All men can suffer from an erection disorder throughout their lives, according to the sexologist in Noida. However, they must learn to distinguish between what is a trigger, which can happen to everyone, and what can be a more serious problem with a varied origin. The best sexologist in Noida explains what is Erectile Dysfunction and what are its causes. The Erectile Dysfunction is the inability to get and maintain an erection for satisfactory sexual intercourse. This symptomatology must persist for six months to be considered a pathology. In addition, there must be a failure every four intercourse for the man to begin to suspect that he has a problem beyond a simple trigger. According to the sexologist in Delhi, the signs that suspect the existence of Erectile Dysfunction are, in addition to those mentioned:
Erection is defined as a vascular and nervous mechanism in which hormonal factors intervene. Those responsible for the erection are the cavernous bodies of the penis that are responsible for carrying blood to it. The causes that will cause problems for the erection to take place are divided into organic, which happens in 90% of cases, and psychic or nervous, in the remaining 10%, explains the sexologist in Ghaziabad. Among the organic causes include:
Among the psychological causes are fear of failure, anxiety, stress, tension and nervousness. All of them influence negatively since they stimulate the production of adrenaline by the nervous system, which affects the heart rhythm and decreases the thickness of the arteries. As a result of the vasoconstriction that occurs, blood circulation to the penis arrives defective. In addition, there are cases of mixed causes where organic and psychic can coexist, explains the best sexologist in Ghaziabad. Sexologist in Greater Noida insists on the importance of detecting any problem related to erection, since in many cases it is usually the first sign of more important diseases that may be affecting the health of man. Therefore, it is essential to put yourself in the hands of a male sexual health expert who studies the origin and indicates the treatment to follow, in which drugs will be indicated and shock wave therapy can also be carried out. In addition, it will be necessary to establish a series of healthy habits that imply changes in the diet and the abandonment of toxic substances.
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It is the inability to obtain an erection intense and lasting enough to initiate sexual intercourse, maintain it and successfully end it. Causing distress and problems in the relationship of couple. It is a common pathology, affecting approximately one in five males, or 20%. Difficulty getting an erection can occur sporadically in all men, especially when they have been exposed to stress and excessive alcohol consumption. The frequency of erectile dysfunction increases with age and affects 15% of men aged 40 to 49, 25% of men aged 50 to 59, and 49% from 60 to 69 years old, says sexologist in Noida. Penis Anatomy and Erection Physiology The penis consists of two cavernous bodies (two cylinders composed of smooth vessel-active muscle tissue capable of causing penile erection) and a tube (urethra) that allows urination. The erection occurs when muscle tissue dilates and fills with blood, causing increased size and penile stiffness. The erection occurs when the blood flow entering the penis seals the venous return, preventing the blood leak, thus maintaining the erection. If blood flow to the penis is insufficient, or escapes from the penis, then there is a difficulty in achieving and/or maintaining sufficient penile stiffness for good sexual intercourse, explains the best sexologist in Noida. CAUSES OF ECRICTIL DISFUNCTION(OF) 1). Organic causes: Endocrine (diabetes, Hypogonadism, hyperprolactinemia, hyper or hypothyroidism, Cushing’s disease, Addison’s disease). Vascular (Arteriosclerosis, ischemic heart disease, peripheral vascular disease, venous insufficiency, cavernous alterations). Neurological (brain injuries, spinal cords), Urological (congenital lesions of the penis). Pharmacological (drugs, alcohol, tobacco, antihypertensives, antidepressants, estrogens, antiandrogens, narcotics, anxiolytics, neuroleptics, diuretics, H2 antagonists, anticonvulsants, clonidine, guanetidine, methyldopa, ketoconazole, clofibrate.), Traumatic (pelvis fracture). 2). Psychological Causes: Fear of failure, feelings of guilt, infidelity, prior premature ejaculation, insecurity, anxiety disorders, poor sexual experience, inadequate sex education, impulsivity taboos, etc. 3). Mixed, multifactorial, where there are partner problems, emotional and organic that are enhanced The frequency of erectile dysfunction increases with age and affects, on average, 15% of men aged 40 to 49, 25% of men aged 50 to 59, and 49% from 60 to 69 years. TREATMENTS IN THE EFFECTIVE DISFUNCTION The evaluation is performed by a sexologist in Ghaziabad who specializes in sexual disorders, who researches the cause and what maintains the problem. If the etiology is organic, pharmacological treatments, vacuum devices, injections of vasoactive substances are used and in some cases the pathology requires it is used to vascular surgery or implantation of penile prostheses. The manifestation of a de ED abruptly in a young male who has morning erections orients a psychogenic cause, as if it is associated with emotionally intense situations and there is a history of previous episodes of dysfunction with resolution Spontaneous. ED due to an arterial problem occurs in older males in a gradual manner, with a history of chronic disease or drug use. In hormonal DE, sexual interest is lost, DE may occur as the form of cardiovascular