Surgeries in urology department of Lakshmi Hospital includes procedures on kidneys, bladder, urinary tract and urethra and male reproductive organs. Every 3 out of 10 persons are affected by the urology problems every day.Some of the most common conditions of urology are;
Renal calculi this medical condition is commonly known as kidney stones. It is seen in residents of hot areas with decreased intake of water or citrus juices. Stones can be single or multiple in number, size and shapes may vary according to the type of kidney stones.
Causes of kidney stones are repeated UTI infections, dietary factors such as increased intake of calcium and phosphates, food such as red meat, fish, tomatoes, spinach etc, and increased levels of uric acid and hyperparathyroidism.
Symptoms of kidney stones include renal pain which is dull aching or pricking type in the affected lower back region. Pain may also radiate from the loins to the thighs region, blood in the urine, recurrent UTI and extreme tenderness during the pain attack.
Flushing Therapy - If the stones are less than 5mm then intravenous fluids are given along with diuretics for the forced flushing of small stones.
Extracorporeal Short Wave Lithotripsy (ESWL)- This is the safe and standard method followed due to its painless, simple and low cost affordability procedure. It is done following the cystoscopy. A ureteric stent is placed into the ureter on the side of the renal stone, then shock waves are generated which helps in blasting the stone. The stones get crushed and sent out by the side of the stent.
Ureteric stone - Stones when descend down from the kidneys, get impacted within the ureters leading to the inflammation of the kidneys, ureters and severe colicky pain. Treatment for ureteric stone is same as kidney stones, ESWL is done if the stones are impacted at the upper region of ureter or Flushing therapy is also followed. Depending on the area of impacted stones, fluoroscopic or ureteroscopic manipulation is also done. In case of failures with any of the above methods, then stone is removed by the open surgical method called ureterolithotomy.
Benign Prostatic Hyperplasia (BPH) - This medical condition in seen older adults above the age of 60 years. The characteristic features of BPH are increased frequency of urination both day and night, urgency in passing the urine even for little quantity, acute retention of urine leading to enlargement of urinary bladder and blood in the urine in rare conditions. Drugs are less likely to help in this medical condition, hence surgery is adopted.
Varicocele This medical condition is characterised by dilatation of the testicular veins. It is most commonly seen in left sided testis than right. This is also one of the cause for the male infertility. They are usually painless and do not show any symptoms. The only major complication include oligospermia where the count of the sperms are less than 15million sperms/mL due to the venous congestion leading to the decreased production of sperms.