Unveiling Excellence in Kidney Care: Shree Srinivasa Uro Care, Bangalore

In the heart of Bangalore, a beacon of exceptional healthcare shines brightly – Shree Srinivasa Uro Care, the undisputed leader in kidney care.

Renowned for its commitment to patient-centric services and cutting-edge medical expertise, Shree Srinivasa Uro Care stands as the epitome of excellence in the realm of kidney health.

Unrivaled Expertise in Renal Care

At Shree Srinivasa Uro Care, we pride ourselves on possessing a team of world-class nephrologists and urologists dedicated to providing unparalleled care.

Our experts bring forth a wealth of experience, ensuring that each patient receives personalized attention and treatment plans tailored to their unique needs.

State-of-the-Art Facilities

Our hospital boasts state-of-the-art facilities equipped with the latest advancements in medical technology.

From advanced diagnostic tools to cutting-edge surgical equipment, we leave no stone unturned in ensuring the highest standards of care for our patients.

Comprehensive Range of Services

1. Kidney Transplantation Services

Shree Srinivasa Uro Care is at the forefront of kidney transplantation, with a stellar track record of successful procedures.

Our transplant team comprises seasoned professionals, ensuring a seamless process from evaluation to post-transplant care.

2. Advanced Diagnostic Capabilities

Accurate diagnosis is the cornerstone of effective treatment. Our hospital is equipped with advanced diagnostic capabilities, including state-of-the-art imaging and laboratory services, ensuring precise identification of kidney conditions.

3. Minimally Invasive Treatments

Embracing innovation, Shree Srinivasa Uro Care excels in providing minimally invasive treatments for various kidney disorders.

This approach ensures quicker recovery times and reduces discomfort for our valued patients.

Patient-Centric Approach

At the core of our philosophy is a commitment to putting patients first. Our compassionate and highly skilled medical staff strives to create an environment where patients feel heard, understood, and supported throughout their healthcare journey.

Success Stories

Dr. K. S. Shiva Kumar’s Journey to Kidney Health

One of our many success stories includes Dr. K. S. Shiva Kumar, whose life was transformed through our comprehensive kidney care. His journey serves as a testament to the dedication and expertise of our medical team.

Why Choose Shree Srinivasa Uro Care?

1. Proven Track Record: With a history of successful cases and positive patient outcomes, we stand as a beacon of reliability and trust.

2. Holistic Approach: Our approach goes beyond medical treatments, encompassing emotional and psychological support for our patients.

3. Collaborative Care: We believe in collaborative decision-making, involving patients in their healthcare choices and ensuring transparency at every step.

Conclusion

In the realm of kidney care, Shree Srinivasa Uro Care emerges as the undisputed leader, combining unmatched expertise with a patient-centric approach. Choose excellence, choose Shree Srinivasa Uro Care for all your kidney health needs.

If you want to know more, you can visit here: Best Hospital for Kidney in Bangalore

Bangalore Kidney Specialist Hospital

Introduction:

When it comes to our health, seeking specialized care is paramount. For individuals facing kidney-related concerns, finding a hospital that offers expertise, compassion, and advanced treatment options is essential. In the heart of Bangalore, SS Uro Care stands as a beacon of hope and healing for kidney patients. In this blog, we’ll delve into the exceptional world of Bangalore Kidney Specialist Hospital – SS Uro Care, exploring their commitment to kidney health and the comprehensive care they provide.

A Glimpse into SS Uro Care:

Situated in the vibrant city of Bangalore, SS Uro Care is a renowned kidney specialist hospital that is dedicated to offering cutting-edge medical care for kidney-related conditions. With a team of experienced nephrologists, urologists, and healthcare professionals, SS Uro Care is equipped to provide a range of services, from diagnosis to advanced treatments, all under one roof.

Why Choose SS Uro Care?

1. Expertise and Experience: The hospital boasts a team of highly qualified and skilled specialists who bring a wealth of knowledge and experience to the table.

2. Comprehensive Care: SS Uro Care covers a wide spectrum of kidney-related conditions, including kidney stones, urinary tract infections, kidney transplantation, dialysis, and more.

3. State-of-the-Art Facilities: Equipped with modern infrastructure and advanced technology, SS Uro Care ensures that patients receive the best possible care using the latest medical innovations.

4. Patient-Centric Approach: Patient comfort and well-being are at the forefront of SS Uro Care’s philosophy. Their compassionate and personalized care ensures that each patient receives tailored treatment plans.

Services Offered:

1. Nephrology Services: From managing chronic kidney disease to providing dialysis and kidney transplant evaluations, SS Uro Care’s nephrology services are comprehensive and compassionate.

