Dr.M.Gopichand

Consultant Urologist

Minimally Invasive Urological Oncologist

Robotic Urologist

M.B.B.S., M.S.(Surgery), DNB(Urology), M.Ch(Urology)(Bombay)

Fellow society international urology

Ex. Faculty (NIMS), Robotic Training Atlanta, Georgia USA

 

Adult Urology Conditions

Adult urology
These diseases affect very specific parts of the body. In females, they involve the urinary tract. In males, they affect the urinary tract and/or the reproductive organs.
Overviews of Some of the Most Common Urologic Diseases
There are many urologic disorders and diseases.
Benign Prostatic Hyperplasia (BPH)
Benign prostatic hyperplasia (BPH) is an enlarged prostate. It is an increase in the size of the prostate gland. BPH is very common in older men. It is not caused by prostate cancer.
The symptoms of BPH are due to the pressure that a larger prostate can place on the urethra. The urethra is the narrow tube that carries urine from the bladder and out of the body.
Men with BPH may experience a frequent urge to urinate. They may also have a weak stream of urine when they do go and a feeling that the bladder is not empty after urination. Your doctor may choose to just monitor this condition or prescribe medications like alpha-blockers for treatment. It may also be addressed through surgery if it is severe.
Incontinence
Incontinence is a loss of bladder control. It results in the unwanted release of urine. This condition can be inconvenient and embarrassing for sufferers. However, it is far from uncommon..
There are numerous things that can cause incontinence. A few of the most common causes include:

  • diabetes
  • pregnancy or childbirth
  • overactive bladder
  • enlarged prostate
  • weak bladder muscles
  • weak sphincter muscles (muscles supporting the urethra)
  • urinary tract infections
  • diseases including Parkinson’s and multiple sclerosis
  • injury to the spinal cord
  • constipation

In some cases, simple measures such as controlling fluid intake can be enough to address the problem. If these approaches prove ineffective, your doctor may suggest surgery to correct the underlying cause.
Urinary Tract Infections (UTIs)
UTIs are the result of undesirable yeast, bacteria, or viruses that invade the urinary tract and cause infection. They are much more common in women, although men can get them too. A burning sensation during urination is one of the symptoms of a UTI. Others include a frequent urge to urinate and the feeling that the bladder is not completely empty after urinating. Antibiotics can usually clear up most UTIs within a few days.
Kidney and Ureteral Stones
Stones develop in the kidneys when there are crystals in the urine and small particles surround and collect on these crystals. Ureteral stones are ones that move from the kidney into the ureter (the tubes that carry urine from the kidneys to the bladder).they are very common in this part of the world
These stones can block urine flow and cause a considerable amount of pain. Many people end up expelling these stones from the body without medical help, but this is not always the case.
Surgery may be needed in most instances. intracorporeal lithotripsy is the most commonly used technique.
Other Common Urological Conditions
Some other common urological conditions include:

    • prostate cancer
    • bladder cancer
    • bladder prolapse
    • hematuria (blood in the urine)
    • erectile dysfunction
    • interstitial cystitis (also called painful bladder syndrome)
    • overactive bladder
    • prostatitis (swelling of the prostate gland)
    • early detection of urological cancer (cancer of bladder, prostate and kidney ) is possible with minimal investigations. Early detection goes in a long way for cure of these diseases.

    Tips to Improve Your Overall Urological Health
    General Guidelines

    • Stay hydrated.
    • Drink cranberry juice to help prevent urinary tract infections (UTIs).
    • Limit the amount of salt and caffeine you consume.
    • Stay within a healthy weight range.
    • Choose a smoke-free lifestyle.
    • Choose alcohol free lifestyle
    • Strengthen the muscles of the pelvic area with Kegel exercises.