disease or diabetes, explains the best sexologist in Ghaziabad. Laboratory tests are oriented to clinical suspicion, it is advisable to measure glycemia, HbA1c, cholesterol, kidney function and TSH. There is a recommendation to make testosterone and prolactin determinations. The complementary tests that may be requested to complete the study of selected cases are: Night record of penile tumescence, intracave injection of alprostadil, eco-doppler. If the origin is psychological, psycho-sexological treatment, psychoeducational treatment, behavioral and cognitive modifications, couple treatment etc. are indicated by the sexologist in Greater Noida. In cases of mixed problem work in co-therapy (medical-psychological). Treatment Initial treatment is aimed at the aetiology of ED whenever possible and not only to the treatment of symptoms. If the cause of ED is attributed to chronic organic disease we will seek good disease control in addition to insisting on modification of risk factors. In some cases the modification of lifestyles, changes in the use of certain drugs or the cessation of substance use may involve the solution of the ED, the modification on the risk factors can be made in advance or at the same time as s and use drugs intended to treat ED. “Testosterone deficiency” may be caused by testicular insufficiency or hypothalamus/pituitary insufficiency. In cases where other endocrinological causes of testicular insufficiency have been excluded, substitute treatment with testosterone may be used. Testosterone treatment may improve erectile response by causing arterial dilation of cavernous bodies, explains the best sexologist in Greater Noida. Kidney stones are hard deposits of salts and minerals that form in the kidneys. The vast majority of these correspond to calcium salts and depending on each patient, their size and shape will vary. This pathology can produce a pain of sudden onset that, generally, is of great intensity and begins in the lumbar area on one side, radiates towards the lower abdomen and, sometimes, towards the genitals Also, it can be accompanied by a feeling of nausea, anxiety and sweating, in addition, it can cause darkening of the urine and urinary symptoms, such as painful urination and increased frequency of urination, explains the urologist in Delhi. The risk of not treating kidney stones properly can be associated with the risk of developing infections of different severity in a poorly drained urinary tract, and can cause kidney function to be affected reversibly or irreversibly. If the obstruction is transient or is maintained for a long time, there is even a risk of causing loss of a kidney. How to relieve the pain of kidney stones? There are various types of kidney stone treatment in Noida and these range from medical management to surgical management. According to the urologist in Noida, the main objective of medical treatment is the pain relief of patients, since as mentioned above, it can become very intense. This treatment will vary according to the characteristics of each patient, which will be determined with an imaging study that should be performed as soon as possible. As expressed by the best urologist in Noida, the most effective is Pielotac (computed axial tomography without contrast) and according to this result the urologist in charge must decide the conduct of medical treatment. It also adds that it is extremely relevant to consult and not self-medicate, since there is a possibility that the stone that is causing the ureter obstruction may stop hurting, which would lead to the patient thinking that the problem is solved and stop Consult with a urologist in Ghaziabad, with the risk of being left with a chronic obstruction and impair renal function. Regarding the home remedies for renal colic, the urologist in Vaishali says they are inefficient, since there are no studies that support practices such as drinking pineapple juice, coconut water or other herbs to facilitate its elimination. However, if the stone is small, it is thought that it is feasible to be expelled spontaneously. Also, heavy fluid intake may help, but this should be suggested once the severe and acute pain has subsided. The urologist in Greater Noida is emphatic when commenting that the prevention of kidney stones is of the utmost importance and the fundamental pillar of this is the abundant fluid intake (enough to urinate two liters a day), which must be accompanied by certain eating habits and physical activity. Surgery for kidney stones The process of removing a stone found in the ureter will depend a lot on its size. If it is less than five millimeters, it has an 80% chance of being spontaneously expelled, but this percentage decreases dramatically if the stone is greater than seven millimeters, less than 20%, says the best urologist in Vaishali. Then, in the same way, the most appropriate surgery for each kidney stone will vary depending on its size. When it comes to small kidney stones, that is, less than two centimeters, intrarenal retrograde surgery is the most indicated. The stones of patients who wish to undergo this surgery must also comply with other requirements that relate to their density, location, shape, size and quantity. The main benefits of this technique are that it is a well-tolerated, minimally invasive surgery, which can be ambulatory or short stay in the clinic. On the other hand, when the kidney stones are larger, in general, larger than two centimeters, or when they occupy a large part of the excretory pathway of the kidney (coral calculus), or have failed other less invasive methods, renal surgery is recommended. Knowing the most frequent complications produced by the kidney stones are essential since improper