The Ultimate Guide to Finding the Best Kidney Specialist in Bangalore

Finding the best kidney specialist in Bangalore is of utmost importance when it comes to the diagnosis and treatment of kidney-related conditions. Bangalore, known as the hub of healthcare in India, boasts a wide range of medical professionals specializing in nephrology. However, choosing the right kidney specialist can be a daunting task, considering the numerous options available. In this ultimate guide, we will provide you with valuable insights and tips to help you find the best kidney specialist in Bangalore.

Why Choosing the Right Kidney Specialist is Crucial

Selecting the right kidney specialist is crucial for effective diagnosis, treatment, and management of kidney-related conditions. Kidney diseases require specialized care, and a skilled nephrologist can provide you with the necessary expertise and guidance to ensure the best possible outcomes for your kidney health. Additionally, a good kidney specialist will offer personalized care, addressing your unique needs and concerns throughout your treatment journey.

Steps to Find the Best Kidney Specialist in Bangalore

1. Seek Referrals and Recommendations

Start your search by seeking referrals and recommendations from trusted sources such as your primary care physician, family members, or friends. They may have firsthand experience or know someone who has received treatment from a reputable kidney specialist in Bangalore. Gathering recommendations from trusted individuals can help you narrow down your options and provide valuable insights.

2. Research and Gather Information Online

Utilize online resources to research and gather information about kidney specialists in Bangalore. Visit their websites, read their profiles, and explore their areas of expertise. Look for patient reviews and testimonials to gauge the satisfaction levels of their patients. Pay attention to feedback regarding their professionalism, communication skills, and treatment outcomes.

3. Verify Qualifications and Experience

When choosing a kidney specialist, it is crucial to verify their qualifications and experience. Ensure that they are board-certified nephrologists with specialized training in kidney diseases. Check if they have relevant fellowship programs or advanced certifications that demonstrate their expertise in the field. Additionally, consider their experience in treating a wide range of kidney conditions and performing various kidney-related procedures.

4. Consider Hospital Affiliations

Evaluate the hospital affiliations of the kidney specialists you are considering. Look for specialists who are affiliated with reputable hospitals or medical centers known for their excellence in nephrology. A strong hospital affiliation can indicate that the specialist works within a multidisciplinary team and has access to state-of-the-art facilities and advanced treatment options.

5. Assess Communication and Bedside Manner

Communication and a good bedside manner are crucial qualities in a kidney specialist. Consider scheduling a consultation to meet the specialist in person. During this meeting, assess how well they listen to your concerns, explain your condition and treatment options, and address any questions you may have. A compassionate and patient-centric approach is essential in ensuring a positive doctor-patient relationship.

6. Evaluate Patient Satisfaction and Outcomes

Look for indicators of patient satisfaction and treatment outcomes. Check if the kidney specialist has a track record of successful treatments and positive patient experiences. You can inquire about patient outcome statistics or success rates for specific procedures or treatments. Consider the overall reputation of the specialist within the medical community and among their patients.

7. Consider Accessibility and Location

Choose a kidney specialist whose clinic is easily accessible from your location. Consider factors such as proximity to your home or workplace, availability of public transportation, and parking facilities. Accessibility is crucial, especially if you require frequent visits or ongoing treatment for your kidney condition.

8. Verify Insurance Coverage and Financial Considerations

If you have health insurance, it is essential to verify whether the kidney specialist you are considering is covered by your insurance plan. Contact your insurance provider or the specialist’s clinic to ensure that their services are included in your coverage. Additionally, inquire about the specialist’s payment options, including any financial assistance programs or payment plans they offer.

FAQs About Finding the Best Kidney Specialist in Bangalore

1. What is the role of a kidney specialist?

A kidney specialist, also known as a nephrologist, specializes in diagnosing and treating kidney diseases and disorders. They manage conditions such as chronic kidney disease, kidney stones, kidney infections, and kidney failure. They also provide guidance on kidney health maintenance and preventive measures.

2. When should I see a kidney specialist?

You should consider seeing a kidney specialist if you experience symptoms such as persistent high blood pressure, blood in urine, frequent urinary tract infections, or swelling in the hands and feet. Additionally, if you have a family history of kidney disease or have been diagnosed with conditions such as diabetes or hypertension, a consultation with a kidney specialist is advisable.

3. How can I prevent kidney diseases?

To prevent kidney diseases, it is essential to maintain a healthy lifestyle. This includes staying hydrated, eating a balanced diet, exercising regularly, managing blood pressure and blood sugar levels, avoiding excessive use of pain medications, and refraining from smoking.

4. Can I switch kidney specialists if I am not satisfied?

Yes, you have the freedom to switch kidney specialists if you are not satisfied with your current specialist’s services or if you feel another specialist may better meet your needs. However, it is recommended to communicate your concerns and reasons for switching to ensure a smooth transition of your medical records and continuity of care.

