Follow these dietary guidelines to prevent kidney stones.


The incidence of urolithiasis (kidney and ureteric stones) is on the rise in few states of India. This problem usually affects the young population. The chances of its recurrence is 7% per year meaning that the chances of reforming the Read more

Don't let the "Kidney Stone Pain" break your "Smile"


What is a Kidney? Kidneys are bean-shaped organs, each about the size of your fist. They are located near the middle of your back just below the rib cage, one on each side of the spine. The Kidneys are sophisticated Read more

All About Enlarged Prostate


What is a Prostate Gland? The Prostate is a walnut-sized gland that forms part of the made reproductive system. The Gland is made of two lobes. or regions enclosed by an outer layer of tissue. The prostate is located in Read more

Retro intra-renal surgery (RIRS)


Retro intra-renal surgery (RIRS), a procedure which allows doctors to perform surgery inside the kidney without making an incision. This technique is carried out by using a viewing tube called a fiber optic endoscope. RIRS is done to remove the Read more

Don’t let the “Kidney Stone Pain” break your “Smile”

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Don't let the "Kidney Stone Pain" break your "Smile"

What is a Kidney?
Kidneys are bean-shaped organs, each about the size of your fist. They are located near the middle of your back just below the rib cage, one on each side of the spine. The Kidneys are sophisticated trash collectors. Every day your kidneys process about 200 quarts of blood to sift out about 2 quarts of waste products and extra water. The wastes and extra water become urine, which flows to your bladder through tubes called ureters. Your bladder stores urine until you go to the bathroom.

What is a kidney Stone?
A kidney stone is a solid piece of material that form in a kidney out of substances in the urine. Kidney stone may be as small as a grain of sand or as a pearl. stone are even as big as golf balls. Stones may be smooth or jagged. They are usually yellow or brown.
A stone may stay in the kidneys or break loose and travel down the urinary tract. A small stone may pass all the way out of the body without causing too much pain.
A larger stones may get stuck in a ureter the bladder or the urethra A problem stones can block the flow of urine and cause great pain.

What causes Kidney Stones?
A person with a Family history of Kidney stones may be more likely to develop stones. Urinary tract infections Kidney disorders such as cystic kidney disorders such as cystic kidney diseases. and certain metabolic disorders such as hyperparathyroidism are also linked to stone formations.
Other causes of kidney stones are hyperuricosuria which is a disorder of uric acid metabolism: gout: excess intake of vitamin D: urinary tract infections: drinking less fluids and blockage of the urinary tract. Certain diuretics commonly called water pills and calcium-based antacids may increase the risk of forming kidney stones by increasing the amount of calcium in the urine.

What are the symptoms of kidney stone?
Many Kidneys stones don’t move and are too small to cause any symptoms. However, if a kidney stone cause a blockage or moves into your ureter you may:

  • Have severe pain or ache on one or both side of your back
  • Get sudden spasms of excruciating pain- this usually starts in the back below your ribs, before radiating around your abdomen and sometimes to your groin and genitals
  • Have bloody or cloudy urine,
  • Feel sick or vomit,
  • Feel a frequents urge to urinate or a burning sensation during urination,
  • Get fever and chills


Diagnosis

If a doctor suspects Stones, diagnosis is usually confirmed via a special CT scan, an ultrasound or a special X-ray test.

Treatment Options
Specialists evaluate each patient’s need for stone treatment and recommend measures to prevent additional stones from forming. Watchful waiting is the most common treatment .As most stone ore small enough to puss on their own. Your doctor holy recommend a variety of treatment options depending on type and locations of stones. Your doctor will recommend a treatment course that best fits with your individual situation and disease.

Extracorporeal shock wave Lithotripsy (ESWL)
This procedure is the usual treatment to remove stone about 1 centimeter or smaller. The stones ore shattered by way of applying external shocks. The fragmented stones pass through the Urine. Some stone may not shatter completely and may require another treatment. Most patients resume normal activity in a few days, but it may take months for all stone fragments to pass.

Don't let the "Kidney Stone Pain" break your "Smile"

Percutaneous Nephrolithotomy
If the kidney stone is very large, a surgeon may remove it through a small incision in the back using a nephroscope. The procedure, percutaneous nephrolithotomy, is performed using general anesthesia Patients usually stay in the hospital for one to two days with additional recovery time of one to two weeks.

Ureteroscopic stone Removal
This procedure is used to remove stones that are lodged in a ureter and is usually preformed on an outpatient basis while the patient is sedated with general or local anesthesia. The surgeon passes a small ureteroscope through the bladder into the ureter the stone. In some cases, the surgeon will shatter the stone using a Laser or a technique called electrohydraulic lithography.

