Prostate diseases in men have become a major concern. Prostate gland, an accessory sexual gland that normally liquefies semen in men starts giving trouble after the age of 40. This gland is at the outlet of the Urinary Bladder and gets affected by the benign or malignant disease. The size of the gland increases obstructing the Urinary bladder and the Kidney.
• Slow flow of urine
• Incomplete emptying of the bladder
• Frequency of urine increases particularly at night (measured by AUA symptom score)
Cause of the Benign Enlargement of Prostate is unknown but hormonal imbalance like failing level of testosterone (male hormones) is mostly responsible. Managing the BHP symptoms through medication or surgery by consulting a good Urologist is the best way out.
With Laser surgery Holmium Laser Enucleation of the Prostate (HOLEP) in BPH, which is being practiced extensively, the operation process has become simple and less complicated. Hospital stay is restricted to a day. The enlarged gland is removed painlessly. The surgery HOLEP helps avoid long-term effects of medication saving the bladder from continuing dysfunctions. Patients with large glands and heart diseases greatly benefit from this procedure.
Prostate Cancer is another disease that is affecting many men in our country. If detected at an early stage the disease can be cured. PSA and family history will help detect the risk of the developing disease. Following a healthy diet with a proper lifestyle can keep the disease at bay. Those with PSA above 4 particularly after 50 should seek an Urological opinion. Clinical examinations and investigations for Prostate Cancer like Serial PSA estimation, MRI, USG guided prostate biopsy can detect early Prostate Cancer.
The prostate gland can be removed through Radical Prostatectomy. This operation is performed by Laparoscopy that involves the least bit of trauma with hospital stay shortened; the Prostate Gland is completely removed. Surgeons perform Laparoscopy by Hand to perform the operation. The other is Robot assisted laparoscopy. This operation is more expensive. If the patient has aversion to surgery or medicines then the Radiation therapy would be ideal.
Bean-shaped organs that play an essential regulatory role in the body are located at the rear of the abdominal cavity. Kidneys can get affected by Stone, Cancer and other internal factors. Kidney Stone mostly affects younger men. Inadequate consumption of water, poor eating habits like junk food and soft drinks are largely to be blamed for this disease. It causes pain, bleeding in the urine and disturbance in Kidney function. Kidney stone is easy to remove and there are a number of ways to do so.
Lithotripsy (ESWC), MINI PCNL, RIRS are procedures for clearing Kidney Stone. Doctors chose the right option after observation and proper medical investigations.
Urine Analysis, USG, IVU, CT Scan help in reaching at the correct diagnosis. All surgical procedures are minimally invasive and are completed within a day or two. Post operations a healthy diet rich in potassium citrate is beneficial for the patient along with good intake of water. A biochemical analysis of the blood and urine from time to time stops the recurrence of stone.
Kidney Tumour or cancer is common and mostly affects men more than women. Kidney Cancer is sometime caused by VHL gene defect. RCC (Renal Cell Cancer) also called hypernephroma can be detected through an abdominal USG.
Tests like CT Scan help in identifying the size and location of the tumour which leads to a proper surgical procedure. Nephron Sparing Surgery (NSS) is removal of the tumour if it is small and the (less than 4cm) leaving the healthy portion of the Kidney intact. This procedure also takes place through Laparoscopy of either the hand or Robotic. Both give similar results but the robotic is more expensive than hand. However if the tumour is large and involves the central portion then Radical Nephrectomy is effective. Laparoscopy is the best way for operating the tumour. One of the kidneys is removed. Patients undergoing this surgery can get back to their day-to-day activities in no time. One kidney does not affect normal life. A patient who goes through this surgery needs to follow up with the physician for at least five years.