How to Find a Urologist in Kolkata?

A Urologist is a doctor who has specialised knowledge and expertise in diagnosing and treating problems related to the urinary tract. The urinary tract typically comprises of:

  • Kidneys: Bean-like organs that filter waste from the blood through urine
  • Ureter: These tubes transport urine from the kidneys to the bladder
  • Bladder: A sac-like structure which stores the urine produced by the kidneys
  • Urethra: A tube via which urine flows from the bladder to outside of the body
  • Adrenal glands: These glands release hormones and are located on top of both the kidneys

It is mainly responsible for creating, storing and releasing urine from the body. A urologist can treat problems of both the female and male urinary tract, including the male reproductive parts such as testes, prostate, scrotum, penis, etc. Urologic diseases and problems can affect people of all ages and gender. If not treated well, these can also cause significant health problems.

Common diseases treated by a Urologist 

A urologist is experienced in diagnosing and treating any problem related to the urinary tract. However, some of the most common problems treated by a urologist include:

  • Benign Prostatic Hyperplasia (BPH)
  • Urinary Incontinence
  • Urinary Tract Infections (UTIs)
  • Kidney and Ureteral Stones
  • Prostate Cancer
  • Bladder Cancer
  • Bladder Prolapse
  • Blood in Urine
  • Erectile Dysfunction
  • Painful Bladder
  • Overactive Bladder
  • Swollen Prostate Gland
  • Infertility

Symptoms of urological problems

Although symptoms of urological problems vary according to the actual issue, some common symptoms of urological problems include:

  • Problem in urinating
  • Pain or a burning sensation while urinating
  • Changes in the urine pattern
  • Inability to urinate
  • Weak urinary stream
  • Blood or foul discharge from urine
  • Fever
  • Chills
  • Incontinence
  • Mass in testicles
  • Pain in the lower back or abdomen
  • Pain in genitals
  • Erectile dysfunction
  • Male impotence

Moreover, if a person experiences any of the below symptoms, medical attention from a urologist is very important.

  • Enlarged prostate
  • Bladder cancer
  • Stones in the kidneys
  • Kidney cancer
  • Problem or disease in the male reproductive organ
  • Prostate cancer
  • Interstitial cystitis

Common tests used by Urologists

To diagnose urological problems in people, a urologist can suggest any of the following diagnostic tests. Moreover, these tests can also be used by a urologist to see the effectiveness of a treatment plan or medications.

  • Abdominal/renal ultrasound
  • Benign Prostatic Hypertrophy (BPH) symptom score
  • CT Scan
  • Cystoscopy
  • Cytology
  • Intravenous Pyelogram (IVP) or Urogram (IVU)
  • Prostate biopsy
  • Urodynamics

How to find a urologist in Kolkata?

Since a urologist treats conditions which are very sensitive to the human body, it is important to select the right urologist and get only expert care. For a person who is experiencing any problems, troubling symptoms or diseases related to the urinary tract, consulting a urologist at the earliest is recommended. To find the best urologist in Kolkata, the following steps can prove useful:

Determine needs and understand symptoms: It is important to understand the symptoms of the problem and know what are the related issues. Since the objective is to find the best urologist, it is better to be sure of what the problem is. 

Make a list of urologists in the area: The next step is to create an exhaustive list of all urologists in the nearby area. In this step, referrals fromfriends and family can help. Moreover,Google or dedicated portals such as Practo, Justdial, etc. can provide suggestions.

Narrow the list: The next step is tonarrow the list of urologists according to preferences. Some factors that can help narrow the list include:

  • Private practice vs. hospital 
  • Hospital location and proximity to home
  • Speciality treatments
  • Gender

While narrowing the list, the proximity of the hospital must is considered since a urological treatment might require frequent visits to the urologist. Moreover, in specific cases, travelling and stress would be restricted. 

Evaluate the experience and knowledge of the Urologist: After the shortlisting has been done,the next step is to evaluate the experience and knowledge of the urologist. It is important to consider years of practice, successful cases, expertise, referred cases, and educational background. It is also advisable to check the CV of the urologist, if available. 

Know the hospital and check credentials: To select the best urologist, it is important to evaluate the hospital they work in. The hospital should be certified by appropriate medical authorities and should have the required licences. Further, the hospital should be ideally be trusted name, such as CMRI, with a dignified history. Read the reviews about the hospital and also visit the official website to know their advanced healthcare facilities, medical technologies and processes, the panel of doctors, supportive teams, awards, patient cases, and more. 

Check online reviews: After the exhaustive check,it is good to check the online reviews of the selected urologist.Conduct a Google search and check several reviews before finalising. 

Call the doctor and book an appointment: Once the final urologist is selected, it is best to pre-book an appointment.

