Dr Shailendra Goel

Having problems when urinating, such as pain or itching, and noticing blood in the urine can be signs that something is not quite right in your urinary system. Who should you go to solve a possible urine problem? Although not everyone thinks about it from the first moment, the most important thing, especially if your age is over 40, is to see a specialist in the urinary system, that is, a urologist in Noida.

In the case of men, going to the best urologist in Noida is even more important since the urologist not only treats urinary tract problems but is also in charge of preserving male sexual health.

The first visit to the urologist step by step

The first step of the urological consultation is the doctor’s interview with the patient. This part of the first visit to the urologist is divided into two steps. The first is the patient’s medical history, knowing why he goes to the urologist in Ghaziabad and what pathologies he suffers or has suffered, as well as knowing if he is currently taking any relevant medication. Among the data that the doctor will ask you for are your age, the surgeries you have had, if any, your lifestyle, especially in terms of tobacco and alcohol consumption, etc.

The second part of the interview with the best urologist in Ghaziabad is to find out the patient’s family history. This is important because there is a direct relationship between genetics and the appearance of certain pathologies. Obviously, what the specialist will be most interested in is whether there is a urological history in your family, that is, problems related to prostate cancer, hematuria (blood in the urine), urinary lithiasis, incontinence or erectile dysfunction. In the case of women, the urologist will also ask about the history related to the muscles of their pelvic floor such as childbirth, postpartum, abortions, etc.

What is the next step after the interview with the urologist?

The next step in the first visit to the urologist in Greater Noida is the physical examination. When the specialist already knows all the necessary details of the patient’s health and the causes that led him to come to the consultation, it is time to assess him physically.

In the urology consultation, the general examination is mainly based on detecting if there is any urinary infection or renal involvement. However, the urologist also observes and studies the abdomen to rule out masses as well as a bladder balloon. After that, the specialist will also observe how the perineum area is located, the vaginal area in women, especially in search of pelvic organ prolapse, and the scrotal area in men to verify that its size, consistency, and sensitivity are correct.

Finally, the best urologist in Greater Noida will carry out a rectal examination in men focused on assessing the size of the prostate as well as its volume, consistency and sensitivity. This digital rectal examination is especially indicated to rule out the existence of prostate cancer.

Finally, during the first visit to the urologist in Rohini and after the history and examination, some basic tests may be necessary. Among them, the urologist usually requests a flowmetry or urine sediment test where the pH of the urine is analyzed and the presence, if any, of hematuria, bacteria, or leukocytes.

In addition, it is also common to perform a blood test to check the PSA levels in men and creatine (kidney function) of the patient. In addition to these tests, if the doctor considers it necessary, sometimes a urological ultrasound is also performed.

What happens at the end of the urological consultation?

The consistency of sperm can vary from person to person and throughout life, and it can be thicker in some situations, and in most cases it is not a cause for concern.

The change in sperm consistency can be caused by certain habits, such as changes in diet, physical exercise or consumption of certain substances, such as alcohol or drugs, for example. In addition, infrequent ejaculations can also make the sperm thicker and with greater volume.

However, in some cases, sperm may appear thick for reasons that should be treated or seen by a urologist in Noida, such as some of the following:

1. Hormonal imbalance

Hormonal changes can make sperm thicker, as hormones, such as testosterone, are part of the composition of semen, contributing to the protection of sperm. The person may suspect that the thick sperm is the result of a hormonal change, if other symptoms appear, such as decreased sexual desire, difficulty maintaining an erection, loss of muscle mass or tiredness, for example.

What to do: If the man presents these symptoms, he should go to the best sexologist in Noida, in order to make a diagnosis and the appropriate treatment. In addition, it is also important to eat a balanced diet, practice regular physical exercise and avoid excessive consumption of cigarettes and alcohol. 

2. Infections

Infections in the genital area, especially those caused by bacteria, can make the sperm thicker, due to the increase in white blood cells, which can change the morphology of the sperm and even reduce the sperm volume. Some symptoms that may arise in these cases are difficulty and pain to urinate, presence of a milky discharge and presence of blood in the urine, for example.

What to do: In the presence of these symptoms, it is important to see a urologist in Ghaziabad, who may prescribe antibiotics to treat the infection.

3. Dehydration

Dehydration is also one of the causes of thick sperm, as it is mostly made up of water. If the person is dehydrated, the less fluid and more viscous the sperm will be. A man may suspect dehydration if he has symptoms, such as excessive thirst, dark urine or extreme tiredness, for example.

What to do: To avoid dehydration it is very important to drink fluids throughout the day. It is recommended by sexologist in Delhi to drink around 2 liters of water a day.

4. Changes in the prostate

In its composition, semen contains sperm from the testes, seminal fluid from the seminal vesicles and a small amount of fluid from the prostate. Thus, changes in the functioning of the prostate or seminal vesicles can make the sperm thicker, due to changes in the proteins released to the sperm or changes in the production of seminal fluid.

Some symptoms that can arise in men with prostate problems are painful ejaculation, painful urination and increased frequency of urinating.

Although we are experiencing a difficult and delicate situation, some diseases and clinical conditions cannot wait for the end of the pandemic. Acute testicular pain and renal colic are examples of often critical situations that require urgent evaluation by the best urologist in Noida.

What does the urologist treat?

First of all, it is important to clarify which organs the urologist in Noida works in.

Although known as a prostate doctor, this specialist takes care of the urinary tract of men and women and the reproductive system of men. Therefore, the urologist treats diseases that affect the kidneys, ureters, bladder, prostate, urethra, penis and testicles.

Among the main diseases of these organs, we have cancers (usual acinar adenocarcinoma of the prostate, testicular cancer ("lump in the testicle"), carcinoma of the kidneys, bladder and others). In addition to these, these organs can be affected by inflammatory and infectious diseases (cystitis, urinary infections, acute prostatitis, sexually transmitted diseases STDs) and benign alterations, such as renal and testicular cysts, hydrocele, pain in the testicles (testicular torsion) among others.

What are the reasons to see a urologist urgently?

When we talk about emergency situations, it is important to know that it is about the need to look for a doctor or health unit for an evaluation in the next few hours or up to 2 days.

So, what are the 7 reasons to see a urologist?

Despite the dramatic situation we are experiencing, during the new coronavirus (Covid-19) pandemic, there are some signs and problems that cannot wait, and it may be too late with irreversible loss of the affected organ or important worsening of the condition.

The main reasons to seek an emergency urologist in Ghaziabad are:

acute urinary retention

Renal colic (ureterolithiasis)

Urinary tract infections (cystitis and pyelonephritis)

pain in testicles

paraphimosis

penis fracture

Bleeding in the urine (hematuria)

Acute Urinary Retention

Acute urinary retention means difficulty or inability to urinate. Urine is produced but for some reason is unable to be eliminated through the urethra. Urine is formed in the kidneys and stored in the bladder, which is an organ that has a large muscle and is responsible for urination. Acute urinary retention can occur in both sexes, but it affects more men. The reason is the presence of the prostate, an organ that only they have. The normal size of the prostate at age 70 is usually larger than the normal size of the prostate in young adults. In cases of urinary retention, the diagnosis is clinical. Ultrasonography can sometimes aid the diagnosis. In these cases, the MRI of the prostate will not bring more data.

That is, with age, the prostate tends to grow and can become a barrier to the passage of urine from the bladder. In this situation, the patient has pain in the abdomen and an increase in the volume of the belly in the lower part (bladder). If you are faced with this situation, urgent evaluation is necessary for prompt diagnosis and treatment.