5. What questions should I ask during the initial consultation?

During the initial consultation, you can ask questions such as:

– What is the diagnosis for my condition?
– What treatment options are available?
– What are the potential risks and benefits of each treatment option?
– How long will the treatment last, and what can I expect during the recovery period?
– Are there any lifestyle modifications I need to make to manage my kidney condition?

6. Can I receive a second opinion?

Yes, seeking a second opinion is a common practice, especially for complex or serious kidney conditions. It allows you to gain more insights and explore different treatment approaches before making important decisions about your health.

Conclusion

Finding the best kidney specialist in Bangalore requires thorough research and consideration. By seeking referrals, conducting online research, verifying qualifications and experience, evaluating communication skills and patient satisfaction, and considering accessibility and insurance coverage, you can make an informed decision. Remember to prioritize a specialist who not only possesses the necessary medical expertise but also demonstrates compassion, effective communication, and a patient-centric approach. By choosing the right kidney specialist, you are taking a significant step towards the effective management and treatment of your kidney condition.

What Consuming More Water Does To Kidney Patients?

Making patients with Chronic Kidney Disease (CKD) drink more water does not slow down the decline of their kidney function, suggests a recent research.

“While many claims about the benefits of increased water intake remain untested, a growing body of evidence suggests that increased water intake improves kidney function through the suppression of the antidiuretic hormone.

SSurocare Hospital Bangalore is the best urology hospital in bangalore, with experienced top urologists, providing urology treatment & kidney specialist treatment.

This leads to the question of whether increased water intake can slow the progressive loss of kidney function.

Guided by a successful pilot study, the research team constructed a randomised clinical trial with patients at various hospitals. They wanted to determine if coaching patients to drink more water slowed their decline in kidney function over one year compared with those in the control group who were coached to maintain usual fluid intake.

“It is really about personalised medicine.

Could we look at the general population of patients with kidney disease and find that increased water intake helps slow the decline in function? And if not, how can we apply this knowledge to create more targeted treatment approaches?”

The trial was done on 630 participants with Stage 3 CKD. The cause of their disease was varied, including diabetes and high blood pressure.

“Those diagnosed with CKD have some degree of kidney damage, indicated by a decreased level of kidney function,” explained researcher.

“Kidney disease can range from mild to severe and, in some cases, leads to kidney failure. Kidney disease often starts slowly and develops without symptoms over a number of years, so it may not be detected until it has progressed to the point where kidney function is quite low,” urologist added.

Most patients with Stage 3 CKD experience either no symptoms or only mild effects, but they have already lost over 40 to 70 per cent of kidney function.

The research team found that after one year, the increase of water did not slow the loss of kidney function. They did find that an increase of water, particularly when the participant’s previous intake was low, did significantly suppress their antidiuretic hormone release. The prior benefits shown for water intake may relate to low water drinkers in the population.

source: thehealthsite

Get Rid Of Kidney Stones With The Right Nutrition: Things You Need To Know

Kidney stone disease is widespread in India, with an expectancy of 12 per cent in an overall population indicated to be prone to urinary stones.

Here At Shree Srinivasa Urocare, we have a team of highly experienced urologists. We provide best kidney stone treatment in bangalore at affordable cost.

Urolithiasis or nephrolithiasis refers to the formation of urinary calculi or kidney stones. This condition causes an incredible amount of pain in the abdomen and flanks. In developed countries, roughly 10-12 pr cent of the population is affected by kidney stones. Over the last few decades, drastic changes in diet and lifestyle have led to an increase in the severity of kidney stones disease (KDS) while the age of diagnosis has decreased. Men are twice as prone as women (6 per cent) to developing kidney stones. Also, it has been noticed that the first occurrence of stones typically appears between the age of 20 and 40. Around half of patients who have had kidney stones may develop another stone within 5 years. Today, as we celebrate National Nutrition Week, it is important to remember that this can be countered by following a proper nutrition.

KIDNEY STONES RAMPANT IN INDIA

In the Indian context, KSD is widespread, with an expectancy of 12 per cent in an overall population indicated to be prone to urinary stones. Out of this 12 per cent, 50 per cent are seriously impacted by renal damage, which often results in kidney loss. Since kidneys are vital life-sustaining organs, performing many functions to keep the blood clean and constantly maintaining the electrolytes and water content of the body, it is imperative to follow a proper nutrition-rich diet. Nutritional management of kidney stones aims to keep existing stones from growing larger and new stones from developing. While kidney stones are often treated with medication, changes in eating habits can mitigate the various complications.

