The passage of time affects both men and women in various areas of life and health. Benign prostatic hyperplasia or benign prostatic growth is a physiological phenomenon where years count. And it is that this pathology occurs in all prostates of men from the age of 40. However, what are the causes that produce it, and what are the symptoms of benign prostatic hyperplasia? Causes of benign prostate growth Benign prostatic hyperplasia is a pathology that affects a large number of the male population at some point in their life. It is the result of the natural aging process of the male. In general terms, as a man ages, his body suffers deterioration and, in the case of the prostate, he suffers from hypertrophy, that is, growth. This means that the only cause responsible for the appearance of this pathology is age. What happens in the male organism is that the prostate increases in size and produces certain symptoms in the male that cause him to worry. In short, the prostate is a gland that is located around the urethra at the exit of the bladder and as this hypertrophy grows, it causes a closure inside the urethra. This causes the area to be obstructed and, therefore, certain signs occur that prevent the male from urinating normally, explains the best urologist in Noida. The symptoms of Benign Prostatic Hyperplasia The benign growth of the prostate carries with it a series of associated symptoms that are quite easy to diagnose, although it is always necessary for a urologist in Noida to make the diagnosis that confirms it. The symptoms of benign prostatic hyperplasia can produce:
According to Urologist in Ghaziabad, the most important thing in this condition is to be able to identify it and differentiate it from the symptoms of other pathologies that may resemble urethral stenosis, bladder diseases, benign inflammatory processes, tumor lesions, and pathway stones. urinary, etc. For this, as soon as a man considers that he has the symptoms described above, it is necessary to go to a urologist in Greater Noida to carry out the appropriate tests to complete the diagnosis. Normally, in the consultation with the best urologist in Ghaziabad, the patient’s medical history is performed first, then he is asked to fill out a prostate health questionnaire and a rectal examination is performed to rule out the existence of a malignant tumor lesion and also to calculate the prostate volume of approximate shape and see if there is any more inflamed area. In addition to this routine check-up, a PSA test is requested, a urine test to rule out urine superinfection, a urological ultrasound to measure the kidneys and see that benign growth has not conditioned any pathology of the upper urinary tract and see There is nothing abnormal in the bladder like stones or other injuries. Complementary tests may require flowmetry to calculate the volume of the prostate as well as urethroscystoscopy, which is an endoscopic test to rule out diseases such as urethral stricture and if there is any type of injury or stone. At what age does this pathology usually occur? Despite the fact that benign prostate growth usually occurs after the age of 40, the symptoms are more frequent after the age of 50. The vast majority of patients who undergo surgery are usually between 50 and 70 years old approximately, says urologist in Delhi. Below and above that age, it is less frequent but the aging of the population is increasing and patients reach very high ages with a good quality of life. This means that it is increasingly common to operate on older patients with benign prostate growth with full guarantees, and even more so with current laser surgery techniques that have a lower complication rate. Dr. Shailendra Goel is a specialized and experienced urologist in Vaishali who can help you solve your urological problems. If you need advice or come to a consultation do not hesitate to contact us.
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What it is, warning signs, what the consequences are and how to deal with it. The best urologist in Noida will clarify all your doubts about this disease, characterized by an enlarged prostate. One of the most common benign diseases in men, benign prostatic hypertrophy (BPH) occurs when the volume of the prostate enlarges. It is more frequent from the age of 50: it affects about 40% of men at age 50 and about 90% at age 90. Its development is progressive and this disease can have a significant impact on the male quality of life, in addition to implying considerable socioeconomic costs. Since the most important risk factor for the development of benign prostatic hypertrophy is age, there is no way to prevent it. Still, there are data to suggest that regular physical activity, a low-fat diet, regular consumption of vegetables rich in vitamin C and zinc may reduce the risk of their development. The most important thing is to have an early diagnosis, so that the therapeutic intervention is also. Find out everything – or at least the most important – about this disease with these answers to the most frequently asked questions. What is benign prostate hypertrophy? Benign prostatic hypertrophy (also known as benign prostatic hyperplasia or BPH) consists of an increase in volume of this gland to the point of compressing the urethra, causing discomfort in the urinary function and changes in the capacity of urine storage in the bladder. Any man can develop this disease, although it tends to appear at older ages, with a family history of the disease, explains the urologist in Noida. What is the main alarm signal? Urinary function is mainly affected by benign prostatic hypertrophy, tending to deteriorate progressively. Urinary control is, in most cases, characterized by a weaker and hesitant urinary stream, which can cause pain or discomfort, sometimes reaching the inability to urinate. In addition, you may feel a more frequent need to urinate, even waking up several times during the night to do so. Benign prostatic hypertrophy can be difficult to diagnose. If you suspect that you have this disease, consult a urologist in Greater Noida. To clear up doubts, the doctor will be able to assess your clinical history and the symptoms you feel, perform a physical exam (digital rectal examination) and ask you to have blood and urine tests, as well as other tests. What does PSA consist of and how do I decrease it? PSA (prostate specific antigen) is a protein produced by the prostate that, in high amounts, can reveal or cause some problems associated with this