Renal colic

The presence of kidney stones can lead to a well-known clinical condition, renal colic. This problem is a symptom manifestation when a kidney stone goes down the ureter canal and gets stuck in the middle, causing a blockage of the urine produced in the kidney, the hydronephrosis. Renal cramps can have many reasons, the most common being the presence of a stone in the ureter (ureterolithiasis). The pain is intense, can lead to vomiting and if it does not improve with medication, urgent assessment should be considered. In some patients, surgery for kidney stone treatment in Noida will be necessary.

Urinary infection

Urine infection is a common problem especially in young women. Lower urinary tract infection, known as cystitis, is clinically easy to identify and simple to treat in most cases. When the patient performs tests, it is possible to identify the bacteria that is causing the problem. Attention should be redoubled when this infection does not resolve or when other symptoms appear, such as fever, low back pain (back pain) and malaise. This picture may be compatible with a kidney infection, acute pyelonephritis. It is a serious problem and requires urgent evaluation for immediate treatment, sometimes requiring hospitalization.

Pain in the testicles (testicular torsion)

The testes are 2 important male organs. They are responsible for man's virility and fertility, and their main functions are the production of the male hormone (testosterone) and the production of sperm. Testicular pain is common, but acute testicular pain is rare and can be associated with a serious problem: acute testicular torsion. Testicular torsion is more common in childhood and young adults.

We still do not know exactly what the reasons for the predisposition of this problem are. In these affected men, the blood vessels that carry blood to the testicle turn around on their own axis, causing a pause in the organ's irrigation, which leads to a heart attack or cell death and loss of testicle function. Therefore, severe and acute testicular pain should be taken seriously and need to be evaluated immediately by the best urologist in Ghaziabad.

Paraphimosis

Phimosis is a common problem that many people know about or have heard of. It is a narrowing of the skin of the penis that makes it difficult or impossible to expose the head of the penis (glans). It is a clinical condition that is often born and can be treated with postectomy, the surgery for phimosis. Paraphimosis is not the same as phimosis and should not be confused. This problem occurs in an acute way, due to an inflammation in the skin of the foreskin, generating a thick ring causing a strangulation of the head of the penis. It presents with intense pain and swelling, especially when not resolved promptly. After the initial evaluation and treatment, the removal of the foreskin (postectomy) should be performed at an opportune time.

Penis fracture

This is an unusual and fortunately rare problem. Although the penis does not have bone in its composition, when it is erect, its musculature is so rigid that when subjected to an intense impact it can tear, which is known as a penis fracture. The main time this can happen is during vigorous intercourse, especially in certain positions during the act. A click is heard and the patient has intense pain, evolving with a soft penis followed by an enormous swelling with a bruise, similar to an eggplant. Prompt evaluation and correction, in most cases surgical, should be done as soon as possible. This prevents the patient from developing erectile dysfunction and other organ changes.

Bleeding in the urine (hematuria)

Any bleeding that comes out of our body is often frightening and a cause for concern. The presence of blood in the urine (hematuria) can represent a number of clinical conditions. In most patients, the main reason is linked to urinary infection or kidney stones. However, bleeding in urine of moderate amount and bright color requires more attention. First, if there are clots, they can block the output of urine causing acute urinary retention. Second, the diagnosis could be bladder cancer or kidney cancer. Then, at the slightest sign of blood in the urine or hematuria, an urgent evaluation by urologist in Greater Noida is necessary.

Risk factors

The one between diabetes and erectile dysfunction is a long-known pairing, confirmed by numerous epidemiological studies. It is precisely the statistical data that tell us that:

the erectile deficit is three times more frequent in the diabetic patient than in the healthy control population. The prevalence of this disorder in the diabetic population varies from 30% to 60% of subjects and increases:

Diabetes and erectile dysfunction are so closely related that erection problems are the presenting symptom in 12% of male patients.

with aging:

in case of poor glycemic control expressed by high values ​​of glycated hemoglobin

as the duration of the diabetic disease increases

in case of microvascular complications and neuropathy

in case of arterial hypertension associated with diabetes, and taking antihypertensive drugs (beta-blockers, methyldopa, and especially diuretics)

if the subject is a smoker

as alcohol consumption increases

in case of obesity-associated with a sedentary lifestyle

Causes

To explain why diabetes is so often associated with erectile dysfunction, various etiopathogenetic elements have been identified, that can complement each other:

causes of a psychogenic nature: the awareness that diabetes is a chronic disease often associated with erectile dysfunction and other complications, can trigger performance anxiety in men. Fear of failure during sexual intercourse is a common cause of erectile dysfunction and contributes to erectile deficits of another nature.

macro-vascular alterations: in the presence of diabetes not adequately controlled by drug therapies, excess glucose binds to the wall of blood vessels making them less elastic and altering their functionality. Diabetes is often associated with atherosclerosis, which reduces the patency of the great arteries by limiting the blood supply to the corpora cavernosa of the penis. Atherosclerosis can also directly affect the penile arteries.

nerve alterations and endothelial dysfunctions: the alterations of the small blood vessels that carry blood, oxygen, and nutrients to the nerves, cause damage to the same (neuropathy). This reduces the synthesis of nitric oxide by the endothelium and nerve endings (nitric oxide is the fundamental mediator of erection)

Treatment

Identifying the causes of erectile dysfunction in the diabetic is the first step in establishing a suitable treatment for satisfying sex life. For his part, therefore, the diabetic patient with erectile deficit should, first of all, consult a sexologist in Noida, avoiding the spontaneous use of commonly used drugs for the erectile dysfunction treatment in Noida.

Repetitive strain or motion is often the cause of tendonitis. We explain how this injury alerts you to be taken seriously because it could become chronic.

Muscles are attached to bones by long, fibrous structures called tendons, which are responsible for transmitting the necessary force from the muscle to the bone to generate movement.

When a tendon becomes inflamed, we speak of tendinitis. However, although it is painful, it is usually not given too much importance and we do not “take care” of the injury as we should. An error because it can be repeated and cause a degeneration of the tendon or tendinosis (chronic tendinitis) or even its rupture, explains the orthopaedic in Delhi.

THE SIGNS OF TENDONITIS

The symptoms that warn us that we suffer an injury of this type are the following:

Pain is the main symptom, either near the joint or along the course of the tendon.

The discomfort worsens with movement and is more intense at night.

Palpation or rubbing also hurts.

Sometimes the area is red, hot, and swollen.

When we go to the orthopaedic doctor in Delhi after suffering an injury of this type, in principle, it is enough for the specialist to carry out a physical examination to detect it. If there are doubts, then you can send complementary tests. An imaging test (X-ray, ultrasound, MRI or CT) is usually performed to make the diagnosis.

The pain is close to the joint and increases with movement

Tendinitis must be differentiated from a sprain, which would be an injury to the ligaments that support the joint. Of course, a badly healed sprain can end up in tendinitis, explains the orthopaedic in Dwarka.

WHO HAS MORE RISK OF SUFFERING IT?

Any tendon in the body can become inflamed, but the most common tendinitis affects the heel, shoulder, wrist, and elbow.

The most common that originates in athletes and young people due to repetitive efforts on an area of ​​the body, especially when exercising, or due to overload due to repeated use of a tendon, for example if the computer mouse is used for hours with a position wrong hand, says the orthopaedic in Dwarka.

An overly sedentary lifestyle also favors tendonitis: the muscles are not in shape and can suffer at the slightest effort.

It can also appear in older adults, due to aging and natural wear of the tissues.

A repetitive stress or overload on the tendon causes it

Shoes that squeeze and materials that are not suitable for the foot or misuse of these (for example, running without sports shoes), can aggravate or cause Achilles tendinitis to appear.

