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General Urology

URINARY STONES

URINARY STONE DISEASE is a very common problem in our country. Urinary stones can be seen in all age groups, though it is more common in adults than in children. It is more common in men than in women though changing lifestyles have narrowed down this difference in incidence


URINARY STONES CAN BE OF DIFFERENT TYPES

Calcium Oxalate, Calcium Phosphate, Uric Acid, Cystine, Triple Phosphate are the common types.

Stones can be found in theKIDNEY, URETER(tube which carries urine from kidney to the bladder) or BLADDER itself.


CAUSES OF STONE FORMATION

The most common cause for formation of urinary stones is not drinking adequate water. This along with excessive perspiration in tropical countries makes the urine saturated with various crystals which eventually develop into a stone. Due to this reason stones are seen more commonly in summer.


Another common cause of urinary stone formation is taking diet rich in calcium (like milk and milk products) or oxalates (certain green leafy vegetables, soft drinks like cola) or purine rich diet (non-vegetarian diet).


Changing life-styles and westernization of eating habits like consuming lot of aerated soft drinks and eating fast foods like pizzas and burgers have definitely increased the incidence of stones.


Treatment of URINARY CALCULI

MEDICAL TREATMENT

MINIMALLY INVASIVE SURGERY like URS, PCNL, ESWL, LASER, LAPAROSCOPY based on the size, site and nature of the stone.


PROSTATE ENLARGEMENT

This is seen in men usually over 50 years of age. Patients suffering from this problem may have various symptoms like increased frequency of urination in both day and night, urgency, hesitancy, thin stream,straining to pass urine, sense of incomplete voiding and sometimes passing blood in urine or even sudden retention of urine.


TYPES OF PROSTATIC ENLARGEMENT

BENIGN ( NON-MALIGNANT)
CARCINOMA OF PROSTATE

TREATMENT

For benign enlargement of prostate there are a wide variety of DRUGS. Some patients require endoscopic resection of prostate, like TURP, LASER PROSTATECTOMY

For CANCER PROSTATE, treatment is surgical in early stages and in delayed cases either hormonal,radiotherapy or chemotherapy may be required.


LAPAROSCOPIC UROLOGY

Some urological procedures can be done by minimally invasive (key-hole) method.

LAPAROSCOPIC URETEROLITHOTOMY,LAPAROSCOPIC PYELOLITHOTOMY, LAPAROSCOPIC GUIDED PCNL FOR PELVIC KIDNEY,LAPAROSCOPIC NEPHRECTOM


ANDROLOGY &MALE INFERTILITY

Male infertility and sexual dysfunction like impotence and premature ejaculation are evaluated and treated by a urologist and andrologist.


RENAL TRANSPLANT

For patients with renal failure due to end stage renal disease renal transplant is offered