2. Urology Services: Specializing in the diagnosis and treatment of urinary tract disorders, SS Uro Care offers urological solutions that enhance patients’ quality of life.

3. Kidney Transplantation: As a leading kidney specialist hospital, SS Uro Care provides kidney transplant evaluations, surgery, and post-operative care, making a positive impact on patients’ lives.

Patient-Centric Care:

At Bangalore Kidney Specialist Hospital – SS Uro Care, the focus is not just on medical treatment, but also on holistic well-being. The hospital’s patient-centric approach encompasses emotional support, education, and guidance to empower patients and their families on their healthcare journey.

Testimonials:

“I had been struggling with kidney stones for years, and SS Uro Care provided me with a comprehensive solution that changed my life. The care and attention I received were exceptional.” – Rajesh K., Patient

Conclusion:

Bangalore Kidney Specialist Hospital – SS Uro Care is a beacon of hope for those facing kidney-related challenges. With their commitment to expertise, cutting-edge technology, and compassionate care, SS Uro Care is not just a hospital; it’s a partner in your journey towards kidney health and overall well-being. If you’re seeking exceptional kidney care in Bangalore, SS Uro Care is where your path to healing begins. Your kidney health matters, and SS Uro Care is here to guide you every step of the way.

Read More: https://ssurocare.blogspot.com/2023/07/advantages-of-best-hospital-for-kidney.html

Dr. K.S. Shiva Kumar and Shree Srinivasa Urocare: Transforming Urological Healthcare in Bangalore

When it comes to urological healthcare in Bangalore, Dr. K.S. Shiva Kumar and his team at Shree Srinivasa Urocare are leading the way with their expertise, compassion, and dedication to patient care. As a renowned urologist, Dr. Shiva Kumar has been instrumental in transforming the lives of countless individuals by providing comprehensive urological services at his state-of-the-art hospital.

Specialized Urological Care At Shree Srinivasa Urocare, Dr. K.S. Shiva Kumar specializes in the diagnosis and treatment of various urological conditions. From common ailments like urinary tract infections and kidney stones to complex cases such as prostate cancer and bladder disorders, Dr. Shiva Kumar offers personalized and evidence-based treatment options. His vast experience and deep understanding of urological conditions make him a trusted authority in the field.

Cutting-Edge Technology and Techniques Shree Srinivasa Urocare is equipped with the latest technology and utilizes advanced surgical techniques to provide the most effective urological care. Dr. K.S. Shiva Kumar is skilled in performing minimally invasive procedures, including laparoscopic and robotic surgeries, which offer numerous benefits such as smaller incisions, reduced pain, faster recovery, and better cosmetic outcomes. By staying up-to-date with the latest advancements, Dr. Shiva Kumar ensures that his patients receive the highest quality of care available.

Compassionate and Patient-Focused Approach Dr. K.S. Shiva Kumar and his team prioritize the well-being and satisfaction of their patients. They understand that urological issues can be sensitive and affect one’s quality of life. Therefore, they approach each patient with empathy, compassion, and respect. Dr. Shiva Kumar takes the time to listen to his patients’ concerns, provide clear explanations of their condition, and involve them in the decision-making process. This patient-centered approach fosters trust and ensures that each patient receives individualized care tailored to their specific needs.

Collaborative and Multidisciplinary Care Shree Srinivasa Urocare believes in a collaborative approach to patient care. Dr. K.S. Shiva Kumar works closely with a team of experienced urologists, nurses, and support staff to deliver comprehensive and multidisciplinary care. This ensures that patients benefit from a holistic treatment approach, where experts from different specialties collaborate to provide the best possible outcomes.

Experience Exceptional Urological Healthcare at Shree Srinivasa Urocare If you are searching for a urology hospital in bangalore, Shree Srinivasa Urocare is your answer. Dr. K.S. Shiva Kumar and his team are committed to transforming urological healthcare through their expertise, advanced technology, and patient-centered approach. Schedule an appointment today and experience exceptional urological care that prioritizes your well-being and comfort. With Shree Srinivasa Urocare, your urological health is in the best hands.

Shree Srinivasa Urocare: Your Trusted Urology Hospital in Bangalore

Are you in search of a reliable urology hospital in bangalore? Look no further than Shree Srinivasa Urocare, where Dr. K.S. Shiva Kumar and his dedicated team of urology experts provide comprehensive and advanced urological care. With a commitment to excellence and patient-centered approach, Shree Srinivasa Urocare is your go-to destination for all urological concerns.

