Surgeries for kidney stone and enlarged prostate

Kidney stone surgery is performed when the stone has failed to pass ever after medications and is causing severe pain. The surgery is also recommended when the stone is too large to pass through urine tract or is stuck at a difficult place. The other condition, where kidney surgery is done is when stone is blocking the urine flow and causing infection in the urine tract.

Kidney stone removal surgeries --

Kidney stone removal surgeries can be performed on outpatient bases. In many surgerical procedures, the cut is not done and kidney stone is broken into smaller pieces by the use of ultrasound waves. In shock wave treatment, the shock waves reach the stone to break it into smaller pieces and these pieces then come out through urine tract. 

When the stone is large and its location is such that shock wave can be ineffective then Percutaneous Nephrolithotomy surgery is done. Here, the cut is made from the back of the patient to reach the kidney. The surgeon then destroys the stone by use of an instrument called nephroscope. The ultrasound is also used for large stone to break them into smaller parts.

In urethrascopic removal, the surgeon passes an instrument called urethra scope to ureter from bladder and urethra.  The surgeon Kidney stone specialist doctor in Delhi can remove the stone by a cage like device or by shattering the stone into smaller particles.  This surgery is not used now, because of possible damage to ureter.

Prostate laser surgery –

Laser is used to evaporate or shrink the enlarged part of the prostate to relieve the pressure of urethra. The urethra is surrounded by the prostate so when prostate gets enlarged it squeezes urethra and disturbs the flow of urine.

The laser is passed through a scope which is inserted through the tip of the penis .This scope reaches the tube of urine from bladder. The energy created by the laser destroys or removes the extra prostate tissue. The different ways by which a laser destroys the prostate tissues gives birth to different laser surgeries. The different kind of laser is used in some surgeries to remove or evaporate the prostate tissue. The main function of the laser is all laser based prostate surgery is to either Urologist for Laser Prostate Surgery cut or evaporates the enlarged part of the prostate. The use of laser depends on the health of the patient, the facilities available in the hospital and experience of the doctor in use of such laser for surgery. 

Types of laser prostate surgeries and their benefits

The use of laser in prostate surgery reduces the enlarged prostate symptoms such as urinary tract infection from moderate to severe levels. This enlargement of prostate is known as benign prostate hyperplasia.

In laser prostate surgery, the surgeon inserts a scope to the tube that carries urine from the urethra. This scope is inserted through the tip of the penis. The laser is passed through this scope. The job of the laser is to shrink or remove the excess prostate surrounding the urethra. The enlargement of prostate blocks the urethra and prevents free flow of urine. The laser either melts the excess prostate or cut the excess part of the prostate.

Type of laser prostate surgeries –

  

Vaporization of the prostate – In this type of surgery, the laser is used to vaporize the excess part of the prostate tissue. The melting of the excess part enlarges the urinary channel for free flow of urine.

Laser ablation of the prostate –This surgery also uses laser to vaporize the enlarged tissue of the prostate but the use of laser is different .This type of surgery is also known as holmium laser ablation surgery for prostate enlargement.

Holmium laser enucleation of prostate-- The   laser is used to cut the enlarged part of the prostate tissue for removal. In this surgery, another instrument is used to cut the prostate tissue into smaller parts for easy removal. The additional cutting instrument is known as morcellator.

The selection of Best urology doctor in Delhi ncr any one of these surgeries depends on the size of the enlarged prostate tissue, the health of the patient on whom the surgery is to be performed and the facilities available in the hospital.

Benefits of laser prostate surgery –

The chance of bleeding is very low in laser used surgeries. That makes laser surgery an option for patient with blood clotting problems or for patients who take medicines to thin the blood .The recovery period of laser Urologist for Laser Prostate Surgery prostate surgery is very short compared to other non laser surgeries. The surgery is performed on outpatient bases and does not require longer stay in hospital. The need for catheter is required only for less than 24 hours. This device is used to drain urine from bladder. In non laser prostate surgeries, the use of catheter can go for days. The improvement in urine flow can be noticed immediately in the laser prostate surgery.

Types of kidney stones and their treatment

Kidney stone are mass of crystals. They generally develop in the kidney but can go to the urinary tract and causes severe pain. The stone can develop anywhere in the entire length of the urinary tract. The causes of the kidney stones vary depending on the type of the kidney stone. But the main cause found in the formation of all types of stones is lack of enough water intake and increase of acid in the urine

Type of kidney stone –

Calcium stones are very common kidney stones. They are generally made of calcium, oxalate, maleate and phosphate. Eating high oxalate food such as peanuts, chips, chocolates, spinach and potato can cause formation of this type of stone.

Uric acid stone usually develops in men than in women. The basic reason for development of this type of stone is urine getting acidic. People taking diet rich in purines are vulnerable to the urine acid stone, because this diet increases the level of acid in the urine. Purine is a substance found in animal meat and fish.

Struvite type of stone generally happens in the women than in men. The cause is urinary tract infection. The stone can be large to cause obstruction to the passage of urine. Besides, urinary infection, the kidney infection can also cause the stone formation. The infection has to be treated to cure the underlying cause of the stone formation of this nature.