NUTRITION CAN HELP REMOVE KIDNEY STONES

Here is a list of nutrition-rich items that can aid in removing kidney stones:

Drink plenty of liquids

Bypassing kidney stones can be extremely painful. Drinking plenty of fluids is the single most essential thing that individuals who suffer from kidney stones can act on to break down existing stones and avert future stones. As per a 2015 National Kidney Foundation meta-analysis, people who produced 2 to 2.5 litres of urine a day were 50 per cent less prone to developing kidney stones than those who produced less. Water is more effective than other fluids and it requires nearly 2 litres of water to enhance the function of the kidneys. Although untreated water has no nutrient benefit, it transports vital nutrients throughout the body. Other fluids which are beneficial include:

• Orange, pomegranate and fresh tomato juice have been proven to be effective in preventing stone formation as they are rich sources of citrate and magnesium.
• Lemonjuice can increase urine citrate and likely reduce kidney stone risk.
• Watermelon juice is diuretic and high in potassium salts, which aid in the regulation of urine acidity and the removal of small stones and crystals.
• Apple Cider Vinegar contains citric acid, which facilitates the dissolution of kidney stones by alkalizing the blood and urine, making it easier to flush out toxins in the kidney.

Increase your intake of calcium-rich foods

Since dietary calcium binds oxalate in the intestines, less is absorbed by kidneys and lower concentrations end up in urine. Yoghurt, lentils, seeds, soy products, and beans are all excellent sources of calcium-rich food. Kidney beans, for instance, have a positive impact on health when eaten as a substitute for meat or other high-cholesterol protein sources. Kidney beans resemble the shape of a kidney and the Vitamin B present in them, aids in the flushing out of kidney stones. Kidney beans are also a good source of fiber and contain a lot of minerals, which enable better urinary tract function.

Choose magnesium-rich vegetables and wholegrain foods

Leafy greens are super healthy, and many are loaded with magnesium, which boosts kidney function and helps to dissolve stones. Kale, spinach, collard greens, turnip greens, and mustard greens are among the vegetables high in magnesium. Magnesium reduces oxalate absorption, so people who consume more magnesium reduce their risk of developing kidney stones. A high-fiber diet and choosing whole-grain foods can also lower the risk of kidney stones growing bigger by reducing calcium absorption and oxalate absorption.

TAKEAWAY

Maintaining a nutritionally dense diet is beneficial for kidney function, but breaking certain habits is even more important. Here are some pointers to remember:

• If you are overweight or obese, make an effort to lose weight.
• Limit high purine foods.
• Reduce the amount of sugar and salt in your food and beverages.
• Limit your alcohol consumption.
• Avoid taking too many Vitamin C supplements.

source: theheallthsite

Kidney stones

Kidney stones are solids formed in the kidneys when substances like calcium, oxalate and phosphorus that are excreted through the urine become concentrated. A kidney stone may either settle down in the kidneys or travel through the urinary tract. Kidney stones usually vary in size. So a smaller crystal may comfortably travel down the urinary tract and get expelled on its own without causing any pain or discomfort.

Dr. shiva kumar he one of the best urologist , he provide best kidney stone treatment in bangalore at affordable cost. 

However, when the crystals increase in size they may from larger hard stones which tend to get stuck as they pass along the urinary tract. This can cause several problems. Mainly it may block the usual flow of urine, causing extreme pain and bleeding. Other symptoms of kidney stones include pain in the lowerback region, vomiting and nausea.

Various factors put an individual to risk for kidney stones. Most common factors include a family history of kidney stones, repeated urinary tract infections, blocked urinary tract, or any health condition that increases the level of substances usually excreted through the urine. Lack of sufficient intake of water and certain medications can also cause kidney stones. Prevention of kidney stones include medications and dietary modification.

Types

There are four types of kidney stones which include:

Uric acid stones: The factors that can contribute to the formation of uric acid stones is a high protein diet, malabsorption, diabetes, chronic diarrhoea or metabolic syndrome.

Calcium stones: Calcium stones are the most prevalent type of kidney stones. These are in the form of calcium oxalate stones.

Metabolic disorders, high consumption of vitamin D can increase oxalate levels in urine. Another form in which calcium stones are found is calcium phosphate stones. Medical treatment of migraines with topiramate may also be associated with the formation of calcium stones.

Cystine stones: The aetiology of cystine stones is related to cystinuria, a hereditary condition that promotes kidneys to excrete a higher amount of amino acid.

Struvite stones– these stones are caused due to a urinary tract infection. Struvite stones are large and fast-growing.

Symptoms

Unfortunately, kidney stones do not cause any symptoms until they move around in your kidney or pass through your ureter, the tube connecting the kidneys and urinary bladder. Small stones may pass out even without causing any symptoms. But, with larger stones, the following symptoms may be seen:

• Back and groin pain
• Pain on urination
• Abnormal urine colour
• Nausea and vomiting
• Persistent urge to urinate

Causes And Risk Factors

Causes

Accumulation of uric acid, calcium or oxalate in the urine in the levels higher than your urine can dilute, can cause Kidney stones. These accumulations are in the form of crystals. 

