Tuesday, 21 November 2017

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Monday, 20 November 2017

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Saturday, 18 November 2017

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Wednesday, 21 September 2016

Introduce ED1000 for Erectile Dysfunction, Cost Treatment in India

TROUBLE IN BED?

RESEARCH PROVES THAT ERECTILE DYSFUNCTION MAY SERVE AS AN EARLY WARNING SIGN FOR TODAY’S MOST NOTORIOUS LIFESTYLE DISEASES, FINDS APARNA CHITRE ACHAREKAR




Forty five-year-old Rakesh enjoyed a normal married life for over 15 years till he first experienced 'performance problems' in bed. Attributing it to mounting stress at work, he ignored it for over a year, until he performed even poorly in the cardiac stress test he underwent as part of his annual health check up.

Rakesh now understands the intricate correlation between his ‘performance problems’ and an impending cardiovascular disease.

"Erectile dysfunction (ED) is a definite marker for an oncoming vascular disease," notes Dr Sudhakar Krishnamurti, andrologist and microsurgeon, and director, Andromeda Andrology Center, Hyderabad. A recent study by researchers at the University of Chicago reported that men who had no problems with sexual function at the start of a seven-year study later developed ED. These men were 25 percent more likely to suffer a heart attack or stroke compared with those who did not develop ED.

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According to the Massachusetts Male Ageing Study, ED affects about 10-15 per cent of the under-40 age group and about 52 per cent of those above 40. Says Dr Krishnamurti, "For centuries, ED has been presumed to be the result of mental (or psychogenic) causes, and millions have either undergone ineffective psychiatric treatment, or worse - fallen prey to aphrodisiacs and other useless medication. Research has now conclusively shown that impotence has a physical (or physiological) cause in nearly 90 per cent of the cases and like most other physiological problems, is often curable."

Erectile dysfunction or impotence is defined as the inability of a man to achieve or maintain an erection sufficient for his sexual needs or the needs of his partner. It may be caused by a problem directly related to the penis or to the blood vessels leading to the penis. Simply put, if you turn on your kitchen faucet and don't get any flow, either faucet is broken or pipes are clogged.

Pipe clogging is what seems to explain why heart problems and erectile dysfunction are so often seen together. High levels of cholesterol or arterial damage can cause arteries to clog. In case of the penis, the blood vessels leading to it are barely 2mm in diameter. Plaque deposition in these vessels will not allow enough blood flow to the penis during sexual stimulation leading to ED. Since blockage of blood vessels in the penis happens earlier than in the carotid and coronary arteries, ED is often one of the first signals that male body sends out.

There is increasing evidence that ED may be caused by a reduced amount of nitric oxide in the blood vessels of the penis. In men with erectile dysfunction, nitric oxide levels are low, so blood vessels cannot allow blood to reach the penis.

Treatment
Instead of just getting a prescription to treat the condition, experts recommend that men with erectile dysfunction see a doctor who can check for underlying vascular problems.

Says Dr Krishnamurti, "Though the damage to the arteries of the penis cannot be reversed, medication, vacuum therapy, injection therapy and in some cases penile prosthetic implantation operation has been proven to be useful." 



Time to see a Physician?
Performance anxiety experienced by newly weds or under other extreme psychological conditions are best handled by psychiatrists. If a person experiences ED after years of normal sex life, then a physician will be able to advise best.

Prevention
"A higher index of awareness can prevent the physiological and psychological impact of ED. While people must shed inhibitions and talk to their physicians the latter should become comfortable to discuss sex with their patients," concludes Dr Krishnamurti.


  • Diabetes 
  • High Blood Pressure 
  • High Cholesterol 
  • Depression 
  • Smoking 
  • Spinal Diseases
  • Prostate Cancer
  • Some surgeries 

Wednesday, 30 March 2016

Lithotripsy Surgery in Delhi, India with the best of hospitality and low cost benefit medical care

Lithotripsy Surgery in Delhi, India with the best of hospitality and low cost benefit medical care
Getting the lithotripsy surgery done in Delhi, India is the best and the most effective option to avail the benefits of low cost and quality treatment in the medical tourism package.
Lithotripsy is a non-invasive procedure that uses shock waves (thus the term Shock Wave Lithotripsy) to break up stones that form in the kidney, ureter and urinary bladder. The alternative names for Lithotripsy procedure are Extracorporeal Shock Wave Lithotripsy (ECSWL), Laser Lithotripsy, Percutaneous Lithotripsy, Endoscopic Lithotripsy or Intracorporeal Shock Wave Lithotripsy (ICSWL).


Why is Lithotripsy performed?

Lithotripsy is performed if the stone is big in size, has an unusual shape (stag-horn) or is stuck (impacted) in the ureter and cannot be passed out during urination following forced diuresis.


