Prostatitis is fairly common disease in the United States, accounting for 8% of all urological diseases and 1% of the primary reasons for treatment to the doctor. The disease is characterized by inflammation of the prostate gland and is often caused by various bacterial infections or other factors.
Diagnosis and treatment are largely dependent on the individual patient and nature of the disease. Antibiotics, drugs designed to reduce inflammation and the associated discomfort are often used to treat prostatitis. In some cases, when medications do not bring the desired results, urologists have resorted to surgical treatments, often through a minimally invasive prostate surgery.
Purpose of the kidneys is to filter metabolic waste products. Processed compounds are excreted in the urine. However, some of them tend to form crystals of salts and deposit on the walls of the kidney.
Gradually, small crystals grow and turn into a stone. The size can vary from 0.1 cm to several centimeters in diameter. For a such stone it is difficult to come out by itself. When a patient urinates, it gets stuck in the urinary tract, causing patient excruciating pain. In some cases, it completely blocks the kidney and impedes the flow of urine. Ultimately, this can lead to atrophy of the kidney and its loss.
The reasons for this pathology to date not been fully explored. There is number of hypotheses associated with metabolic disorders. Risk factors include constant dehydration, improper diet, low physical activity,excess body weight, presence of number of diseases and taking certain medications.
Given the technical capabilities of our clinic, the diagnosis of nephrolithiasis disease does not pose too much difficulty. This includes laboratory analysis of urine, kidney ultrasound , and CT of the abdomen, if needed, which is also held in our institute.
Choice of treatment depends on the individual patient and the chemical composition of the stone. Some stones are amenable to successful lithotripsy. Extracorporeal Shock Wave Lithotripsy (ESWL) is a noninvasive method of breaking kidney stones using high energy shock waves. Other methods include Percutaneous Nephrostolithotomy (PCNL) and Ureteroscopy, both are minimally invasive surgical interventions.
Benign prostatic hyperplasia (BPH). The disease is also known to others as adenoma of the prostate. One of the most common urological diseases in men. Characterized by an increase in the number of prostate cells, leading to compression of the segment of urethra, adjacent to the bladder.
Thus, there one of the first symptoms of BPH is difficulty of initiation of urination. Then comes weak stream of the urine, feeling of incomplete emptying of the bladder, urinary urgency and incontinence. The symptoms do not manifest all in once, but gradually emerge, growing and worsening. For a long time, prostate adenoma may be manifested by any one of these subtle symptoms.
In determining the diagnosis, the doctors carefully study patient history, do physical assessment , test urine and blood. Accredited by the American Institute of Radiology, sonography reports are right away read by our physicians. The presence of our own laboratory and certified pathologist can quickly and accurately get results of PSA (prostate-specific antigen) and the biopsies reports.
New York Urological Institute has a wide range of opportunities for treatment of BPH. In the early stages of the disease medical therapy is being used. Also herbal or dietary supplements that had been already approved in Europe but has not passed standards in the United states are being offered for very mild BPH symptomps.
Drug treatment does not always produce the desired results. Using new cutting edge machines our conduct laser, microwave or radiotherapy.
Unfortunately, not all patients seek help at an early stage, allowing the prostate adenomas to reach a fairly large size. In such cases doctors have resorted to surgical methods: transurethral resection pf prostate or open prostatectomy. In urology, unlike other professions, many surgical intervention performed without having to open access. Using these techniques significantly reduces post-operative trauma, both physical and psychological, blood loss is minimized as well.
Erectile dysfunction is a constant or intermittent failure of men to achieve and maintain an erection sufficient for sexual intercourse. The disease is also known by another name, impotence.
Risk factors include: diabetes, atherosclerosis, high blood pressure, cardiovascular disease, hormonal or neurologic disorders, side effects of pelvic surgery, or trauma, or taking certain medications. Treatment will depend on the reasons causing the erectile dysfunction.
The use of herbal medicines, increases energy, improves libido. and, in most cases, guarantee a noticeable improvement in erection. Testosterone supplements are being used when testosterone blood level is low.
Drug therapy typically involves taking such drugs as Cialis, Viagra and Levitra. Patients with some cardiac conditions are not allowed to take those medicines. In addition to the pills, we use more radical treatments, such as intracavernous Trimix injections and other stimulant drugs.
In some cases it is necessary to resort to surgery. Many patients treated in our institute for prosthetic penis, where cavernous body is replaced with a special implant.
Urethral stricture – narrowing of the urethra due to developing of scar tissues on the walls of the urethra. This change in the mucosa of the urethra may be caused by any trauma to the urinary tract, urethral surgery,or inflammation of the genitourinary system, including venereal diseases, or even anatomical changes in the urethra.
Narrowing of the urethra leads to difficulty urinating. The main complications of this pathology is an obstruction of urine outflow, formation of stones in the urethra and development urinary tract infections.
The essence of treatment is to eliminate the narrowing of the urethra by means of minimally invasive surgery using a laser.
Sexually transmitted diseases
Sexually transmitted diseases is a group of viral and bacterial diseases, transmitted sexually. These include chlamydia, syphilis, gonorrhea, hepatitis B, genital warts, herpes virus, Human papillomavirus, HIV, candidiasis, and others.
The most common symptoms include a burning sensation during urination, discharge from the genitals, changes of the skin in the genital area and anus.
Complications can lead to pain, the emergence of diseases of other organs, impotence, infertility, and cancer.
Given the high contagiousness of these diseases, patients are urged to temporarily stop all sexual contacts and seek immediate professional medical help.
Urinary tract infections
Urinary tract infection is inflammatory process that usually has bacterial nature. Infection affects one or several organs of the excretory system of a man. Typically, it affects bladder (cystitis) or kidneys (pyelonephritis).
Common symptoms of this disease is pain and burning with urination, urinary frequency and urgency, chills, fever, night sweats, or even blood in the urine (hematuria). To learn
which specific organism is the cause of the inflammatory process, urologist orders a urine test with laboratory analysis.
In most cases, Urinary tract infections are treated with antibiotics. Women often have this disease as a consequence of sexual activity.
Repeated infections indicate possible presence of stones in urinary tract or other disorders of the excretory system.