Kidney stones | Kidney stone treatment in Bangalore

Kidney stones | Kidney stone treatment in Bangalore arise because crystals are formed in the urine. Not all kidney stones are painful. But when stones enter the ureter (kidney pipe) and make the flow of urine more difficult, they often cause severe pain called as a renal colic. Most of the patients we see report to the emergency department with severe pain, with or without nausea and vomiting.

Kidney stones  | Kidney stone treatment in Bangalore

Pain relief is the first step in treatment, often combined with medication that can relax the muscles of the ureter. Fluid intake is limited to limit the pressure on the drainage system. Further examinations are then planned, on the one hand to determine the location and size of the stone, and on the other hand to rule out complications.

On the basis of the results of these examinations and in consultation with the patient, the urologist will decide what the Best Kidney stone treatment in Bangalore could be.

Pain relief and waiting for the spontaneous expulsion of the stone: Especially for small stones that are already at the end of the ureter, often the best option

Preparation for the ultimate stone treatment or approach for complicated stones:

Some stones cannot be treated in 1 time due to their location, size or complications (infection, blockage in patients with only 1 kidney, ...). In these patients, a smooth passage of urine must first be guaranteed before the actual treatment of the stone can be started.

Ureteric stent: A Ureteric stent aka DJ stent is a hollow plastic tube with curls on both ends that helps to hold the stent in place. The stent is placed under anesthesia or sedation in the operating room. It passes through the ureter next to the stone and serves to drain “dirty” urine and relieve pressure on the kidney.

Nephrostomy: If placement of a DJ stent is not recommended or is not possible, a nephrostomy must be inserted. This is a drain that is done through a small incision in the back and into the kidney. This procedure can be done under local anesthetic at the radiology department.

Surgical treatment: For the definitive treatment of the stone, the urologist has 3 treatment options available:

ESWL = extracorporeal shockwave lithotripsy

URS (Therapeutic ureterorenoscopy)

PCNL = percutaneous nephrolitholapaxia

ESWL or kidney stone pulverizer

Sound waves are aimed at a focal point. Via X Ray imaging or Ultrasound imaging, the stone is searched and placed in the focus of the shock waves. The purpose of this is to break the stone, so that the pieces of stone can be discharged spontaneously.

 

Not all stones are equally hard, so that not all stones can be treated in this way. Large, hard stones require more energy, so that sometimes several treatment sessions are necessary. Stones in the ureter often break less well, regardless of size and hardness.

Usually 3000 shock waves / session are administered. These are rather painful and in order to focus properly, the patient must remain very still. That is why the procedure is performed under sedation or anesthesia. The patient enters the day hospital on an empty stomach for this purpose.

Although this procedure does not involve any cut on the skin, the shock waves can in exceptional circumstances give rise to bruising. It is therefore very important that the patient reports the use of blood thinners in advance.

Blood in the urine can occur after this procedure.

The fragment of the stone that settles after the procedure can give rise to a new renal colic. Measures here are similar to those for small stone treatment: pain relief as prescribed by the doctor and fluidrestriction. In case of fever or unbearable pain, the emergency department should be contacted immediately.

Ureterorenoscopy (URS)

During this procedure, the urologist uses a small camera through which a working channel runs through the urethra and the bladder to the ureter to search for the stone. Small stones can be caught and removed with a pair of forceps or a basket. Larger stones are fragmented with the laser into fine particles, which can spontaneously wash out. 

The procedure is always performed under general or regional anesthesia in a day hospital or with 1 overnight stay in hospital.

After surgery, many patients might have blood in their urine. Pain (colic pain) can also persist for several days due to swelling of the ureter. Pain relief is prescribed for this.

If the stone or procedure causes damage to the ureter wall, the urologist will leave a DJ stent until the ureter has healed. The stent gives the feeling of frequent and urgent urination. It often also causes blood in the urine (up to a few days after stent removal). The stent is removed after a week in the OPD.

In case of fever or pain that is not controlled with classic pain relief, you must report urgently, regardless of whether a stent was left or not.

Percutaneous Nephrolithotomy (PCNL)

This procedure is used less frequently than ESWL or URS. It is a technique to remove very large stones (> 2cm) from the kidney or the most upper part of the ureter.

