World of Urology

 World of Urology

For a comprehensive range of urological services, including the diagnosis, treatment, and management of different urological ailments, such as kidney stones, urinary tract infections (UTIs), prostatic difficulties, urologic malignancies, bladder disorders, and male sexual dysfunction reach out to the World of Urology. Here you will get quality urological care from a team of 12 highly trained and experienced urologists.

What is the best treatment for urinary incontinence?

Urinary incontinence is a common condition prevalent in society but is often suppressed or taken lightly as part of the aging process. However, it can affect any age group causing an embarrassing issue; hence, early diagnosis and treatment for urinary incontinence is recommended.

Incontinence can be caused by voiding issues or storage issues in the bladder. In a condition called as overactive bladder, the patient has severe urgency and leaks even before reaching the toilet. In voiding disorders the bladder is unable to empty and the bladder leaks after becoming over distended. Another form is called as stress urinary incontinence where urine leaks on coughing or sneezing.

What is urinary incontinence?

When the bladder loses its ability to hold the urine resulting in unintentional release or leaking of the urine, the condition is called urinary incontinence. The brain sends signals to the bladder when it is full, to release urine. The sphincter opens up and makes way for the urine to flow out of the bladder to the urethra and then finally out of the body.

Any fault in this complex coordinated system can lead to urinary incontinence. Gladly, there are reliable treatments for urinary incontinence that can reverse and effectively treat the condition.

• Medications: The doctors would try to treat urinary incontinence with medication that affects muscle function. The medications basically relax the bladder muscles reducing the urgency
• Hormone therapy: Urinary incontinence caused post-menopause can be due to the lack of estrogen in the body. Local oestrogen creams help in preventing dryness and irritation around the urethra.
• Surgery: Surgery for urinary incontinence is a proven and long-lasting treatment. Surgery ranges from minimally invasive insertion of trans vaginal tapes to complex robotic procedures. Some common surgical procedures to treat incontinence include:
• Neuromodulation devices: Special pacemakers are implanted in the body to stimulate the nerves of the bladder and offer better control.
• Sling procedure: A sling is introduced to the body to support the urethra channel.
• Artificial urethral sphincter: A surgical procedure to treat incontinence in men. An artificial urethral sphincter is placed to prevent involuntary urine leakage.

 

Robotic Sacro-Colpopexy: Robotic surgery is used in conditions where the vaginal vault has prolapsed following a hysterectomy. It involves pulling up the vaginal vault using a mesh and fixing it to the sacral bone preventing it from coming down.

Certain lifestyle changes can also help prevent urinary incontinence. Doctors recommend performing exercises to strengthen the pelvic floor muscles as well as taking care of your urinary habits and hygiene.

Urinary incontinence is primarily an age-related condition, but it does affect people of different ages and genders. With a proper diagnosis and appropriate treatment the leaks can stop. Meet with the specialists early to treat a simple clinical but huge social issue.

Pyeloplasty

A pyeloplasty is a procedure used to treat pelviureteric junction obstruction. The pelviureteric junction is the junction between the kidney and ureter.

Why is a pyeloplasty operation performed?

A pyeloplasty is done to cure the condition where the tube that takes urine from the kidney and into the bladder is obstructed, causing the urine to flow back into the kidney. If not treated at the proper time, it may result in infections, pain, and a reduction in renal function. Pyeloplasty surgery can aid in addressing these problems and prevent them from recurring or getting worse.

A pelviureteric junction (PUJ) obstruction can be primary since birth or secondary or acquired. In primary PUJO, a adynamic segment of ureter or rarely a crossing vessel can result in a narrowing that obstructs the flow of urine. Secondary causes include stones, Reflux disease, benign strictures, malignancy. Ultrasounds and other imaging tests like a CT Urogram or a Nuclear scan called as Renogram can be done to determine the cause of the obstruction and whether surgery is required or not. Significant obstruction, deteriorating function and pain are the usual indications for a pyeloplasty.

Robotic Pyeloplasty

Robotic pyeloplasty is a minimally invasive procedure that boosts a urologist’s abilities by employing a mix of HD 3D magnification, robotic technology and freedom of movement comparable to the human wrist.

In contrast to an open pyeloplasty, which normally necessitates a major abdominal incision and retraction to make room for human hands, a robot-assisted pyeloplasty only necessitates a minor incision to fit the robotic arms and surgical instruments. Four arms are accessible where two serve as the surgeon's arms, a fourth arm is employed to hold back tissue, and one is outfitted with a high-resolution 3-D magnifying camera. The surgeon can see more detail, a real depth of field, and a panoramic picture thanks to the camera, and the robotic hands' wide range of motion furnishes more proficiency and accuracy, which are essential for reconstructive procedures of the urinary system. While settled at the console, a short stretch from the patient, the surgeon controls the robotic arms remotely and efficiently.

