Urology 3 - Dr.Dey

Urethral Stricture Disease

Urethral Stricture – Symptoms & Treatment Urethral stricture disease occurs due to the dysfunction of the urethra. The urethra’s main job in males and females is to pass urine outside the body. This is a thin tube-like structure. It also has an important role in ejaculation for men. A stricture restricts the flow of urine from the bladder and can cause a variety of medical problems in the urinary tract, including inflammation or infection. Urethral stricture in simple words is narrowing in the tube which drains urine from the bladder towards the outside. Stricture restricts the flow of urine from the bladder and can cause variety of medical problems including urinary infection, can cause difficulty in passing urine ,there will be urine left in the bladder even after you peed out once. So the kidney can get damaged. Most important symptom of stricture is difficulty in passing urine, that means patient takes a lot of time to start, he takes a lot of time to finish his flow, his flow is poor. He will leave behind a lot of urine in the bladder therefore he will go again and again for urinating. He will get up again and again in the night . When he will run to the bathroom to urinate it is known as urgency. Symptoms of Urethral Stricture The urethra is a tube-like structure, when there is a kink or narrowing in the tube, no matter how short or long, the flow is reduced. When a stricture affects your urine flow, you will have symptoms. Some visible symptoms are as listed below. 1. Decreased urine stream2. Urine stream spraying3. Pain while urinating4. Abdominal pain How to diagnose Urethral Stricture ? To test for a urethral stricture, we might perform a physical exam or one of these diagnostic tests: For males, a doctor will also conduct a physical exam to see whether there are any visible injuries or deformities to the penis. They may also recommend various testing methods to identify urethral problems. Tests include:The first test should be Uroflammotory. It is the first test that hints towards stricture.If the graph is flat that suggests there is stricture.• Retrograde urethrogram: In a retrograde urethrogram, a doctor inserts special contrast dye into the urethra at the tip of the penis and watches where the dye progresses using a fluoroscopic X-ray device.• BXO(Balanitis Xerotica Obliterans): • Imaging studies: Imaging studies, such as MRI and CT scans, scans, and ultrasounds, let doctors view the urethra and surrounding structures. Urethral stricture treatment without surgery. Treatment without surgery is what most people want. But it is not possible to get it cured without surgery as it is not any kind of muscle spasm that can be treated with exercise or other things. Stricture needs surgery to get cured as its fixed narrowing. The success rate of Urethral stricture surgery. As the medical world has developed and advanced so much in the past few years. Almost all surgeries have the best success rates. The success rate in the case of urethral stricture is around 98% in simple cases whereas in complex cases it’s the success rate is around 80%. Dr Soumyan Dey is a best Uro Oncologist Surgeon in Mumbai, book an appointment with them and get best Urethtal treatment. Care after urethral stricture Surgery. You need to take extra care of your diet after the surgery. There are a few things you must avoid and a few that you must have. Yogurt is considered very good to keep in your diet after surgery as it does not allow harmful bacteria to build up. Berries are also very nutritious and are rich in vitamin C. They beat bacterial and fungal infections. Fruits such as apples, bananas, and oranges are rich in fibre and are easy to digest as well. Garlic is also helpful in the prevention of the growth of unwanted microbes in urinary bladder.And you should avoid nuts, too much meat, excess eggs, junk food, and carbonated drinks to avoid any complications in post-surgery.

Blood In Urine : Best Urologist Thane, Mumbai

Blood In Urine(Hematuria): What Does it Mean?

The visible or invisible blood in your urine is also known as hematuria. Though it isn’t normal, it is not necessarily a big cause of concern either. Your doctor will run a series of tests, mainly screening and a urine test to detect the root cause of the issue. In hematuria, the color of the urine might change from yellow to red, dark red, brownish red, tea color, and pink. However, the changes in the color of your urine could indicate other minor issues. For example, it can be simply due to your diet, stress, and a pre-existing medical condition. You must contact a doctor immediately if you notice dark red spots of blood in your urine. Is It Really Blood? The changes in urine color do not mean there’s blood in your urine. The color of your urine could change due to certain foods, medical conditions, and drugs. Foods like rhubarb or beetroot can change your urine color. It is also common in people who are on certain drugs. Some medical conditions could cause the hemoglobin to be released in your urine, causing the visible spots of blood in it. It is usually the excess hemoglobin in your body that’s released through the urine. Similarly, there can be other factors or medical conditions that might change your urine color and make it appear reddish-brown or discolored. Plus, vaginal bleeding in females during menstruation could be the reason for blood in your urine. Hemorrhoids are another common cause of hematuria. Types of Hematuria – Microscopic Hematuria There is a possibility that you may have hematuria, which isn’t visible to the naked eye. This is called microscopic hematuria. Only a professional practitioner can detect the spots of blood in your urine through microscopic evaluation. Now that you can’t notice any visible blood in your urine, it goes without saying that the symptoms of such hematuria often go unnoticed, and they are mostly detected during a regular health screening process. – Gross Hematuria In gross hematuria, the blood in urine is clearly visible. The patient can see the changes in the color of their urine. Patients with this medical condition have pink, red, and brownish urine. One of the common misconceptions of hematuria is that if the blood appears only once and disappears after that, it is normal. Contrary to popular beliefs, you should get the symptoms checked with a urologist for further evaluation. Note: The patient might notice the drops of blood or blood clots in gross hematuria. What is Normal? Only a urologist can tell you whether hematuria is normal or not. They perform microscopic screening to identify the count of red blood cells in your urine. It is considered normal if the count of RBCs is below 3 per high power field. If the microscopic screening detects more RBCs in your urine, a further medical evaluation will be required. The following can be the causes of abnormal results: How is Hematuria Detected? On spotting blood in your urine, visit Dr. Soumyan Dey, the top urologist in Thane, Navi Mumbai, India for diagnosis. The doctor will ask you to send a sample of your urine for lab tests. Cytology is the most common test for hematuria. The doctor checks the sample of your urine under a microscope to know if it’s really blood. They also note the count of red blood cells. If the reports look abnormal, the doctor might order a CT scan that will help detect stones, tumors, and other possible causes of hematuria. An ultrasound is also used for getting a clear image of the kidneys. Causes of Hematuria Only the lab test can detect the root cause of hematuria. So, the sooner you approach a urologist and get your issue diagnosed, the faster and better the treatment plan will be. Note that hematuria can be painful or painless. Painless hematuria: Sometimes, you spot the drops of blood in urine without any symptoms of pain. Painless hematuria can indicate a tumor or a more serious issue, such as prostate cancer. You may not notice the symptoms of cancer or a tumor until it reaches the advanced stage, which is why it is important that you approach a doctor immediately should you spot blood in your urine or changes in the urine color. Treatment Plan for Blood in Urine The condition is treated by treating the root cause. For instance,