Procedure for Lithotripsy

The lithotripsy procedure generally takes 45 minutes to 1 hour.
You will receive local anesthesia with sedation to minimize pain and discomfort however, at the same time you will be required to stay still during the Lithotripsy procedure. You might experience a mild tapping sensation during the procedure. There might be mild discomfort or pain during the procedure.
There are two techniques available that are equally effective and widely used at most medical facilities. One method is that you will lay on a soft cushion through which the shock waves pass. About 2 - 8 thousand shock waves are needed to crush and fragment the stone(s) in a single Lithotripsy procedure.
The second method is you will be asked to lay in a special tub filled with warm water, stones will be located and visualized by x-ray or ultrasound and shock waves will be directed from the Lithotripsy machine called Lithotripter. These shock waves will pass through your skin and are completely harmless. The procedure described above is that of Extracorporeal Shock Wave Lithotripsy (ECSWL).
For Intracorporeal Shock Wave Lithotripsy (ICSWL), an endoscope or Cystoscope is used to get close to the stone inside the urinary tract and laser waves are applied to fragment the stone into small particles. Intracorporeal Shock Wave Lithotripsy (ICSWL) or Laser Lithotripsy is usually performed when the Extracorporeal Shock Wave Lithotripsy (ECSWL) technique fails.
The sand like particles of the stone are either fished out in a basket attached to the Cystoscope and extracted out or they are passed out naturally during urination. Sometimes a stent is inserted in the ureter to keep it patent and facilitate the passage of stone fragments and debris with the urine, over the next few days.
You will spend the next couple of hours in the recovery room under observation for bleeding or any other immediate complications. You will be allowed to go home after one or two days following the Lithotripsy procedure.
Delhi, India is the most preferred destination for Lithotripsy Surgery by the global patients. The reason behind this haul is the availability of high quality and low cost Cystoscopy Surgery in Delhi, India. The hospitals in Delhi, India are among the most advanced medical outsourcing facilities in the world, with specific programs carefully designed to attract medical tourisms.

Dr. Gautam Banga

MBBS, MS, MCh
Consultant Urologist and Andrologist at Sunflag Hospital
Dr. Gautam Banga is a consulting Urologist and Andrologist for more than twenty years at Delhi, India. He has been trained extensively in his specialty at various renowned centers in the world like…for stone disease in Germany, Microsurgery in Belgium, Endo-urology, Urinary Malignancies, Impotence and Urinary Incontinence at Mayo Clinic, USA and for Infertility at Australia.

Saturday, 10 January 2015

impotence? Penile implant surgery Treatment new hope to woh suffer Erectile Diffusion

A senior government employee, Haq's problem - not being able to maintain an erection during sexual intercourse (Erectile Diffusion) - is not an uncommon one. A similar situation was faced by 28-year-old Sumanjeet Sikdar, who was bit by a stray dog on his penis when he was just six months old. The dog bit off most of his penis, which went on to become a barrier as he gradually attained a marriageable age.

Urologists in India said that erectile dysfunction is not a "new problem in  society", with around 50% men in India having the condition.
According to experts, erectile dysfunction has a "perfect cure", but because men do not feel comfortable in revealing their problems they face marital breakups due to sexual complications.
After being dissatisfied with their friends' advice for treatment,  Haq and Sikdar  finally went to medical experts who offered them hope.

The two were asked to undergo a penile implant surgery in which devices are placed inside the penis to allow men with erectile dysfunction to get an erection. While Zia was ready to pay anything close to Rs.10 lakh to get his condition cured and underwent the inflatable penile implant, Sircar underwent the semi rigid penile implant surgery, which cost him less than the inflatable implant but offered effective cure.
PN Dogra, head of the urology department at the All India Institute of Medical Sciences (AIIMS), said that penal implants are of two types - semi rigid and inflatable.

"In the inflatable penile implant surgeries,  cylinders (placed inside the body) are used to replace the spongy tissue inside the penis that fills with blood during an erection. These implants come in a variety of diameters and lengths and range anything from Rs.5 lakh to 8 lakh," Dogra told IANS, adding that such surgeries are very popular in the West. However, it is the semi-rigid or non-inflatable implant which is more common in India. It costs around Rs.1 lakh, excluding the surgical charge.

"Such implants are firm. They can be bent into different positions," Dogra told IANS. Another thing about the implant surgery is that the partner is not able to make out about the implant.Experts classify impotency into psychological and physical. While psychological impotency may be due to a man's fear that he will not be able to perform sexually leading to performance anxiety, physical impotence is due to the abnormalities of the penile arteries, veins, and smooth muscle causing obstruction in the flow of blood into the penile erection chambers preventing erection.

Dogra said though implants are a solution, they should be resorted to only when other prescribed medications like penis erection oil or viagra tablets are ineffective in curing the dysfunction. Zia, who  got married for the third time recently, told IANS that the satisfaction level during intercourse is the "same as in natural intercourse". Vineet Malhotra, senior consultant urologist and andrologist at Delhi Nova Specialty Hospital, Kalkaji, said: "Implants do not interfere with ejaculation, although ejaculation and orgasm are not ensured. Implants neither increase nor decrease sexual desire."

He said the non-inflatable implants and inflatable devices can last indefinitely. The urologist further said that the inability to consummate after marriage was emerging as one of the reasons for couples to split in India. "It is important for men to understand the importance of such implants in the era where women are no more willing to stick to a man with less sexual consummation level," Malhotra told IANS.
Agreed Mayank Gupta, senior consultant, urology, at Sharda Hospital.

"People in India need to understand that hiding the problems related to erectile dysfunction can make their life dull and lead to family tensions and, in the worst case, a divorce," Gupta told IANS. He also said these implants are also useful when a woman wants to undergo sex change. "In the coming years, the use of the implant will certainly grow. Society is changing and people want to lead a better and happy life and if technology is lending a helping hand then everyone wants to use it and why not?," Gupta said.