Dr. Ruchir Maheshwari Sr Consultant Urology & Kidney Transplant

Saket, Delhi

On an average, lifetime prevalence of stone disease ranges from 1% to 15%. Relatively rare below 20 years of age, it is two to three times more common in men than in women. High prevalence is seen in hot, arid and dry climates (mountains, deserts and tropical areas. In india, stone disease is more common in northern part and in deccan plateau. Seasonal variation is seen with highest incidence in summer months. Risk also increases with body weight.book immediate appointment with your kidney stone treatment in delhi

Prostate cancer is the second most common cancer in Western world. Though still less common in India, its incidence is gradually increasing with improving socio-economic status and Westernizing diet, i.e. low fiber, high fat and high sugar diet. It is rare before the age of 40 years; 65% of cases occur after 65 years of age. Similar disease in 1st degree relatives (father, brother) is a strong risk factor.

Cancer of the ureter (ureteral cancer) is a type of cancer that begins in the cells that line the inside of the tubes (ureters) that connect your kidneys to your bladder. Ureters are part of the urinary tract, and they carry urine produced by the kidneys to the bladder. Ureteral cancer is uncommon. It occurs most often in older adults and in people who have previously been treated for bladder cancer. Ureteral cancer is closely related to bladder cancer. The cells that line the ureters are the same type of cells that line the inside of the bladder. People diagnosed with ureteral cancer have a greatly increased risk of bladder cancer, so your doctor will recommend tests to look for signs of bladder cancer. Treatment for ureteral cancer typically involves surgery. In certain cases, chemotherapy may be recommended.

It is an uncontrolled growth of cells within urinary bladder (the part of our body which stores urine till it’s socially acceptable to empty). It is one of the most demanding cancer in that there is high chances of recurrence and demands commitment from both the physician and patient for optimal treatment. Neglected, it is uniformly fatal.

Reproduction (or making a baby) is a simple and natural experience for most couples. However, for some couples it is very difficult to conceive. A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm are of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy. Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male.

A man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity. Most men have occasionally experienced some difficulty with their becoming hard or staying firm. However, erectile dysfunction (ED) is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time. Since the discovery that the drug sildenafil, affected penile erections, most people have become aware that ED is a treatable medical condition. Men who have a problem with their sexual performance may be reluctant to talk with their doctor, seeing it can be an embarrassing issue. However, ED is now well understood, and there are various treatments available.

Erections can’t happen without proper blood flow. Normally when a man gets aroused, the arteries in his pelvis and relax and expand, bringing more blood to spongy tissues in the . At the same time, the valves in the veins close, trapping blood in the area and causing an erection. After the excitement ends, the vein valves open, the blood flows out, and the returns to its usual state. Blood flow that’s not normal can cause priapism, an erection that lasts for more than 4 hours, is usually painful, and may happen without sexual arousal. It can happen to males of all ages, including newborns.

Cancer begins when healthy cells change and grow out of control, forming a mass called a malignant tumor. Malignant means that the tumor is cancerous and can grow and spread to other parts of the body. There are also benign tumors of the that are not cancers. They can grow but do not spread. Penile cancer is a rare form of cancer that occurs mostly in uncircumcised men. Uncircumcised means that a man still has the piece of skin called the foreskin covering the head of the . Circumcision is the removal of the foreskin and may reduce the risk of penile cancer.

Uti is the result of response of the urinary tract to the bacterial infection, usually associated with bacteria and pus cells in urine. Normally, urine is free of bacteria. Utis are common, affect men and women of all age groups and vary in their symptoms and sequelae. Bowels are the most common source of bacteria, which ascend through urethra into urinary bladder and upwards into. Uncomplicated uti: infection in a healthy patient with structurally and functionally normal urinary tract complicated uti: urinary tract is structurally or functionally abnormal, patient has other concurrent illnesses or is a child/elderly and/or bacteria are more dangerous or resistant to multiple antibiotics. Re-infection: re-introduction of bacteria from outside after successful treatment. Bacterial persistence: recurrent uti caused by the same bacteria, which has reemerged from some focus within the urinary tract, e.g. Prostate, stone once a patient develops uti, he/she is likely to develop more subsequent infections. Possibility of recurrent uti increases with number of previous infections. Presence of bacteria in urine is known as bacteriuria. It is more common in women as compared to men in all age groups. Almost half of women suffer from uti in their lifetime. The incidence of uti increases during pregnancy, diabetes, hospitalization, catheterization, spinal cord injury, etc.

Prostate is a 3 cm x 4 cm x 2 cm walnut shaped gland of around 18 grams size present in men, just below urinary bladder. The male urinary passage (urethra) passes through the prostate to outside. In adult men, it functions to process seminal fluid and provide nourishment to sperms.

Unfortunately, kidney cancer rarely causes visible signs or symptoms in its early stages. In the later stages, the most common sign of both renal cell and transitional cell cancers is blood in the urine (hematuria). Most of the time RCC is now found incidentally, during physical examinations for other problems, by imaging studies such as ultrasound, CAT scan or MRI. You may notice the blood when you urinate, or your doctor may detect blood from a urinalysis, a test that specifically checks the contents of your urine.