During the procedure, a catheter with a balloon is first introduced through the urethra and the bladder into the ureter. Afterwards, the patient is turned on the stomach or on the side. The kidney is punctured through an incision in the back or in the flank, guided by the ultrasound. The resulting channel is stretched and a tube is pushed through which a camera with working channel is inserted into the kidney. Here the stone is usually broken into pieces with the laser or conventional lithotripter, which are then removed from the kidney with forceps. At the end of the procedure, a drain or catheter is inserted into the canal so that the bloody urine can drain properly. The blood remains in the urine for several days.

The procedure is always performed under general anesthesia and the patient is admitted to hospital for 3 to 4 days.

After the procedure, the patient is not allowed to do strenuous exercise or exercise for 3 weeks.

In case of pain, excessive blood flow or fever, the patient should immediately go to the emergency department

For more information about kidney stones, please consult Dr. Praveen B Joshi.

Reduced fertility in men | Male infertility treatment in Bangalore

Reduced fertility in men| Male infertility treatment in Bangalore 

Fertility disorder is on the rise and about 35- 40% of cases male factors may be the cause. Many factors influence male fertility. Often these are due to abnormalities in the sperm cells.

Male infertility treatment in Bangalore

Causes

Fertility problems in men are often related to abnormalities in the sperm cells. These are related to disorders in:

• Production of sperm cells
• Transport of sperm cells
• Hormones that stimulate sperm production

Nevertheless, it is important to realize that in at least half of the cases a good medical explanation cannot be found for reduced fertility in men.

Production of sperm cells

Problems in the production of sperm cells can lead to a reduced number, reduced mobility or an abnormal shape of the sperm cells.

Numerous factors can cause this:

• ·         Infection or inflammation of the testes
• ·         Twisting (torsion) of the testes, cutting off blood flow to the testes
• ·         Undescended testes or other abnormal positions
• ·         Genetic abnormalities
• ·         Damaged secretions between seminal ducts and blood vessels
• ·         Medicines that (sometimes temporarily) reduce fertility (e.g. anabolic steroids)
• ·         Chemotherapy and radiation
• ·         Pesticides and chemicals
• ·         Transport of sperm cells

If the sperm cells are of good quality, they still have to get to the egg. Sperm transport disorder is another cause of reduced fertility in men.

Possible reasons for a disturbance in transport:

Erectile dysfunction, in which the penis is not rigid enough or is not rigid long enough for normal sexual intercourse.

Premature ejaculation, where the semen is ejaculated very early may not be introduced into the vagina.

Retrograde ejaculation, where the semen enters the male's bladder. Some of the causes for this are diabetes and prior surgeries on bladder neck.

Obstruction of the sperm ducts, so that there are no sperm cells in the ejaculate (eg with cystic fibrosis or after sterilization)

Hormones that stimulate sperm production

Sometimes the body does not make enough hormones that stimulate sperm production.

Such a disorder therefore leads to reduced fertility in men.

Investigations and diagnosis

In a suspected case, we may have to perform a few tests.

Semen Analysis

Blood test for male fertility problems

Male blood tests that screen for infectious diseases, genetic abnormalities and other factors that can lead to reduced fertility. The blood test is a standard test for fertility problems.

Examination of the quality of sperm cells and the amount of sperm cells.

Andrological examination

Consultation with the Uro-andrologist Dr. Praveen Joshi, who examines the male reproductive organs.

Scrotal scan may have to be done in some of the cases in order to evaluate the testicular conditions and other details like varicocele.

Therapy

Here are some possible treatments for this condition. After the diagnosis, your doctor, together with you and the other doctors on the team, will choose the best solution for you. Your Male infertility treatment may need a team effort.

Lifestyle modification

Varicocele correction by microsurgical procedure

Testicle aspiration, biopsy, microsurgical procedures for sperm retrieval in cases of azoospermia (Sperm count is zero). This type of sample can be stored. The frozen material can later be used for fertilitytreatment.

Hormonal treatment

Hormonal or drug treatment for hormonal disorders.

