Get the signal & treat it right

Ureteral stones are stones that are stuck in one of the ureters. Excess concentration of minerals and salts would cause stones, and the blockage would lead to severe pain. Most of the stones are calcium-based. 

Symptoms of ureteral stone 

If the stones are tiny, then it would pass through the urinary system. Whereas, the large stones that block the ureter or any of the kidney’s drainage tubes may show certain signs such as:
  • Severe pain - there would be severe, intermittent pain in the back and under the lower ribs. This would gradually spread to the lower abdomen as well
  • Blood - there could be a sudden presence of blood in the urine 
  • Sickness - fever and chills would be common for people with stones. This would lead to nausea and vomiting as well
  • Urination - there will be a lot of struggle to urinate properly. At times there would be an urgency to urinate and becomes difficult to control 

Treatment of ureteral stone 

The most common test for ureteral stone would include ultrasound and CT scans. These tests would help to diagnose location, number, size of the stone, and degree of obstruction to the urinary tract, and status of degree function. The treatment would depend on the size, locations, and the substances from which the stones are formed. 

1. Extracorporeal Shockwave Lithotripsy (ESWL) - The shock waves would travel through the skin and body tissues so that it would hit the dense stones. The stones would be broken into tiny particles and can be easily passed through the urinary system. This would be helpful only for small stones within the kidney. 

2. Percutaneous Nephrolithotomy (PCNL) - With the help of small incisions on the back, a tunnel would be created directly into the kidney. Using nephroscope, the doctor will locate and remove the stones. For large stones, the doctor might use tools that could break these into small particles. 

3. Ureteroscopic stone removal - Using ureteroscope, the doctor will locate and remove the stone in the middle and lower ureters. The stent would be placed in the urinary system for the stone particles to pass and will be removed when the system is free of stone. 

4. Flexible ureteroscopy & laser lithotripsy - This treatment is considered suitable for stones within the interior of the kidney known as calyces and stone close to the kidney. The doctor would pass an extended thin scope through the urethral opening up to the kidney. The interior of the kidney will be examined, and the doctor would treat the stones by using laser energy delivered by a fiber. There is no incision made as an endoscope is used to perform the procedure.

It is always better to drink enough fluids daily and maintain a proper diet to avoid unnecessary health issues and other complications.

Blog Reviewed By: Dr N Anandan
Mail Us: drnanandan@gmail.com 
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What happens if Peyronie's disease is left untreated?

Peyronie’s Disease: 

This is when fibrous non-cancerous tissue forms on the male penis and causes curved and painful erections.It usually affects men between the age of 45 and 60. If left untreated, it leads to functional and structural abnormalities of the penis. 

Though it was first described in 1704, it was named after Francois de la Peyronie, who in 1743, described  a patient with this disease’s conditions.
It can cause stress, anxiety and lead to erectile dysfunction.

Very few cases resolve without  any treatment, it often remains or worsens over time, if left untreated. A physical examination  by the doctor is often enough to identify the presence of scar tissue and diagnose the disease.

The following are the risk factors:

1.As it is believed that the disease may be genetic in nature, the risk of passing it onto the next generation is there.
2.Severe pain in the penis.
3.Reduction in the length of the penis and the psychological effect it has on the patient.
4.Difficulty in achieving and maintaining an erection, leading to inability to engage in sexual intercourse and the subsequent breakdown in the relationship with the sexual partner.
5.The most obvious being the inability to father a child, as intercourse is very difficult or next to impossible.
6.A significant bend or structural abnormalities of the penis.

This disease affects each patient differently. It can lead to extreme frustration; affect the patient’s self confidence; lead to depression and problems in interpersonal relationships.
Peyronie’s disease has no total cure, but a wide variety of oral or subdermal medicines may be tried. Extreme cases may need surgery. 
Currently available medications are ineffective.

 Peyronie's disease

Surgical correction of penile curvature is needed if the curvature is severe and causes difficuly with relationship. Surgery is also needed if the erectile dysfunction is ineffective with medical treatment.