These tips will come in handy while finding the right urologist in Kolkata. Trusted hospitals such as CMRI (Calcutta Medical Research Institute), can provide best-in-class urological care through a team of highly skilled and qualified urologists. Consider CMRI for the fine experience, superior patient care and unparalleled urological expertise. 

What is Optical Internal Urethrotomy? How does it help?

The urethra is a tube that enables the urine to flow from the bladder to be expelled from the body. In general conditions, the urethra is wide enough to allow the urine to flow through smoothly, but in cases where it narrows, it can restrict the flow of urine out of the body creating a condition called Urethral stricture. 

Urethral stricture is a very common problem which can block or reduce the flow of urine, causing severe problems and discomfort. Severe complications include urinary tract infections, renal insufficiency and urinary retention, etc. Thus, urethral stricture needs to be treated timely and effectively before the condition worsens to cause permanent health conditions. Among other treatment options, Optical Internal Urethrotomy is often a preferred choice of many doctors because the procedure is minimally invasive, where the stricture is treated with a laser without making any incisions. Optical internal urethrotomy normalizes the flow of urine and removes all difficulties and discomfort experienced during urination. 

The surgery aims to treat urethral strictures by removing the body tissues in the urethra to release it. The surgery will be performed by inserting a telescope through the urethra and using internal knife or laser to cut any narrowing caused due to stricture; the process does not involve making any incisions or stitches. Post the procedure, the doctor will ask the patient to insert a catheter into the bladder for 24 to 48 hours. That said, the treatment of urethral stricture via optical internal urethrotomy is often the first choice of many doctors; however, the success rates of the procedure are low in terms of higher chances of recurrence. 

Causes of Urethral Stricture

  • Urethral strictures can be caused due to multiple reasons such as:
  • Inflammation of tissues
  • Presence of scar tissue
  • Straddle injury causing trauma to the groin area
  • Trauma or injury to the urethra or pelvis
  • Sexually transmitted infections
  • Exposure to radiation
  • Urethra or prostate cancer
  • Catheter insertion
  • Pelvic fractures
  • Prostate surgeries
  • Consistent urinary tract infections

Urethral stricture is highly common in men and highly uncommon in women.

Symptoms of Urethral Stricture

Some common symptoms that indicate urethral stricture are:

  • Lesser urine frequency
  • Incomplete emptying of the bladder
  • Spraying pattern of the urine
  • Pain or difficulty in urinating
  • Increased urge to urinate
  • Infection of the urinary tract
  • Weak flow of urine
  • Lower volume of urine
  • Lack of control on urination
  • Pain in the pelvic or lower abdominal area
  • Discharge from the urethra
  • Blood in semen or urine
  • Foul-smelling, dark-colour urine
  • Inability to urinate

When any of these symptoms are detected, a diagnosis to check for urethral stricture should be made. Post confirmation of condition, appropriate treatment method such as an optical internal urethrotomy is undertaken.

Preparation and Procedure of Optical Internal Urethrotomy

The doctor will confirm the symptoms through some diagnostic tests and also determine the severity of the problem. Some tests that will be conducted for analysis include measuring urine discharge, assessing hr chemical properties of the urine, cystoscopy, and measuring the urethra to detect narrowing. These tests will be followed by X-rays and ultrasounds.

Once the condition and the severity of the problem are clear, the doctor will place the patient under the influence of anaesthesia, and then insert a cystoscope – a thin, flexible tube into the urethra. This tube will form a passage to insert other surgical instruments that will help remove the stricture or vaporise it with laser. 

Post the procedure, the doctor will make the patient aware of self-care and preventive measures to avoid infection. Moreover, the patient will be guided on how to monitor for signs of infection and when to call for medical help. The doctor will also recommend some antibiotics to speed the recovery as well as reduce pain. Certain precautions such as no physical exertion, recommended diet, water intake, etc. will be advised. The patient will also be asked to refrain from driving for a week. 

Risks associated with an Optical Internal Urethrotomy

The risks of each case depend on the patient’s condition and the health factors. That said, some common risks include:

  • Infection in the urinary tract
  • Infection at the site of the operation
  • Wound dehiscence
  • Recurrence of the stricture
  • Extensive bleeding
  • Blood clots
  • Damage to urethra
  • Long operative time

Moreover, an optical internal urethrotomy is not suitable for long and post-inflammatory strictures. Also, in cases where the stricture is longer than 2 cm, additional operative time will be required, as well as the procedure might be conducted in two separate sessions.

Advantages of an Optical Internal Urethrotomy

An optical internal urethrotomy is often the first choice of many doctors because of the following advantages over other methods to treat urethral stricture. Some of the ways in which this procedure helps are:

  • Faster recovery
  • Minimally invasive
  • Barely any scars
  • Low risk of infection

In all, optical internal urethrotomy is a very common and widely opted for procedure to treat urethral stricture; however, one must consult the doctor – understand the method and also evaluate all pros and cons, before deciding on the method. 