Cystine type of stone can occur in both men and women. The underlying causes can be the genetic disorder known as cystinuria.  With this stone, the acid, cystine, this occurs in the body, leaks from the kidney to the urine.   

Treatment –

Treatment of kidney Urology consultant in Delhi stone is based on the type of stone and its causes. For small stone, medicine is recommended. This makes the stone pass through urine tract. For large stone, shock wave therapy is given. In this therapy, a laser is allowed to pass through body and strike the stone and break them into smaller pieces. These smaller pieces can pass through urine. Drinking enough liquid with the all types of stone is first recommending step. The increase in fluid intake increases the flow of urine. The increase in flow of urine, take stone pieces with it.

Tunnel surgery Urology doctor in Delhi ncr is done when the stone is large and cannot pass through urine.  The surgery is also done when stone is damaging the kidney and obstructing the flow of urine.

Causes, Symptoms and treatment of kidney stone

Kidney stone problems are one of the common medical problems. Formation of the kidney stone starts when stone formation substances increase in the urine. It is the combination of calcium with either phosphate or oxalate that causes the kidney stone. The majority of stone are calcium stones but other chemicals can also causes, they are urine acid, magnesium, amino acid cysteine etc.

Decrease in volume of urine and increase in calcium substance occurs when intake of water or other liquid decreases. Failure to replace lost fluid through strenuous exercises also increases the risk of kidney stone. Other cause can be the blockage of urine and dehydration caused by hot climate. The people living in hot and humid climates are vulnerable to kidney stone formations due to excess perspiration and failure to take adequate fluid.

Infection in the urine tract and some metabolic disorders can also lead to kidney stone. The inherited disorder in metabolism changes the composition of the urine, which increase the chances of stone formation.

Gout, hypercalciuria, which increase amount of urine and calcium respectively in the urine also leads the formation of stone. Certain medication and dietary habits of an individual, like taking high calcium diet or processed food, excess animal protein, supplements and vitamin D can lead of formation of stone in urine. Diseases of kidney like renal tubular acidosis can create conditions leading to the formation of kidney stones

Symptoms of the kidney stone –

People having Kidney stone specialist doctor in Delhi ncr kidney stone face sudden pain in lower back, side or groin and abdomen.  The back pain and abdomen pain increases and decreases in severity. The pain occurs during urination and sometimes may come with vomiting and nausea. Some kidney stone can cause blood in urine. Chills and fever often happens when stone is due to some infection in the urine tract. Difficulty in urine, pain in private parts, urine urgency and testicular pain are other symptoms associated with kidney stone.

Treatment –

Persons suffering pain are X- rayed to get the clear view of the stone, its size and location. This information is vital to know the possible treatment methods. Generally small stone can passed through the urine by taking excess water of other fluid. If stone is too big to pass, the doctors used laser Urology doctor in Delhi or shock wave to dissolve the stone and then smaller pieces are passed through the urinary tract. The bigger stone are broken into smaller stone by other treatment, in which a microscope is passed to the stone, through urethra and bladder up to ureter.  The use of laser is enough to cure most of kidney stones. Only few bigger stone require surgery. Home remedies are generally effective for small stones. For any pain during urination, the person should contact the urologist for effective treatment. The leading hospitals often have laser treatment facilities and experienced urologist   .

Types of laser prostate surgeries and their advantages

Prostate laser surgery is used to get relief from moderate to severe urology problems caused by an enlarged prostate. In this surgery, the surgeon inserts a scope through the tip of the penis. This scope is inserted into the tube that carries urine from the bladder. The scope is used to pass the laser. The laser passes energy which reduces or shrinks the prostate that is blocking or causing difficulty in passage of urine. The intense heat generated by the laser does the job of removing tissue surrounding urethra.

The prostate laser surgeries are of different types. Their difference depends on the use of laser for melting or reducing prostate tissues. In photo selective laser surgery, the use of laser is done to melt away the enlarged prostate tissue. This melting improves the urinary channel function of passing the urine.  In other surgery called, holmium laser ablation, different type of laser is used to melt the excessive tissue of prostate.  In other surgery, the job of the laser is to cut the enlarged tissue of prostate. Then an instrument known as, morcellator is used to make smaller pieces of the prostate tissue for easy removal.

The selection of any one of the laser surgery will depend on the size of the enlarged prostate tissue and health of the patient. It would also depend to great extent on the facilities available in the hospital and the experience and training of the urologist.

Laser surgery has Urologist for Laser Prostate Surgery many advantages over other procedures used in treatment of prostate enlargement. The first is low bleeding issues with laser surgery. The laser surgery does not involve any cut, which reduces the risk of bleeding completely. This is the best surgery option for those who take medication to thin the blood or have complication of blood not forming clot to stop bleeding.

The patient does not have to stay in the hospital for longer durations. Laser surgery is done on outpatient basis. Other surgeries may require stay of several days in hospital.  The recovery time is also very short compare to other non laser surgeries. The need for catheter is only for less than 24 hours. This device is needed to drain the urine from bladder after surgery. In other non laser surgeries, it may require to keep catheter for several days. The improvement in urine flow can be very fast in the laser surgery Urology consultant in Delhi treatment of prostate tissue. The improvement with medications may take months.