We, Joshi’s Andrology and Urology Centre have more 10 years of experience in treating men with various fertility problems. In fact, it has become an important specialty. We see positive results in many patients. We don’t give up on any of our patient no matter how bad the condition might appear.

Make an appointment

Would you like an appointment or would you like to meet? Call 080 – 42070577, +918197371247 or Submit your e-mail address or telephone number on Website Enquiry page Male infertility treatment in Bangalore, and we will email or call you when it suits you.

Urological center | URINARY TRACT INFECTION TREATMENT IN BANGALORE

 

Welcome to the Urological Center of reconstructive urinary treatment in Bangalore. You can contact us for all urological care and treatment. We help you as quickly and as well as possible, with innovative equipment and the latest techniques, at a high scientific level.

Urinary tract

The urinary tract performs an important task for the health of our body: they filter the blood and ensure the excretion of waste products and toxic substances. The urinary system or urinary tract consists of several organs: kidney, adrenal gland, ureter, bladder and urethra. In those organs, just like in other places in our body, complaints or problems can arise.

Diseases

Kidneys:

Kidney cyst

A kidney cyst is a bubble filled with fluid, typically located on the outer edge of the kidney. It's a benign condition.

Kidney stone

A kidney stone is deposition of salts and crystal formation that forms in one of the kidneys. In the first instance, this stone is located in the kidney: you usually cannot feel such a kidney stone.

Ureter

Ureter stone

A painful renal colic occurs when the kidney stone 'breaks off' and falls from the kidney into the ureter (ureter = ureter), blocking the normal passage of urine. A ureteric stone is therefore a kidney stone that moves out of kidney at some point and then gets stuck in the ureter.

Bladder

Bladder infection

A bladder infection is most common form of UTI across all age groups. Most people experience burning urination and increased frequency and urgency sometimes associated with fever.

Bladder pain syndrome

When the bladder pain syndrome causes a defect at the level of the bladder causing chronic irritation with reduced capacity of the urinary bladder. Bladder pain syndrome is associated with lower abdominal pain and 'small bladder' symptoms like urgency and frequency.

Bladder stone

A bladder stone usually forms when the urine from the bladder can’t get emptied freely. A bladder stone that remains in place can grow in the bladder and make urination difficult.

Loss of urine

Incontinence is the same as involuntary loss of urine.

You can contact joshi's andrology & urology centre for the diagnosis and treatmentof disorders of the urinary and reproductive health. Here you will find practical information about urological symptoms disorders and the different treatment methods.

 

Make an appointment: https://joshiuroandrology.com/Pages/Contact-Us

Address: 

Joshi's Andrology & Urology Centre

Neelamma Complex, Opposite Unlimited mall,

No 44/2, 1st floor, 60 feet road,

Sahakara Nagar, G Block, Sahakara Nagar,

Bengaluru, Karnataka 560092

Contact Number:

Phone-Number : 080 - 42070577

Mobile-Number : +91-8197371247

 

 

Progress in Prostate Cancer Diagnosis: Clinic for Prostate Therapy

Progress in Prostate Cancer Diagnosis: Clinic for Prostate Therapy

With a combination of good clinical assessment and state-of-the-art imaging methods, Joshi's Andrology & Urology Centre is able to diagnose prostate cancer accurately, with minimal effort, and with a few tissue samples (biopsies) as possible.

The Prostate disease treatment in Bangalore has specialized in the careful diagnosis and treatment of prostate diseases for nearly ten years. This includes both benign changes and cancerous changes as prostate carcinoma (CaP). However, prostate cancer is difficult to diagnose because it is very small in the early stages and is therefore difficult to recognize. Even a blood test done to detect prostate cancer namely prostate-specific antigen (PSA value) may be inconclusive in the beginning. Additional tests such as the elastography method and the PCA3 gene test will confirm the suspicion of cancer to a great extent before a biopsy is performed. The biopsy of the prostate has one major drawback: it could be falsely negative and many tumors may remain hidden. If a biopsy is actually recommended, one should perform it correctly and with as little punching as possible. To this end, the Prostate disease treatment urologists combine highly accurate MRI scans of the prostate with ultrasounds also known as the fusion technique. This allows them to locate tumors with high accuracy. With a fusion of MRI and Transrectal Ultrasound and MRI guided biopsy, suspicious tissue is specifically punctured and removed.