Risk Factors

As men have more muscle mass than women, they are at an increased risk of kidney stones. This is because the daily breakdown of muscle mass leads to a tendency to form stones in the kidneys. 

Other common risk factors of kidney stones include –

Family history: You are more susceptible to develop kidney stones if someone in your family has had stones.

Personal history: The risk of having a kidney stone is much greater if you already have a stone.

Age: Though kidney stones can occur at any age, they are most commonly diagnosed in adults aged 40 and above.

Obesity: High body mass index (BMI), large waist size and weight gain have been linked to an increased risk of kidney stones.

Dehydration: Less fluid intake will increase your risk of getting kidney stones. People that live in hot regions or those who work in environments where they tend to sweat a lot will have a higher risk of developing stones. 

Existing medical conditions: Gastric bypass surgery, inflammatory bowel disease or chronic diarrhoea may cause changes in the digestive process that affect your absorption of calcium and water, increasing the levels of stone-forming substances in your urine. Renal tubular acidosis, cystinuria, thyroid problem (hyperparathyroidism) and urinary tract infections can increase stone formation.

Certain diets: Eating a diet that’s high in animal protein, sodium and has low fibre content can increase your risk for kidney stones. This is especially true for a high-sodium diet. Too much sodium increases the calcium load on your kidneys, significantly increases your risk of kidney stones. 

Prevention

Here are 10 simple ways to prevent kidney stones –

• Drink lots of water
• Drink healthy beverages
• Eat smartly
• Eat more dairy foods every day(no scientific data)
• Limit the intake of seafood
• Reduce the intake of salt
• Maintain a healthy weight
• Know your risk
• Don’t hold your pee for too long
• Avoid alcohol and cigarettes

Diagnosis

Ultrasound of the kidney, ureter and bladder (KUB) is the most convenient and frequently used investigation to diagnose kidney stones. An X-ray KUB can further assist in diagnosis. However, if the stones are small, the patient is obese, or there is an unusual formation of gas in the abdomen, a CT scan is a better method of diagnosis.

Urine testing is significant in the detection of stone-forming minerals. A blood test can help in marking high levels of calcium or uric acid, which help in the diagnosis of kidney stones.

Treatment

Treatment is based on the size of the stones. Smaller stones can be treated with plenty of fluids, pain medications and certain antispasmodic drugs (pain and spasm relieving), which help in passing the stone out. But even when the symptoms disappear, it is essential to confirm whether the stone has been eliminated through an ultrasound or a CT scan.

Larger stones which do not pass out easily require medical therapy and more advanced treatments such as –

Sound waves: Depending on the size and location of the stones, extracorporeal shock wave lithotripsy (ESWL) may be done. ESWL uses sound waves to create strong vibrations (shock waves) that break the stones into tiny pieces, making them easier to be passed through urine. The procedure lasts for about 45 to 60 minutes. It can cause moderate pain, so it is preferably performed under sedation or light anaesthesia. ESWL can also cause blood in the urine and discomfort as the stone fragments pass through the urinary tract. Depending on the size of the stones, one or more sessions may be needed.


Percutaneous Nephrolithotomy (PCNL): This treatment is used for very large stones or where ESWL is unsuccessful. The procedure involves surgically removing the stone using small telescopes and instruments inserted through a small incision in the back.

 

Ureteroscopic Removal: Smaller stones in the ureter or kidneys may be removed by passing a thin, lighted tube (ureteroscope) equipped with a camera through the urethra and urinary bladder to the ureter. Once the stone is located, special tools can snare the stone or break it into pieces, making them easier to pass through the urine. A small tube (stent) may be placed in the ureter to relieve symptoms like swelling and promote healing.



Laser Lithotripsy: Some stones cannot be treated with ESWL because of their size, location, type. In such cases, ureteroscopic laser lithotripsy may be used. In this procedure, a tiny fiberoptic camera is passed into the urinary tract through the urethra to locate the stones in the bladder, kidney or ureter. Then using laser technique, larger stones are fragmented into thousands of small pieces, which are flushed out through urine.

Lifestyle/management

Stay hydrated – a daily requirement of drinking enough fluids should be fulfilled to pass about 2 litres of urine all day.

Salt restriction – restrict the amount of salt in your diet.

Avoid oxalate-rich food, such as spinach, beets, okra, tea, black pepper, Soy products and chocolate should be restricted as they are found to have higher levels of oxalate.

Choose calcium-rich foods instead of calcium supplements – calcium-rich food does not affect kidney stones; however, calcium supplements increase the risk of kidney stones. Therefore, use calcium supplements with caution.