Why Holmium Laser surgery?
Holmium Laser fragments all kinds of Stones irrespective of size, color, composition and locations. These Losers benefit both you and your doctor. This unique device allows your doctoral perform stone into dust. For you it offers multiple benefits:

  • Gets rid stones in a single treatment
  • Faster healing times
  • Less post-operative pain.

 

Extracorporeal Shock Wave Lithotripsy (ESWL) – Shanti Ved Hospitals

Extracorporeal Shock Wave Lithotripsy (ESWL) – Shanti Ved Hospitals

Extracorporeal Shock Wave Lithotripsy (ESWL) – Shanti Ved Hospitals


All About Enlarged Prostate

Articles
All About Enlarged Prostate

What is a Prostate Gland?
The Prostate is a walnut-sized gland that forms part of the made reproductive system. The Gland is made of two lobes. or regions enclosed by an outer layer of tissue. The prostate is located in front of the rectum and just below the bladder, where urine is stored. The Prostate also surrounds the urethra, the canal through which urine passes out of the body.

What is Benign Prgstatic Hyperplasia?
Benign Prostatic Hyperplasia is nonmalignant (noncancerous) enlargement of the prostate gland, a common occurrence in older men. It is also known as Benign Prostatic Hyperplasia and abbreviated as BPH.

What Causes BPH?
During Puberty, the prostate goes through a phase of very rapid enlargement, but this levels off once puberty is completed. Starting in mid-life, the prostate begins growing again. but very slowly this time.
It is thought that these periods of growth result from increased levels of male hormones such as testosterone. Testosterone is produced throughout a man’s life and subsequently the prostate grows throughout a man’s life.
Due to the slow progression of this growth, most men do not notice any symptoms of BPH untill they are older and the prostate has grown to such a Size that it impinges on the outflow of urine from the bladder.

What are the symptoms of BPH?
Due to the locations of the prostate BPH causes a number of urinary symptoms.The prostate is located just below where the bladder empties into the urethra (which is a thin tube that carries urine from the bladder, through the penis, to outside the body). As the prostate enlarges, it impinges the flow of urine through the urethra.

The most common symptoms are :

Blood in the urine (i.e., hematuria), Caused by straining to void
Dribbling after voiding
Feeling that the bladder has not emptied completely after urination
Frequent urination, particularly at night (i.e.,nocturia)
Hesitant, interrupted, or weak urine stream caused by decreased force
Leakage of urine (i.e.,overflow incontinence)
Pushing or straining to begin urination
Recurrent, sudden, urgent need to urinate

Treatment Option
Your doctor may recommend a variety of treatment options depending on what disease you are suffering from. These options may range from ‘wait and see’ drug therapies, radiation. surgery, or some combination. Your doctor will recommend a treatment course that best fits with your individual situation and disease.

My Doctor Recommends Surgery……
There are different surgical procedures available and your doctor will be happy to explain the procedure he or she has chosen and risks associated. For example, if you have BPH, he or she may recommend Holmium laser procedure called Holmium Laser Enucleation of Prostate (HoLEP) or Transurethral Resection of the Prostate (TURP), these are two highly effective procedures that remove the enlarged prostate gland tissue.

Holmium Laser Enucleation of Prostate
Holmium Laser Enucleation of the Prostate (HoLEP) has emerged as a safe and effective BPH treatment option. HoLEP involves Enucleation of the median lobe, followed by the lateral lobes. The lobes are placed into the bladder for removal b morcellation. Prostate size is not a limitation for this technique. Minimal blood loss, less catheter time, lesser hospital stay are some advantages of this procedure.

Transurethral Resection of the Prostate (TURP)
A surgeon inserts a narrow instrument (resectoscope) into the urethra and uses small cutting loops to scrape away excess prostate tissue. Patients can be expected to stay in the hospital up to three days after surgery. Blood loss and catheter time are more in TURP than HOLEP


Retro intra-renal surgery (RIRS)

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RIRS-Shanti-Ved-Hospital

Retro intra-renal surgery (RIRS), a procedure which allows doctors to perform surgery inside the kidney without making an incision. This technique is carried out by using a viewing tube called a fiber optic endoscope.

RIRS is done to remove the stone by using a scope. The stone is seen through the scope which is placed through the urinary opening into the bladder and then through the ureter into the kidney. The scope is then moved up the urinary tract to a position where the stone is crushed by laser or an ultrasound probe or grabbed by small forceps.

 RIRS is used for difficult to treat cases such as:

* Stones too large for ESWL
* Failed previous treatments
* Patients with bleeding disorders and obesity
* Strictures and Tumors

 There are many advantages of this technique over open surgery as it provides:

* Quicker solution to the problem
* Reduces the prolonged pain after the surgery
* Deeper incision
* Fewer traumas
* Much faster recovery

 RIRS is performed by a specialist, a urologist with special expertise in RIRS. The procedure is usually done under general or spinal anesthesia.