And what is the advantage of the new diagnosis method? "Think about how a biopsy is generally done. Usually, about 10 - 12 undirected and blindly divided tissue samples are taken from the prostate through the rectum. The probability of detecting a prostate carcinoma is at most 35%. Detection of clinically insignificant cancer is high by this technique. So repeat biopsies are needed later in many patients to detect a clinically significant tumor. The main advantage of the combined method lies in the fact that by merging the information from the MRI scan and the ultrasound, suspicious areas can be accurately targeted. An internal evaluation showed a detection rate of about 90 percent in suspected cancer cases.
Sampling via the rectum also has a higher chance of transferring germs from the rectum to the prostate. In some cases, it might even lead to significant infection and Sepsis. It has been identified that biopsies could be performed through the perineum, which can be properly disinfected prior to the biopsy.

Once diagnosed accurately the prostate cancer in its very early stages with localized disease targeted high-intensity ultrasound waves (HIFU) can be applied to treat only the cancerous part thus sparing the functions of the non-cancerous prostate tissue. "Low-burden therapy and accurate diagnosis go hand in hand. In this way, treatment can be limited to the areas where tumor cells have actually been detected. Tumor-free parts are not affected so that under certain conditions the prostate functions can be preserved.

Joshi's Andrology & Urology Centre

Address: Neelamma Complex, Opposite Unlimited mall, No 44/2 1st floor, 60 Feet Rd, G Block, Sahakar Nagar, Bengaluru, Karnataka 560092
Appointments: joshiuroandrology.com
Phone: 080 4207 0577

joshi's andrology & urology centre

Why counseling is important during fertility treatment

There is no doubt that undergoing fertility treatment is very stressful - and it is a process that involves some unique strains. Managing these unique tensions through specialized counseling that provides relevant and specific coping mechanisms will not only help you deal with the challenges and hurdles during your fertility treatment, but can also improve the outcome of the treatments you receive.

The unique stress of fertility treatments

Male infertility treatment in Bangalore, our resident clinical psychologist at best andrologist in Bangalore, DR, Praveen joshi, explains that fertility patients go through very unique strains, which are briefly discussed below.

Physical Demands - Undergoing fertility treatment is often a physically challenging journey. Infertility is a medical condition and in many cases requires treatment that involves following medical procedures and receiving or administering medications for extended periods of time. The burden on the physical side of fertility treatment can be exacerbated if patients are nervous about medical interventions and procedures.

Emotional Roller Coaster "- Most women and men expect to become parents someday, so the diagnosis of infertility is an unexpected and shocking emotional blow, exposing both partners to a range of intense emotions, such as insecurity and diffidence, and fear, and from joy to disappointment.

Financial stress - Fertility treatments can be expensive and often require more than one treatment cycle. The financial stress that can be part of fertility treatment is often exacerbated by the fact that fertility treatments such as IVF are usually not covered by most of the open medical devices in India.

Lack of Control - The physical demands, emotional ups and downs and financial strains of the infertility experience can affect life at home, at work, and with family, leaving couples feeling out of control.

Higher Incidence of Depression - The emotional rollercoaster that accompanies infertility often makes people feel helpless. Couples may fear the actual medical process, but waiting for results is often the most difficult part of treatment. Days seem to pass very slowly and it can be a time of acute vulnerability and sensitivity, making it difficult to focus on normal life.

Higher Incidence of PTSD - Infertility counselors are beginning to see infertility treatment and coping in line with post-traumatic stress disorder (PTSD). The experience of infertility is literally the death of a dream. It can be a painful and difficult condition.

Sense of Isolation - Many couples feel stigmatized by their infertility and feel unable to share their experiences with family or friends.

Independent coping - Increasing the feeling of isolation is independent coping, where each partner deals with it alone, rather than seeking the support of their partner. Men and women deal with the stress of fertility on different levels and this can put a lot of strain on the relationship. Partners may feel alienated in the relationship and feel helpless in the face of their partner's distress. They may become angry and bigoted with their husbands or avoid each other for fear of saying the wrong thing or upset the other.