On the other hand, certain systemic diseases, such as diabetes or rheumatoid arthritis, are capable of causing its appearance. It’s not common, but cholesterol drugs like statins can also cause it, says the orthopaedic in west Delhi.

5 TYPES OF TENDINITIS

Depending on the tendon that is injured, tendinitis adopts one name or another:

1. Achilles tendonitis occurs when the Achilles tendon is injured.

2. “Tennis elbow” or lateral epicondylitis appears due to inflammation of the tendons that are inserted into the lateral aspect of the elbow.

3. Golfer’s elbow or medial epicondylitis occurs when the tendons of the elbow inserted on the inside of the elbow are irritated.

4. Rotator cuff tendinitis is caused by inflammation of the tendons in the shoulder.

5. Lastly, “De Quervain’s tendinitis” is caused by inflammation of the tendons of the thumb.

PREVENTION AND TREATMENT

In reality, it is quite easy to prevent it: it is enough to avoid repetitive movements and joint overloads, maintaining adequate muscle tone and warming up before starting to exercise or work if we are going to carry out tasks that involve physical effort of any muscle group, suggests the orthopaedic doctor in West Delhi.

How is such an injury treated?

During the acute condition: rest, combined with anti-inflammatories and analgesics, is the main treatment, which is why the area is usually immobilized with plaster splints or prostheses.

Combining cold and heat also relieves. Thus, ice helps reduce inflammation in the first 48 hours after the onset of pain. Apply it to the area 3 or 4 times a day for 15 minutes. After that time, you will notice relief if you follow the same routine but applying heat.

In the most “stubborn” cases that are not resolved with rest and anti-inflammatories, it is advisable to do rehabilitation in a center or with the help of a physiotherapist.

And if the pain persists, it may be necessary to apply other techniques (such as local infiltration of corticosteroids) or even operate.

Muscles and joint flexibility should be exercised

Kidney stones are a fairly common condition that consists of the formation of solid pieces in said organs due to the accumulation of substances present in the urine. They vary in dimension from the size of a grain of sand to that of a pearl. Although, according to the best urologist in Noida, most kidney stones pass from the body without medical help, they can get stuck in the urinary tract or block the flow of urine resulting in a lot of pain.

Kidney stones are solid pieces of material that form in the kidney due to substances in the urine. It can be as small as a grain of sand or as large as a pearl.

Urine contains many dissolved minerals and salts. When urine has high levels of minerals and salts, hard stones can form that, although they start out small, can get larger and larger.

Some stones remain in the kidney and do not cause major problems, others can travel down the ureter (the tube through which urine passes from the kidney to the bladder). When this happens, the stone is expelled with the urine, however, it can also get stuck in the ureter and block the flow, causing a lot of pain.

There are several possible indicators of kidney stones, including:

Extreme pain in the back or side. Said pain won't go away

Blood in the urine

Fever and chills

vomiting

Foul-smelling or cloudy-looking urine

Burning sensation when urinating

The causes of kidney stones are not very well defined. A big risk factor is having a low urine volume, something that can be caused by dehydration. Dehydration can result from fluid loss from exercising hard, spending time in very hot places, or not drinking enough fluids. When the urine volume is low, the urine becomes concentrated and cloudy in color causing less fluid to keep the salts dissolved.

Kidney stones can also be caused by a person's diet, for example a high protein diet can raise acid levels in the body and urine causing calcium oxalate to be high enough to form stones. It is recommended to reduce or avoid the consumption of foods rich in oxalate.

Certain intestinal conditions can also cause the formation of kidney stones, for example diseases that cause diarrhea or some surgeries. Diarrhea in particular can lead to dehydration and reduced urine volumes.

Other possible causes of kidney stones are some types of medication, family history, and some rare hereditary disorders.

In the event of any sign or suspicion of having kidney stones, a urologist in Noida should be consulted for proper assessment. Because many early symptoms of kidney stones are similar to those of other conditions, it is necessary to obtain a diagnosis from a urologist in Greater Noida and follow the proper treatment, something that can only be established in consultation but that can range from medications to surgery.

Treatment Options

There are many options for kidney stone treatment in Noida that can be used when a patient presents stones in the kidneys or any other part of the urinary tract, from the classic open surgery to a new minimally invasive method, specifically laser surgery for stones.

The procedure consists of the application of anesthesia and later, by means of a filament as thin as an optic fiber (known as a ureteroscope), a camera is inserted through the urethra until the stone is found and the stone can be observed on the screen. fires a continuous stream of lasers across its surface until it breaks into smaller pieces. After this procedure is complete, the ureteroscope is removed. The remaining pieces of the stone pass through the urethra naturally when the patient urinates.

Laser surgery for kidney stones makes open surgery virtually obsolete.

The main benefits of laser stone surgery are the following:

It allows in most cases to visualize the stone directly and therefore to introduce special instruments such as the holmium laser to break it.

It passes through the body's natural channels and therefore it is not necessary to make incisions in the skin.

In many cases it allows to eliminate the calculations in a single session.

Prostate cancer is the second most common type of cancer among men. An international research estimates that there are nearly 2 million cases of newly diagnosed prostate cancer in the world each year. Prostate cancer is the second leading cause of cancer death in men in the world, with approximately 100,000 men dying each year.

The prostate is a walnut-sized gland that is located in the male reproductive system in front of the rectum, just below the bladder. It surrounds the urethra, the tube that carries urine from the bladder through the tip of the penis. Also, the nerves responsible for erections are located on both sides of the prostate. The main purpose of the prostate is to produce seminal fluid, which transports sperm during male orgasm. The normal prostate gland is quite small, weighing only about an ounce.

Prostate cancer occurs when a malignant tumor forms in the prostate gland. If left untreated, the cancer can grow and spread beyond the prostate to surrounding tissues and lymph nodes, as well as to distant parts of the body such as the bones, lungs, and liver. 

Risk factor’s

Age (most patients are older than 65 years)

Family history

Diets rich in red meat and high-fat dairy products and low in vegetables and fruits.

physical inactivity

The symptoms

Frequent urination, especially at night

Difficulty starting or holding back urination

Weak or unable to urinate

pain when urinating

painful ejaculation

Difficulty having an erection

Blood in semen or urine

Pain in the lower back, hips, or thighs

Detection and diagnosis

If a patient has multiple symptoms or risk factors, the following tests may diagnose prostate cancer.

PSA (prostate-specific antigen): PSA has been used as an indicator of early, potentially curable prostate cancer. Urologist in Ghaziabad can identify patients with undetectable prostate cancers by digital rectal exam with the help of a blood test.

Computed Tomography and MRI:  Computed Tomography (CT scan) is a series of detailed images of areas inside the body taken from different angles; the images are created by a computer linked to an x-ray machine. Magnetic resonance imaging (MRI) is a procedure that uses radio waves and a powerful magnet linked to a computer to create detailed pictures of areas inside the body. These two tests are used to assess whether the tumor has spread outside the confines of the prostate gland or into the lymph nodes around the prostate.

Pelvic lymph node evaluation

Radionuclide bone scan: A test used to see if prostate cancer has spread to the bone. This test is used to rule out metastases in the bony structure of the body.

Treatment options

Many factors affect the choice of a prostate cancer treatment in Delhi, including the stage of the cancer, the patient’s age, and general health. 

Traditional surgery is the most common prostate cancer treatment in Noida, particularly for early-stage prostate cancers. By making an incision in the abdomen (radical retropubic prostatectomy) or between the scrotum and anus (radical perineal prostatectomy), the urologist in Noida can remove the entire prostate, including surrounding lymph nodes. Or, in a transurethral resection of the prostate (TURP), the surgeon uses electricity generated at the end of a small instrument to remove just the cancerous portion of the prostate. Loss of bladder control and impotence are common side effects of prostate surgery. 