Blog Reviewed By: Dr N Anandan
Mail Us: drnanandan@gmail.com 
Book an appointment: urologistindia.com/book-appointment


Reduced Urine Flow – What Causes It?

People often will have a weak urine stream despite having a full bladder. This condition might be caused due to urinary obstruction that does not allow the urine to pass through its natural course. This condition is more common in older people in comparison with the younger population. This condition accounts for approximately 2% of new cases diagnosed in men. After kidney and urological disorders, it is the fourth most common problem in men and the sixth most in women.
reduced urine flow treatment chennai



The causes of reduced or weak urine flow might include and not limited to

Enlarged Prostate: It is mostly known as Benign Prostatic Hyperplasia (BPH) which is more common in men as they get older. More than 10 million cases are registered in India every year. It is a condition wherein the urethra that carries the urine gets blocked by the enlarged prostate gland. The gland puts pressure on the urethra, not allowing it to empty the bladder completely.
reduced urine flow treatment in chennai

Urethral Stricture: This a condition characterized by the development of scarring around the urethra that narrows or blocks the passage of the urine flow. The factors that might cause this condition include inflammation, injury to the penis, or infection. If not treated early, the scar tissues further narrows the urethra passage making it more difficult for the urine to pass through.

Urinary Tract Infection: It is the infection that mostly occurs in the lower urinary tract caused by the microorganism like bacteria.this condition is more common in women than in men. This condition can be easily treated with antibiotics if diagnosed during the early stages.

Kidney Failure: It is a condition in which the kidneys have stopped working and are unable to perform their activities. Exposure to toxins, dehydration, chronic diseases, kidney trauma are certain factors that contribute to kidney failure. If the condition is not treated immediately along with reducing urine flow, the body will get overloaded with toxins.

The condition requires an early diagnosis to identify and pinpoint the exact reason for the problem before it manifests into a life-threatening situation. The treatment for reduced urine flow will vary according to the underlying causes of the problem.

If you have noticed any changes in your urine flow, do not neglect the condition and immediately contact Dr.N. Anandan ar  ANANDAN'S UROLOGY CLINIC.
Visit Us: urologistindia.com
Blog Reviewed By: Dr N Anandan
Mail Us: drnanandan@gmail.com
Book An Appointment: urologistindia.com/book-appointment


Difference Between Underactive And Overactive Bladder

Millions of people across the world face abnormal urinary conditions due to the lack of bladder control. Overactive bladder and underactive bladder are urinary symptoms that are related to abnormalities while peeing. The urinary symptoms are sometimes serious as it affects our personal and social life. These conditions can disrupt our sleep and sex life. Overactive bladder is commonly discussed but very less is known about the underactive bladder. Let us know more about both the conditions.

Overactive bladder vs Underactive bladder

Overactive bladder (OAB) is a condition that frequently creates an urge to urinate. Some people are unable to control the sudden urge for urination and suffer from urine leakage. People with these symptoms have the feeling of “gotta go” to the bathroom urgently.

Underactive bladder (UAB) is a condition in which a person is not able to empty the bladder completely. One may hesitate before urine flows or may need to put an effort to push urine out of the bladder. It may have serious consequences if left untreated.

Causes for overactive bladder and underactive bladder

Bladders get overactive due to the involuntary contraction of bladder muscles. Involuntary muscle contraction creates the urgent need to urinate even if the urine is low in the bladder. Other than that, several factors contribute to the cause of overactive bladder are:
The cause of underactive bladder is not clear as it has multiple possibilities. It can occur due to any obstruction or can be a result of a sense of incomplete emptying of the bladder. There are several factors that are associated with underactive bladder syndrome.
  • Damage to the peripheral nerve may eliminate the feeling of bladder filling and cause difficulty in emptying the bladder.
  • Pelvic surgery
  • Older age
  • Vaginal prolapse
  • Enlargement of prostate
  • Certain spinal cord injury

Symptoms that should not be ignored

With an overactive bladder (OAB), a person may feel like
  • Sudden urge to urinate which is uncontrollable
  • Frequent urination i.e., more than 8 times in 24 hours
  •  Wake up at night to pass urination 
The key symptom of a person having an Underactive Bladder (UAB) is strain while urinating and the feeling of incomplete bladder emptying.