High-level decision-making - During your fertility journey, you will have to make many decisions and what you decide can affect you, your partner, and your future child. Decision-making can be difficult when you are feeling emotional. Expert guidance can help you make informed and rational decisions from a good place.

Specialized counseling provides relevant coping mechanisms

Dealing with these unique tensions surrounding a fertility journey requires specialized guidance that provides relevant and proven coping mechanisms.

Speaking to a counselor who understands the unique stress of fertility treatments is vital, as are coping mechanisms relevant to fertility patients and proven effective in fertility journeys.

Coping mechanisms that are both relevant and practical allow fertility patients to exercise some degree of control over their fertility journey. It provides a focal point for their attention and a way to contribute to a successful outcome. It is empowering in the face of a situation that often seems helpless, contributes significantly to better managing the infertility treatment process, and also creates a greater chance of getting pregnant.

At best andrology doctor in Bangalore, our counseling focuses on helping fertility patients become aware of the unique stresses they face and recognize the triggers or hooks that generate typical stress responses, which become stress cycles.

A hook refers to any situation, event, condition, or event that provokes a negative response. These may be unpredictable, but they are usually predictable, such as due to traffic jams or attending someone else's baby shower. These hooks can also be real (e.g. an accident), but are usually self-caused, such as leaving late in the morning and getting stuck in traffic as a result.

At andrologist doctor near me, our counseling helps people recognize their typical four responses to these hooks: their physical response; talking to themselves; their thinking; and their behavior.

fertility patients learn how to avoid the hooks or triggers they find upset when possible, and also to realize that their strength lies in their ability to control their responses and thus break their stress cycles.

Other coping mechanisms that our patients find very helpful are relaxation techniques, assertiveness training and cognitive reconstruction. Mr, Praveen joshi, we also treat a specific stress called Time Urgency Perfectionism Stress (TUPS). TUPS is common in people who are perfectionist, constantly chasing deadlines and experiencing exceptionally high levels of stress. The higher the TUPS, the more difficult it is for patients to cope with fertility, the lower their resilience and the greater the risk of postpartum depression.

Counseling can improve clinical outcomes

Of course, facing the unique stress of fertility treatment doesn't mean you won't get pregnant, but what we know for sure from studies and experience is that you have a higher chance of getting pregnant if you manage this stress properly.

International studies have now shown that stress affects fertility and affects the ability to conceive. In addition, recent literature - as well as studies conducted under the auspices of Male infertility treatment in Bangalore has shown that the reduction of stress can lead to higher pregnancy rates. The bottom line is that the right counseling can help you manage the stress of fertility treatment and give you a greater than average chance of getting pregnant.

Infertility - and its treatment - is a journey that most couples simply did not expect or envision, and while there is much cause for hope, the treatment process can also be very challenging. Coping successfully with the unique stress through relevant fertility counseling will not only increase pregnancy rates, but will also improve your ability to make important decisions, give a sense of control over your fertility journey and improve your overall quality of life in the long term.

For this reason, counseling and support are part of the fertility treatment package at joshi's andrology & urology centre. The overall well-being of our patients is a critical aspect of fertility treatment, and we encourage our patients to take advantage of the many resources we have developed to meet the emotional needs they may have as part of their fertility journey.

If you would like to learn more about fertility or infertility counseling , or to meet our experienced fertility counselor, Dr. Praveen Joshi, we invite you to simply contact us. Click here or contact us by phone at 080 4207 0577.

We look forward to meeting you at joshi's andrology & urology centre !

Urinary incontinence: solutions exist!

Urinary leakage quickly becomes a handicap if it is not discussed with your doctor. This makes it possible to determine what type of incontinence one suffers from (stress incontinence or by emergency room) and to set up a suitable solution. Perineum rehabilitation, medication, surgery: update on treatments.

1. Three types of urinary incontinence
2. Establish the diagnosis of incontinence
3. Rehabilitation of the perineum as a first treatment
4. Medicines to calm overactive bladder
5. The use of absorbent protections
6. Surgery of last resort for urinary incontinence

Urinary incontinence is not a disease as such, but the symptom of a physical, neurological or psychological disorder . It is characterized by involuntary leakage of urine in the form of drops or spray. As soon as urinary leakage becomes persistent and bothersome, it is essential to consult a general practitioner, a gynecologist or a urologist in order to put in place the appropriate solutions.

