor has invaded the bladder, whether it has compromised only the mucosa and submucosa (superficial tumors), or whether there has already been involvement of the bladder muscles (infiltrative tumors). Through radiological exams, the urologist in Vaishali will check for possible involvement of other structures in the body, especially the lungs, liver and lymph nodes (lymph nodes) located inside the belly (abdominal cavity). All of this information constitutes tumor staging and it is this that will define the most appropriate form of treatment, as well as the prognosis. Staged tumors such as Ta, Tis and T1 are considered superficial tumors. Most Ta tumors are low grade tumors and rarely progress to infiltrative tumors. However, they are often recurrent. T1 stage tumors, on the other hand, often evolve with involvement of the bladder muscles. The Tis stage features a type of high-grade tumor called "in situ" carcinoma (CIS). These tumors are difficult to remove and are treated by bladder instillation of substances, such as BCG. When left untreated, they end up evolving to infiltrative tumors.

Treatment

Removal of stage Ta and T1 tumors - Performed through endoscopic scraping (resection) by transurethral approach (RTU), which allows material to be obtained for anatomopathological study. Chemotherapy and intravesical immunotherapy - After removal of the tumor by endoscopic route, depending on the case, and particularly in the CIS, the best urologist in Delhi may opt for intravesical instillation of immuno or chemotherapy in order to reduce the incidence of recurrences. Intravesical instillation is performed through a catheter (probe) inserted into the bladder through the urethra. The procedure is done on an outpatient basis, requiring only local anesthesia obtained with the introduction of an anesthetic jelly in the urethra. The instilled substance is retained in the bladder for approximately 1 hour, and then eliminated through urination. After instillation, the patient is expected to experience a little burning sensation when urinating, which may persist for 24 to 48 hours. The most frequently used immunotherapeutic drug is BCG. Among chemotherapeutic agents, thiotepa, doxorubicin, and mitomycin-C may be used. Cystectomy - Partial or complete removal of the bladder may be necessary in patients with CIS or high-grade T1 stage, who do not respond to intravesical chemotherapy and immunotherapy. In these situations, the risk of developing infiltrative disease is greater, which requires more aggressive treatments in order to reduce the possibility of metastasis. Cystectomy is also the most appropriate way to treat infiltrative tumors (which affect the bladder muscles). It may be preceded by systemic chemotherapy (intravenous injection of chemotherapeutic drugs) in special situations. Exceptionally, infiltrative tumors can be treated only with endoscopic resection associated with chemotherapy and radiotherapy. With the complete removal of the bladder, it becomes necessary to create an alternative for the elimination of urine produced by the kidneys (urinary diversion). The preferred way, whenever it is possible to use it, is to make a "new" bladder with a segment of the intestine. This surgery allows the urine produced to be stored in this intestinal reservoir (neo-bladder ileal) to be eliminated by the urethra, allowing the patient to live with a very good quality of life. However, some tumors may make this form of urinary diversion impossible, requiring the use of urinary collection bags attached to the skin, or that a drainage of the urine into the intestine be created. Read the full article

[urologistinnoida]

Prostate Cancer: Symptoms, Diagnosis and Treatment Options

Understanding the prostate

The prostate is a gland and is part of the human reproductive system. It is below the bladder and above the rectum, encompassing the entire back of the first portion of the urethra. The prostate contributes to the production of seminal fluid that helps to load sperm during ejaculation. One of the most common prostate problems is its benign growth, which, over time, can compress the urethra and cause difficulty urinating, explains the best urologist in Noida.

