9 things a urologist wants you to know

Dr Shakir Tabrez, Consultant Urologist & Transplant Surgeon shares important facts.

Dr Shakir Tabrez, Consultant Urologist & Transplant Surgeon, Fortis Hospital, Cunningham Road, sharestop facts that we all should know about:

1.Below-the-belt problems get more common around menopause: Menopause is associated with a reduction in the female hormone oestrogen, which in turn causes a wasting of muscle mass of the vagina and urinary tract possibly leading to leakage of urine. Reduced oestrogen also reduces the acidity in the vagina and vulva making it prone to urinary infections. Read more about 5 Ayurvedic tips to delay menopause

2. Erectile dysfunction can be serious and must be tested for early: Erections depend on healthy flow of blood into the tissues of the penis. Diseases that affect the blood flow like high blood pressure,diseases of the heart and thickening of the blood vessels (atherosclerosis) may cause erectile dysfunction. Erectile dysfunction doesn t always point to underlying heart disease, but it could be a warning sign in the absence of other risk factors. Read here Men, you MUST drink pomegranate juice. Here's why!

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3. Half of women with incontinence never bring it up to their doctor, but they should:Female incontinence could be associated with urgency (Urge Incontinence) or it may happen due to moments of raised abdominal pressure like coughing or laughing (Stress incontinence) or it could be a sign of a neurological condition of the bladder (Overflow incontinence). Excessive leakage besides being uncomfortable can lead to infections - both bacterial and fungal. And all of these conditions can be treated if diagnosed appropriately and hence should be discussed with their doctor.

4. Testosterone replacement therapy doesn't give you stronger erections: Testosterone replacement therapy can have long term side effects and its risks and benefits aren t well documented especially in men with normal testosterone levels. It is a treatment used in men with hypogonadism, whose testosterone values are low in blood causing decreased sexual function, changes in sleep patterns and changes in physical and emotional changes. Here are 7 symptoms of male menopause or andropause you should know!

5. UTIs and STIs get misdiagnosed a lot: UTIs and STIs differ from each other in presentation and symptoms.Commonest presentation of UTIs are with burning urination, fever with chills and occasionally with blood in the urine.STIs have a wide spectrum of presentations depending on the organism causing the infection ranging from urinary symptoms to pelvic pain to discolouration of the private parts (with or without pain) to discharge from the private parts. And hence any complaint of the lower urinary tract and private parts should not be ignored and should be discussed with a doctor immediately.

6. You may have pelvic organ prolapse and not know it:Pelvic organ prolapse which happens due to a pelvic organ like the bladder dropping from its normal position down into the vagina and causing pressure against the vagina causing symptoms like a sustained feeling of pelvic pressure, difficulty in urination or difficulty in passing stool. Depending on the organ and level of prolapse, it can be treated with medications (hormonal) or surgical procedures.

7. Erectile dysfunction is never same for everyone and viagra is not the only solution to it: Erectile dysfunction could range from a complete loss of desire (libido) to weak or incomplete erections. The underlying cause is not necessarily physical. It could be psychological or social too.Hence, a holistic approach to the issue involving counselling and appropriate investigations to reveal the underlying condition is necessary before treatment is initiated.

8. Telling your doctor about your sleep habits is important:Besides experiencing regular difficulty in falling asleep, sleep disorders may also be characterised by a feeling of weariness through the day, impaired ability to focus or perform routine daytime tasks and the need to take a nap during the day. Your partners or colleagues may tell you - you snore a lot or tend to nod off during the day. Consulting a doctor is important so he can distinguish insomnia from anxiety and sleep apnoea and treat you appropriately

9. Never self-treat any of the problem related to your pelvic area: Common self-treatment of problems of the pelvic areas include an abuse of antibiotics, painkillers or topical creams depending on the symptom the person might be facing. Doing this may lead to resistant strains of infections affecting you and more importantly, the underlying condition leading to those symptoms goes undiagnosed and untreated. Hence the necessity to consult a doctor and diagnose and treat the underlying pathology in time.

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