Category Archives: Urology

Hysterectomy Treatment

What is Hysterectomy Treatment?

A hysterectomy is a surgical procedure to remove a woman’s uterus from the body. After this, you no longer have menstrual periods and cannot become pregnant.

Why is Hysterectomy performed?

Hysterectomy is used to treat many women’s health conditions. A woman may have a hysterectomy for different reasons, including:

  • Uterine prolapse
  • Uterine fibroids
  • Severe Endometriosis
  • Heavy vaginal bleeding (which is not controlled by other treatment methods)
  • Chronic pelvic pain
  • Abnormal uterine bleeding
  • Cancer (or precancer) of the uterus, ovary, cervix, or endometrium (the lining of the uterus)

Hysterectomy-Treatment

Types of Hysterectomy Treatment?

Type of Hysterectomy depends upon the reason for this procedure. The surgeon may choose to remove all or only part of the uterus depending upon the condition of the patient. Types of hysterectomies are mentioned below:

  • Total Hysterectomy: The Surgeon removes the whole uterus and the cervix. This is the most common type of hysterectomy.
  • Partial or Subtotal or Supracervical Hysterectomy: The Surgeon removes only the upper part of the uterus. The cervix is left in place.
  • Radical Hysterectomy: It is most often used to treat certain types of cancer, such as cervical cancer. In Radical Hystrectomy the Surgeon removes the whole uterus, cervix, the tissue on both sides of the cervix, and the upper part of the vagina.

Methods for Hysterectomy Treatment?

Surgical Techniques for Hysterectomy

There are two methods to surgery – a traditional or open surgery and surgery using a minimally invasive procedure.

The methods are selected depending upon the surgeon’s experience, the reason for the hysterectomy, and a woman’s health. The hysterectomy technique will partly determine healing time and the kind of scar, if any, that remains after the operation.

Open Surgery Hysterectomy

An abdominal hysterectomy is an open surgery. This is the most common approach to hysterectomy, accounting for about 65% of all procedures.

To perform an abdominal hysterectomy, a surgeon makes a 5- to 7-inch incision, either up-and-down or side-to-side, across the belly. The surgeon then removes the uterus through this incision.

On average, a woman spends more than three days in the hospital following an abdominal hysterectomy. There is also, after healing, a visible scar at the location of the incision.

How long does the procedure last?

The procedure lasts 1 to 3 hours. The amount of time you spend in the hospital for recovery varies, depending on the type of surgery performed.

What is the recovery time required after Uterus Removal?

Hysterectomy is a major surgery, so recovery can take a few weeks but the patient is discharged within 2-3 days when stabilised.

Does it come under health insurance?

Yes, this process is covered under mediclaim provided policy has completed 2 years.

Will the ovaries needs to be removed in Hysterectomy?

Ovaries may be removed during Hysterectomy to lower the risk for ovarian cancer. However ovaries are removed during hysterectomy depends upon the reason for the procedure.If both ovaries are removed during the hysterectomy, patient will no longer have periods. The decision to keep or remove your ovaries is one you can make after talking about the risks and benefits with your doctor.

Are there any side effects after Hysterectomy/Uterus removal?

Changes that can be expected after a hysterectomy include:

Menopause. The patient may experience  menopause symptoms if ovaries are removed during the hysterectomy. These may include:

  • Hot Flushes
  • Anxiety
  • Weepiness
  • Sweating
  • Bowel and bladder disturbances
  • Vaginal discharge

Does Hysterectomy affect sexual function?

A woman’s sexual function is usually not affected after hysterectomy . Some women have vaginal dryness or less interest in sex after a hysterectomy, especially if the ovaries are removed.

After a hysterectomy, many women also experience an initial loss of sexual desire (libido). It is generally recommended not to involve in sexual activities until the scars have healed and any vaginal discharge has stopped.

How much pain should I expect  after having a Hysterectomy/Uterus Removal?

The amount of pain and scarring also depends on what exactly is removed during your hysterectomy. Most women with a laparoscopic or vaginal hysterectomy experience pain for two to three weeks. Some women have less pain after laparoscopically assisted vaginal hysterectomy than they do after a basic vaginal hysterectomy,with abdominal hysterectomy, pain may last for three to five weeks.

What are the risks involved in hysterectomy?

A hysterectomy is generally very safe, but with any major surgery comes the risk of complications. While most women don’t have health problems during or after the surgery, risks may include:

  • Infection
  • Excessive bleeding
  • Blood clots
  • Pain during sexual intercourse
  • Damage to your urinary tract, bladder, rectum or other pelvic structures during surgery, which may require further surgical repair
  • Adverse reaction to anesthesia

What are the other alternatives to hysterectomy?

A hysterectomy is only one way to treat problems affecting the uterus. For certain conditions, however, hysterectomy may be the best choice. But sometimes you can try other treatments first.