    Tips for Parents

    • Encourage children to urinate immediately before bed.
    • Limit fluid intake in the nighttime hours.
    • Purchase athletic “cups” for young boys to help prevent injury in this sensitive area.
    • Instruct young girls that they should use a front-to-back motion to wipe the genital area after going to the washroom

    It is vital to remember that you are the best advocate for your own urological health. The responsibility lies with you to schedule regular checkups with a urologist if indicated and make an appointment if you feel there may be a problem.

    prostate hyperTROPHY

    • Benign Prostatic Hypertrophy
    • Simple Prostatectomy
    • Transurethral Needle Ablation of the Prostate (TUNA)
    • Transurethral Resection of the Prostate

    CANCER, ADRENALS, KIDNEY, AND URETER

    • Urothelial Tumors of the Renal Pelvis and Ureters

     

    CANCER, BLADDER, PENIS, AND URETHRA

    • Bacillus Calmette-Gu?rin Immunotherapy for Bladder Cancer
    • Bladder Cancer
    • Cystoscopy
    • Extragonadal Germ Cell Tumors
    • Partial Cystectomy
    • Penile Cancer
    • Radical Cystectomy
    • Surveillance for Recurrent Bladder Cancer
    • Transurethral Resection of Bladder Tumors
    • Treatment of Carcinoma In Situ
    • Urethral Cancer
    • Urine Tumor Markers in Bladder Cancer Diagnosis

    CANCER, PROSTATE

    • Metastatic and Advanced Prostate Cancer
    • Neoadjuvant Androgen Deprivation Therapy in Prostate Cancer
    • Precancerous Lesions of the Prostate
    • Prostate Cancer
    • Prostate Cancer and Nutrition
    • Prostate Cancer Diagnosis and Staging

     

    CANCER, TESTICLE

    • Leydig Cell Tumors
    • Nonseminomatous Testicular Tumors
    • Partial Orchiectomy
    • Radical Orchiectomy
    • Testicular Cancer
    • Testicular Choriocarcinoma
    • Testicular Seminoma
    • CANCER, WILMS TUMOR AND NEUROBLASTOMA

      1. Neuroblastoma
      2. Surgery for Wilms Tumor

      COMMON PROBLEMS OF THE PENIS

      1. Balanitis
      2. Balanitis Circumscripta Plasmacellularis
      3. Balanitis Xerotica Obliterans
      4. Balanoposthitis
      5. Dorsal Slit of the Foreskin
      6. Paraphimosis
      7. Pearly Penile Papules
      8. Peyronie Disease
      9. Phimosis, Adult Circumcision, and Buried Penis
      10. Priapism

       

      COMMON PROBLEMS OF THE TESTICLE

      1. Cryptorchidism
      2. Epididymitis
      3. Epididymo-orchitis Empiric Therapy
      4. Epididymo-orchitis Organism-Specific Therapy
      5. Hydrocele
      6. Manual Detorsion of the Testes
      7. Spermatocele
      8. Testicular Torsion
      9. Torsion of the Appendices and Epididymis
      10. Varicocele

      COMMON PROBLEMS OF THE URETHRA

      1. Urethral Caruncle
      2. Urethral Diverticula
      3. Urethral Prolapse
      4. Urethral Syndrome
      5. Urethral Warts
      6. Urethritis
      7. Urethritis Empiric Therapy
      8. Urethritis Organism-Specific Therapy

       

      CONGENITAL UROLOGIC CONDITIONS

      1. Cystic Diseases of the Kidney
      2. Horseshoe Kidney
      3. Prune Belly Syndrome

      DERMATOLOGICAL DISORDERS

      1. Malignant Dermatologic Diseases of the Male Genitalia
      2. Nonmalignant Dermatologic Diseases of the Male Genitalia

       

      ERECTILE DYSFUNCTION, PREMATURE EJACULATION, AND SEXUAL DISORDERS

      1. Erectile Dysfunction
      2. Hematospermia
      3. Premature Ejaculation

      FISTULAS

      1. Enterovesical Fistula
      2. Renoalimentary Fistula
      3. Vesicovaginal and Ureterovaginal Fistula
      4. Vesicovaginal Fistula

       

    • HYDRONEPHROSIS AND URETER DISORDERS

      1. Hydronephrosis and Hydroureter
      2. Megaureter and Other Congenital Ureteral Anomalies
      3. Obstructed Megaureter
      4. Retroperitoneal Fibrosis
      5. Ureterocele
      6. Ureteropelvic Junction Obstruction
      7. Urinary Tract Obstruction
      8. Vesicoureteral Reflux

      INCONTINENCE

      1. Cystoscopy and Urethroscopy in the Assessment of Urinary Incontinence
      2. Urinary Incontinence
      3. Urinary Incontinence Relevant Anatomy
      4. Urodynamic Studies for Urinary Incontinence

