Urology & Nephrology

  • Urology Specialist in Bangalore

    Dr. Ravish I R

    Lead Consultant - Urology
    Qualification

    MBBS, MS, MCh

  • Robotic Urologist in Bangalore

    Dr. S K Raghunath

    Consultant- Robotic Urology
    Qualification

    MBBS, MS, DNB (Urology),Urooncology, Laparoscopic Urology

  • Good Nephrologist in Bangalore

    Dr. Veerabhadra Guptha K

    Consultant- Nephrology
    Qualification

    MBBS, MD, DM

  • Urologist in JP Nagar, Bangalore

    Dr. Nandakishore S K

    Consultant- Urology
    Qualification

    MBBS, DNB, MS fellowship in Endourology and Robotic Surgery

  • Robotic Surgeon in JP Nagar, Bangalore

    Dr. Srivatsa N

    Consultant - Robotic
    Qualification

    MBBS, MS (General Surgery), DNB (General Surgery)

Urology & Nephrology FAQ

Vasectomy

What is Vasectomy?
A vasectomy is a minor surgery that involves cutting and blocking each tube, called the vas deferens, through which sperm passes on the way to mix with a man’s semen. The procedure is meant to make a man permanently sterile, or unable to become the father of a child.

What are the benefits of vasectomy?
A vasectomy is a simple, secure, quick and highly effective surgical procedure that is performed in an outpatient surgery centre under local anaesthesia. It is a one-time treatment that essentially removes the need for contraception (though not immediately). Men who have a vasectomy also find sex more natural and fun, without having to worry about birth control.

What are the types of vasectomy?
Open vasectomy – It is a traditional method to perform open incision over the scrotum and expose the vas and to cut between ties.
Percutaneous no-scalpel vasectomy – It is a procedure performed in the outpatient surgery room under local anaesthesia. Here a puncture is made over and delivered to the vas to block it. The benefits of this procedure are less pain, fewer complications and a quicker recovery than a traditional vasectomy.

What is recovery like after vasectomy?
After the vasectomy, the patient will have mild pain, bruising and swelling for several days. The pain medications and cold packs are advised following the procedure. Most men can recover fully in less than a week. But can resume everyday activities the day after the procedure and can have sex within a few days with protection.

When is it confirmed the operation is successful?
At least, 2-3 semen reports should show no sperm is identified, approximately eight to 12 weeks after the vasectomy. Until then, it is recommended to use a condom or other birth control measures to avoid impregnating your partner.
Visit Best Kidney Hospital in Bangalore to avail world-class treatments and facilities at an affordable cost.

Is a vasectomy 100 per cent effective?
Other than abstinence, no birth control method is 100 per cent effective in stopping pregnancy. In rare cases, sperm will manage to cross the gap between the two blocked ends of the vas deferens. This will make impregnation possible and the condition is called recanalization, if it happens, it is usually within the initial few months post-vasectomy. A very rare possibility, and rarely, another procedure to address.

Are there any risks of a vasectomy?
The complications of vasectomy are inflammation, bleeding and infection are possible, though they are uncommon and not serious.

Are there any side effects of vasectomy?
No. A vasectomy does not affect the production of testosterone which is the male hormone responsible for your sex drive, facial hair, deep voice and other masculine traits. This procedure will not affect your sexuality. Erections, orgasms and the amount of ejaculate will remain the same and the only difference is that your semen will no longer carry sperm.

Can vasectomies be reversed?
Reversing a vasectomy, though possible, is difficult, expensive and can be successful. You should be able to weigh the advantages and risks of vasectomy against other forms of birth control or if contemplating future parenting then can store sperm in a sperm bank before the procedure.
To schedule an appointment for Vasectomy / Vasectomy reversal, treatment or other Fertility problems, call the Aster RV hospital, Urology department.

Erectile dysfunction

What is Erectile dysfunction?
Erectile dysfunction (ED) also called as impotence, is the incapability to obtain and maintain an erection enabling sexual intercourse.

Is it always abnormal to have an erection?
Many men will have an occasional erection lapse, which happens for a variety of purposes such as tiredness, stress, relationship problems or alcohol consumption. If it happens, less than 20 percent of the time, treatment typically is not required, although some lifestyle modifications may help.
Visit Best Urology & Nephrology hospital in Bangalore offering comprehensive care in the field of Urology and Nephrology.

When is erection abnormal?
If you are unable to achieve an erection 50 per cent or more of the times you try, then better to consult your doctor. Persistent ED is not something to be ashamed of, but it’s not normal at any age, and it’s not an inevitable part of getting older.

How does an erection happen?
An erection happens as sexual arousal causes increased blood flow to the penis, spreading and momentarily restricting the blood that comes in. To get erect, the penis requires an ample supply of blood, adequate continuous tissue that can stretch and retain blood, properly functioning nerves, and brain stimulation signals.

