2019

12/2/19

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.

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
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9/29/19

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.

Causes

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.

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.

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Blog Reviewed By: Dr N Anandan
Mail Us: drnanandan@gmail.com
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7/26/19

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:

Neurological disorders such as stroke and sclerosis
Diabetes
Acute urinary tract infections
Abnormalities in bladders such as stone formation or tumors
Enlarged prostate
Constipation
Incomplete bladder emptying

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.

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Blog Reviewed By: Dr N Anandan

Mail Us: drnanandan@gmail.com

Book an appointment: urologistindia.com/book-appointment

6/18/19

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.