       

      INFECTIONS AND RELATED INFLAMMATORY CONDITIONS

      1. Acute Bacterial Prostatitis
      2. Chronic Bacterial Prostatitis
      3. Chronic Pelvic Pain in Men
      4. Cystitis in Females
      5. Emphysematous Pyelonephritis
      6. Emphysematous Pyelonephritis (EPN)
      7. Fournier Gangrene
      8. Gonorrhea
      9. Hemorrhagic Cystitis
      10. Lymphogranuloma Venereum
      11. Nonbacterial and Noninfectious Cystitis
      12. Nonbacterial Prostatitis
      13. Orchitis
      14. Papillary Necrosis
      15. Perinephric Abscess
      16. Pyonephrosis
      17. Radiation Cystitis
      18. Renal Corticomedullary Abscess
      19. Syphilis
      20. Trigonitis
      21. Tuberculosis of the Genitourinary System
      22. Ureaplasma Infection
      23. Uric Acid Nephropathy
      24. Urinary Tract Infection in Males
      25. Urinary Tract Infections in Pregnancy
      26. Xanthogranulomatous Pyelonephritis

      INTERSTITIAL CYSTITIS

      1. Interstitial Cystitis

       

      MALE INFERTILITY

      1. Male Infertility
      2. Sertoli-Cell-Only Syndrome
      3. Vasovasostomy and Vasoepididymostomy

      NEUROGENIC BLADDER AND OVERACTIVE BLADDER

      1. Neurogenic Bladder
      2. Overactive Bladder
      3. Overactive Bladder - Etiology, Diagnosis, and Impact
      4. Overactive Bladder in Children

       

      STONES

      1. Bladder Stones
      2. Causes of Flank Pain
      3. Cystinuria
      4. Extracorporeal Shockwave Lithotripsy
      5. Hypercalciuria
      6. Hyperoxaluria
      7. Hyperuricosuria and Gouty Diathesis
      8. Hypocitraturia
      9. Nephrocalcinosis
      10. Nephrolithiasis
      11. Pregnancy and Urolithiasis
      12. Pyelolithotomy
      13. Struvite and Staghorn Calculi

      STRICTURES

      1. Ureteral Stricture
      2. Urethral Strictures in Males

       

      SURGERY

      1. Adrenal Surgery
      2. Augmentation Cystoplasty
      3. Dorsal Penile Nerve Block
      4. Laparoscopic Pelvic Lymph Node Dissection
      5. Lasers in Urology
      6. Nephroptosis
      7. Nephrostomy
      8. Nerve Block, Dorsal Penile, Neonatal
      9. No Scalpel Vasectomy
      10. Paraphimosis Reduction Procedures
      11. Partial Nephrectomy
      12. Pelvic Lymph Node Dissection
      13. Penile Injection and Aspiration
      14. Pyeloplasty
      15. Radical Nephrectomy
      16. Retroperitoneal Lymph Node Dissection
      17. Suprapubic Catheterization
      18. Techniques of Local Anesthesia for Prostate Procedures and Biopsies
      19. Testicle and Epididymis Anesthesia
      20. Transperitoneal Laparoscopic Radical Nephrectomy
      21. Transureteroureterostomy
      22. Ureterocalicostomy
      23. Ureterolithotomy
      24. Ureteroscopy
      25. Urethral Catheterization in Men
      26. Urinary Diversions and Neobladders

      TRAUMA

      1. Bladder Trauma
      2. Penile Fracture and Trauma
      3. Renal Trauma
      4. Scrotal Trauma
      5. Testicular Trauma
      6. Ureteral Injury During Gynecologic Surgery
      7. Ureteral Trauma
      8. Urethral Trauma

       

      UROLOGIC IMAGING

      1. Transrectal Ultrasonography of the Prostate

       

    • Bladder Cancer
    • Bladder Infection
    • Impotence & Erectile Dysfunction
    • Infertility Issues
    • Incontinence In Men
    • Incontinence In Women
    • Kidney Stones
    • Kidney Cancer
    • Peyronie's Disease
    • Prostatitis
    • Prostate Cancer
    • Prostate Enlargement
    • Testicular Cancer
    • Desired Sterilization