Understand Uterine Fibroid Embolisation (UFE)

Uterine fibroid embolisation (UFE) is a minimally invasive procedure to treat fibroid tumours – non-cancerous growths – of the uterus – that cause excessive menstrual bleeding, pain and a lot of pressure on the bladder. Uterine fibroid embolisation is also known as uterine artery embolisation and aims to block the blood vessels supplying blood to the fibroid, causing it to starve, shrink and eventually die. The procedure is done through a flexible tube called catheter to inject tiny particles known as embolic agents into the arteries of the uterus – that supply blood to the uterus and the fibroids.

Uterine fibroid embolisation serves as an alternative to surgery and aims to destroy the fibroid tissue to ease serious symptoms in some women such as:

  • Excessive menstrual bleeding
  • Pelvic pain
  • Swelling in the abdomen

Risks Involved in Uterine Fibroid Embolisation

Uterine fibroid embolisation is a safe procedure, especially for women who are not willing to undergo surgery to treat uterine fibroid embolisation. The risks of complications in the procedure are rare, but some general risks involve include:

  • Infection
  • Damage to the other organs
  • Possible issues in a future pregnancy

Most fibroids can be treated via the uterine fibroid embolisation; however, if the size of the fibroid is too large, another treatment option may have to be explored.

Reasons to avoid Uterine Fibroid Embolisation

Uterine fibroid embolisation may not be the ideal choice of treatment in cases such as below:

  • Existing pregnancy
  • Existing chances of pelvic cancer
  • Chronic pelvic infection
  • Vascular disease
  • Allergies

Procedure and Recovery from Uterine Fibroid Embolisation

To prepare for the procedure, the doctor will advise discontinuation of certain medicines, as well as not eating anything post-midnight or per time suggested on the say the day of the surgery. To initiate the surgery, the doctor will put the patient under the influence of anesthesia to reduce pain; then a small incision over the femoral artery in the groin is made to insert a catheter into the artery. The catheter is mounted with a high-definition camera and light that guides the catheter to the uterine arteries. Upon reaching the artery, a contrast fluid such as a dye is inserted into the uterine artery that makes the branches visible on the monitor; it also lights up the fibroids brighter as compared to other tissues –it easier to spot and treat.

Upon identifying the fibroids, the doctor then injects small particles of plastic or gelatin into the blood vessel supplying blood to the fibroids; these particles cause blockage and restrict the supply of blood to the fibroid, leading to starvation and eventually death of the fibroid tissue.

Post the surgery, the patient is kept under observation for a few hours to ensure no complications arise. The patient is supposed to lie flat for a few hours to avoid bleeding at the femoral artery site. Once the anesthesia fades, the patient will experience pain which can be easily managed with pain relievers as prescribed by the doctor. Some people might experience post-embolisation syndrome, such as:

  • Mild fever
  • Pain
  • Fatigue
  • Nausea
  • Vomiting

These symptoms develop 48 hours after the uterine fibroid embolisation and tend to fade away on their own in a week’s time or so. Any complications must be consulted with the doctor. The hospital stay of the surgery is less and the recovery time if fast.

On the next day of the procedure, most women are discharged from the hospital with certain medicines to take for the pain and smooth healing. The pain will subside in a day to two following the procedure.

However, a woman should carefully monitor the recovery process and should seek medical help, in case of conditions such as:

Vaginal discharge: Watery vaginal discharge is very common post the procedure; however, it is expected to fade on its own without any treatment. In case it does not, call for medical help.

Infection: Any signs of infection should be critically monitored such as chills, fever, pain, etc. Moreover, a follow-up meeting with the doctor should be set four weeks after the procedure to check for any signs of infection. Also, three months after the procedure, the doctor might advise an MRI to assess shrinkage or changes in the fibroids or the uterus.

Results of Uterine Fibroid Embolisation

Uterine fibroids embolisation is helpful in removing fibroids and reducing the resultant pain, pressure on the bladder, swelling, etc. In all the procedure provides the following results:

Relief from symptoms: The procedure is very effective and safe, and tends to provide relief from severe patients within 3 months of the surgery. Also, over the following five years post the treatment, it continues to reduce symptoms including heavy bleeding, urinary incontinence and enlargement of the abdomen.

Menstruation: Menstrual cycles continue to come normally post the procedure; however, in case the period is missed, it will resume normal course within a few months. Some women aged 45 or more have a risk of entering menopause after the procedure.

Fertility: The procedure is likely to have negative effects on fertility among women. Though menopause is rare post the procedure, yet certain damage caused to the ovaries can make pregnancy difficult. This also increases pregnancy complications involving placenta. However, even after the procedure, women have had normal pregnancies and no problems.

In all, uterine fibroid embolisation is an effective, safe and barely complicated method to treat fibroids in the uterine; also, its advantages outweigh its disadvantage. 

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