kidney stone treatment in Noida can impair the functioning of the kidneys, making it more difficult for the toxins that our body produces to leak. Dr. Shailendra Goel, a urologist in Noida explains that "if a patient has renal colic means you are removing a calculus that is blocking one or both kidneys. If both are compromised, it corresponds to a urological emergency, since the patient can quickly present renal failure with the consequences that it entails.” Likewise, it indicates that if the obstruction is unilateral, it is very feasible that the other kidney can replace the function of the organ that is compromised and the patient can continue to urinate, but the permanent obstruction of a kidney for a few weeks will lead to deterioration in the compromised kidney function that may become irreversible. Another complication that is generated with the obstruction of a kidney, is the greater probability of developing a urinary infection that in this context could quickly trigger a septic picture, warns urologist in Greater Noida. In addition, urologist in Vaishali clarifies that “everything indicated above is in the context of obstructive lithiasis at the ureteral level, but in the case of coral-shaped lithiasis (coral-shaped kidney stones) these are usually colonized with bacteria, generating a chronic inflammatory process of the kidney which slowly deteriorates its function until it generates its exclusion or a serious infectious condition ”. It also specifies that "in the context of complicated lithiasis associated with urinary infection or causing renal failure, this accumulation of toxins can rapidly compromise the liver, circulatory and finally neurological function, putting the patient's life at risk". Diseases related to kidney stones The best urologist in Noida points out that there are multiple pathologies that are associated with the formation of stones. Among them, the most frequent are: Intestinal disease: fluid loss or chronic diarrhea can alter urinary PH by breaking the balance in the urine. This increases the possibility of the formation of uric acid stones, calcium stones, and even struvite stones. Diabetes: the mechanisms by which this disease increases the incidence of urolithiasis are varied, ranging from the modification of the gastrointestinal epithelium to immunosuppression that increases the risk of urinary infections and the subsequent appearance of struvite stones. Obesity: people with a BMI greater than 30, excrete a greater amount of oxalate, uric acid, sodium, and phosphate. All these changes significantly increase the risk of kidney stone formation. Gout: Many times, the diagnosis of this disease is made by relating it to the formation of recurrent uric acid stones. Hyperparathyroidism: the disease that affects this gland generates enough alterations of phosphorus and calcium metabolism for the formation of stones with this composition. Prevention measures To prevent the appearance of kidney stones, the urologist in Ghaziabad recommends the following measures: Control of chronic pathologies: chronic diseases such as hypertension, obesity, gout, hyperparathyroidism, among others, generate favorable conditions for the formation of stones. Increased fluid intake: lithiasis formation occurs because the crystals removed in the urine fail to dissolve in the proper amount. The type and quantity of liquid recommended are variable, obviously, water is better because it has no associated sugars, nor does it generate any other types of unwanted contribution. Decrease salt intake. The high salt intake increases the appearance of kidney stones. Maintain a low-protein diet of animal origin: exaggerated protein consumption, especially in patients suffering from changes in uric acid management, favors the production of lithiasis. Urologist in Delhi states that these recommendations are general and that it is always necessary to carry out an aqueous metabolic study for each patient suffering from kidney stones. The overactive bladder is a syndrome that is quite common in some patients, especially in women and in the elderly. It is characterized by a sudden appearance of the irresistible need to urinate. The overactive bladder affects the physical, social, vitality and emotional state of the patients who suffer from it, says the urologist in Delhi. The International Continence Society defines the overactive bladder as a syndrome consisting of urinary urgency, in which urinary incontinence may also (or may not) occur, usually with the need to urinate 8 or more times during a period 24 hours (urinary frequency) and nocturia. This syndrome should be presented in the absence of any urinary tract infection or some other pathological condition and suggests an increase in detrusor muscle activity (muscle that allows us to urinate). What are the symptoms of overactive bladder? There are various signs and symptoms of the overactive bladder, among which, according to the best urologist in Noida, the ones that occur most frequently are the following:
What are the causes that can cause an overactive bladder? The overactive bladder is primarily a neuromuscular problem, in which the detrusor muscle contracts inappropriately during bladder filling. These contractions occur frequently, regardless of the amount of urine in the bladder, explains urologist in Ghaziabad. The overactive bladder can be caused by both nerve injuries and injuries that do not involve nerves. A spinal cord injury can cause this syndrome. Some neurological diseases such as multiple sclerosis, dementia, Parkinson’s disease, and diabetic neuropathy can cause overactive bladder. Increased detrusor muscle activity can occur in the absence of nerve injury. The contractions can be induced by the rapid filling of the bladder, changes in the posture of the body, walking or even coughing because these causes are not due to some nerve injury, the need to urinate can be contained for a few minutes, says the best urologist in Ghaziabad. There are many risk factors that can precipitate this syndrome, such as:
The diagnosis of overactive bladder can be made by having some data such as patient history (parity, previous illnesses, among others), physical examination and some laboratory studies (general urine test). Hyperactive bladder treatment The purpose of the treatment used in patients with an overactive bladder is to reduce the symptoms they present in order to lead a better quality of life, says urologist in Vaishali. There are both treatments with medications and with various physical exercises and changes in the lifestyle and habits of the patient. Within the treatment with medications, anticholinergic agents can be used because they reduce the ability to contract the detrusor muscle, so it is intended to reduce the number of times it is necessary to go to urinate, although this type of medication can have dry mouth and constipation. Within the changes in the lifestyle and habits of the patient, modifications to the diet must be made, as well as establishing fixed schedules to go to urinate and perform exercises on the floor of the pelvis, suggests urologist in Greater Noida. What is testicular hydrocele? The testicular hydrocele is the accumulation of fluid in the scrotal sac, between the testis and the bag that wraps. This bag is called vaginal testicular. While the hydrocele of the testis is common in young children and tends to disappear over time, the hydrocele in adults appears without apparent cause and its tendency is to continue growing. Since the hydrocele is not usually painful or harmful, it is likely that no treatment is necessary. However, any increase in the size of the testicle or scrotum should be assessed by the urologist in Noida. Symptoms of hydrocele The most common symptoms are:
Tests to diagnose hydrocele To establish the diagnosis of hydrocele urologist in Ghaziabad use the following tests:
Differential Hydrocele Diagnosis It must be established with the following pathologies:
Treatment When treating a hydrocele, several details must also be taken into account:
Types of hydrocele treatment
How the hydrocele is operated? Consequently, surgical intervention is the best treatment for testicular hydrocele. Depending on its size, it can be performed with local anesthesia and sedation or with epidural anesthesia. It is especially important that nothing hurts, explains urologist in Delhi. Finally, it is important to consider some details about the surgical treatment:
What is it? Renal cell cancer (adenocarcinoma) is a type of cancer that occurs in the kidneys when malignant or cancerous cells that originate in the renal cortex appear. It is the most frequent type of carcinoma of the kidney: approximately twelve new cases are registered per year per 100,000 inhabitants. According to urologist in Noida, it is found around 2-3 percent of malignant tumors in adults. It is more common after age 50 and twice as many cases occur in men than in women. Causes The direct causes that cause this type of cancer are unknown. But, according to urologist in Delhi, there are a number of risk factors that affect the propensity to suffer from it:
Symptom According to urologist in Ghaziabad, the most common symptoms of kidney cancer are: the presence of blood in the urine (usually the most frequent), pain in the lower back and the appearance of a lump in the abdomen. In addition to these three main symptoms, others may appear, such as weight loss, lack of appetite, general tiredness, anemia and fever. Due to the proximity of the kidney to the adrenal gland, it can sometimes be accompanied by hormonal changes that cause hypertension, increased blood viscosity, enlarged breasts in the male or increased calcium in the blood. Kidney cancer can metastasize to regional lymph nodes, lungs, liver, bones and brain. Prevention In people with a family history of renal tumors, the best urologist in Noida recommends that they go for an abdominal ultrasound every 4 or 5 years after age 40. Other methods to prevent the onset of kidney cancer are: quit smoking, maintain a normal blood pressure and a healthy body weight thanks to a diet low in fat and high in fruits and vegetables. Types
Diagnosis According to the best urologist in Ghaziabad, a large part of the renal tumors (40 percent) that are diagnosed today are by chance thanks to an ultrasound or abdominal CT scan done for any other reason. The different procedures used to diagnose this disease are:
Treatments Surgery Within the surgical kidney cancer treatment in Delhi we find:
Radiotherapy Radiation therapy is used to kill cancer cells by directing radiation to the localized area of the tumor. In renal cancers it is often used as treatment of character palliative or as a complementary to surgery for kidney cancer treatment in Noida. Although it is not shown in clinical studies to help eliminate resection margins. Biological therapy Immunotherapy is a type of kidney cancer treatment in Ghaziabad to stimulate the ability of the immune system and thus fight cancer. It is achieved by the administration of classic cytokines (Interleukin 2 or Interferon a) and has proven clinical efficacy. Chemotherapy The chemotherapy is a cancer treatment by drugs that interrupt the growth of cancer cells, eliminating or preventing their multiplication. The cancer of renal cells resistant to chemotherapy. |
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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