organ. To decrease your production, try to eliminate fats in your diet, reduce meat consumption and maintain an active lifestyle, suggests the best urologist in Greater Noida. What should I eat to deal with the disease? Foods such as sunflower and pumpkin seeds, flax oil, rye pollen and other nutrient-rich foods like zinc, selenium, vitamin C and E can help decrease symptoms. You should also try to restrict your intake of coffee and alcoholic beverages and limit your consumption of sugar. Does benign prostatic hypertrophy affect sexual intercourse? As a general rule, benign prostatic hypertrophy does not cause any changes in sexual intercourse. However, in some cases, there may be problems with sexual function, such as erectile dysfunction and decreased desire, sexual satisfaction and sperm production. Also, the medication used to treat the disease can cause these side effects. If you experience any of these symptoms, consult your urologist in Ghaziabad. How is the Prostate Treatment in Noida done? Certain drugs may be prescribed to relax the bladder muscles or to reduce the size of the prostate. In some cases, surgical intervention may also be necessary. There are several procedures: one of the most common is to extract a part of the prostate, in order to decrease the compression of the urethra and eliminate the symptoms, explains the best urologist in Ghaziabad. Post-surgery recovery Post-surgery recovery always depends on the type of procedure performed. However, most people maintain a perfectly normal life. There are, however, although uncommon, some possible complications, such as erectile dysfunction or urinary incontinence, so you should always seek clarification from your urologist in Delhi, in order to know which procedure best applies to your situation. Kidney stones are small stones made up of mineral salts and acids found in the kidneys. Generally, these stones dissolve in the urine. However, if the urine is highly concentrated, the minerals can crystallize forming a stone. The largest stones are found in renal calyxes, i.e. the “tubes” that carry urine from the kidney to the ureter. They usually occur in adults, but they can also be found in young people 20 years of age or younger, due to inadequate feeding, says the urologist in Noida. Kidney stones mainly affect men with a sedentary lifestyle or those who work in places where the temperature is very high. People who carry out manual labor: workers and peasants are the least affected. Types of kidney stones Struvite stones: these are the most common stones in women. They usually originate from an infection in the female urinary tract, says the urologist in Ghaziabad. There are several anatomical abnormalities that promote urinary stasis and increase the risk of stone formation. The proliferation of organisms (Proteus, Klebsiella, Serratia and Mycoplasma) that separate ammonia from urea cause alkaline urine. This is the most conducive environment for the formation of struvite stones. These stones can cause discomfort by increasing their size. If the struvite stones are found throughout the renal cavity are called coraliformes. Cystine stones: The main cause of the formation of these stones is a genetic disease known as cystinuria. Cystinuria is characterized by an excess of urine of:
In this disease, the amino acid cystine present in the kidneys leaks into the urine, crystallizes and causes the formation of stones, explains the urologist in Greater Noida. People with a family history of cystinuria are predisposed to develop kidney stones. Calcium stones: these are the most common stones. Two types of stones belong to this category:
The former are produced by the concentration of oxalate (a substance present in several foods) and by the presence of high calcium levels. Seconds originate from a urine that is too alkaline (pH above 7.5) and rich in calcium. Stones of uric acid: uric acid is derived from the metabolism of purines, which are substances found in foods such as fish, meat, mushrooms, anchovies, crustaceans, among others. A very high level of uric acid in the body can cause these stones to form. Causes of kidney stones Women are less likely than men to develop kidney stones due to physiology. Women have a higher percentage of citrates in their urine, which partially prevents the formation of kidney stones. The male hormone testosterone increases uric acid and oxalate levels in the body, which also increases the likelihood of developing kidney stones. In addition, men are more likely than women to develop this disease because they consume a large amount of animal proteins (e.g. red meat), plus men’s muscle mass is greater and as well as appetite. Men also expel more waste from the body, as the body filters more urine through the kidneys, which produce more waste. Therefore, excess waste in the body is likely to cause the formation of stones, explains the best urologist in Noida. In women, some of the main causes of kidney stones include: Urinary tract infection (ICU): Women are more likely than men to develop urinary tract infections and have an increased risk of developing struvite stones. These stones originate from bacteria in a urinary tract infection and waste that contains an excess of protein components, introduced into the body through food. In this case the pH is alkaline. Pregnancy: Pregnancy causes many changes in a woman’s body. During this phase increases the amount of calcium in the body. The dimensions of the uterus are larger, which reduces the bladder’s ability to store urine. Therefore, pregnant women urinate more often. During pregnancy, kidney circulation and urine leakage into the glomeruli of the kidney increases. All of these factors can lead to the formation of kidney stones, especially calcium phosphate (74% of cases). However, in very few pregnancies (1 in 1500) this disease develops. Obesity and dietary habits: Women (or men) who are obese have a greater predisposition to develop kidney stones compared to people with a healthy body weight. Food habits play an essential role in determining body weight. Consumption of foods high in sodium, animal proteins, vitamin D and sugars can cause kidney stones, says the best urologist in Greater Noida. Dehydration: Lack of fluids makes urine more concentrated and increases the watering of crystallization and formation of kidney stones. People who don’t drink an adequate amount of water or other healthy liquids and those who drink wine, beer, and spirits can develop these stones. Alcohol causes dehydration, as it increases the need to urinate. Some people are more prone than others to dehydration. For example, people living in warm, humid geographic areas should drink more fluids than normal. In addition, people engaged in intense activities should recover the fluids they have lost through sweating. Most cases of urinary tract stones occur during summer. Some diseases: there are several diseases that develop along with kidney stones, such as:
A family history of kidney stones increases your risk of developing kidney stones. Relapses of stones can occur, so prevention is essential, says the best urologist in Ghaziabad. Certain specific medications may favor the formation of stones: some diuretics, calcium antacids, protease inhibitor Crixivan, used for the treatment of HIV, and Topamax, an antiepileptic medicine. Anatomical abnormalities that increase the risk of stone formation:
Symptoms of kidney stones
Renal colic is characterized by:
Not all cases of kidney stones are accompanied by symptoms. When the dimensions of the stones are very small, there are usually no symptoms and the small stone is expelled through urine. In case of larger stones, symptoms can be obvious and cause a lot of discomfort. Kidney stones do not cause foreboding symptoms. Common symptoms that indicate kidney stones include: Sudden and constant pain: the presence of kidney stones can cause severe pain on the right or left side, back pain, pain in the groin or genitals (pain of the testicles or vagina). The stones may be blocked in one of the two narrowest areas of the ureter:
Obstruction in the iliac artery due to the stones causes pain that radiates to the groin or lower belly. If the stone obstructs the ureterovesical junction, this causes pain that radiates to the scrotum, or to the vaginal lips in women, to the inner thighs or to the urethra. In this case, the patient feels the need to urinate frequently, because the stone irritates the bladder. Sometimes people may experience pain similar to colic, known as colic, because the ureter’s muscle walls contract to expel the small stone into the bladder. The pain usually does not decrease when the patient changes position, but in some cases may decrease when placed in the fetal position. In this way, the iliopsoas muscle relaxes and the pressure on the genitofemoral nerve decreases. This nerve reaches the genital organs, for this reason the pain caused by kidney stones can also be perceived in the testicles of the man and in the larger lips of women. Presence of blood in the urine (hematuria): There may be traces of blood in the urine. Sometimes they can be detected with the naked eye, but other times they are required and lab exams. Blood in the urine is an indicator that damage has occurred in the ureter wall inside the kidney. Painful and frequent urination: This symptom develops when the small stone is in the ureter near the bladder. Urinary tract infection may be accompanied by painful urination. Pain accompanied by fever and chills: if the patient develops a fever with pain, he or she should go to the doctor to prescribe the most appropriate medicines for this situation (usually antibiotics). A urine test may be needed to detect the presence of white blood cells, in which case the patient is likely to have an infection. Pain accompanied by vomiting and nausea: in case of nausea and vomiting along with stomach pain, side pain or back pain, this may be a serious situation. In these cases, you should see your urologist in Delhi right away. Other symptoms may occur, such as heavy sweating, weakness, changes in urine color (red, red or dark), bad urine odor, inability to urinate, among others. Causes of renal colic The stone clog blocks the ureter causing increased pressure in the renal pems (area where urine is deposited after being filtered). In this situation, the body’s reaction involves secreting prostaglandins (lipid-based substances that resemble hormones that do not enter blood flow) into the kidney. Prostaglandins cause:
Complications of kidney stones
Kidney stones, also known as kidney stones or nephrolithiasis, are a hard mass of minerals that form within the kidney from substances in the urine, and sometimes manage to be the size of a grain of rice or larger, the size half of the palm of the hand. The best urologist in Noida, explains what kidney stones are, the symptoms to watch out for and the appropriate treatment to be carried out in the event of their presence. Symptoms to watch out for Kidney stones can sometimes cause symptoms when they just start moving through the kidney or until they pass through the ureter; There may even be some who are asymptomatic and are only diagnosed with blood or urine tests. Most of the time, these stones are removed spontaneously, but sometimes they obstruct the passage of urine, which can cause great discomfort. It is estimated that between 10 and 15% of the population can have kidney stones, and there are different symptoms depending on their size and location, says the urologist in Noida. Among the most common symptoms are:
Causes for which you can have a stone According to the best urologist in Greater Noida, kidney stones occur when the amount of substances such as calcium, phosphate, or uric acid in the urine is greater than the amount that can be diluted in the urine, forming crystals. In addition, sometimes urine may lack substances that prevent the crystals from adhering to others, creating the environment and the perfect environment for kidney stones to form. “This is why it is recommended that people drink enough water during the day, since in this way it is possible to prevent the formation of these crystals,” says the urologist in Greater Noida. Types of kidney stones There are different types of kidney stones, therefore, knowing the type of stone you have can help the specialist determine the cause and correctly evaluate the kidney stone treatment in Noida to be performed, as well as guide the patient in the appropriate way to reduce the risk to have more stones. The types of kidney stones are:
Risk factor’s Everyone can have a kidney stone, but like all diseases, some are more likely than others to have it, says the best urologist in Ghaziabad. In fact, it is men who tend to have kidney stones more often than women. Also, you may be more likely to have a kidney stone if:
Kidney stone treatments Kidney stone treatment in Greater Noida to remove the kidney stones will depend on the type of stone, the size, and whether it is blocking the urinary tract.
