What is urology?
Urology is a medical specialty concerned with conditions and diseases of the genital and urinary tract in men, women and children.
Urologists also diagnose and treat disorders of the male reproductive system.
What training do urologists have?
Urologists are doctors who have completed Five years of medical college (MBBS) and at three years of the general surgical degree (M. S), followed by three years of specialty training in urologic surgery. (M.Ch, DNB). Subspecialist also undergoes further fellowships like endo urology or laparoscopy and robotic surgery.
How many times a day does a healthy person urinate?
Urination frequency varies widely, but most healthy people use the bathroom four to eight times a day.
More frequent urination or waking up at night to go to the bathroom may signal a health problem or simply that you’re drinking too much before or at bedtime.
What can I do to maintain good urologic health?
The best way to avoid urological problems is to maintain good overall health habits, including exercising regularly, maintaining a healthy weight and avoiding tobacco, excessive alcohol and caffeine.
Stone formers and patients with urinary infections need to have high fluid intake.
You should also avoid foods or substances that remove water from the body, known as diuretics. Avoid prolonged use of pain killers and drugs without the advice from doctors. Not all alternative medicines are safe as many contain heavy metals which are toxic to the kidneys and liver.
When should I see a doctor for incontinence (loss of urinary control)?
Generally, it’s a good idea to call your doctor or schedule an appointment if you:
- Have incontinence
- Are wearing a urine absorption pad because of frequent accidents
- Find that incontinence is interfering with your quality of life
What increases a woman's risk of incontinence?
Often it’s a combination of factors, such as having given birth multiple times, age, obesity, and smoking.
Other factors include:
- Chronic bladder infections
- Lower estrogen levels after menopause
- Multiple sclerosis
- Parkinson’s or Alzheimer’s disease
- Stroke or spinal cord injury
While age can be a contributor, no one should accept incontinence as an inevitability of growing older.
What increases the risk of incontinence for men?
Most men have decreased bladder capacity as they age, naturally increasing the risk of incontinence to some degree.
But incontinence in men may be related to several health conditions or medical treatments. It also can be caused by lifestyle.
Other contributors can be smoking, obesity, high consumption of alcohol and caffeinated and carbonated drinks, and injury to the bladder.
Just as in women, neurological conditions such as Parkinson’s or Alzheimer’s disease can play a role.
I have urinary stone can I take ayurvedic or homeopathic medicines?
Most stones less than 7 mm would pass with adequate hydration and medicines. It is OK to try alternative medical treatment for these small stones provided that the kidney obstruction is not causing significant swelling or impairment in renal function and infection. Diabetic patients are cautioned not to try any medication without consulting specialist.
If the stone does not clear from the urinary tract within 4-6 weeks you are advised to see urologist.
Are there any medicines which dissolve stones?
Barring a small percentage of stones made up of uric acid majority od stones made up of Calcium does not dissolve or reduce in size. They can only be expelled if small enough. A very small percentage of patients (less than 10 %) will expel stones more than 9 mm.
Will I form stones if I get treated with endoscopic or laser therapy?
No matter how the stones are treated medicines or any surgery the kidney and the body which has formed the stone remains the same. If proper fluid intake and dietary advice is followed, the chances of recurrence reduce but cannot be made zero.
My sonography has shown prostate enlargement do I need surgery?
All males will have enlargement of the prostate after the age of 40. This will increase in size with age. However, mare increase in size is not an indication for treatment. Treatment is required for
- Prostate obstructing the urine flow
- Symptoms like frequent urination, incomplete urination recurrent urinary infections
- Possibility of prostate cancer.
If you have family history of prostate cancer, please see an urologist.
If I need surgery for prostate which surgery is better?
Advancement in technology and medical field have allowed prostate surgery to be very effective and safe. For moderate size glands (up to 70 gms.) Saline TURP is a preferred modality. Any gland size which is larger or if the patient is on blood thinning agents such as aspirin Laser surgery is preferred. Laser surgery allows lesser blood loss early healing and early restart of blood aspirin like drugs. Holmium Laser is the gold standard treatment.
I have a prostate cancer what are my options?
Not all prostate cancers are the same. Appropriate treatment will depend upon the age the PSA levels, co morbidities like heart disease or diabetes, Gleason score (on Biopsy) and stage. Generally, surgery is preferred for early disease and hormones and radiation treatment in more advanced disease.
Laparoscopic or Robot assisted Laparoscopic surgery is now the preferred modality due to less blood loss, less pain, better continence rates.
What are the advances in Urology surgery do we offer?
We are the leaders in laser prostate surgery, laparoscopic surgery for urinary disorders, flexible ureteroscopy, ultra-mini PCNL for stones in Pune. We are also the pioneers in adopting a new surgical robotic system 1st time in the world. We have the back up of the latest investigations like the video urodynamics, PSMA PET, Multiparametric MRI and offer state of the art chemotherapy and radiotherapy back up. Trust us to offer you the best available technology