Prostate cancer

No one knows exactly what causes prostate cancer. However, it is known that it is not a contagious disease and that some risk factors make certain men more likely than others to develop it. Prostate cancer is the most common malignant tumor in men and it is estimated that on average one in six men will develop the disease, says the urologist in Noida. Age - Age is the most important factor, being uncommon before age 45 and most common after age 60. Family history - If a first-degree relative (father or brother) has already developed the disease, the risk is greater. Race - It is believed that the racial issue may be important in the development of prostate cancer. In the United States, the disease is more common among blacks. But this is not necessarily repeated in other countries, in which there are groups descended from African tribes of different ethnicities. In the East, in general, it is less frequent. However, this low incidence may not have exclusively the racial factor as a justification, since Orientals who migrate to the West and acquire local habits, present a progressively higher risk of prostate cancer in subsequent generations. Diet - Some studies suggest that prostate cancer is related to a diet rich in meat and animal fat, while a diet rich in fruits and vegetables could be a protective factor. Conditions such as benign prostate growth, obesity, smoking, having undergone a vasectomy, a viral infection of the prostate and a lack of physical exercise are not considered risk factors, explains the urologist in Greater Noida. Early detection- Since localized or early stage prostate cancer usually does not cause symptoms, you should try to discover the disease before the symptoms appear. For that, it is recommended to perform the examination of the prostate by digital rectal examination. The collection of a blood test, PSA (acronym in English for prostate specific antigen) is a controversial topic in the medical field, although the dosage of this substance is an important marker for prostate cancer. On the one hand, the risk of false positives may be associated with invasive and unnecessary interventions. But, on the other hand, early detection is linked to a better prospect of total tumor elimination. American guidelines suggest that men as young as 50 years of age go to the urologist in Ghaziabad to investigate the health of the gland. Touch examination - Also known as digital examination of the prostate by the rectum, it is performed by the doctor to identify hardened areas in the prostate and other changes that may lead you to suspect cancer. It lasts a few seconds and is painless. PSA - It is measured in the blood and used as a marker of prostate cancer, suggesting the presence of the disease mainly when the total value is greater than 2.5 ng/ml. However, it can increase in other prostate diseases, such as benign growth and prostatitis (infection and inflammation of the prostate). There are other fractions of the PSA (free and linked to other molecules) and other parameters that can help the doctor to suspect an eventual prostate cancer, such as the speed of growth of the PSA (how much it increases from year to year), the density of the PSA (ratio of the test result to the size of the prostate) and the expected PSA for age. Symptoms - Mostly prostate cancer have no symptoms. The discomfort to urinate or the presence of blood in the urine or sperm are more related to the benign growth of the prostate or prostatitis. A urological evaluation is often necessary to clarify the real source of these symptoms, says the best urologist in Ghaziabad. Diagnosis - Localized prostate cancer does not appear in most imaging tests such as ultrasound, tomography, MRI and PET-SCAN. Therefore, the diagnosis is made through biopsy (removal of small fragments by a fine needle inserted through the rectum) guided by ultrasound and made with sedation. The removed fragments are analyzed by a pathologist who evidences the existence or not of the problem. This exam has become standardized and routinely performed in the best institutions, with a low risk of serious complications and with a quick return of the individual to his normal activities. A biopsy exam performed does not completely exclude the presence of the disease and other biopsies may be necessary depending on the analysis of several risk factors. Disease stages - When the diagnosis is confirmed by biopsy, it is necessary to perform a series of tests that will determine whether the disease is located in the prostate, whether it is just beyond the limits of the prostate, or whether malignant cells have already spread to other organs. .