Prognosis And Complications

Prognosis

The chances of recurrence of kidney stones are quite high. More than half of the people, who have had a stone in the past, will develop a new stone in their lifetime.

Complications

Untreated kidney stones can significantly damage the kidneys and even lead to end-stage renal disease (ESRD), requiring dialysis. But early detection and treatment may completely reverse the damage, even in those on dialysis.

Unfortunately, many a time, kidney stones remain undetected for years because minor symptoms are ignored/neglected. By the time the patient consults a doctor, the damage becomes irreversible or only partially reversible.

source: thehealthsite

What is Bladder Exstrophy-Epispadias-Cloacal Exstrophy Complex?

Bladder exstrophy-epispadias-cloacal exstrophy complex is the most severe form of the BEEC (Bladder exstrophy-epispadias complex), constituting 10% of all the cases. In this condition, an abdominal wall defect causes bladder and large intestine extrusion, leading to anal, genital, and colon abnormalities. BEEC is a rare, congenital, multisystemic condition and involves anomalies in the musculoskeletal, urinary, and genital systems. The majority of treatment of BEEC is surgical, and it is usually done in phases. Several long-term consequences of this difficult pediatric urological condition necessitate a comprehensive approach to therapy.

You can contact our best Urologist in Bangalore for treating bladderproblems just as back torment, notwithstanding, it is critical to perceive the side effects and pick the correct specialist appropriately.

BEEC

BEEC is a term that describes a range of anterior midline defects, from glandular epispadias to multisystem defects like cloacal exstrophy. The word exstrophy comes from the Greek word “ekstriphein,” which means “turn inside out.” Within the BEEC spectrum, there are three unique conditions. These are – classic bladder exstrophy, epispadias, and cloacal exstrophy.

Classic bladder exstrophy is the most common presentation form of BEEC, constituting 60% of all cases. It is defined by an open, inside-out bladder and an exposed dorsal urethra on the lower abdomen wall’s surface. The umbilicus is positioned lower, and pubic bones on both sides of the bladder template can be felt. External genitalia involvement is present in all patients, and most have a palpable inguinal hernia.

BEEC’s mildest manifestation is epispadias. It is characterized by non-closure of the urethral plate and an atypical dorsal urethral position, accounting for 30% of all BEEC cases. Males have an ectopic meatus or a mucosal strip on the penile dorsum, whereas females have a urethral cleft.

Cause and symptoms

The specific process that causes bladder exstrophy in the embryo is unknown. The urogenital membrane is thought to break down prematurely because the lower abdominal wall fails to develop. The outcomes include an open bladder plate, a low-placed umbilicus, and a diastasis of the pubic bones. Above the genital tubercle, the cloacal membrane ruptures, resulting in a penis with an open dorsal surface that is continuous with the bladder plate. The type of defect is determined by when the rupture occurs, resulting in the different forms of BEEC.

A mix of genetic and environmental factors has also been discovered to play a role in the disease’s etiology. Male sex, race, parental age, and pre-conceptional mother exposure to smoking, certain drugs, and alcohol have all been linked to an elevated incidence of BEEC in studies.

Cloacal exstrophy typically affects the pelvis. Eversion of the innominate bones and widening of the pubic symphysis are frequent symptoms. The pelvic abnormalities in cloacal exstrophy are more severe and asymmetric, and they can result in hip dislocation, necessitating an ultrasonographic examination of the hip joints. In bladder exstrophy and as part of the OEIS syndrome (omphalocele, cloacal exstrophy, imperforated anus, and spinal defects), spinal anomalies such as neural tube malformations can arise.

Several other skeletal and limb malformations are frequent in affected children, especially with cloacal exstrophy, and should be considered during initial monitoring and long-term management planning.

Cloacal exstrophy is almost often linked to gastrointestinal abnormalities. Omphaloceles can be identified in cloacal exstrophy in 88-100 % of patients. In up to 46% of instances, gastrointestinal malrotation and short bowel are present, resulting in absorptive problems in 25% of children. Patients with cloacal exstrophy may also have various urologic problems such as ureteropelvic junction blockage, horseshoe kidney, ureteral ectopy, megaureter, and ureterocele in addition to the bladder defect.

Epidemiology

The incidence of BEEC has been recorded in a variety of ways, including subtypes, ethnicity, and sex ratio. Cloacal exstrophy is the rarest form of the spectrum, with a prevalence of 0.5 to 1 per 200,000 live births. The prevalence of cloacal exstrophy-related pregnancies could be as high as 1 in 10,000 to 1 in 50,000 due to greater rates of stillbirth and pregnancy termination.

