Best Urology Clinic in Budigere, Bangalore

Treatments and Procedures at Manipal Urology Clinics

Kidney Stone Removal

Various risk factors contribute to the development of kidney stones, including family or personal history, dehydration, or any past surgeries like gastric bypass surgery, etc. Different types of kidney stones include calcium stones, struvite stones (forms in response to a Urinary Tract Infection), Uric acid stones, and cysteine stones (in people with a hereditary disorder called cystinuria). 

Procedure:

• After carefully examining the kidney stones in an ultrasound, urologists treat them depending on their size, location, and type. Smaller kidney stones may pass through the urinary tract without any surgery after proper diagnosis. The doctor may advise drinking plenty of liquids and medications to help pass a kidney stone through urine. However, larger stones require to be surgically removed, because they may lead to serious health issues if ignored for a longer period. 

Treatments:

• Cystoscopy and Ureteroscopy: Cystoscopy and Ureteroscopy involve specialized procedures for examining the urinary tract. They are small instruments that the urologists insert through the urinary tract to get a detailed image of the kidney stones and prescribe treatment accordingly.
• Percutaneous nephrolithotomy: This is a medical procedure wherein a doctor utilizes a slender viewing tool called a nephroscope to identify and extract kidney stones. It is generally performed when the stones cannot pass through urine. The nephroscope is inserted directly into the kidney through a small incision (cut) made in the back. A laser may be useful for large kidney stones to break them into smaller pieces for easier removal. 
• Shock wave lithotripsy: This method cracks or blasts the stone into small pieces. After this, the smaller pieces can pass through the urinary tract with the urine. After these procedures, the urologist may insert a ureteral stent (a slender flexible tube) in the urinary tract to help urine flow or a stone to pass for a few days. Once the kidney stone is removed, the doctor may send it to the lab to identify its type. 

Urine Incontinence Treatment

Urinary incontinence is the loss of bladder control and often becomes more prevalent as a person ages. Types of urine incontinence include Urge Incontinence (sudden, intense need to urinate resulting in involuntary urine loss), Stress Incontinence (leakage due to pressure from activities like coughing, sneezing, or laughing), and Functional Incontinence.

Behavioral techniques including Bladder training, scheduled toilet trips, and fluid and diet management as well as Pelvic floor muscle exercises for both males and females are commonly recommended to patients to regain control of their bladder movement. 

Your doctor may also suggest medications, including alpha blockers and topical estrogen to treat incontinence. 

Procedure: Surgery for Stress Incontinence

• Colposuspension: Colposuspension is an effective solution for long-term stress incontinence. It involves cutting in the abdomen, lifting the neck of the bladder, and stitching it in the lifted position. Both Open colposuspension and laparoscopic colposuspension can be carried out. 
• Sling surgery: It involves cutting in the abdomen and vagina so a sling can be placed around the neck of the bladder to support it and prevent urine leaking. The sling can be made from a tissue from your body, a tissue donated by another person, or a tissue from an animal. This surgery is preferred because it is safe and effective for the long term.
• Vaginal mesh surgery: It is a process of inserting a strip of synthetic mesh behind the urethra to support it. Its recovery time might take up to 3 months. Also, you should avoid heavy lifting after this surgery.
• Urethral bulking agents: It is a substance that's injected into the walls of the urethra in people with stress incontinence who have a vagina. The substance is generally inserted through a cystoscope. A cystoscope has lenses like a microscope.
• Artificial urinary sphincter: The urinary sphincter prevents urine from flowing from the bladder into the urethra. Hence, an artificial urinary sphincter can be fitted to cure the incontinence. This procedure is done on males more than on females.

Surgery for Urge Incontinence

• Botulinum toxin A injections can be injected into the sides of your bladder to treat the overactive bladder.
• Sacral nerve stimulation: The sacral nerves are located at the base of the back. The stimulation can be painful but helpful to cure incontinence.
• Posterior tibial nerve stimulation: This requires patients to go through 12 stimulation sessions to completely cure their urge incontinence.
• Augmentation cystoplasty: This procedure involves making the bladder bigger by adding a piece of tissue from the intestine into the bladder wall.
• Urinary diversion is a procedure where the tubes that lead from your kidneys to the ureters are redirected to the outside of the body. This method should only be performed if other methods are not working.

Erectile Dysfunction Management

Erectile dysfunction, or ED, is a type of penile disorder that results in the inability to maintain or get an erection during sexual intercourse. Reasons for ED include stress, anxiety, drinking alcohol, or any other addiction. If you are having difficulty maintaining an erection, then checking with a urologist will help you find a solution. ED can also be a symptom of any other underlying disease, like heart disease. 

The types of ED include Vascular erectile dysfunction (affecting the blood vessels that sends blood to the penis tissues), Neurogenic erectile dysfunction (occurs due to nerve problems), Hormonal erectile dysfunction (happens due to testosterone deficiency or thyroid issues), and Psychogenic erectile dysfunction (happens due to psychological conditions like feelings, thoughts, behavior, etc.).

Procedure: 

The following non-invasive treatments are the first line of treatment in treating ED, and in most cases, they are successful:

1. Oral drugs or pills as prescribed by the doctor
2. Penile injections
3. Testosterone Therapy
4. Vacuum Erection Devices
5. Intraurethral medication (IU, Alprostadil)
6. Penile Implants (insertion of a penile implant (also called penile prosthesis

Surgical Treatments are sometimes recommended to bypass penile artery damage for young men with a history of severe pelvic trauma. However, this is not recommended for older men with hardened arteries.

Urinary Tract Infections (UTIs) Care

Urinary tract infection or UTI is an infection of the urinary system (urethra, kidneys, bladder, ureters) caused by microorganisms, usually bacteria. UTIs are more common in females than males. Symptoms of UTIs include frequent urges to urinate, pain during urination, and discomfort in the side or lower back. If you are experiencing these symptoms, seeking prompt medical attention is advisable.

Various types of UTIs include Cystitis, Urethritis, Pyelonephritis, and Vaginitis.

Procedure

• Simple UTIs can be treated with a short course of antibiotic medicines. Unless UTIs are fully treated, they can recur again. Thus, always complete the dosage of antibiotics. Drinking plenty of liquids is also beneficial. In Complicated UTIs, a longer course of antibiotics is given. Antibiotic therapy can also start in the hospital through IV. Kidney infections are often treated as complicated UTIs.
• Most of the time, UTIs return if not properly cared for. Always complete the antibiotics as prescribed by the doctor. 
• Visit Manipal Clinics Budigere if you require treatment for UTIs.

Enlarged Prostate Glands (BPH) Management

BPH (Benign prostatic hyperplasia) is the enlargement of the prostate gland (part of the male reproductive system). BPH is generally caused in older men and is a common condition. Men who have medical conditions like obesity, heart disease, erectile dysfunction, or any family history are likely to develop BPH more. Symptoms include frequent urination, trouble starting a urine stream, blood in the urine, inability to urinate, and discomfort or pain in the lower abdomen or urinary tract.

Procedure: The treatment options for BPH include:

1. Lifestyle changes (e.g., avoiding alcohol or caffeinated beverages, treating constipation)
2. Medications (as prescribed by urologists)
3. Minimally Invasive Procedures (e.g., transurethral needle ablation, water-induced thermotherapy, prostatic stent insertion, etc.)
4. Surgery (urologist may recommend removing enlarged prostate tissue or making cuts in the prostate to widen the urethra)

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