Tuesday, 21 August 2018

Treat your Renal failure with a Kidney transplant

Kidney failure, otherwise called End-stage-renal disease (ESRD) is the final stage of chronic renal disease. When the function falls below 15% the kidney fails to work and one cannot survive without dialysis or renal transplantation.



Causes of renal failure

The leading causes of chronic kidney failure are Diabetes Mellitus and Hypertension. 1 in 3 Diabetics and 1 in 5 hypertensive patients have chronic kidney disease. Other causes include overwhelming infection, nephrotoxic drugs, polycystic kidney disease, glomerulonephritis, heavy metal poisoning, etc. Some patients may be suffering from an underlying reversible process, which, if identified and corrected in time may result in the improvement of renal function. These include decreased kidney blood supply ( bleeding, vomiting, diarrhoea, burns, infection, myocardial infarction, etc), nephrotoxic drugs (analgesics, certain antibiotics) and urinary tract obstruction.

Acute kidney failure symptoms (when the kidney suddenly stops working)

Bleeding, diarrhea, abdominal pain, nausea, back pain, fever, etc.

Chronic kidney disease produces symptoms at the last stage, i.e. when the kidney is permanently damaged

Edema (Swelling in the lower limbs), decreased urine output, nausea & vomiting, loss of appetite, muscle cramps, insomnia, itching, shortness of breath, etc.

Kidney transplantation

A renal transplant is an alternative for a lifetime of dialysis. It helps the patient to feel better and live longer. Kidney transplantation is associated with many benefits such as lower treatment cost, lower risk of death, minimal dietary restriction, and better quality of life compared to dialysis.
renal failure transplantation mumbai

Before the renal failure transplantation, kidney matching is done with the help of some tests such as tissue typing, blood typing, crossmatch. The patient is thoroughly screened before the surgery.

Kidney transplant procedure is performed under general anesthesia. Throughout the surgery, the patient’s blood pressure, heart rate, blood oxygen level is monitored. The donor surgery is done laparoscopically to give the utmost benefit to the donor. The recovery is fast and the donor goes home in a few days.

An incision is made on the lower abdomen and the new kidney is placed in the recepient. The new kidney’s arteries and veins are attached to the blood vessels of the lower part of the abdomen. The new kidney’s ureter is connected to the bladder. Once blood flow starts to the new kidney  it starts functioning.  Dr. Pradeep P Rao is a senior urology specialist in Mumbai providing excellent treatment for all urological issues with advanced technologies. His team is the only one in Mumbai to provide an option of minimally invasive robotic kidney transplantation for the recipient.
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Thursday, 22 March 2018

Solution For All Pediatric Urology Conditions

Pediatric urology is a division that deals with the surgical subspecialty of medicine to treat the problems of genitourinary tract in children. This may involve the problems in their urination, reproductive organ, and testes.

Pediatric urology can provide equal care to both boys and girls up to their early adult age. The most common type of disorders treated includes;
Undescended testis is the commonest genital malformation in boys. Although the mechanism that regulates prenatal testicular descent is still partly obscure, there is persuasive evidence that endocrine, genetic, and environmental factors are involved. A non-palpable testis located in the abdomen, Absent or atrophic testis are the main symptoms
UPJ obstruction is the condition attained when there is a blockage in the area that connects the renal pelvis to the ureter which moves urine to the bladder. Some of these cases are solved without any surgical approach but others require the performance of surgery.

Symptoms of UPJ Obstruction are Abdominal mass, Urinary tract infection with fever and flank pain especially with increased consumption of fluid, stones and blood in urine, Pain without an infection, Urine may drain in a normal manner at one time and may get completely obstructed which causes sporadic pain.

PUV (Posterior Urethral Valves) is an abnormality affecting urethra occurring when there are some splittings in it causing the outflow of urine. This may cause a reverse flow of urine which can damage the urinary tract, urethra, urinary bladder, and kidney. Endoscopic valve ablation is the treatment offered to the disorder.

An enlarged bladder that could be detected through the abdomen as a huge mass, Urinary tract infection, Pain or difficulty while urinating, Weak stream of urine, Frequency in Urinating, Bedwetting, Poor weight gain etc are the main symptoms.
Torsion testis is a painful condition when the cord carrying the blood to the testis gets twisted. This twisting affects the blood flow and testicle tissue die off. This disorder normally affects only one of the testis, but if affected to both, this is termed as Bilateral Torsion.

Severe or sudden pain in the scrotum, Inflammation of the scrotum, Pain in the abdomen, Nausea, and vomiting, A testicle that is positioned higher than usual are the main symptoms.

Dr. Pradeep P Rao, well known as the top urologist doctor Dombivli, Mumbai provides urology treatments with well advanced technologies. He provides all kinds of pediatric urology treatments in Mumbai at affordable cost.

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Visit us @ urologistmumbai.com
Mail @ mumbaiurologist@gmail.com

Sunday, 28 January 2018

No More Renal Stones With Percutaneous Nephrolithotomy Surgery

Percutaneous Nephrolithotomy (PCNL) is an advanced technique to treat large renal stones formed in the kidney. PCNL is a well-established technique that is giving a higher rate of success.


PCNL surgery procedure

In the PCNL surgery, a puncture is created on the skin through the kidney to the stone. A telescopic port is inserted through the puncture. A telescope is otherwise known as a Nephroscope is passed through this port into the kidney to crush the stone, break it into pieces and remove the debris from the stone. PCNL surgery is performed usually under a general or epidural anesthesia and the real-time X-ray control is called fluoroscopy. The surgery lasts up to 2 hours. Soon after the surgery, the patient is shifted to the recovery room. If the patient is completely awakened with stable vital signs, then he will be taken to the hospital room.

Post-operative pain: The pain is controlled with analgesic and other relevant medication. It is given as either intravenous saline or injection shots. The urine is drained with the help of Nephrostomy tube for 2 days. In most of the cases, the tube is removed before the discharge from the hospital. Within the ureter to the bladder stents are inserted to promote drainage from the kidney. After 2 weeks, the stents are removed.

PCNL advantages:
  • Percutaneous Nephrolithotomy treats a large or intricate stone with a minimally invasive procedure when compared with the conventional treatment i.e. making a large incision and a longer stay in the hospital
  • The recovery occurs in a short time in PCNL than the traditional open surgical type
  • The patient can resume his works quickly
PCNL is recommended for the following symptoms
  • Blocked urine flow
  • Pain in the flanks
  • Urine leakage
  • Recurrent urinary tract infection by kidney stones
Dr. Pradeep P. Rao is a top urologist in Mumbai. With his vast experience, he provides the best treatment for the Kidney stone removal in Mumbai at his Global hospital.

Mail us @ mumbaiurologist@gmail.com
Visit @ urologistmumbai.com