Diagnosis and treatment

Clinical observation after delivery is used to diagnose bladder exstrophy in children. Bladder exstrophy, on the other hand, may usually be detected between the 15th and 32nd weeks of pregnancy with high-resolution real-time ultrasonography, even during regular obstetric treatment. The absence of a fluid-filled bladder, a low-set umbilicus, tiny genitalia, pubic rami expanding, and rising lower abdominal mass as the pregnancy progress have all been found to be reliable criteria for prenatal diagnosis of bladder exstrophy.

Only ambiguous instances are subjected to fetal magnetic resonance imaging (MRI) and color Doppler ultrasonography. Although prenatal intervention is not required, early detection allows for delivery in a pediatric center equipped to handle this difficult deformity and thorough family counseling.

In bladder exstrophy, treatment aims to close the bladder and abdominal defect while maintaining renal and sexual function. A pelvic osteotomy is always recommended in cases of failed exstrophy repair or cloacal exstrophy. Cloacal exstrophy is more difficult to treat surgically, and it usually necessitates neurosurgery, gastrointestinal, and urological treatments.

Repair of spinal dysraphism and myelocystocele, if present, is included. It also includes repair of the omphalocele, external genitalia, and anorectal malformations, along with the closure of the bladder, urethra, and bony pelvis. However, urinary continence in these children is usually achieved with bladder augmentation and intermittent catheterization.

source: news-medical

Types of Bladder Control Problems in Women

Women of all ages suffer from various types of bladder problems, which vary as to cause and contributing factors. Some are due to weakness of the pelvic fascio-muscular supports, while in other women the problem is caused by nerve damage. In some women, the bladder control is affected by various medications for neurologic problems.

The urologist in bangalore, offers on-site diagnostic testing services to evaluate the health of your pelvic floor organs. We also offer customized treatment plans to prevent urine leaks from affecting your quality of life.

To help women with regaining bladder control, it is important to identify the type of bladder control that is affected in each case. The main types of bladder problems in women are temporary, stress, urge, and mixed incontinence, but other pathologies may be observed as well.

Temporary or transient incontinence

Temporary or transient incontinence is a short-lived episode of loss of control over the escape of urine from the bladder. The condition is present in practically the third of community-dwelling elderly individuals, and in more than half of hospitalized patients.

A urinary infection may stimulate bladder activity leading to incontinence. Some medications lower the cortical control over the urinary bladder or cause overproduction of urine. Pregnancy is another cause of temporary incontinence. In all these cases, continence is restored when the etiologic factors are found and corrected.

Stress incontinence

In this situation, the woman reports that urine escapes when she coughs, laughs, sneezes or does vigorous exercise – anything which puts repeated stress on the pelvic floor. This type is most common among women.

In a strong pelvic floor, the muscles contract on reflex as soon as there is an increase in intra-abdominal pressure. Their contraction shuts off the urethra, preventing the escape of urine. However, when these supports are weakened, any sudden rise in pressure allows urine to flow out through an open urethra.

Thus pregnancy or childbirth changes, as well as the thinning that occurs with menopause, may all precipitate stress incontinence. Estrogen drops in the specific phases of the menstrual cycle may weaken the urethra and also provoke stress incontinence.

Urge incontinence

Some women report that when they feel the need to pass urine, the urge is strong, sudden and uncontrollable, being followed by the escape of urine almost at once. This points to the loss of bladder control from nerve damage, as occurs in diabetes mellitus, a cerebrovascular accident, or an infection.

Mixed incontinence

Mixed incontinence represents a combination of urine leakage following a sudden sneeze or cough, along with other episodes of urge incontinence. It is also considered the leading cause of incontinence in women in the community, but also in the hospital setting.

Functional incontinence

Functional incontinence is not so much a problem of the bladder as it is of the affected person’s mobility and cognition. If, for example, a woman cannot move to the bathroom whenever she needs to, she may urinate where she is once the bladder capacity is far exceeded. Furthermore, the ability to urinate on cue may be affected by physical or mental weakness.

Overactive bladder

Women who complain of having to pass urine eight or more times a day, or of waking up two or more times to visit the bathroom every night, may have an overactive bladder. Since the detrusor muscle contracts unpredictably, these patients may also have urge incontinence.

Overflow incontinence

Overflow incontinence refers to the type of urinary leakage that occurs because the bladder does not empty completely during urination. Thus the bladder has a significant amount of residual urine, and overfills rapidly, leading to overflow of urine within a short time. It is often encountered in conditions such as diabetes and multiple sclerosis.

source: news-medical

Male Urology Problems

The urologist in bangalore are internationally recognized as leaders in the treatment of urological conditions that affect men. Many of our physicians lead groundbreaking research in areas such as incontinence; benign prostatic diseases such as enlarged prostate; prostate, bladder, kidney and other cancers; erectile dysfunction; and minimally invasive surgical techniques.