Robotic Surgery Robotic Prostatectomy a minimally invasive method of removing the prostate gland through advances in robotics and computer technology. By using the da Vinci robot, the best urologist in Noida has more precision, reducing the risk of incontinence and impotence for patients compared to standard prostate cancer surgery.

If the cancer has spread to nearby lymph nodes, surgery may not be a practical option.

External beam radiation therapy kills cancer cells with intense x-rays directed only at the cancerous growth. With technological advances, particular medical equipment can emit radiation from outside the patient’s body, or radioactive materials can be placed internally in the target area. Patients may receive one or both forms of radiation therapy, depending on the size of the cancer.

Brachytherapy, it is the most advanced method of implanting radioactive seeds. This method uses the latest advances in computer calculation of internal seed placement for maximum effect and minimal side effects. The dose of each seed is customized at the time of surgery to fit the size of the individual prostate gland. In general, side effects of radiation therapy include extreme fatigue, although doctors recommend staying active throughout treatment. Patients may also experience painful or frequent urination, diarrhea, or impotence. External beam radiation often causes hair loss and skin irritations in the treatment area. Meanwhile, internal radiation is less likely to affect erectile function,

Hormone therapy can prevent prostate cancer cells from getting the male hormones they need to grow, even if they have spread to other parts of the body. Although it will not cure prostate cancer, hormone therapy can control it.

In cryotherapy, the prostate is quickly frozen to kill cancer cells. This procedure is done by placing probes into the prostate while the patient is under anesthesia. Survival data suggest that cryotherapy for localized prostate cancer is at least equal to seed implantation or external beam radiation therapy.

The wound on the penis can arise due to an injury caused by friction with very tight clothes, during sexual intercourse or due to poor hygiene, for example. It can also be caused by an allergy to clothing or hygiene products, by dermatitis, but it is also possible that it arises due to infections, such as syphilis or genital herpes, or even due to cancer of the penis. 

As there are various causes, if a wound on the penis appears, it is necessary to look for the best urologist in Noida, to evaluate the characteristics of the lesion and request tests, when necessary. Treatment will depend on the cause, and may include healing ointments, antibiotic, antifungal, antiviral, among others. In case the wound is due to a sexually transmitted infection (STI), it is important that the partner is also treated.

In addition to the wound, the man may also notice changes in the penis, which may correspond to genital warts, caused by HPV, for example. 

1. Friction on the glans

The wound on the glans, also known as the head of the penis, can happen due to friction that occurs in vaginal, anal or oral sexual intercourse, and it can also be due to the friction of the penis with clothes, for example, resulting in local redness, pain and bleeding, in some cases, requiring immediate treatment.

What to do: in the presence of a wound on the head of the penis possibly related to friction, it is recommended that the doctor be consulted so that an evaluation can be carried out and the most appropriate treatment to be initiated to heal the wound.

2. Skin irritation

Some people may have a sensitivity to the fabric of clothes, soap or hygiene products, for example, which can cause areas of redness, scaling or ulceration on the skin, accompanied by itching and burning. 

Skin irritation can be caused by rubbing against certain clothes or during intimate intercourse. It can also arise from poor hygiene in the region, which causes the accumulation of sweat, oil and micro-organisms on the skin, which can cause an inflammation known as balanitis. 

What to do: It is necessary to identify and avoid contact with the allergen. In the case of an allergy, it is possible to use anti-allergy medication in an ointment or tablet, such as hydroxyzine, to relieve symptoms or creams that help facilitate healing, such as Nebacetin or Bepantol, for example. Balanitis is treated with corticosteroid, antifungal, or antibiotic ointments. When properly treated, the wound will heal in about a week.

3. Genital herpes

Genital herpes is one of the most common causes of a sore on the penis and is caused by the herpes simplex virus, which can be acquired by contact with another person with active lesions, resulting in the appearance of redness and small blisters, accompanied by pain and burning in the penis. place.

What to do: the treatment of genital herpes is guided by the urologist in Vaishali and includes the use of antiviral drugs such as acyclovir, fanciclovir and others, in pills or ointments, which help to reduce the replication of the virus, in addition to local anesthetic ointments or gels, like lidocaine, to reduce bothersome symptoms such as pain and burning.

4. Syphilis

Syphilis is an infection caused by the bacterium Treponema pallidum, and causes the appearance of a painless ulcer about 3 weeks after being infected by intercourse without a condom with a partner infected with the virus. The lack of treatment can cause the disease to progress to more advanced stages, such as secondary or tertiary syphilis.

What to do: it is important to go to the general practitioner or urologist in Noida, so that they can evaluate the signs and symptoms and indicate the most appropriate treatment. 

5. Other infections

Other sexually transmitted infections also associated with sores on the penis include lymphogranuloma venereum, donovanosis or HPV, for example. Penile lesions can also arise internally, as in urethritis, which causes pain and a yellowish or lighter discharge, and can be caused by bacteria, such as Neisseria gonorrhoeae, which causes gonorrhea.

What to do: after the diagnosis is made, it is recommended to undergo treatment with medications recommended by the doctor, which include antibiotics or, in the case of HPV, cauterization of the lesions. 

6. Autoimmune diseases

Some autoimmune diseases can also favor the appearance of sores on the skin and in the genital region, especially on the penis, such as Behcet’s disease, pemphigus, lichen, Crohn’s disease, Reiter’s disease, erythema multiforme or dermatitis herpetiformis, for example. These diseases are often accompanied by lesions elsewhere in the body and systemic symptoms, such as fever, tiredness, or weight loss. 

What to do: the investigation and treatment of these diseases is carried out by the rheumatologist or dermatologist, with drugs that help regulate immunity, such as corticosteroids or immunosuppressants, for example, which also promotes the improvement of symptoms.

7. Cancer

Penile cancer is a rare type of tumor that can arise in the organ or just the skin that covers it, causing the appearance of sores, nodules, or changes in the color and/or texture of the skin. This type of cancer is more common in people over 60 years of age, but it can also happen in young people, especially men who do not have good intimate hygiene or who smoke.

What to do: treatment for penile cancer is recommended by the oncologist and urologist in Ghaziabad, and includes the use of medication, surgery to remove as much of the affected tissue as possible, as well as chemotherapy or radiation therapy, depending on the severity and degree of the injury.

Do you know what penile cancer is? What can increase the risk of developing penile cancer? What are the main symptoms and signs of penile cancer? How is penile cancer diagnosed? What tests to perform to detect penile cancer? How is penile cancer treated? What is the importance of early diagnosis in the fight against penile cancer? What is the risk group for developing penile cancer? We created this blog post with the main information about penile cancer, in order to raise awareness and help everyone about this disease. Follow until the end!

Penile cancer is a tumor with sporadic cases, with its highest incidence in men over the age of 50 years, but nothing prevents it from also being developed in male citizens under the age of 50 years.

In the large portion of penile cancer records, the main potentiators are lack or poor intimate hygiene, as well as human pipolma virus (HPV) infection and failure to remove the foreskin from the glans of the penis. In view of this, early diagnosis is essential in order to prevent the development of penile cancer and, in serious situations, amputation of the genital, producing numerous negative effects, both psychological, sexual and physical for the patient, explains the best urologist in Noida.

Want to know more about penile cancer? Below we list the main topics that we will cover on the topic.

1. What is Penis Cancer?

Characterized as an infrequent tumor, penile cancer can manifest itself in the organ or in the skin that covers it, causing noticeable changes in the color and texture of the skin, as well as wounds with difficult healing.