Treatment Options

Localized disease - It is the stage that can offer the greatest chances of cure. There are some options for Prostate Cancer Treatment in Delhi for managing the disease to be discussed: Surgery - It is called radical prostatectomy. It consists of the complete removal of the prostate, seminal vesicles and eventually lymph nodes that may be compromised. After removal of the gland, the bladder is connected to the urethra using stitches and a probe is left that goes out through the hole in the penis. This probe drains the urine, protects the stitches and remains after surgery for a time ranging from five to 14 days. In surgery, it is possible or not to preserve the nerves responsible for the erection that pass very close to the prostate and this depends mainly on the local conditions, mainly on the suspicion of invasion of the nerves by the tumor. Surgery can be done through three different routes: the conventional open route, the laparoscopic route or the perineal route. The open route consists of an abdominal incision made below the umbilical scar until close to the bone above the base of the penis. The laparoscopic approach consists of an abdominal access through four or five incisions from 5 mm to 10 mm, with gas insufflation and a view of the surgical field through a monitor connected to a microcamera inserted in the abdomen through one of these holes. This technique can also be performed with the aid of a robot (called Da Vinci). The perineal route consists of an incision between the scrotum and anus with direct access to the prostate. This way, there is a limitation on the possibility of removing the nodes. There is no consensus on the best access route to perform radical prostatectomy and some surgeons have more experience and / or preference for one technique or another. The advantages and disadvantages of each should be discussed with the urologist in Delhi. Radiotherapy - It consists of the application of radiation directed to the prostate. It can be done by external radiation (3-D conformational and with modulated intensity - IMRT Intensity Modulated Radiation Therapy) or by implanting radioactive seeds (brachytherapy) in the prostate, which is done under anesthesia. Locally advanced disease - When the tumor exceeds the limits of the gland, there are some possibilities for prostate cancer treatment in Noida to be considered and discussed, such as blocking the male hormone for a period prior to, concomitant with or after surgery or radiotherapy. Metastatic disease - When identifying sites for the spread of the tumor to other organs, such as bones, for example, the prostate cancer treatment in Ghaziabad may be blocking the male hormone (testosterone). Malignant cells in the prostate grow stimulated by testosterone and blocking this hormone can cause the tumor anywhere in the body to regress and become latent. There are several ways to block the hormone and the procedure to be adopted, as well as its possible side effects, should be discussed with the urologist in Delhi. When the disease no longer responds to hormone therapy, current chemotherapy is effective in treating symptoms and increasing the life expectancy of patients with prostate cancer. Read the full article

[urologistinnoida]