List of conditions -

  • Vascular disorders such as atherosclerosis (hardening of the arteries) which may restrict blood flow to the penis.
  • Diabetes can cause damage to the nerves and arteries.
  • Kidney disease can affect hormones, blood circulation, nerve function and energy level.
  • Neurological disorders such as Parkinson’s disease, multiple sclerosis, stroke and spinal cord injuries, which can interrupt nerve signals between the brain and penis
  • Surgery or radiation treatments for prostate, bowel and bladder cancer, which can affect the penis’s nerves and blood supply
  • Psychological issues like stress, depression or performance anxiety.
  • Prescription medications such as diuretics, antihistamines, antidepressants, antihypertensives, antiarrhythmics, tranquilisers and muscle relaxants, the use of tobacco, alcohol and illegal drugs.

How is Erectile dysfunction diagnosed?

  • A thorough physical exam, review of previous medical and sexual history which involves an interview of your sexual partner to gain insight into underlying causes.
  • Blood tests or other kinds of lab work.
  • Ultrasound of the Penis.

How is Erectile dysfunction treated?
There are several treatment options, ranging from oral and injectable medications to sex therapy, physical aids and surgery. Each has pros and cons.

Surgery:
A penile prosthesis is a pair of inflatable cylinders placed in the penis through one or two small incisions with a reservoir. Satisfaction rates for men who have penile implants are high.

Non-surgical treatments:

  • Medications
  • Education/ psychology/ sex therapy/counselling administered by a trained counsellor can assist with feelings of anxiety or guilt that contribute to ED, even if there is a physical cause.
  • Hormone replacement utilising testosterone may assist men whose Erectile dysfunction is due to low testosterone levels.
  • Penile injection therapy can effectively treat ED caused by a blood vessel, nerve and psychological problems.
  • Physical aids such as vacuum devices and rings for penile constriction can help some people with ED to get an erection.
  • Lifestyle changes alone may lessen or resolve ED in some men or may be used to bolster medical therapies. The three main lifestyle modifications are quit smoking, exercise regularly and reduce stress.

Fact Sheets For Urological Diseases
Benign Enlargement of Prostate

What is Prostate?
The prostate is a male reproductive gland in the pelvis that makes components of semen, the fluid that carries sperm. In younger men, the prostate is roughly walnut-sized. As a man grows older his prostate grows larger almost always. If this enlargement is not caused by cancer, then it is considered benign.

When does the prostate start?
Usually, it starts by age 60 when half of all men will have prostate enlargement. By age 85, the number jumps to 90 per cent. About half of men with BPH will have symptoms that need treatment often called lower urinary tract symptoms or LUTS.

What are the symptoms of a prostate?
The prostate gland encircles the urethra (urinary pipe) around the bladder neck. The urethra will narrow due to an enlarged prostate which causes:

  •  
  • Difficulty starting urination
  • Slowness or dribbling during urination
  • Frequent urination
  • A feeling of urgency or unexplained need to urinate
  • Awakening often at night to urinate if the enlargement of the prostate continues, there may be complications, including
  • Bladder stones
  • Bladder infection
  • Bloody urine
  • Accidental urine leakage after the sudden need to urinate called urge incontinence.
  • Kidney damage caused by the back pressure of retaining excess urine in the bladder.
  • Sudden complete blockage of the urethra, preventing urination.

If you are having prostate problems, then seek help from Best Urologist in Bangalore and get personalized treatment.

Why should I worry about cancer?
Getting BPH does not increase the risk that prostate cancer may grow. Both BPH and prostate cancer have similar symptoms and at the same time, a man with BPH may have undetected prostate cancer.

How is BPH diagnosed?
After reviewing your medical history and performing a thorough physical exam including a digital rectal exam. Further procedures include,

  • A survey to assess your lower urinary tract symptoms.
  • A flow study to measure the speed of your urine stream.
  • A measurement of how much urine is left in your bladder after urination, using a painless ultrasound scan .
  • A visual examination of your urethra and bladder, using a fiberoptic tool called a cystoscope.

How is BPH treated?
If your symptoms are mild, including behavioural changes like avoiding caffeine/ excess fluid intake, especially in the evening etc may be enough to provide relief.
If your symptoms become bothersome, or if you develop complications, then:

  • Medications are prescribed to open the bladder neck or with once to shrink the prostate. Surgery such as
  • TURP is most commonly performed traditional surgery which involves removing of the obstructing prostate gland through the penis using electro-cautery energy.
  • TUIP is a Transurethral incision of the prostate used to make an incision in the small-sized prostate in the midline to open the occluded urinary tract.
  • Bipolar TURP is a procedure which is performed in the same way as TURP, except that plasma kinetic energy is used and cutting is done with saline fill.
  • Transurethral button plasma vaporization is a less invasive procedure, performed using a button electrode with plasma kinetic energy to vaporise the occluding prostate, to open the urinary tract. It is considered and good for those patients on blood thinners.
  • Greenlight laser PVP or Photoselective vaporization of the prostate is a procedure which is used to treat Benign Prostatic Hyperplasia. It is recommended for those patients on blood thinners.
  • HoLEP or Holmium prostate surgery is a minimally invasive procedure in which Holmium laser is used to cut the occluding prostate and channelise the bladder mouth and to push the resected lobes into the bladder and later to morcellate it out of the bladder. It is good for large-sized prostates.

These techniques usually are performed in an inpatient setting but may require a urinary catheter overnight.

Visit Best Urology Hospital in Bangalore for BPH screening, treatment or other prostate problems or schedule an appointment online with Best Kidney Specialist in Bangalore at Aster RV hospital.

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