The group that most affects penile cancer is male individuals aged over 60 years. However, nothing prevents some cases in young people. In addition, the main factors that contribute to the emergence of penile cancer are poor organ hygiene, smoking and sexual intercourse without the use of condoms.

Despite this, penile cancer is curable, reaching high rates when diagnosed early on, says the urologist in Noida.

2. What causes Penis Cancer?

As mentioned earlier, penile cancer is a disease that can have negative consequences for men. In view of this, it is necessary to know which are the main factors that cooperate for the development of penile cancer. They are:

Lack of education and awareness on the subject.

Poor or lack of organ hygiene.

Narrowing of the foreskin. For men who have not removed the foreskin, that is, the skin that covers the glans, the risk of developing penile cancer is higher.

HPV virus infection.

3. What are the symptoms of Penis Cancer?

Now that you know what it is and what are the main factors that increase the risk of developing penile cancer, you need to be aware of the first signs in order to seek medical advice as soon as possible. So, pay attention to the following symptoms:

Difficulty healing wounds;

Sores present on the glans or foreskin;

Unpleasant-smelling secretion originating from the urethra;

Bleeding from the penis;

Pain and swelling in the groin area;

It is necessary to be very attentive to these symptoms and seeking specialized medical help is essential, as some of these signs may be signs of other diseases, such as herpes or syphilis. Because of this, when you present the symptoms mentioned above, schedule an appointment with the urologist in Ghaziabad to obtain the correct diagnosis of your case.

4. How to diagnose Penis Cancer?

In general, the diagnosis of penile cancer is performed through biopsy, that is, an incision is made at some point that is injured and that is under suspicion of the tumor, in order to understand what stage, it is in, if it is malignant., among others.

After the biopsy points out the appearance of the tumor, the specialist doctor will make an analysis in order to understand the best treatment for the situation. Remembering that cases of penile cancer, when diagnosed early, have high cure rates. However, the reality is that, because penile cancer is a tumor that develops slowly, most men do not pay due attention to the first signs of the disease, allowing the tumor to spread throughout the body.

5. What is the treatment for Penis Cancer?

To perform the penile cancer treatment in Delhi, the patient should seek a specialist in oncology or urology. Doctors commonly perform the initial treatment procedure to remove all or as much of the tissue that is affected as possible. After this procedure, the patient may be referred for chemotherapy or radiotherapy sessions, in order to expel all the tumor cells that remained.

It should be noted that, after the surgical procedure and the stage of the tumor, the patient may have some complications, such as erectile dysfunction.

6. What is the difference between Penis Cancer and Prostate Cancer?

As a rule, according to the best urologist in Ghaziabad, penile cancer can be easily diagnosed, as it presents detectable and visible penile lesions and is associated with sexually transmitted diseases, while prostate cancer develops silently, being related to several factors., such as genetics, race, age, physical inactivity and inadequate diet. Remembering that for the diagnosis of prostate cancer, it is necessary to perform characteristic tests, such as digital rectal examination and PSA.

The prostate is a gland of the urogenital system suitable for the production of prostate secretion, a fluid that during ejaculation, in the urethra, mixes with the sperm coming from the testicles to give rise to seminal fluid.

Prostatitis, acute and chronic, is an inflammatory disease of the prostate and mainly affects men under fifty years of age. It is a disease that often manifests itself with difficulty in urination, burning, hyperpyrexia and / or perineal discomfort or pain (anal, perineal, penile-urethral), explains the best urologist in Noida.

What is prostatitis?

Prostatitis is an inflammation of the prostate gland, affects 30% to 50% of sexually active men and generally affects those who have not yet reached the age of fifty.

Acute bacterial prostatitis is due to a bacterial infection of the gland.

Chronic bacterial prostatitis is not very common and is due to an on-site bacterial proliferation that can also involve the seminal vesicles, vas deferens, epididymis and testes.

Chronic abacterial prostatitis can begin at any age, but it generally affects men over 25. The symptomatic onset is not attributable to detectable causes, states the urologist in Noida.

Pelvic floor pain syndrome is characterized by persistent spasm of the perineal floor muscles (levator ani muscles), often resulting in inflammation of the pudendal nerves. The tests do not detect, even in this case, the presence of pathogenic bacteria, excluding enterobacteria coming from the rectal ampulla of the patient (E.Coli, Proteus, Klebsiella, Enterococcus, etc.).

Asymptomatic prostatitis, as indicated by the name, does not present symptoms that the patient is able to report, in fact its presence is not accompanied by pain or discomfort, resulting in a delay in diagnosis, explains the best urologist in Noida.

What are the causes of prostatitis?

Acute bacterial prostatitis is due to a bacterial infection of the urinary tract.

Chronic bacterial prostatitis, often relapsing over time, is caused by the proliferation of bacteria in the prostate.

The appearance of symptoms of chronic abacterial prostatitis is not directly linked to specific causes: the urine, sperm and urethral swab tests do not detect the presence of pathogenic bacteria. Symptoms may present, subside, regress, and then reappear, says the urologist in Noida.

The causes of the onset of painful pelvic floor syndrome can be many; the disease often occurs following a prostatitis. In other cases, it can arise as a result of proctological disorders such as fistulas, fissures and hemorrhoids or it can itself be responsible for their manifestation. It can also occur following a period of stress or psycho-physical overload.

What are the symptoms of prostatitis?

Characteristic signs and symptoms of prostatitis are:

dysuria

burning on urination

hyperpyrexia

pelvic pain

premature ejaculation

impotence

sometimes incontinence and infertility.

In particular, acute bacterial prostatitis can manifest itself with:

chills

fever

pain in the lower back and genital area

frequency – urge to urinate (often at night)

pain or burning when urinating

muscle aches

Asymptomatic prostatitis does not begin with patient-referable pain or discomfort, but there are signs of inflammation or infection in the sperm or prostate secretion, explains the urologist in Ghaziabad.

How to prevent prostatitis?

It is advisable to avoid activities with which there is a risk of perineal trauma. Regular sexual activity is also healthy.

Diagnosis

For the diagnosis, the doctor may use:

general physical examination;

urological examination with digital-rectal exploration aimed at palpation of the prostate;

laboratory tests: urinalysis, examination of the prostate secretion, examination of seminal fluid;

vesico-prostatic ultrasound and more rarely trans rectal ultrasound;

Treatments

According to the urologist in Ghaziabad, treatment can vary based on the type of prostatitis diagnosed.

In the case of abacterial prostatitis and chronic painful pelvic floor syndrome, the following may be useful:

anti-inflammatory drugs;

hot baths;

power changes;

increased fluid intake;

promote ejaculation, to facilitate prostate drainage and muscle relaxation;

infiltration of the pudendal nerves or the prostate.

In the case of chronic and acute bacterial prostatitis, treatment can include:

drugs (antibiotics and sulfonamides);

power changes;

Prostate diseases are very common, usually with advancing age.

The good news is that, nowadays, there are already many diagnostic and treatment solutions, which seek to restore the patient’s quality of life.

However, for this to be possible, it is first necessary to recognize the signs that something is not right, to know when to act and seek help from urologist in Ghaziabad.

Today we are going to show you the first warning signs for you to be active in preserving a good state of health.

How to know that there is a problem in the Prostate?

When the prostate undergoes some change, its normal functioning is conditioned.

From there, it is quite common that some signs begin to be noticeable that, as a rule, tend to condition the lives of patients and are a source of discomfort and embarrassment.

Therefore, you should be aware of the following symptoms:

Burning sensation or pain when urinating;  Urge to urinate very often;  Waking up several times during the night to urinate (nocturia)  Difficulty stopping or starting urination;  Blood in the urine ( hematuria ) or semen;  Pain when ejaculating;  Inability to retain urine;  Erectile dysfunction;  Weak or intermittent stream/urinary flow;  Pain in the lower back, pelvic, rectal, inguinal, testicles or thighs.

