One of the most feared consequences for patients in relation to prostate surgery is the impact on the erection. To understand this possible consequence, we must differentiate the two most common pathologies of the prostate: benign hyperplasia and cancer. Dr. Shailendra Goel, Best urologist in Ghaziabad, Noida explains that both entities are totally different since hyperplasia is a benign process associated with aging. This non-malignant growth of the inner part of the prostate causes an obstruction to the exit of the urine with all the known consequences: difficulty to initiate urination, thin stream or rising several times at night to urinate. On the other hand, prostate cancer is a disease that does not produce symptoms, it usually sits on the external or peripheral part of the gland and is a tumour process, so it needs a specific treatment according to the result of the prostate biopsy. An anatomical data relevant to understanding the impact of prostate surgery on erection is the location of the erector nerves; both nerves pass to both sides of the prostate on their way to the penis; these nerves "embrace" the prostate and pass intimately attached to this organ laterally, says sexologist in Noida. A point that generates confusion in patients is to distinguish between the types of surgery performed according to the process is benign or malignant: in the surgery of benign prostatic hyperplasia the entire prostate is not removed but only the enlarged part responsible for the obstruction of the exit of the urine while in prostate cancer surgery, the entire prostate is removed completely. To understand it better and if we imagine the prostate as an orange, in the intervention of the hyperplasia the orange is extracted leaving the shell so that the erector nerves remain in place while in the intervention of prostate cancer all the organ is eliminated so that the probability of causing damage to the erector nerves is much higher. In benign surgery of the prostate, injury to the erector nerves is much less likely (around 5%), which can occur by perforation of the prostatic capsule or due to the transmission of heat or electricity from the instruments used. sexologist in Ghaziabad says that the factors responsible for erectile dysfunction (age, cardiovascular and hormonal risk factors) are also causing benign growth of the prostate, so many patients suffer both situations concomitantly. The surgery for prostate cancer or radical prostatectomy removes the entire prostate completely. It is always tried that the clinical conditions of the patient allow it, to preserve the erector nerves by means of a fine dissection but in many occasions, it is complicated, difficult or it is not possible to do. In recent years, first laparoscopic surgery and later with the emergence of robotic surgery that allows a 3D vision and greater precision have tried to alleviate this side effect to maintain an erection but not always obtain these results. Despite these advances and depending on the surgical technique, there may be between 60-80% postoperative erectile dysfunction, says urologist in Ghaziabad, Noida. A key point after surgery for prostate cancer is to start a program of rehabilitation of the corpora cavernosa that can last several months to avoid erectile dysfunction and loss of characteristic penis length. This improvement program consists of the use of a vacuum pump several times a day that allows an inflow of blood to the corpora cavernosa of the penis combined with the stretching of the penis. These exercises are usually supplemented with a daily pharmacological treatment of an erection enhancer. From 12-18 months after radical prostate treatment in Noida, if an erection improvement has not been observed, a treatment can be evaluated by intracavernous prostaglandin injections that produce an erection without sexual stimulation. In cases of failure of all previous treatments, the only option is the placement of a penile prosthesis with excellent results. This prosthesis consists of 2 cylinders that are introduced into the corpora cavernosa and by placing a device inside the scrotum (between the testicles), the patient can provoke an erection at their discretion. You will get enough stiffness for penetration. The satisfaction index is very high since it allows offering a guaranteed response to sexual relations.
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Bladder Infection (UTI) in Children If it is not diagnosed and treated early, it can lead to kidney complications. When a child has a fever, pain or burning when going to the bathroom, or more need to urinate, it can be due to a urinary infection, one of the most common diseases in children, especially girls. In fact, according to the best urologist in Noida, Ghaziabad, 3% of them and 1% of children will present this symptom at least once before age eleven. Pediatrician in Noida explains that "in pediatric patients, there are factors that can predispose them, such as malformations of the urinary tract, neurological alterations that prevent a good bladder emptying, retentionist patients who do not urinate frequently and poor hygiene technique." Also, it occurs more in women, because they have the shorter urethra and its opening is closer to the anus and the vagina, places that are permanently colonized by bacteria. Although urine does not have bacteria, these germs can reach it in two ways: from the skin around the genitals and rectum, or blood. The infection can affect the bladder, urethra or kidneys. In children, the main symptoms are:
Urinary infections are diagnosed with a urine culture, an examination that reveals the presence of bacteria. In some cases, to rule out that the infection has advanced to the kidneys, you can perform studies with images such as renal scintigraphy or renal ultrasound with Doppler. It is very important to obtain a diagnosis and early treatment to prevent long-term sequelae. We must be alert to symptoms in infants, as they are nonspecific and they cannot warn if they have any discomfort when urinating, says urologist in Ghaziabad. Usually, the treatment consists in the administration of antibiotics, either by venous route or in pills. Urologist in Noida gives some tips to avoid urinary tract infections:
Dr. Shailendra Goel, Urologist in Noida has been performing prostate laser surgery for more than 10 years, being one of the best urologist in Noida with the largest number of operated patients. The procedure consists of removing the prostate by means of a beam of laser light that is directed, by means of an optical fiber, towards the prostatic tissue through the urethra. The intervention is performed without external incisions, through the urine duct. There are different surgical techniques, depending on each particular case:
The advantages of this technique over classic procedures (transurethral resection or open prostatectomy) are numerous:
If you want to know more about the experience of the best urologist in Ghaziabad in this matter, visit his website where you will find reviews about his participation in different national and international events; awards; acknowledgments received, etc. |
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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