Interstitial cystitis (IC) is a chronic, inflammatory disorder of the urinary bladder characterized by variable degrees of urinary urgency, frequency and bladder pain. IC is a neglected chronic debilitating disease. Though first recognized as a pathological entity in 1887, it remained a largely unaccepted disease for 100 years. Physicians did not believe that such a condition existed and patients were consequently shunted from one consultant to another. The biggest problem with disease is that although the patient suffers severely from it, there are no symptoms, signs or investigations that are diagnostic for IC. To complicate the matter still further, there is no clue to its etiology, its pathology is unknown and no treatment has been found to cure the disease. IC has baffled the scientists and every effort to find a solution has only complicated our understanding of it.
In 1987, the NIDDK formed a consensus definition of IC. The criteria were revised in 1988. The NIDDK established guidelines specifically for research purposes and these guidelines have remained the de facto definition for interstitial cystitis to the present day. The aim of drawing up these guidelines was to have an international standard to enable a comparison of patients in different geographical areas. Today, some 17 years after these research guidelines were first drawn up, the original aim has not been fulfilled. The guidelines has not served its purpose since it was basically a concept of exclusions and not based on evidence. Very few patients with interstitial cystitis fulfilled the criteria and for every patient diagnosed with IC, many remained undiagnosed. Hanno et al. proved this point by analyzing patients who were enrolled in the multi-centre Interstitial Cystitis database (ICDB) study. Continue reading →
Prevention of Kidney Diseases Kidney diseases comprise of kidney stone, Benign Prostate Enlargement, Prostate Cancer, Urinary Bladder Cancer, Urinary Tract Inflection. With proper precaution not only can we prevent the disease in the kidney but patient survival rate can be increased too. KEEP KIDNEY CLEAN BY
Drinking 10-12 glass of water everyday
Controlling Diabetes
Controlling High BP
Get the basic kidney test once a year (S. creatinine, Blood Sugar, Urine routine)
Treat the following as possible: Kidney stones, Urinary Tract Infection, Protein in urine
If parents have high BP/Diabetes their off-springs after 25 years of age
should preferably get the basic kidney test every year
Prevention of kidney stones
Drinking R. O. plant water 2-3 litres daily
Avoid tomatoes, green leafy vegetables, brinjal, chickoo, grapes,
chocolate, tea, coffee, ice-cream, milk products – contains high calcium
and oxalate
Avoid non-vegetarian food – contains high uric acid & purine
Prostate is a walnut sized gland in a male just below bladder through which urethra passes. Enlargement of prostate is a aging process due to which patient feels difficulty in passing urine, thin stream of urine, hesitancy in voiding, burning pain while passing urine and sometimes retention of urine. Patient undergoes certain investigation including uroflometry and total S.P.S.A level. Operation for enlargement of prostate is needed when there is urinary tract infection, significant residual urine after voiding, blood passes in urine, creatinine and blood urea level increases and when there is associated bladder stone. For management of enlarged prostate conventional endoscopic resection of prostate (TUR-P, Trans Uretheral Resection of Prostate) is carried out by urologists under anaesthesia an endoscope is passed through urethra and with the help of resectoscope, chips of prostate tissues are resected and all chips removed. Now latest evolution for treatment of enlargement of prostate was the introduction of “LASER TECHNOLOGY”. Laser treatment is one of the most encouraging minimally invasive treatment for symotomatic prostate gland enlargement. Success rate with laser treatment of prostate is very high compared to conventional endoscopic method. This treatment for prostate is very safe, easy and effective minimal invasive therapy. Especially laser therapy is beneficial for larger prostate (more than 50-60gms) where complication rate is much lower compared to conventional endoscopic resection of prostate (TUR-P). In TUR-P, operative time is longer, complication rate is much higher where patient develops TUR-P syndrome in which patient develops low sodium level in blood (Hyponatremia). There is insufficient resection of prostate with conventional endoscopic method in larger prostate gland while with laser treatment one can achieve complete removal of prostate adenoma. Here in laser therapy procedure time is shorter and fluid used for operation is normal saline. So there is no incidence of TUR-P syndrome with laser therapy blood loss is significantly less even in larger gland (more than 100 grams), so blood transfusion requirement is very rare, secondary hemorrhage & re-operation rate is very low. Continue reading →
With a dream to create healthy society, Dr.Dinesh Patel established Devasya, the first ISO 9001-2000 certified Superspeciality Kidney Hospital & Research Centre. Devasya specializes in diagnosing kidney diseases and provides Urinary Diseases treatment, Kidney Transplantation, Kidney Stone Management, Prostate Laser Surgery, Haemodialysis and Advanced Laparoscopic Surgery.
With Advanced Laparoscopic Surgery Centre, Lithotripsy Centre, Dialysis Centre, Urology Centre and Nephrology Centre all equipped with ultra modern facilities, Devasya is well set to carve the niche in area of urology.
Laparoscopic Surgery:
Laparoscopic surgery which is also known as keyhole surgery is a modern abdomen or pelvic surgery performed with a device called a laparoscope by a procedure in which small cuts of about 0.5cm to 1.5cm are made and then a camera is attached to a fiber optical which is then inserted into the incision. The images displayed on the TV monitors help the surgeons to perform the surgery easily. The most common laparoscopic procedure adopted world wide is Laparoscopic cholecystectomy in which scissors or grasspers are inserted into the abdomen through hollow tubes with a seal to prevent the leakage of carbon dioxide. Continue reading →
Devasya Superspecialty Kidney Hospital, brainchild of Dr.Dinesh Patel is the one of the best kidney care centres across the globe. Modern technical equipments, Dialysis Centre, Advanced Laparoscopy Surgery Centre and Lithotripsy Centre are some of differentiators that make Devasya the better option for a kidney diseases treatment.
Lithotripsy:
Lithotripsy, also known as Shock Wave Lithotripsy, is a term referred to the non-invasive and safe medical procedure of breaking the stones in the kidney, bladder, or ureter by using shock waves. It is known to be a non-invasive or minimal invasive procedure because the incisions made for surgery are very small or almost not required. Continue reading →
Urology department at Devasya focuses on providing treatment for different problems of urinary tracts of males and females, and the reproductive system of males.
Laparoscopic Nephrectomy, Pyeloplasty, Ureterolithomy, Radical Prostatectomy, Radical Cystectomy are some branches of laproscopy in which Devasya specializes. Laparoscopy is an operation performed in the abdomen or pelvis through small cuts of about 0.5cm to 1.5cm with the help of a camera. It is used to inspect and diagnose a condition or used in endometriosis surgery. The main application of laparoscopy lies in gynecology where it can be used to diagnosis female infertility by inspecting the outer side of the uterus, ovaries and fallopian tubes.
Urinary Stones also known as bladder stones are the crystal aggregations formed in the ureter from dissolved urinary minerals resulting in obstruction of the ureter causing dilation or stretching of the upper ureter, renal pelvis and muscle spasm of the ureter followed by lot of pain in ureter. Ureteroscopy is an examination of the upper urinary tract, usually performed with an endoscope for diagnosis of urine stones. Extra corporeal Shock Wave Lithotripsy (ESWL) and Percutaneous Nephrolithotomy (PCNL) are other two best treatments available at Devasya Kidney Hospital. Continue reading →