However, keep in mind that even if you have the disease, it doesn’t mean you have to feel all the symptoms at the same time.

What is at the basis of this symptomatology?

When talking about prostate problems, it is common to think of cancer first.

Despite being a pathology that affects many men throughout their lives – it ranks among the most diagnosed oncological diseases in the world, it is not the only cause of this type of symptoms.

In fact, someone who is diagnosed with Prostate Cancer may not even show any of the signs described above.

Thus, there are three main prostate diseases with similar warning signs:

Benign Prostate Hyperplasia (BPH): is characterized by an increase in the volume of the prostate, causing compression of the urethra and consequent conditioning of the urinary system. It is very common from the age of 50, and the risk increases with advancing age;

Prostatitis: Causes inflammation of the prostate gland and the area around it. It can have various origins, such as a bacterial infection, but in some situations the cause is not known. It can be temporary or become chronic. It is the only one on the list that is more common in younger men, under 50;

Prostate Cancer: More common in men over 50, black, with a family history of disease, or with unhealthy eating habits. Despite sometimes presenting symptoms, in some situations they are only noticeable in more advanced stages of the disease.

Although cancer is the most serious pathology and can represent a real risk to life, none of the others should be ignored, in order to prevent them from becoming more serious health situations. For example, BPH can cause serious infections, bladder stones, blood in the urine, urinary retention and, more seriously, kidney failure (“kidney failure”).

What are the solutions for each pathology?

Regardless of the pathology, they all have one aspect in common: they are more easily treatable, and their effects are reversed when diagnosed at an early stage.

Therefore, you should be aware of the symptoms that may arise. In addition, you should regularly perform the recommended exams.

Furthermore, all conditions – Benign Prostate Hyperplasia, Prostatitis or Prostate Cancer – have treatment or, at least, methods that allow to mitigate their effects and symptoms.

In cases of Benign Prostate Hyperplasia, if the symptoms do not affect the patient’s daily life too much, this disease can only be actively monitored over time. On the other hand, if necessary, surgical techniques, minimally invasive methods or drugs can be used.

In the case of Prostatitis, if the origin is bacterial, antibiotics and other medicines are recommended that alleviate the symptoms of the disease.

Regarding Prostate Cancer, the procedures can be surgical or other techniques, such as brachytherapy or radiotherapy.

Do you recognize the symptoms? Consult a doctor as soon as possible!

The best advice in cases where patients identify some of the characteristic symptoms of prostate problems is always to ask for medical help, so that the best urologist in Noida is able to make an accurate diagnosis through clinical evaluation and the necessary tests, followed by an effective treatment.

If you let the signs evolve into more serious situations, the recovery of a normal life can be more difficult and time consuming.

Dysplasia is the abnormal development of body organs or tissues. Kidney dysplasia is a structural disorganization of the kidney parenchyma during embryogenesis. While in utero, problems can occur during kidney formation, resulting in a multicystic dysplastic kidney (kidney dysplasia), explains the urologist in Noida.

What are the causes of kidney dysplasia?

Little is known about the failures in the early development of the kidneys that result in kidney dysplasia. Most of them occur spontaneously or through exposure of the mother to certain medications or drugs and some, on the other hand, are genetic and transmitted from parents to children through autosomal dominant processes. Thus, these dysplasias are caused by a single defective gene from one of the parents. Each child born to a parent with kidney dysplasia has a 50% chance of inheriting a defective gene and being affected, says the best urologist in Noida.

What is the physiological mechanism of kidney dysplasia?

Fluid-filled cysts take the place of normal kidney tissue, and as a result, kidney function can deteriorate before or after birth.

What are the main clinical features of kidney dysplasia?

Kidney dysplasia is often combined with ureteropelvic junction obstruction, ureteral atresia, urethral obstruction, vesicoureteral reflux, and other urinary tract abnormalities. Thus, patients’ signs and symptoms depend on the extent and severity of kidney anomalies, explains the urologist in Greater Noida.

In the prenatal period, kidney dysplasia is always found by ultrasound screening and manifests as a multicystic kidney, pelvic cyst, kidney agenesis, or perception of a genital mass. In childhood and adulthood, conditions related to kidney dysplasia include voiding dysfunction, urinary incontinence, repeated urinary tract infections, flank pain or abdominal pain, vaginal discharge in women, palpable genital masses, and chronic kidney failure, states the urologist in Greater Noida.

Dysplasia usually only occurs in one kidney. With only one kidney affected, the baby can grow normally and have no or few health problems. But, if kidney dysplasia affects both kidneys, in most cases, the fetuses do not survive to the end of the pregnancy. Those who survive will need, from a very early age, to undergo dialysis and undergo a kidney transplant. A baby with kidney dysplasia may also have problems with the digestive system, nervous system, heart, blood vessels, muscles and skeleton or other parts of the urinary tract, says the urologist in Ghaziabad.

How does the urologist in Ghaziabad diagnose kidney dysplasia?

Kidney dysplasia or other congenital problems may be found during prenatal ultrasounds or ultrasounds performed after birth to assess for other symptoms. Symptomatic kidney dysplasia may be best investigated by kidney ultrasound, magnetic resonance imaging, and magnetic resonance urography. Eventually, a definitive diagnosis of kidney dysplasia can only be made after removal of a non-functioning kidney, by nephrectomy or autopsy, explains the urologist in Vaishali.

How does the urologist in Noida treat kidney dysplasia?

What is kidney cancer?

Kidney cancer, hypernephroma or renal adenocarcinoma is a malignant tumour that affects kidney cells and can be restricted to that organ or spread to other parts of the body, explains the best urologist in Noida.

What are the causes of kidney cancer?

The causes of kidney cancer are not entirely clear. It is only known that it begins when some kidney cells undergo mutations in their DNA, which start to grow and multiply in a fast and disordered way, forming a tumour that can expand to other parts of the body (metastases) and cause serious complications, says the urologist in Noida.

Although the causes of kidney cancer are not yet known, some factors seem to contribute to it, such as advanced age, treatment for kidney failure such as dialysis, von Hippel-Lindau disease (an inherited condition that affects the blood vessels of the brain, eyes and other body parts). In addition, smoking, high blood pressure and obesity also interfere negatively. Also, some rare genetic syndromes can increase the risk of developing kidney cancer, states the urologist in Noida.

What is the pathophysiology of kidney cancer?

The kidneys are two organs about the size of a fist, located in the back and upper part of the abdomen, behind the abdominal organs, juxtaposed to the spine, one on each side. The kidneys are responsible for the balance of water and salts in the body and eliminate harmful substances metabolized by the body. Each kidney is made up of a million tiny filtering structures called nephrons.

The most common kidney cancer results from the transformation of the cells of the tubules that form the nephrons, which begin to proliferate abnormally and can invade the organ and even, in some cases, circulate through the body and produce tumours in other parts of the body. (metastases).

There is usually a single tumour, but two or more tumours can arise within one or both kidneys simultaneously. One of the first consequences of the kidney tumour is the breakdown of kidney functions, says the urologist in Greater Noida.

What are the main clinical features of kidney cancer?

Kidney cancer is usually silent or only produces very mild and nonspecific symptoms. It can cause bleeding in the urine and pain in the side of the belly. More intense symptoms and the possibility of palpation of the tumour only occur when the disease is more advanced. At this stage, persistent back pain, abdominal pain, weight loss, fatigue, and intermittent fever may be present. In many cases, the first overt symptoms may result from metastasis rather than from the primitive tumour, explains the urologist in Ghaziabad.