Treatment for overactive and underactive bladder

One can manage overactive bladder (OAB) with treatments such as medications, bladder injections, nerve stimulation treatment, and surgery.

There is no complete cure for Underactive bladder (UAB), but there are some treatment options which slow down the disease. Medications and intermittent self-catheterization are the main treatments used to improve the condition and to limit the damage to the bladder and kidneys.

Blog Reviewed By: Dr N Anandan
Mail Us: drnanandan@gmail.com 


Are Urinary Stones And Prostate Stones The Same?

Every year, more than half a million people are facing trouble due to stone formations in the body. There are various factors that contribute to the formation of stones. Most of us know about the formation of stones in the urinary tract (it may be in the kidneys, ureter  or bladder) but  very few know about the stone formation in the prostate gland of men. Though they both sound similar, there are differences between urinary stones and prostate stones which we should know.

Understanding the Differences between Urinary Stones and Prostate Stone

Urinary Stone vs Prostate Stone

  • Typically urinary stones form in the kidney and may move to ureter or bladder. Depending upon the stone's location, it is called kidney stone, bladder stone or ureteral stone. Urinary stones can form in both men and women. But, men are more prone to urinary stones than women.
  • Prostatic stones form in the prostate (men's reproductive organ which mainly affects middle-aged and old men.

How the stones are formed?

  • Stones in the urinary tract are formed when the urine contains more chemicals such as calcium, oxalate and uric acid. When these minerals and acid salts remain in the urinary tract, it starts forming hard masses (stones).
  • When the prostate secretions remain in the gland, it thickens and combines with proteinaceous substances and forms stones.

Understand your risks to prevent the formation of stones

  • Urinary stones are common among people who have a family
  • History of stone formation. People who don't drink enough water a day are also at the risk of having urinary stones. These stones are common in people who are obese. Eating a diet which is high in animal source protein, sodium and sugar are also at the increased risk of developing these painful stones.
  •  Prostate stones usually occur in men above 50 years of age and they mainly affect men with an enlarged prostate, prostate cancer, and chronic prostatitis.

    Warning signs of urinary or prostate stones

  • Kidney  Stones usually cause dull back pain or may remain asymptomatic until it beomes large . Ureteric stones  can cause  severe pain in lower back, loin pain and difficulty in passing  urine and pain spreading to private parts.
  •  Prostate stones rarely show any symptom. In some men, it causes pain in the penis and creates trouble while urinating.

    Treatments that may help you

  • Tiny kidney stones can be flushed out by drinking plenty of water or with the help of some medications. In case of large kidney stones,endoscopic surgery is necessary.
  • Sometimes, small prostatic stones pass out on their own while urinating. But in patients with large and multiple stones  endoscopic laser prostate surgery (Holep) surgery is required.

Visit ANANDAN’S URO-ANDROLOGY Clinc located in Chennai for the best andrologist in Chennai.

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Blog Reviewed By: Dr N Anandan
Mail Us: drnanandan@gmail.com 


All You Need To Know About Penile Implant Surgey

Penile implant surgery is one of the most effective surgery for gaining an erection and continue proper sexual function. Awareness that penile implant surgery is an established procedure to treat erectile dysfunction and this can provide erection similar to natural erection is a great boon to our patients.

Patients will have lot of anxiety about the procedure, the  risks and outcome  etc about the procedure. This article is dedicated to educating the men about penile implant surgery. Take a look at the article and fortify your knowledge about health.

penile implant surgery in chennai

First and foremost, let us find out what exactly is the penile implant surgery.