How can I prevent kidney stones The best way to prevent kidney stones is to drink enough liquid every day and have a balanced diet low in sodium. It is necessary that your urologist in Delhi find out the type of stone you have, since in this way he can recommend a specific diet to prevent kidney stones in the future. What is renal lithiasis or kidney stones? Renal lithiasis is a disease characterized by the appearance of stones (solid bodies formed by the aggregation of minerals) in the upper urinary tract (kidneys and ureter). Kidney stones form inside the kidney from substances in your urine. They may stay in the kidney or break off and go down the urinary ducts. If the size of the stone or stone is very small, it can be removed with urine without causing symptoms, but if the size is sufficient it becomes trapped in the ureters, bladder, or urethra which later become painful and required kidney stone treatment in Noida. The most common way to express the disease is nephritic colic: it occurs when a calculus breaks or ruptures and becomes trapped in the urinary tract. By hindering or preventing urine from flowing from the kidney to the bladder, pressure increases inside the urinary ducts, triggering nerve endings in the mucosa and causing pain. Kidney stones are usually calcium, and less commonly magnesium, uric acid or cystine, depending on the diseases or causes to which they are associated. Why do kidney stones occur? In most cases, the cause and disease explaining the production of kidney stones are not identified, and in many cases, their presence is detected when performing an X-ray or other tests for other reasons. Rare are cases where kidney stones are secondary to other diseases, such as hyperparathyroidism, cystinuria, some cancers, laxative abuse, or repeated urinary tract infections. Some medications may also make it easier to produce stones, such as some diuretics and antacids, so you should tell your urologist in Noida about all medications you use if you have kidney stones. There is a greater predisposition to stone estimates in people with a family history of renal lithiasis, bone disease, gout, repeated urinary tract infections, infancy lithiasis, or previous nephritic colic. In cases where nephritic colic is repeated several times, the best urologist in Noida will perform more tests to rule out the possibility of any of these conditions. What are the symptoms? Renal lithiasis manifests clinically as nephritic colic. Nephritic colic is characterized by sudden, colic pain (coming and going) in the lumbar region, unilateral, severe and radiating to the English or genitals. It may also present as acute onset abdominal pain and less than 12 hours of evolution. Pain does not improve with rest and is very often accompanied by nausea and vomiting, and with the feeling of need to urinate very often, but urinating very little. Sometimes, with blood in the urine. Diagnosis is made by clinical symptoms and laboratory or tested urine with test strips in the consultation itself. It is important, in case of colic, to filter the urine to obtain the stones that are expelled and perform an analysis of its composition, says urologist in Ghaziabad. After treating the pain it causes, the best urologist in Ghaziabad may order X-ray tests for the study of the urinary tract. How is it treated? Kidney stone treatment in Ghaziabad is aimed at controlling pain. In case of complications or when colic occurs in people with other serious illnesses, pregnant or with a single working kidney, admission to the hospital may be necessary. In general, in patients with renal lithiasis where there is a high probability of spontaneous expulsion, and where symptoms can be controlled, are necessary only observation and periodic evaluation. Recurrences of lithiasis are common. Over the next 5 years, a second estimate occurs in 35-50% of cases, and in 65% over the next 10 years. In patients with renal lithiasis and frequent colic, action to prevent recurrences is advised:
When stones persist in the urinary system and cannot be removed, extraction may be necessary, by different procedures:
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AuthorDr Shailendra Goel is consultant urologist at Max Hospital, Noida. He is one of the leading urologist in Noida. He performs all type of uro-onco surgery including kidney cancer, kidney transplant in Delhi, Noida. Archives
November 2020
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