Male urology specialists offer each patient a unique treatment plan designed to achieve an effective cure, an optimal rehabilitation, and an improved quality of life.

Sensitive Care for a Range of Concerns

urology specialists expertly treat an array of conditions that affect the kidney, ureter, bladder, and male genitals. Our dedicated urologists treat male urology concerns that include:

• Benign (non-cancerous) lesions
• Benign prostate conditions such as prostatitis and enlarged prostate (benign prostatic hyperplasia, or BPH)
• Erectile dysfunction
• Peyronie’s disease (penile curvature)
• Urinary incontinence
• Infertility
• Kidney stones
• Sexually transmitted diseases
• Urinary tract infections
• Penile trauma
• Birth control, including vasectomy 

Diagnosis of Male Urology Problems

Our urologists first conduct a thorough physical examination and talk with men about their medical and family history. Diagnostic tests for male urology problems can include:

• Imaging studies such as ultrasound
• Laboratory analysis (pathology)
• Tissue sample (biopsy)

Treatments for Male Urology Problems

Some male urology problems can resolve on their own, but others need treatment. urologist in Bangalore offers a number of advanced therapies to treat the full range of male urology concerns. These treatments include:

• Oral medications such as antibiotics, anti-inflammatory agents, and symptom-relieving drugs
• Injectable agents such as interferon and collagenase, used to reduce scar tissue and inflammation in conditions such as Peyronie’s disease
• Minimally invasive surgical procedures
• Laser therapies, used to treat conditions that include kidney stones, ureteral stones, and certain prostate issues
• Rezūm water vapor therapy, an FDA-approved treatment for enlarged prostate
• Reconstructive urologic surgery to help with incontinence and traumatic injuries to the kidney, ureter, bladder, and genitals
• Physical medicine and rehabilitation

Vasectomy

The urologists at Bangalore also perform vasectomies, sometimes called “male sterilization.” During these simple outpatient procedures, the two tiny vessels in the scrotum that carry sperm (the vas deferens) are cut or blocked.

Because a vasectomy doesn’t allow a man’s sperm to become part of his semen, the procedure permanently prevents pregnancy in female sexual partners.

Male Infertility

At urologist we are dedicated to providing comprehensive care in the diagnoses and treatment of men experiencing fertility problems. We work collaboratively with reproductive endocrinologists (female fertility experts) to enhance the overall fertility care of the couple.

Common treatments we do include:

• Vasectomy reversals
• Testicular sperm extractions
• Varicocele repair
• Fertility preservation in cancer patients
• Medical management of low sperm counts, low sperm motility, and low sperm morphology

source: utswmed

Cholesterolosis of the Gall Bladder – A Common Gall Bladder Disorder

Cholesterolosis is a common affection of the biliary system, characterized by the accumulation and deposition of cholesterol inside the gall bladder and in its mucosal membranes. Cholesterolosis usually occurs due to chemical imbalances at the level of the biliary system and the disorder is rarely associated with high serum cholesterol levels, diabetes mellitus or atherosclerosis. Cholesterolosis generally occurs on the premises of inappropriate activity of the gall bladder and changes in the composition of bile, facilitating the deposition of cholesterol inside the gall bladder and biliary ducts. In the absence of an appropriate treatment, cholesterolosis can lead to serious complications, including gall bladder cancer.

If you have any questions regarding urology problems contact us shree srinivas uro care urology hospital in bangalore. You can also get in touch with us through our social media channels such as facebook and youtube.

Although this type of gall bladder disorder can occur in both sexes, cholesterolosis commonly affects women. Also, cholesterolosis has the highest incidence in people with ages over 50. Most patients with cholesterolosis are asymptomatic, rarely experiencing symptoms such as diffuse abdominal pain or discomfort. While the disorder is treatable in its early stages, advanced forms of cholesterolosis require surgical intervention. Medical reports indicate that cholesterolosis is responsible for more than 50 percent of cholecystectomies (surgical procedure that involves removal of the diseased gall bladder).

Cholesterolosis can affect the gall bladder locally or generally. General forms of cholesterolosis appear as inflammation of the gall bladder mucosa, corroborated with yellow staining of the gall bladder tissues and membranes (due to deposition of fat). Localized forms of cholesterolosis are characterized by the formation of small polyps, soft prominences that emerge from the gall bladder interior walls. The size of these polyps varies from 1 to 10 mm.

Cholesterolosis can be only be revealed by modern scanning techniques such as ultrasound imaging. Ultrasound tests can quickly unveil the presence of polyps and lipidic masses associated with cholesterolosis. Polyps appear as immobile prominences attached to gall bladder mucosal walls. The presence of these prominences rarely involves hardening or thickening of the gall bladder interior membranes. Patients who present smaller polyps usually receive medication treatments for overcoming the disorder. However, the presence of larger polyps often involves cholecystectomy. Patients confronted with such gall bladder problems may also receive biopsies before surgery. Although gall bladder polyps are usually benign, cholesterolosis can also lead to malignant activity at the level of the biliary system.