Benefits of Robotic Pyeloplsaty Surgery:-

• Less bleeding
• Minimum scarring
• Minimum medication and post-operative discomfort
• Faster healing and resumption of regular activities

 

We at World of Urology have experienced urologists with expertise in robotic urologic surgeries. Our affiliated surgeons have successfully completed numerous difficult pyeloplasty procedures including re-do procedures with a good success rate. The art is not knowing how to cut but when to cut and with the right investigative modalities we ensure whether surgery is really required or not.

Why you should opt for Laser Operation for Kidney Stone?

Kidney stones are hard accumulations of salts & minerals of the body in the urinary collecting system and is a prevalent problem for many individuals. Stones that are small < 5mm can often pass away on their own. Most stones remaining in the system tend to grow in size and might need surgical intervention to be removed. Nowadays, doctors are opting for laser operation for kidney stone removal due to its effective results and ease.

Laser Operation technically termed RIRS (Retrograde Intra Renal Surgery) is a process that employs a laser to remove stones from the kidney and urinary tract. The stones are fragmented by the laser. Small stone fragments are picked up by the surgeons and others pass spontaneously through the side of the stent. There is no need for incisions because the scope is passed through the voiding passage only. The doctors assess and inspect the patient and position of stone. Surgery can be required to get rid of the stone, relying on its location, type, size, nature, and other aspects. Surgery is advised in large renal stones, stone causing severe pain not responding to analgesics, stones impacted in the ureter, or kidney function is adversely impacted by the stone. Laser surgery provides the least invasive way to treat complex stone problems.

Patients are fully informed of the procedures when they go to the doctor with problems related to kidney stones. Additionally, the experts give all the essential details and directions regarding laser operation.

The following is a list of common suggestions provided to patients before surgery.

• For those who smoke frequently, it is advised that they cease it a few days before their surgery.
• Regular medications taken by the patient are reviewed and few medications may be withheld on the day of surgery
• The procedure is done under general anaesthesia and minimum of 6 hours of fasting is recommended.

 

Benefits associated with kidney stone removal method by laser:-

• Hard stones can be fragmented using Laser.
• Doesn’t involve cuts or hole in the body.
• One day hospital stay and short recovery period to get back to normal daily activities.
• Large and small kidney stones both can be eliminated by employing the kidney stone laser treatment.
• Stone free rates are much higher with Laser lithotripsy when compared to US-shock-wave lithotripsy.

 

The success rate of laser operation for kidney stone removal is 96 percent. Therefore, individuals who have kidney stones might opt for laser treatment. The World of Urology is a great place to consult if you have a kidney stone and want to get a laser procedure. The WOU-affiliated urologists and surgeons have years of experience in this sector and are highly adept at diagnosing the issue and guiding the patients.

Reasons for consulting a urologist specialist

Urologists are experts in treating ailments that affect the urinary system, which involves the kidney, adrenal glands, urethra. urologisit specialist, bladder, and ureter in both males and females. All conditions affecting the prostate, penis, epididymis, testes, and seminal vesicles in males are also treated by them. Urologists also treat cancer in these organs and are skilled to perform urologic surgeries as well.

When should you seek the advice of a urologist?

For all urinary conditions, from minor illnesses like urinary tract infections or stones to serious conditions involving kidney/bladder/prostate cancer, you can contact a urologist specialist. If your symptoms last for a long time or do not go away, your primary care physician will typically send you to a urologist.

Signs of common Urological complications

• Hematuria is a disorder marked by the presence of blood in the urine.
• A burning feeling or pain while urinating
• Having trouble urinating
• If you have discomfort in your sides, pelvis, or lower back
• Leaks of urine
• The recurring urge to urinate

Along with the above-mentioned signs men can see a urologist if they have any of the symptoms listed below:

• A decline in sexual inclinations
• A mass within a testicle
• Problems maintaining and obtaining an erection

Your urologist may carry out the following tests:

• Finding the issue is the first step. Imaging tests like MRI scans, ultrasounds, or CT scans are carried out.
• A cystoscope is used, a medical imaging technique, to allow your specialist to view the interior of the urinary tract. Additionally, tissue samples can be obtained during a cystoscopy for examination.
• A urine test to look for germs or other illness symptoms.
• Biopsy
• Urodynamic testing gauges to check the pressure in the bladder as well as the speed at which urine exits the body after peeing and how much urine remains in the bladder after urinating.