Three types of urinary incontinence

We distinguish :

the urinary incontinence : leakage occur during exercise: physical activity, coughing or sneezing, laughing, carrying loads ...

Urinary incontinence due to urgency ( overactive bladder ), which is characterized by the impossibility of retaining a pressing urge to urinate, frequently associated with the presence of urgent needs to urinate (with or without leakage).

the mixed urinary incontinence .

Establish the diagnosis of incontinence

The diagnosis is first clinical: questioning the patient to identify the circumstances in which the leaks occur, then clinical examination. In particular, we perform an anatomical examination of the small pelvis to verify that there is no malformation or prolapse (organ descent). We are also trying to determine a possible vaginal dryness  testifying to an estrogen deficiency.

Different quick and simple tests can be prescribed to determine the causes of incontinence .

A urinalysis is requested, looking for a possible infectious origin.

It is also recommended to keep a voiding catalog , i.e. to note the time and volume (with a measuring cup) of voiding for two days.

Then the urologist performs further examinations. He can check the emptying of the bladder by ultrasound .

A urodynamic workup is prescribed before a surgical solution: this involves checking the pressure in the bladder and the urethra using a probe.

Rehabilitation of the perineum as a first treatment

Perineal rehabilitation is always offered as the first treatment for incontinence. It consists, with the help of the physiotherapist, in remusculating his perineum . It also includes behavioral methods aimed at relearning, as the case may be, urinating regularly (so as not to end up with a bladder that "overflows") or conversely at spacing your urination (in case of too frequent urges to urinate) .

Perineal rehabilitation is effective on all types of incontinence.

Medicines to calm overactive bladder

Drug treatment is available only in case of incontinence by urgency: these drugs of the class of anticholinergics allow to calm the hypersensitivity of the bladder, but its side effects (dry mouth, constipation ...) sometimes make it difficult to bear. A new drug from the class of B3-agonists , without the side effects of anticholinergics, is available today and can be used in certain cases.

In case of vaginal dryness , a prescription of vaginal estrogens is generally recommended, in combination or not with hormone treatment if the woman is menopausal .

The use of absorbent protections

Several types of products provide comfort to maintain daily activities.

The majority of incontinence treatment in Bangalore people go to absorbent protections , which are available according to everyone's expectations: briefs, complete diapers, shells for men ... They are suitable for nights, and the materials are close to the textile sensation. However, they are not reimbursed by Social Security.

Men can wear a penis case . It is a kind of condom that is connected to a collection bag. Well fixed, it does not cause urine leaks or odors. Significant advantage, penis cases are reimbursed by Social Security.

In addition to absorbent protections, women with mild to moderate incontinence can use a specific tampon to prevent urinary leakage for a few hours, for example, the time of a physical activity or an outing. This product is reimbursed by Social Security.

Surgery of last resort for urinary incontinence

Surgery, when possible, is a solution in the event of perineal rehabilitation failure. But it is only offered to people who feel they can no longer bear their urinary incontinence. "urine leak treatment in Bangalore only operate on people who are embarrassed and motivated," says urologist Dr, Praveen Joshi.

Four surgical solutions are possible depending on the causes and type of incontinence.

The insertion of a sub-urethral strip is a benign procedure which consists in placing a strip under the urethra to keep it in good position.

Two adjustable peri-urethral balloons , filled with physiological saline, can be placed on either side of the urethra: by exerting pressure, they replace the function of the sphincter.

The installation of an artificial urinary system is a heavier operation in the event of a sphincter insufficiency, that is to say of the muscles which close the channel of the urethra.

The neuromodulation of the sacral roots is offered to people with incontinence urge incontinence and why the medication would not work. Dr. Praveen joshi defines it as a "bladder pacemaker" acting on the nerves of the bladder.

Another recent solution: the injection of botulinum toxin into the bladder, but the effect is transient (a few months). The procedure is performed under light anesthesia by the endoscopic route.