Similar to cholesterolosis, adenomyomatosis is a disorder that can also lead to malignant cellular activity at the level of the gall bladder. Unlike most forms of cholesterolosis, adenomyomatosis is characterized by thickening of the gall bladder mucosal walls. In order to distinguish between the two disorders, doctors commonly inspect the integrity and the general aspect of the gall bladder walls before deciding upon the final diagnosis. Speed is vital in diagnosing and treating gall bladder disorders such as cholesterolosis and adenomyomatosis, as both these affections can lead to malignancies. Prompt medical intervention can easily make the difference between complete recovery and partial recovery that exposes patients to a high risk of malignant disease.

Article Source: EzineArticles

Overactive Bladder Basics

Overactive bladder, or OAB, is the name for a group of bladder symptoms. These symptoms may include a feeling that you have to pass urine urgently, the need to pass urine often (day and night) and urine leaks with the “gotta go” feeling. While OAB is very common, having any of these symptoms can make it hard to get through the day without going to the bathroom many times.

If you have any questions regarding urology problems contact us shree srinivas uro care urology hospital in bangalore. You can also get in touch with us through our social media channels such as facebook and youtube.

Using the bathroom is a normal part of a person’s day. When you start to worry about always being near a bathroom or about leaking urine if you don’t go in time, it may be time to talk to your doctor. OAB can get in the way of normal daily activities like work, going out with friends, exercise and sleep.

Your doctor may suggest lifestyle changes to help manage your symptoms on the go. Dietary changes may include limiting foods or drinks that bother the bladder – these can vary for each person. Start keeping a bladder diary to help discuss your bathroom habits with your doctor. Avoid drinking fluids at least two hours before bedtime. These are just a few options that may be helpful after talking with your doctor.

Dealing with OAB at work or on the go takes a little planning ahead but once you find a routine that works for you, it may be easier to manage your symptoms.

souce: urologyhealth

8 Things Your Urine Can Tell You

There are some things that we take for granted. Our seemingly innocuous trips to the washroom could be a significant pointer towards the status of our health. You wonder how? Our urine can offer insights into how healthy we are. Here are a few things that it can tell.

You can contact our best Urologist in Bangalore for treating both kidney stones just as back torment, notwithstanding, it is critical to perceive the side effects and pick the correct specialist appropriately.

1. Dehydration

One of the prime things that our pee can tell us is how well hydrated we are. Dark urine is a sign of dehydration which means that we are taking in much fewer fluids than what our body requires. The amount of water your body needs depends on your gender, body type, diet, where you stay and how active you are. Though, the standard norm is to drink a minimum of eight glasses.

2. Vegetable Intake

Eating certain fruit and vegetables can change the color of your urine. For example, overeating beetroot changes the color to red or pink. Other food items that cause discoloration are rhubarb, aloe and fava beans, carrots and asparagus.

3. Effects of Medicine

Urine can also get discolored because of the impact of some medicines. Malaria medication turns it to dark brown. Medicines that have blue dye like indomethacin and promethazine are responsible for a blue or green hue to the urine.

4. Too Much Water

Pale urine that is straw-colored is considered normal. Anything that deviates from this norm should be worrisome. While having fewer fluids could cause dehydration, too many fluids are also not healthy. Overhydration can lead to loss of essential salts from your body and can trigger a fatal chemical imbalance that can cause even death. This is known as water intoxication.

5. Notice the Smell

Smelly urine is the first sign of trouble. While being dehydrated and eating specific items can add some odor to your urine, certain diseases also make it smelly. Diabetes, urinary infection, kidney problems and liver issues can add obnoxious odor to the urine. If you notice a smell, talk to your doctor.

6. Urinary Tract Infection

The state, color and smell of the urine can point out the possibility of a urinary tract infection. If it is green, smells strong and is cloudy and you feel a burning sensation, you might be suffering from a urinary tract infection. Check with your doctor for further treatment. You may check out some home remedies for UTI and see if it helps you to some extent before starting medications.

7. Hyperglycemia

High levels of glucose point towards diabetes. Not just in blood, these high readings can show in your urine as well. The doctor can take a sample and have it checked. Diabetes can lead to kidney failure, heart disease and stroke amongst other problems.

8. Pregnancy

Another thing that can be figured out from testing a urine sample is pregnancy. This can be done through over-the-counter tests that check for HCG (human chorionic gonadotropin), a hormone that is present only in the bodies of pregnant ladies. The tests show the best and most conclusive results five to ten days after missing periods.

source: pharmeasy.in