All posts by shailendra_admin

holep

Know more about prostate cancer

Urologist in Noida

Prostate Cancer is a form of cancer that affects aging men commonly. The prostate gland is responsible for producing seminal fluid or semen, from its position under the bladder, surrounding the urethra. Its function is under control of testosterone hormone produced by testicles.

Prostate cancer refers to the growth of a malignant mass of cells which can also be called a tumour. More about this cancer:

  • Risk Factors: The various risk factors are studied for the development of this cancer. Advancing age, a family history of the same disease, obesity, western diet and black race are the risk factor for the development of this cancer.
  • Types: There are basically two types of prostate cancer, including fast-growing or aggressive, and slow-growing or non-aggressive. Yet, it is also important to remember that not every abnormal growth in this gland can be termed as a tumour, or is a sign of prostate cancer. A malignant growth signifies prostate cancer. This tumour can grow at a fast pace for aggressive prostate cancer, while it can grow and spread slowly for the non-aggressive type.
  • Symptoms: It is possible not to have any kind of obvious symptoms when suffering from this kind of cancer at an early stage. The symptoms usually begin to show up when cancer has reached a more advanced stage. These include urinary problems, like poor flow, frequency, frequent need to wake up for urination in night. The patient may go through pain and difficulty when it comes to urinating. This pain may also occur during ejaculation. The patient may also find blood discharge in the semen upon ejaculation. Pain in the backbone and pelvic are also common symptoms of prostate cancer when it spread into bones. Spine involvement may gradually turn into numbness in lower limbs with paralysis. Blocked of ureters may lead to kidney failure.
  • Diagnosis: The diagnosis of prostate cancer is suspected by digital rectal examination and PSA blood test. If any nodule or hard area is suspected on digital rectal examination or PSA is high, then a prostate biopsy is done to confirm cancer. When in doubt, Multiparametric MRI of the prostate may guide the necessity of biopsy.
  • Treatment: Early cancer limited to the prostate can be cured by surgery (Radical Prostatectomy) or Radiotherapy. Advancement in surgical techniques due to robotics and laparoscopy, has made Robotic radical prostatectomy as the first choice of prostate cancer treatment in Delhi for 1st stage. Advance cancer is treated by hormonal manipulation of testosterone blockade. It can be achieved medically by various injections or surgically by removing both testes. If cancer still grows despite hormonal manipulations, chemotherapy helps in rescue.
  • Prostate cancer is a treatable disease. We should not fear it rather fight with it. Ultimately, we can win over cancer.
kidney stone treatment in Ghaziabad

Kidney Stones – Causes and Treatment

Urologist in Noida

Our kidneys are an important organ in the body and are responsible for the filtration of blood and creation of urine. Sometimes, during this process salt and other chemicals get stuck together to form small crystals also known as kidney stones. The size of a kidney stone can range from the size of a sugar crystal to the size of a ping pong ball. However, it is noticed only if it is large enough to cause a blockage. Smaller stones may pass out of the body without you realizing it.

Kidney stones can be a very painful experience. Some of the symptoms exhibited by patients suffering from kidney stones are:

  1. Severe back pain
  2. Pain in the belly or groin
  3. Painful urination
  4. Frequent urination
  5. Nausea and vomiting
  6. Blood in the urine

Excruciating pain is usually the symptom that makes a patient consult a urologist in Noida in cases of kidney stone problems. A confirmed diagnosis can then be made by using a series of tests that include an X-ray, ultrasound, CT scan and urine analysis. A blood test may also be conducted to check the mineral levels in the body.

Kidney stones are a common condition faced by many people, but some people are at a higher risk of suffering from this than others. Some of these factors are:

  1. Family history of kidney stones
  2. High uric acid levels in the blood
  3. Being between 20-50 years of age
  4. A previous kidney stone
  5. Chronic diseases such as diabetes and high blood pressure
  6. Some medication such as diuretics and antacids with calcium
  7. Inadequate fluid intake

Between men and women, the former are at a higher risk of suffering from kidney stones. Asians and Caucasians also suffer from this condition more than people from other races. Hormone changes during pregnancy can also trigger the formation of kidney stones.

The first thing to do if you suffer from a kidney stone is to increase your water intake. This can help dissolve some of the minerals in the stone and make it a small enough to pass through the urethra. Injectable anti-inflammatory drugs and pain relievers may be used to ease the pain caused by kidney stones.

If the kidney stone does not pass on its own, lithotripsy may also be used for kidney stone treatment in Noida. This involves the administration of shock waves that can break a large stone into smaller pieces. In extreme cases, surgical techniques may also be used by urologist in Vaishali, Ghaziabad, Noida.

holep

HoLEP Removes Enlarged Prostate Gland

Urologist in Noida

Enlarged Prostate Gland, Watch Out!

The Holmium Laser Enucleation of the prostate (HoLEP) is an advanced endoscopic surgical procedure that is done to remove the enlarged prostate gland. As laser seals blood vessels accurately, there is little or no bleeding, thereby making the entire procedure a lot safer.

How does HoLEP work?

The HoLEP surgery is a state-of-the-art minimally invasive surgery that removes the enlarged prostate gland tissue without any incision.

The goal of the HoLEP surgery is to relieve pressure on the tube (urethra) through which the urine drains, by anatomically enucleating the prostate adenoma. This is done under regional anaesthesia with the help of a telescopic camera inserted through the penis. The three lobes of the prostate that are cored out intact are pushed into the bladder before being churned &sucked up (morcellated) by a special instrument inserted through the same telescopic camera.

A catheter is placed into the bladder to drain the urine while the raw surface heals for the next 48 to 72 hours. The sterile saline fluid is also irrigated into the bladder through the catheter to dilute any blood in the urine and prevent clots formation. It is normal to have some blood in the urine after this operation, so it is advisable to drink plenty of water for a few days while it clears.

Who are the right candidates?

HoLEP can be performed on men of any age with urinary outflow obstruction caused by an enlarged prostate. It is particularly useful in men with very large prostates (over 80 ml in size).

What are the advantages of HoLEP?

  • Safe, even in an elderly individual
  • Safe in patients with a low sodium level
  • Less bleeding
  • Perfect for small to very large prostates
  • No blood transfusion required
  • Safe even for cardiac patients and those on anticoagulants
  • Minimal catheterization
  • Early return to work
  • No chances of recurrence
  • Immediate relief of symptoms
  • Ability to destroy bladder stones if present
  • Lower complication rate