During the surgery, a small incision is made in the penis on the undersurface of penis .The prosthesis is placed inside  the corpora cavernosa  part of penis . Implants size both length and diamete  will be customized according to the patients anatomy. The procedure lasts for less than 2 hours..Patients can achieve and have normal sexual relationship. The prosthesis are durable and can lost up to fifteen years.

It is a very safe procedure , providing excellent result and hospital stay is for two to three days only .
Failure of medical and hormonal treatment to treat erectile dysfunction is the indication for penile implant surgery. Doctor will discuss the type of prosthesis, what to expect after surgery and follow up protocol will be discussed in detail before surgery
penile implant surgery in chennai

Looking for a reliable and trustworthy place to get your treatment? 

Visit Dr.Anandan's Urology Clinic and get the most reliable penile implant surgery in Chennai. The clinic is run by the most efficient team of urologists in Chennai led by the very reputed urologist Dr.Anandan.

Mail Us: drnanandan@gmail.com


How Common is Urinary tract Infection? How to Prevent It?

How common is UTI ?

Urinary tract infections (UTI) is  the most common type of bacterial infection diagnosed today, with more than half of all women experiencing at least one UTI during their lifetime and many will have recurrences. Worldwide statistics show  that nearly 1 in 3 women will have had at least 1 episode of UTI requiring antimicrobial therapy by the age of 24 years. Also, 3 in 25 men will have symptoms of at least 1 UTI during their lifetime. In elderly populations, UTIs are the second most common form of infection, accounting for nearly 25% of all infections.

What is UTI?

It affects up to 10% of the paediatric population and the recurrence rate of UTI in children is estimated at 30%, with the majority of recurrences occurring in the first 12 months after the initial infection.

There is bad odour in the urine .It can be associated with  painful burning sensation .Patients can also experience lower abdominal or loin pain. It can also cause blood in the urine  . UTI in females is higher due to short urethra and  close proximity of the anus . It is much easier for bacteria to move to the bladder causing higher risk of UTI in women.

Urinary tract Infection: How to Prevent 

The main objective is to avoid the introduction of harmful bacteria into the urinary tract, either as result of sexual activity or bathroom habits. The secondary objective is to maintain your urinary tract health and make it far less vulnerable to infection.

There are many  causes for UTI. It  must be carefully assessed and treated .This is very important factor in preventing infection. There are some health practices that can help:
  • Cleanse your genitals before and after sex: carefully clean the genitals before and after sex with warm water and a plain, mild soap. Avoid scented soaps or harsh cleansers, which can cause inflammation of the urethra
  • Don't hold your urine: Urinate at regular intervals of three to four hours.
  • Wash your anal area after defaecation and avoid water spilling forward.
  • Drinks lots of water: Aim to drink at least eight glasses of water per day 
  • Promptly urinate after intercourse:
  • Evaluate your birth control options: if you’re suffering from repeat UTIs, you may want to consider switching your birth control method. Diaphragms, spermicides, and spermicide-containing types of contraception may increase the risk of developing a UTI. Barrier methods, particularly when used with spermicide, have been linked to a higher risk of developing UTIs. 
  • Consider probiotics: You can use probiotics to help maintain the population of good bacteria (normal flora) in your urinary tract and reproductive system. 

Following are important causes of UTI

  • Diabetes, Congenital blockage to urinary tract drainage, Tuberculosis, Cancer of bladder and prostate, benign enlarged prostate, Urethral stricture , Reflux
  • Underlying cause of UTI must be treated to prevent recurrence
Dr. N. Anandan is a senior consultant at Apollo spectra hospitals and Kauvery hospital in Chennai. He has been an active participant in several national and international meetings on Urology and Andrology.  His state-of-the-art uro-Andrology Clinic in TTK road, Alwarpet (chennai) provides comprehensive Urological Services & Andrological Services and it is considered best for Urinary tract infection treatment Chennai. The best UTI doctor Tamil Nadu also provides treatment for all types of urological conditions. Check out the prevention tips for UTIs and for more information and appointment, visit the website.

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