Prostate July 23, 2018

Benign Enlargement of Prostate

It is a fairly prevalent disease of elderly male patients above the age of 50 years. Incidence of this causing symptoms, increases as the age advances. As the enlargement progresses, it pinches the urethra below the bladder and causes difficulty in passing urine. [...]Unless complications of enlargement have set in, initial line of treatment should be conservative with medicines. If patient does not improve, or escapes benefit with medicines or complications set in, minimally invasive surgery should be offered to him.
The most time tested surgical treatment for BPH is Trans Urethral Resection of Prostate (TURP). The other options include Laser Ablation or Nucleation. In very large sized glands, open surgery in experienced hands is a very good option. The surgical options should be discussed with the surgeon in detail regarding the pros and cons of each, and then decide what suits you the best.
The commonest misconception regarding laser treatment for anything in urology is that a common man misinterprets endoscopic surgery with laser surgery. All endoscopic surgeries are done without large incisions, but only few of them laser through the endoscopes. The most time-tested operation for BPH is a TURP, which is often understood and spoken of as a laser surgery for prostate, wherein reality it is an endoscopic surgery, which utilizes electric mode of resection and not laser. For most glands, TURP is the best suited surgery, with minimal extra costs for special instruments, which are required for using laser for the same.
The options for minimally invasive surgery for BPH are TURP, Laser Ablation or Enucleation of prostate or Open surgery.

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Bladder May 29, 2016

Bladder Cancer (BC): Symptoms

Due to the contact between the growth in the bladder and urine, the most common symptom of bladder cancer is presence of blood in the urine also known in medical terms as haematuria. Even if blood appears only once, medical advice should still be sought as soon as possible. Sometimes bleeding may not be seen [...]

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Urethral August 6, 2018

Urethral Stricture

Urethral stricture is a narrowing of the urethra, leading to varying difficulty while passing urine.The caveats deciding the mode of treatment are - the length of the involved urethra and the amount of thickness of the wall of urethra, which is involved in the pathological narrowing. The commonest causes of urethral stricture are infection or trauma.[...] Surgical treatment is the best option for this disease. In short segment strictures with partial thickness wall involvement, endoscopic treatment in the form of Visual Internal Urethrotomy (VIU), is a good option. This procedure may require subsequent urethral dilatations either by metal bougies or by Clean Self Intermittent Catheterization of a good caliber urethral catheter, to prevent recurrence of the stricture.
For longer segment, severely narrowed full thickness involvement of wall or traumatic transection of urethra, open urethroplasty with use of buccal mucosa or lingual mucosa, in the form of only or inlay or combination of both, are the best solutions.

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Penis May 12, 2016

Male Circumcision and Prostate Cancer: everything you need to know

Several weeks ago there was a news item on the role of circumcision in prostate cancer. This was based on a research paper published in the British Journal of Urology International (March 2014 issue) by researchers from the Biostatistics Department, Quebec University, Canada. The article highlighted the benefits of male circumcision. Read on to discover [...]

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Cancer March 29, 2018

Cancer of Prostate

It is a disease of elderly males. This disease is characterized by presence of a strong specific tumor marker, called PSA ( Prostatic Surface Antigen), which can be assayed by a blood test. It usually rises much before the actual clinical presentation of its symptoms. This is favorable for early diagnosis of this potentially highly morbid disease in asymptomatic elderly males. [...] This test is now available as a part of high level health packages, offered by many reputed diagnostic centers. When this disease is diagnosed early, it is potentially curable. The symptoms of this disease are essentially the same as in noncancerous enlargement of prostate gland. In addition, in advanced cases, where the disease has progressed beyond the prostate, symptoms of metastases may be present. They range from backache, joint pains, pathological fractures, lower limb edema, bleeding in urine, weight loss, anorexia etc.
Once suspected, the diagnosis has to be confirmed by systemic biopsies, usually done by transrectal route, using transrectal USG. Once diagnosis is confirmed, additional imaging investigations are required for confirming that the disease is organ confined or not. PET PSMA is a single investigation, which can give most inclusive staging information of this disease.

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Kidneys December 3, 2017

Incidentally detected kidney cancer (Small renal mass-SRM)

Information on kidney cancer treatment Kidney cancer in the last decade has seen an increase in detection through the finding of small renal masses (SRMs) or tumours with an average increase of 2% to 3% per year. Now almost 40-50% of renal tumours are detected in early stages. Nearly half of these patients are above the [...]

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