Depending on the symptoms test can be suggested that assists urologists to diagnose the issue. Depending on the disease, a variety of treatments can be given after the diagnosis. In severe cases, surgeries can be the right solution for your disease.

Surgeries are performed to remove malignancies, kidney stones, renal tumors, and urethral strictures, and to transplant a kidney. A surgical technique for men's permanent contraception called a vasectomy can also be performed by urologists.

An extensive range of urologic diseases and ailments are treated by urologists. Regardless of age, these illnesses can strike anyone. Some of the male urologic diseases are:

• Penis, bladder, testicular prostate, adrenal, and kidney cancers
• Prostatic hypertrophy or prostatitis
• Irregular erection
• Infertility
• Interstitial pain from cystitis or painful bladder symptoms
• Stones in the kidney and kidney disorders
• Infected urinary tract
• The scrotum's varicoceles, or swollen veins,
• Peyronie's illness - in this condition, a fibrous layer of scar tissue develops beneath the penis's skin, causing the organ to bend or curve.

Females’ urologic diseases include:

• Bladder prolapse, in which the bladder protrudes into the vagina. It happens when the connective tissue that supports the bladder from the vaginal wall strains and deteriorates.
• Bladder, Adrenal gland, and Kidney cancer
• Urinary incontinence - although both sexes are affected by the illness, women are more likely to have it.
• UTIs are infections that can have an impact on the bladder, kidneys, urethra, or any other component of the urinary system.
• Interstitial cystitis, kidney stones, and an overactive bladder are additional prevalent ailments.
• Stones, renal tumors, cancers.

The pediatric urology branch treats urologic conditions in kids such as kids who have bedwetting, undescended testicles, obstructions, and other urinary tract complications.

World of Urology is a group of 10 bests urologists specialists in Bangalore that treat a wide variety of urologic conditions in both males and females of all ages. They have oncologists, urogynaecologist, and andrologists on their panel with expertise in robotic surgeries.

The care to be taken after Robotic Prostate surgery

Although Robotic Prostate surgery is a common procedure, it is a significant operation that require less time and effort to bounce back. Following surgery, recovery is quick and is far better than the traditional surgeries. You need to be optimistic because robotic surgeries make it possible to treat prostate surgery.

Once you have gone through the surgery there are certain things you need to be aware of:

After the surgery:

After surgery, patients are normally released from the hospital in about 24 hours.

A urinary catheter will be implanted before any patient is released from the hospital. It permits constant draining of the bladder into a little external collection bag, which is then emptied as required. You should not attempt to remove this catheter on your own, under any circumstances. Until you are well enough to remove it, it must remain in place. 

After reaching home:

• Activities – You can return to most of the daily activity within a week. But restrain yourself from driving, running, and exercising. In short, you should wait six weeks after surgery before engaging in any strenuous activity to allow your body time to recover. 

• Do not use stairs

• You should not remain in one posture for too long for more than 45 minutes

• As long as the catheter is in place, stay away from water, including hot tubs, swimming pools, and bathtubs. You can take a shower as soon as you get home. 

• Depending on your profession and how quickly you heal, you can return to work at any time. Most occupations allow for a return within 1-3 weeks.

• Diet

• You might want to start with a bland diet to make it easy on you when you first leave the hospital.  Some patients like a primarily liquid diet. 
• You must stay away from carbonated drinks.
• You should switch to a soft food diet after having a bowel movement, consisting of foods like oatmeal, soups, scrambled eggs, etc., and then gradually return to your regular diet as soon as you feel safe doing so.
• Beans, broccoli, and other foods that cause gas should be avoided.
• For some days following surgery, you should avoid having large meals all at once by spreading out eating all through the day with modest food. 

• Types of clothes you need to wear - Your abdomen will be slightly inflated following surgery, it is better to wear loose-fitting clothing, involving sweatpants or other pants with elastic or waistbands, to feel more comfortable. Initially, you will possibly need to do this anyhow to make room for the catheter and collection bag.

• Urinary incontinence - One week following the robotic prostate surgery, the catheter will be withdrawn. After the catheter is removed, most men have trouble controlling their urination. The day your catheter is withdrawn, you should carry an adult diaper with you. Because normal urine control might not return for two months after your surgery, you should be ready to use these diapers for a while. 

 

Keep in mind that every person differs. It can take a week or six months for some guys to get back control. In the end, Robotic prostate surgery provides an opportunity to men of all ages to recover at quick speed and have a normal life ahead. 

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