How does a doctor diagnose kidney cancer?

The first tests and procedures used to diagnose kidney cancer include blood and urine tests, ultrasound, CT scan, and MRI. Lastly, a biopsy may be performed, to remove a sample of kidney tissue, to be sent for examination in a pathology laboratory.

The earlier the diagnosis, the greater the chances of cure because it allows identifying the tumour in its early stages, still located in the kidneys and not spread to other parts of the body. Often the discovery of the tumour is accidental, during exams by urologist in Ghaziabad for other purposes or even in routine exams.

How do doctors treat kidney cancer?

Kidney Cancer Treatment in Noida depends on the size of the tumour and whether or not it has metastasized, but surgery is the only definitive treatment. Removal of the kidney, adrenal gland, and regional lymph nodes is the most commonly indicated treatment. When the disease has already produced metastases, the goal of treatment becomes to stop or slow down its progress. For this, the treatment must be with medications that block the fundamental biological processes for the proliferation and survival of cancer cells, especially chemotherapy, explains the urologist in Vaishali.

How does kidney cancer evolve?

In general, the patient’s recovery depends on how severe the cancer has reached. In about a third of cases, the cancer has already spread throughout the body and the patient, at the time of diagnosis, has already developed metastases. For these patients, the chances of cure are considerably reduced, says the urologist in Vaishali.

How to prevent kidney cancer?

Chronic kidney disease (CKD) is nicknamed the silent killer because it usually does not cause any symptoms until it is in an advanced stage and is already irreversible. “It is a forgotten pathology, even by health policies, and it is only treated when there is no cure and the only thing that can be done is to alleviate the symptoms,” explains the best urologist in Noida.

In the terminal phase of this disease, the kidneys stop performing their function and survival is only possible with renal replacement therapy: dialysis or a kidney transplant. However, if it is detected when it is still very early, it is possible to stop its development by treating the pathologies that cause this renal deterioration (diabetes and hypertension, above all) and with a healthy lifestyle, explains the urologist in Noida.

Warning Signs

“There really isn’t a clear symptom because normally there is no pain,” says the urologist in Greater Noida. These are some of the warning signs that can warn of the existence of a kidney disease. But beware! These signs usually appear when the problem is already advanced, that is, in the first three phases of the 5 with which the progression of the disease is described:

Fluid retention that results, among other things, in swollen ankles.

Changes in how your urine looks and how often you pee.

Tiredness and fatigue.

Anemia.

Citrin color of the skin.

Rashes, itching.

In the initial phases (1, 2 and 3a) of chronic kidney disease, according to the urologist in Ghaziabad, some more subtle changes can be seen, such as the presence of foam in the urine, which could indicate (although not always because it can be something specific) the presence of protein in the urine. However, urologist in Ghaziabad clarifies that to detect this sign “it is necessary to look very closely, but the general population is not used to paying attention to aspects such as the amount of urine, the color, if it is very concentrated or diluted … We lack a lot of information and education about”.

Blood and urine tests

Blood tests that are routinely performed on the healthy population both in health centers and in company medical check-ups usually include a marker of kidney function, creatinine, which is an enzyme that is eliminated in the kidney and is produced by the metabolism of the muscles. “It has to be around 0.9 and 1.1, that is, around 1”, indicates the president of Alcer. “If it is a little higher, there is a kidney problem”, says the best urologist in Ghaziabad.

Despite the fact that it is a very good marker and “if you have it altered it is a sure indicator of kidney failure”, it only detects the existence of problems of a certain severity (from stages 3-4 of kidney disease), since in the incipient phases the creatinine levels are usually fine.

To evaluate the functioning of the kidneys in these early stages, it is necessary to resort to the gromerular filtration rate, which measures what the kidney is capable of filtering. It is calculated using a mathematical formula that compares a person’s height, age, gender, and race to their serum creatinine levels.

“If both the glomerular filtration rate and the 24-hour urine sample were included in the analyzes carried out in primary care, many more cases of chronic kidney disease would be detected and early detection would be made,” urologist in Vaishali highlights.

Prevention before it’s too late

But since it is not possible to carry out systematic tests on all people and against all pathologies, those that should pay more attention to their kidney function are those that present a higher risk of chronic kidney disease, which are:

Patients with hypertension. 

Diabetic patients.

Patients with established cardiovascular disease.

Relatives of patients with chronic kidney disease.

In these groups, the estimation of the glomerular filtration rate in a blood sample and the determination of the albumin/creatinine ratio in a urine sample are recommended as a systematic screening or analysis method. It has been proven that early detection of those affected by this silent killer and its treatment decrease cardiovascular complications and the speed of progression of kidney disease, explains the best urologist in Noida.

How many times have you consulted with a urologist?

It is recommended to carry out, from the beginning of sexual life, routine consultations with the best urologist in Noida once a year. This care makes it possible to identify diseases early, before they can cause complications.

But, in addition to routine consultations, there may be situations where urgent care is needed, either because of the pain caused by the disease or even the risk of serious complications and even death.

Diseases that require urgent consultation with the urologist

Acute urinary retention

The urinary retention can be defined as the inability to urinate, the bladder is full, but the patient can not empty it.

This can occur when there is obstruction of the urine channel, most commonly related to benign prostatic hyperplasia (enlarged prostate) or even failure of the bladder muscles to contract, which can occur from medication use or nervous system injuries.

The patient should be submitted, as soon as possible, to the placement of a probe in the urine channel, in order to avoid complications such as loss of kidney function.

Renal colic (kidney stone)

When the stones are located inside the kidneys, they do not usually cause pain. But when the stones travel through the urinary stream and reach the ureter, the canal that connects the kidney to the bladder, they cause obstruction of the drainage of urine, which accumulates, causing the ureter and kidney to dilate. This dilation is responsible for intense low back pain, known as renal colic l.

Kidney stone is a sharp, intense pain that cyclically increases and decreases, starting in the lower back and radiating (walking) to the lower abdomen.

It may be accompanied by sweating, nausea and vomiting.

Acute scrotum (sharp pain in the testicle)

There are several causes of testicular pain, but one in particular requires urgent care, testicular torsion.

Some patients have a failure to attach the testicle to the inner part of the scrotum, and there may be twisting of the testicle. This condition prevents the arrival of blood with oxygen to the testicle, causing very intense pain.

The condition must be corrected through surgery as soon as possible, in order to avoid the loss of this organ.

Urinary tract infection is also treated by the urologist in Noida

Urinary tract infection can occur in both women and men. In females, the most commonly affected organ is the bladder, causing local inflammation, which we call cystitis. When this occurs, symptoms such as burning when urinating, the urge to go to the bathroom very often, cloudy and foul-smelling urine appear.

In males, the most commonly affected organ is the prostate. Infection of the prostate causes symptoms similar to those described above, in addition to pelvic pain.

Although the diagnosis and treatment of urinary tract infection is relatively simple, proper evaluation by a urologist in Ghaziabad is necessary, who should examine the patient in addition to ordering urine and blood tests.

If not treated properly, a urinary tract infection can cause serious complications. Cystitis, for example, can progress to kidney infection, which we call pyelonephritis.

Some of the most common symptoms associated with this condition are fever, chills and lower back pain.

There are many other conditions that also require prompt care, including trauma, penile fracture, Fournier’s paraphimosis gangrene.

The urinary incontinence in female is a common problem, especially in young women and may have an impact significant and important in the quality of life of the patient. Female urinary incontinence involves an involuntary leakage of urine, which can lead to a number of symptoms, which include urinary urgency (sudden need to urinate and the difficulty or inability to avoid it), urinary frequency (urinating more than 8 times during a 24-hour period) and nocturia, explains the urologist in Noida.