However, there may be some temporally risks.  For urination, the catheter may be kept for easy discharge of urine. Some kind of infection may come in the urine track, but these can be cured with medication. The risk of erection problem of penis is less in laser surgery than in other surgeries. And the chances of retro ejaculation may occur, that is the semen going back to bladder rather than going out from penis, but it has no impact on the sexual pleasure.

Kidney Stone Removal Surgeries

Kidney stone problem is the most common urinary track disorders. Generally, most of the kidney stones pass without any pain through the urine.  This happens without the intervention of any physician. The bit large stone cause pain and complications. These stone can be removed by surgerical methods. These surgical methods can be invasive or non invasive. Again, the use of surgical method will depend on the size of stones. Only in case of large stone, the surgery is needed to physically remove the stones.

Kidney stone is a hard mass of crystals that separate from the urine within the urinary tract. An infection in the urinary track may also lead to the formation of a stone.  Small stone can be passed by drinking lot of liquid or beer if possible. But large stones do not come out without use of any surgery. Surgery is also recommended when a stone has got stuck in some difficult place, or when it is causing blockage of the urine. The stone can also cause damage to kidney and may lead to bleeding.

The most common surgery is the use of shock wave to break the stones into smaller parts. This surgery Urologist for Laser Prostate Surgery is known as extracorporeal shock wave lithotripsy. Here, the shock waves are created outside the body, but they travel inside the body to break the stones. These smaller particles of the big stone then travel through urine to get out of the body. For this surgery, the urologist uses x- rays or ultra sound for locating the stone. The anesthesia is also used during the shock wave surgery. Generally, the shock wave surgery is done on outpatients. The recovery time is low and patient can resume normal working life after few days.

Some issues can emerge for some patients in shock wave surgery. The patient may get blood in the urine. Some back pain or abdomen pain may also come.  The patient is advised not to take aspirin or other medicine after surgery that may lead to blood clotting.

When a stone is too large or located at a position, where the waves cannot travel, then the urologist creates a tiny incision in the back to reach the kidney with the help of a nephroscope. Some means Kidney stone specialist doctor in Delhi  like ultrasonic or eletroohydraulic is used to break the stone into smaller pieces. During this type of surgery, the patient has to stay in hospital for some days and a small tube in connected from kidney during healing process.

Another procedure for the removal of stone is called ureteroscopy in which small ureteroscope is passed to ureter through urethra and bladder. The surgeon then breaks the stone into smaller pieces or removes the stone through cage like device.  A small stent is left in the ureter to pass urine for few days.

Understanding the Basic of the Field of Urology

The branch of medicine that deal on the medical and surgical diseases of reproductive organs of both male and female, is known as urology. Kidney and adrenal glands are some of the organs that come under the domain of urology. Furthermore, diseases of ureters and urinary bladder also come under the domain of urology. Diseases of male reproductive organs such as testes and epididymis also come under the domain of the urology.

Prostate, penis and other male reproductive organ such as vas deferens and seminal vesicles, also come under the field of urology.  As per the recent study conducted, it was reported that the field of reproductive tracks and urinary tracks are linked together closely, hence medical disorders of one tracks often affects the other.

Furthermore, the field of urology also deals with different diseases associated with genitourinary disorders. Surgical and non surgical conditions are managed in the field of the urology. Urology can medically managed some of the surgical conditions such as stress incontinence. Furthermore, surgical conditions such as congenital abnormalities and traumatic injury can be managed under the field of urology.

Minimally invasive robotic and laparoscopic surgeries are used by the Urology Consultant in Delhi for the purpose of surgically management of different urological combinations. Furthermore, laser-assisted surgeries are used by the urologists for the treatment of different urological disorders. Some of the hospitals in Delhi make use of other scope-guided procedures for treatment of different urological disorders efficiently.

Urologists in Delhi are precisely trained through workshops and seminars, in open and minimally invasive techniques. The training of the urologists has helped them in employing real-time ultrasound guidance. Furthermore, the urologists are trained to make use of fiber-optic endoscopic equipment. For treatment of different urological disorders, the hospitals and doctors in Delhi make use of types of lasers in the treatment of multiple benign and malignant conditions.

Some of the urologists hold expertise in the use of robotics in laparoscopic surgical procedures. As per the recent study conducted, it was reported that the field of the urology is closely associated with the other fields of medicines such as oncology and nephrology. It was also reported that the field of the urology was also closely linked to Gynaecology and Andrology. Other closely linked fields of medicines with the urology are pediatric surgery and colorectal surgery. As per the study conducted, it was reported that the field of urology is also closely linked to the field of gastroenterology and endocrinology.

For a minimum period of five year, the urologists undergo rigorous training, in which about 12 month of general surgery and 36 months in clinical urology.

Some of the common non surgical conditions managed under the urology are urinary tract infections and benign prostatic hyperplasia.  Furthermore, some of the medical surgical conditions managed under the field of urology are bladder or prostate cancer and kidney stones.

Urologist for Laser Prostate Surgery can be booked for consultancy and treatment of enlarged prostate complications.