Kidney Cancer: General information and treatment

Kidney cancer is the third in frequency among malignant tumors of the uro-genital apparatus, after those of the prostate and bladder. They are, in their great majority, originated in the kidney itself, although exceptionally they can be an extension of tumors from other locations. If not treated in a timely manner, it can be fatal. If it is diagnosed in a localized stage (before it has expanded outside the kidney), the probability of 10-year survival is greater than 90%, and it decreases depending on the extent of the tumor, says urologist in Noida. What is the cause of this disease? As in other malignant diseases, it is believed that damage to DNA (the substance within the cell that determines its biological activity) generates a cascade of events that ultimately translate into unregulated and aggressive cell growth and reproduction that make up a tumor. A type of cancer is the family kidney, which occurs when some mutations (changes in DNA) are passed from one generation to the next. Corresponds to 3-4% of all cases of the disease. If there is a family history of kidney cancer, the person must be strictly controlled. Another form of cancer is sporadic kidney cancer, which corresponds to the vast majority of cases and is caused by changes in the cells after birth, probably due to external factors that cause DNA damage, explains urologist in Ghaziabad. Some of these factors are: Smoking habit It increases the probability of developing kidney cancer by 40%, making it the highest risk factor for this disease. Many of the chemicals inhaled by smoking are believed to be absorbed into the bloodstream and concentrated in large quantities, where they can cause DNA damage and tumor formation. By quitting smoking the risk decreases, but it can take many years to reach the risk of a non-smoker. Occupation Studies indicate that people exposed to some chemical agents like asbestos, cadmium, some herbicides and organic solvents like trichlorethylene, have a higher risk than people who do not have this contact. Obesity Some scientists believe that it is a factor in 20% of cases. It can alter the balance of hormones in the body, which affects the normal growth of kidney tissue. Sedentary lifestyle Several studies indicate that inactive people are more likely to develop kidney cancer than those who exercise regularly. Hypertension Statistics suggest that, added to excess weight, they can triple the risk of kidney cancer. What are the symptoms of the disease? According to the best urologist in Noida in its early stages, it is rare to cause symptoms. A significant proportion of cases are detected as a finding in a routine checkup or for an unrelated problem. There is no blood test that allows investigating kidney cancer in its early stages; therefore, it can reach a significant volume before being found. Some of the symptoms that can be experienced are: Blood in the urine Low back pain Mass or bulge in the abdomen Fatigue Lose weight Fever Lower limb edema It should be noted that in the vast majority of cases these symptoms are not caused by cancer, but by benign conditions such as cysts or infections. However, a study is necessary, as tumors diagnosed in a timely manner can be successfully treated, suggests the best urologist in Ghaziabad. How do you make the diagnostic? In addition to the physical exam, one or more of the following studies are done to confirm the diagnosis: Urine test Blood tests (CBC, plasma creatinine) Ultrasound Computed axial tomography (Scanner) Magnetic nuclear resonance Biopsy puncture Staging Once the diagnosis of kidney cancer has been established, other laboratory and radiological examinations are used to determine if the tumor is confined to the kidney or presents evidence of local or distant extension. This information is extremely valuable for planning the best kidney cancer treatment in Delhi. Treatment Kidney cancer treatment in Noida will depend on two factors: the degree of extension and the general health condition of the patient. Nephrectomy (surgical removal of the kidney) is the standard therapy for "localized" tumors, that is, confined to the kidney, its adjacent tissue, or peri-renal lymph nodes, says urologist in Greater Noida. Radical nephrectomy It is the most commonly performed surgical procedure for this type of cancer. It consists of the removal of the kidney, adrenal gland, lymph nodes, and perirenal fatty tissue. The remaining kidney allows the patient to lead a normal life. Partial nephrectomy It is the removal of only the part of the kidney that includes the tumor. It allows preserving a greater reserve of kidney tissue. It has been used more commonly in recent years, especially for small tumors (4 cm or less), in which a radical nephrectomy may be unnecessary. It is the preferred strategy in patients who have only one kidney or, having both kidneys, their overall function is impaired. Laparoscopic surgery Both total and partial removal of the kidney can be performed laparoscopically. The surgery is performed using small instruments and a camera that are inserted through three to four holes of approximately 1 cm. on the abdominal wall. It meets the objectives with the same efficiency as open or traditional surgery, providing the advantages of less pain in the postoperative period and a faster recovery. Advanced tumors Treatment of advanced tumors is gradually improving, but an optimal strategy does not yet exist. Some patients may benefit from kidney removal. Alternatives include immunotherapy, which is the use of drugs that stimulate the patient's immune system to try to control the tumor. More recently, other drugs have been incorporated that can attack the tumor, reducing its vascularity and other targets. The latter appear to be more promising, but there are no long-term follow-ups yet. Chemotherapy and radiotherapy do not play a role in the management of kidney cancer, except in very rare cases. Tracing Like all malignant tumors, even when the tumor has been completely removed, it requires regular monitoring, since malignant cells can appear in other parts of the body. Control includes physical examination, laboratory and radiological examinations. A change in lifestyle is recommended that includes a balanced diet with high fiber intake and low animal fat, regular exercise and smoking cessation. Read the full article

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Urethral Stricture: Causes and Treatment