These include:

  • Watchful waiting for uterine fibroids which tend to shrink after menopause
  • Medicine.  Over-the-counter pain medicines to be taken during your period also may help with pain and bleeding.
  • Vaginal pessary. A pessary is a rubber or plastic donut-shaped object, similar to a diaphragm used for birth control. The pessary is inserted into the vagina to hold the uterus in place in case of uterine prolapse.
  • Exercises. Pelvic floor exercises help restore tone to the muscles holding the uterus in place in case of prolapse uterus.
  • Surgery. You and your doctor may choose to try a surgery that involves smaller or fewer cuts than hysterectomy. The smaller cuts may help you heal faster with less scarring. Depending on your symptoms, these options may include:

For Further information on UTERUS REMOVAL/HYSTERECTOMY

Contact No. :   +91-9999446622

 

 

Kidney Stone Treatment Affordable & Best

Kidney Stone Treatment Affordable & Best

Kidney Stone Treatment is complex, it is a rock like mass made up of tiny crystals in kidney. Kidney stones are formed when substances which are normally found in the urine become highly concentrated. Kidney stones vary in size. Small stones travel through the Urinary Tract and pass on its own while larger stone may get stuck along the urinary tract causing severe pain or bleeding and can block the flow of urine. Kidney Stone Treatment is must then and there are many ways to cure it.

kidney stone treatment

 

CAUSES OF KIDNEY STONE

 

  • Factors that increase your risk of developing kidney stones include:
  • Hypercalciuria:  urine contains unusually large amounts of calcium.
  • Hyperparathyroidism: extra calcium in the blood.
  • Dehydration: Not drinking enough water each day can increase your risk of kidney stones.
  • Gout: painful swelling of the joints
  • Blockage of the Urinary Tract
  • Family history of kidney stones, you are more likely to develop stones, too.
  • Certain Diets: A diet that is high in protein, sodium and sugar
  • Being obese: High body mass index (BMI), large waist size and weight gain
  • Digestive diseases and surgery: Gastric bypass surgery, inflammatory bowel disease or chronic diarrhea.
  • Other Medical conditions: Renal tubular acidosis, Cystinuria, Hyperparathyroidism, certain medications and some urinary tract infections.

SIGNS AND SYMPTOMS OF KIDNEY STONE

  • Nausea and vomiting
  • pain on urination
  • urinating small amounts of urine
  • extreme pain in the side and back, below ribs
  • urinating more often than usual
  • pain that spreads to the lower abdomen and groin
  • red, pink or brown urine
  • cloudy or foul-smelling urine
  • fever and chills if an infection is present

EXAMS & TESTS FOR KIDNEY STONE

  • Blood testing
  • Urine testing
  • Imaging: simple abdominal X-rays ultrasound
  • High-speed or dual energy computerized tomography (CT
  • Intravenous Pyelogram

KIDNEY STONE TREATMENT AVAILABLE AT SCI ADVANCED UROLOGY FOR STONE TREATMENT:

Kidney stones that can’t be treated with conservative measures may require more extensive treatment.

PROCEDURE FOR KIDNEY STONE TREATMENT

 

ESWL (Extracorporeal Shock Wave Lithotripsy)

ESWL uses Ultrasound waves to create strong vibrations (shock waves) that break the stones into tiny pieces that can be passed in your urine. The procedure lasts about 45 to 60 minutes and can cause moderate pain, so you may be under sedation or light anaesthesia to make you comfortable. Multiple sittings might be required for Kidney Stone Treatment.

PCNL (Percutaneous Nephrolithotomy )

This is a surgery to remove  large stones present in the kidney. It is a procedure named Percutaneous Nephrolithotomy (PCNL) which surgically removes a kidney stone using small telescopes and instruments inserted through a small incision. Mini PCNL , Ultra Mini PCNL are also available.
URS (Ureteroscopy)

This is a procedure to remove a smaller stone in ureter, a thin lighted tube (ureteroscope) equipped with a camera is passed through urethra and bladder to ureter.  Once the stone is located, it is broken into pieces using Holmium LASER. A stent is placed in the ureter to relieve swelling and help healing. General Anaesthesia may be required for this procedure. DJ Stent is removed after 2-4 weeks.

Retrograde Internal Surgery (RIRS/Flexible URS)

This is a procedure for doing surgery within the kidney using a viewing tube called a fiberoptic Ureteroscope. RIRS is used mainly to remove stone in kidney and is performed by a specialist where the stone is seen through the scope and fragmented by Holmium Laser.

WHY TO CHOOSE SCI ADVANCED UROLOGY:

 

  • SCI Advanced urology is a premier Urology centre
  • Dedicated OPD for old age Urinary problems for men and women.
  • Individual care with patient focussed services
  • Pioneers of “Thulium Laser” in North India
  • Only centre in Delhi-NCR to offer Micro TESE using 30x Carl Zeiss Microscope
  • The only centre in Delhi-NCR to offer comprehensive Kidney Stone Treatment and prostate
  • The only centre in North India to provide comprehensive care for all the problems related to prostate
  • We have finest and skilled team of experts for treatment of all kind of Urological problems
  • Equipped with advanced technologies like 100 watt Holmium Laser
  • TRUS Guided Prostate Biopsy-Saturated & Supersaturated using Siemens USG Machine

Dr. Gautam Banga MBBS, MS, M.Ch (Urology) Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon Fellowship in Reconstructive Urology, Belgrade (Serbia)

Email:gautambanga@gmail.com

Contact No. :   +91-9999446622
W: www.urethraandpenilesurgery.com