Female urinary incontinence can be classified in different ways. Depending on what causes it, it can be:

Stress urinary incontinence: It is related to the actions that generate increased pressure within the abdominal cavity and the bladder (laughing, coughing, sneezing, climbing stairs, among others)

Urge urinary incontinence: It presents as involuntary urine leakage that is accompanied by the sudden need to urinate.

Functional urinary incontinence: It is related to the inability to retain urine within the bladder due to neurological injuries and / or existing injuries in the urinary tract (delirium, psychiatric disorders, urinary infections, among others).

Mixed urinary incontinence: It is presented as the combination of stress urinary incontinence and urge urinary incontinence, which is why it is characterized by both involuntary urine leakage and various actions (laughing, sneezing, climbing stairs, among others).

Although urinary incontinence tends to occur more frequently in women who are going through menopause, anyone can be affected. It is difficult to determine the exact number of patients who suffer from urinary incontinence, says the best urologist in Noida.

It is estimated that female urinary incontinence affects 20-30% of young women, 30-40% of middle-aged women, and 30-50% of elderly women.

What is the treatment for female urinary incontinence?

Currently there are multiple ways to manage and treat female urinary incontinence. The treatment to be used will largely depend on the type of urinary incontinence that the patient presents:

Stress urinary incontinence: It can be managed through surgery, exercises that strengthen the pelvic floor, as well as anti-incontinence devices and medications.

Urge urinary incontinence: It can be managed with changes in lifestyle, which include modifications in diet, exercises are also used to strengthen the pelvic floor, medications and in some cases, surgery can be used.

Functional urinary incontinence: It is due to the underlying condition that causes urinary incontinence.

Mixed urinary incontinence: It can be managed with medications (anticholinergics) and sometimes surgery.

Although, in many cases surgery can be used as a treatment option, it is preferable to use medical treatment (pelvic floor exercises, medications, among others) before submitting the patient to surgery, says the urologist in Greater Noida.

In cases of severe urinary incontinence, it is advisable to use surgery as the first-line treatment, unlike mild or moderate cases.

Treatment of conditions that may cause or accentuate female urinary incontinence is widely recommended by the urologist in Greater Noida and necessary to minimize symptoms of urinary incontinence.

Absorbent devices as a treatment for female urinary incontinence

Absorbent devices are products (pads or garments) designed to absorb urine and thereby protect both the patient’s skin and clothing. Because they reduce the odour and moisture of absorbed urine, they help maintain a certain comfort and facilitate the performance of daily activities, says the urologist in Ghaziabad.

While absorbent devices help control the symptoms of urinary incontinence, they are not a cure for the problem. Patients who benefit from the use of these devices are those who meet the following criteria:

Persistent urinary incontinence despite having used the appropriate treatments.

Lack of ability to participate in behavioural programs due to various illnesses or disabilities.

Presence of urinary incontinence disorder that cannot be improved with the use of medications.

Presence of urinary incontinence disorder that cannot be improved with the use of surgery.

Surgical treatment for female urinary incontinence

Surgical treatment for urinary incontinence is offered by the urologist in Vaishali when patients have already undergone drug treatment as well as pelvic floor exercises and there is no improvement.

There are different types of surgeries that can be performed as treatment; however, it will depend on what type of urinary incontinence is present, states the best urologist in Greater Noida.

For patients with stress urinary incontinence, surgeries are recommended to strengthen the urethral sphincter (suspension of the bladder neck, among others).

For patients with urge urinary incontinence, surgeries are recommended by the best urologist in Ghaziabad that increase the elongation of the bladder, as well as the amount of urine it can retain (sacral nerve modulation, injection of neurotoxins such as botulinum toxin, bladder enlargement).

Pharmacological treatment for female urinary incontinence

The purpose of drug treatment is to reduce the frequency of symptoms of urinary incontinence. The medications used are anticholinergics, antispasmodics, and tricyclic antidepressants.

Depending on the type of urinary incontinence that the patient presents, the drugs that are going to be administered will be administered.

It has been observed that when drug treatment is combined with pelvic floor exercises the results are even better and the symptoms decrease is greater.

Urinary tract infection can affect three parts of our body: the urethra, the bladder, and the kidneys. When the problem occurs in the urethra, the infection is called urethritis. In the bladder and kidneys, it is called cystitis and pyelonephritis, respectively, explains the Urologist in Noida.

Usually, the urinary tract infection is caused by bacteria that live peacefully in our intestines. E. Coli is part of the intestinal microbiota and only becomes pathological when it leaves its natural habitat.

According to the Best Urologist in Noida, in women, the chance of an infection settling in the urethra is much greater than in men. This is because the woman’s urethra is short, that is, the path that the bacteria travel to the internal environment is shorter.

The female urethra measures about 5 cm and is completely internal, while the male urethra can measure up to 20 cm and has a large part of its extension outside the body.

In addition, the urethral orifice in women is located in the vagina, which is very close to the anus. The short distance facilitates contamination, especially after incorrect intimate hygiene.

The most common symptoms are pain and burning when urinating, constant urge to go to the bathroom, bad smell in the urine, feeling of heaviness in the bladder and urgency to urinate.

Low back pain and fever will more severe symptoms and is indicative of pyelonephritis – as the kidneys are organs later, says the Urologist in Noida.

Find out what are the main causes of urinary tract infection and change your habits!

1. Drink little water

According to the Urologist in Greater Noida, when we drink little water, little urine is formed. The formation of urine depends on the work of filtering blood through the kidney. If the kidney detects that there is little fluid in the body, the rate of water reabsorption is increased.

Thus, the urine is concentrated, and the body maintains acceptable levels of fluids. This mechanism is important for maintaining stable blood pressure.

However, when the flow of urine is small, bacteria have the free path for longer and can reach organs such as the bladder.

This is because the continuous flow of urine clears the walls of the bladder, ureters, and urethra. The ideal is to drink about 2 liters of water during the day, suggests the best urologist in Greater Noida.

2. Do an incorrect intimate cleaning

Our gut has a microbiota formed by several bacteria. There, they do not cause disease and are important for the balance of the body.

However, several bacteria come out in the stool and can reach the urethra when intimate hygiene is done incorrectly.

The correct thing is to pass the toilet paper from front to back, thus avoiding the contact of feces with the vagina, suggests the Urologist in Ghaziabad.

3. Do not urinate after sex

During sex, the body comes into contact with various bacteria.

Eliminating urine after intercourse helps to eliminate pathogens that clumped in the urinary tract during the act, says the Sexologist in Noida.

4. Holding urine in the bladder

Some people have a bad habit of holding pee for a long time. Whether due to lack of time at work or out of habit, this attitude damages the health of your urinary system.

The accumulation of urine inside the bladder favors the growth of bacteria, since the urinary tract is not cleaned regularly.

In addition, as the urine reaches the bladder, it expands to accommodate all the fluid. When urinating, the bladder cannot contract completely and there may be some fluid left inside, which also causes infection.

5. Do not change absorbents frequently

During the menstrual period, the body eliminates various residues that can serve as a culture medium for bacteria.

When a woman stays with a dirty pad for a long time, these microorganisms can reproduce there and ascend to the urethra.

The ideal is to change the pad every 4 hours – or whenever you notice a decrease in menstrual flow, suggests the Urologist in Vaishali.

6. Wear tight underwear

Underwear stuck to the body increases the temperature of the region, favoring the proliferation of bacteria. In addition, other microorganisms can benefit from the increase in temperature, such as fungi.

To prevent one of the causes of urinary tract infection, the ideal is to wear comfortable underwear and sleep without panties to ventilate the area, advices the urologist in Noida.