Urethral stenosis is a narrowing of a segment of the urethra, which can result in a decrease or even complete interruption of the urinary flow, resulting in a series of complications, explains the best urologist in Noida. The urethra is a tubular organ through which urine flows out of the bladder. In men, the urethra is longer. In its innermost part, just at the exit of the bladder, the urethra crosses the prostate. Near the exit of the bladder is the urinary sphincter, which controls the voluntary elimination of urine (continence). Any part of the urethra can be affected, and the extent of the narrowing can vary from a few millimetres or even affect the urethra throughout its length. In general, there is deposition of scar tissue (fibrosis) in the region of the stenosis. This type of problem is more common and more complex in men, says the urologist in Noida. Causes Trauma or urethral lesions that, when healing, can determine an excessive deposition of fibrotic tissue, causing a decrease in the calibre of the urethral canal. There are several types of trauma capable of injuring the urethra: pelvic fractures, "fall to rider" (which occurs, for example, when the person has a bicycle accident and traumatizes the perineum region). Medical procedures with urethral manipulation (cystoscopy, prostate surgery, passage of urethral tubes, among others) and even radiotherapy can also produce strictures, even when done properly, says the urologist in Greater Noida. Infections such as urethritis caused by sexually transmitted diseases (gonorrhoea or chlamydia). Even with the proper treatment and cure of the infection, the healing process resulting from tissue inflammation can cause strictures. Congenital - some new-borns are already born with stenosis. Cancer is a rare cause of stenosis. The primary tumour is usually located in the prostate or bladder. Symptoms Reduced flow of urine is usually the first symptom. Voiding difficulty is quite common, but complete interruption of flow is rare. Spread or double jet. Urine drip after urination. Increased urination frequency (need to urinate more often than usual). Nycturia (waking up and getting up at night to urinate). Burning at the time of urination. Urinary incontinence in some cases. Complications When you have a urethral narrowing, the bladder muscle starts to work, making more effort to generate a urinary flow that can overcome the region of stenosis. Even so, depending on the degree of the stenosis, part of the urine may be retained inside the bladder (residual urine). This residue can result in recurrent urinary infections, prostatitis, orchitis (infection of the testicles) and pyelonephritis (infection of the kidneys). An abscess near the site of the stenosis can further aggravate the obstructive condition. Rarely, some patients with chronic inflammation due to urethral strictures can develop cancer, states the best urologist in Greater Noida. Tests for detection of urethral stenosis Urofluxometry - Evaluation of the force of the urinary stream, which is obtained when the patient urinates in a device that measures the flow of urine (ml / s). Stenoses determine decreased flow. Urethrocystography - Examination in which x-ray plates are made with the urethra filled with contrast. Thus, the location and extent of the narrowing can be determined. Cystoscopy - Examining the region of the stenosis with a special endoscope may be indicated in some cases. Treatment Urethral dilation - Type of outpatient treatment. The region of the stenosis is dilated with the use of progressive gauge plastic urethral tubes. The objective of this method is to try to supply the fibrotic tissue of the stenosis in order to increase / stabilize the internal diameter of the urethral canal. As the urethra is a tubular organ and the scar tissue tends to contract, repeated dilation sessions are generally necessary to maintain the urethral lumen. Some patients learn to self-dilate when the procedure has to be performed at very short intervals. The dilations can be used as an initial treatment in short and mild stenosis, or even in the post-surgical period to stabilize the operated segment, explains the urologist in Ghaziabad. Urethrotomy - A special type of endoscope (called a cystoscope) is introduced through the urethra to the site of the stenosis. A small blade embedded in the device cuts the fibrosis region along the stenotic segment, thereby increasing the light of the urethra. Although most patients improve their symptoms for some time, only about 30% are definitively cured with this type of procedure. Therefore, many end up having to repeat the urethromia from time to time. It is an attractive method because it is performed in a non-invasive endoscopic way. It is more suitable for relatively short strictures (less than 1.5 cm), says the best urologist in Ghaziabad. Surgery - It may be an option to the treatments mentioned above. There are several different types of techniques. For relatively short stenoses, the stenosed urethra can be removed and the urethral stumps are again joined with suture points. If the stenosis is long, skin flaps from the region (for example, a foreskin flap) can be rotated to replace the diseased foreskin segment. These procedures have a higher success rate. Urethral stents - Used in difficult and complex cases when other types of treatment have had no effect or when the patient's clinical conditions prevent major surgery. Immediate relief is usually obtained, however, over time, fibrotic tissue progressively surrounds the stent, says the urologist in Delhi. Read the full article