Comprehensive Urological Services At Shree Srinivasa Urocare, a wide range of urological services is offered to diagnose, treat, and manage various urological conditions. Whether you are dealing with kidney stones, urinary tract infections, prostate issues, or any other urological problem, Dr. K.S. Shiva Kumar and his team have the expertise and experience to provide effective treatment options. From non-invasive procedures to complex surgeries, they offer state-of-the-art urological care to ensure the best possible outcomes for their patients.

Advanced Technology and Techniques Shree Srinivasa Urocare is equipped with the latest technology and utilizes advanced techniques to deliver precise and efficient urological care. Dr. K.S. Shiva Kumar keeps up with the latest advancements in the field of urology and incorporates them into his practice to ensure accurate diagnoses and optimal treatment plans. The hospital’s commitment to staying at the forefront of technology allows for minimally invasive procedures, shorter recovery times, and improved patient outcomes.

Patient-Centered Approach At Shree Srinivasa Urocare, patients are at the heart of everything they do. Dr. K.S. Shiva Kumar and his team prioritize building strong doctor-patient relationships based on trust, compassion, and open communication. They take the time to listen to patients’ concerns, answer their questions, and involve them in the decision-making process. Patients can expect personalized attention and comprehensive care throughout their urological journey, ensuring a positive and comfortable experience.

Comfortable and Modern Facilities Shree Srinivasa Urocare boasts a modern and well-equipped facility designed to provide a comfortable and reassuring environment for patients. The hospital maintains strict hygiene protocols and follows international standards to ensure patient safety. From the waiting area to the consultation rooms and operating theaters, every aspect of the hospital is designed with patient comfort in mind.

Schedule Your Appointment with Shree Srinivasa Urocare Today When it comes to urological care in Bangalore, Shree Srinivasa Urocare stands out as a trusted and reliable choice. Dr. K.S. Shiva Kumar and his team are committed to providing exceptional urological services with a patient-centered approach. Schedule your appointment today and take the first step towards improved urological health. With Shree Srinivasa Urocare, you can rest assured that you are in experienced hands.

An Expert Explains Why Women Are More Prone To Kidney Diseases Than Men

There was a time when every health issue women suffered was blamed on her hormones the haywire cycles, the lack of production (or more of it) and serious issues were related to her reproductive system cysts in the ovaries, blocked tubes, uterine fibroids these were the most common health concerns. There was very less knowledge of how the other major organs of her body like the heart, liver, kidneys were functioning or affected. A common myth that plaque the general public is that a woman s hormones protect her from organ failures. But in the modern times, we are seeing just the opposite. The number of women falling prey to diseases related to the major organs is just rising in numbers.

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Kidneys are the organs that filter waste products from the blood. They are also involved in regulating blood pressure, electrolyte balance, and red blood cell production in the body. Many women are diagnosed with chronic kidney disease at a later stage of their lives, especially beyond 55 years of age. According to worldwide population-based data on the global burden of chronic kidney disease (CKD) in 2010, CKD is more prevalent in women (272 million) than in men (226 million). According to Global Prevalence of CKD A Systematic Review and Meta-Analysis CKD is more likely to develop in women compared with men, with an average 14 percent prevalence in women and 12 percent in men.

What makes women prone to kidney diseases?

Diabetes is one the biggest risk factors for chronic kidney disease. Blood pressure is second risk factor the third risk factor is NSAIDS. Apart from this, urinary tract infections (UTIs) are common risk factors for kidney disease more frequent in women than in men. HIV infection and complications of pregnancy, including pre-eclampsia, are also risk factors for CKD in females. The urethra is shorter in women than in men, which makes it easier for bacteria to travel from outside the body to the bladder. Once in the bladder, an infection can spread to the kidneys.

Yes, but there are few who might have more risk factors than the others. Kidney disease is considered as a risk factor for adverse pregnancy outcome and reduced fertility. Pregnant women are at even higher risk of a kidney infection. Some kidney diseases, such as lupus nephropathy or kidney infection (acute or chronic pyelonephritis), usually affect women more. Kidney infections (as most urinary tract infections) are more common in women and more likely to involve pregnant women.

What treatment is suggested for women who have kidney problems?

When kidneys fail, dialysis is required to remove wastes from the blood, however, it does not replace all of the functions of the kidneys, such as producing hormones. While all menopausal women are required to take calcium to prevent osteoporosis, it is important for those on dialysis. Because women on dialysis, their hormone levels might already be compromised. To help combat osteoporosis, additional calcium in the diet, or in the form of supplements, can help prevent bone loss.

How can women safe them from kidney diseases?

Many women with diabetic kidney disease may not have any symptoms. The only way is to get your kidneys checked is by blood (renal profile with electrolytes) and urine test. People with diabetes should be screened regularly for kidney disease at least once a year.

source: thehealthsite

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.

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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.

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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.

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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.

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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