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Tips for healthy Kidney

Kidney performs the central role in a human body. It is as important as Heart or Lungs. Many organs of the body are dependent on Kidney to function healthily. Kidney removes toxic waste and excessive fluid from blood. It also helps control the Blood Pressure and produce Hormones which are responsible for Strong and healthy bones.

According to a survey conducted for Kidney Disease, Approximately 26 million Americas were suffering from Chronic Kidney Disease till 2012. Since then the number has multiplied. In order to bring down this ever increasing number, people needs to be serious about preventing such fatal disease.

Primary risk for Kidney disease includes factors like High Diabetes, High Blood Pressure, Family History, Heart Disease etc. Obesity; Autoimmune Diseases; Urinary Tract Infections and Systemic Infections are the secondary risks.

Kidney damage occurs in stages and in most of the cases, body does not show any kind of symptom till Kidney is damaged up to 90%.

STAGES OF KIDNEY DAMAGE

Stage 1: Slight Kidney damage Stage 2: Mild decrease in Kidney function Stage 3: Moderate decrease in Kidney function Stage 4: Severe decrease in Kidney function Stage 5: End-stage Renal Disease

STEPS FOR MAINTAINING A HEALTHY KIDNEY

Keep a control on the Blood Pressure and take every preventive measures against its increased level

For people suffering from Diabetes, have a control on your Glucose Level 

Keep the cholesterol level in the appropriate range

If on medications, take the prescriptions on time

If you have a high salt intake, cut-off the intake and aim for less than 1,500 milligram sodium per day

Eat healthy food like fruits, frozen vegetables etc. 

Have a limit on your alcohol intake

Exercise should be a compulsory part of daily routine

For those who are overweight need to work on reducing the weight

Smokers need to quit it slowly and gradually as smoking would led to serious Kidney damages

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There are 300 beds inside Boost Hospital in Lashkar Gah, Helmand, Afghanistan. Plagued with violence and conflict during the month of August, this hospital has become the epicenter of medical care for the people in and surrounding the Helmand Province. Photojournalist Kadir van Lohuizen captures powerful photos of the patients who occupy these beds, the landscape of Afghanistan, and what we do to provide medical assistance. (Karim Van Lohuizen/Noor) http://bit.ly/2cDz5GU

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Best Kidney hospital in India, kidney surgery in India, Robotic kidney cancer treatment in India

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Prostate Cancer Treatment in India

For Prostate cancer treatment robotic surgery is a common choice to try to cure prostate cancer if it is not thought to have spread outside the gland (stage T1 or T2 cancers).

The main type of surgery for prostate cancer is known as a radical prostatectomy surgery. In this operation, the surgeon removes the entire prostate gland plus some of the tissue around it, including the seminal vesicles. A radical prostatectomy can be done in different ways.

A less invasive surgical option – Laparoscopy is available for urologic surgery that uses small incisions. But, due to some the limitations of laparoscopy procedures it is not suggested for more complex urologic surgeries.

One of the most modern and effective way of surgery is Robotic Prostatectomy Surgery. It is a minimally invasive approach, using the latest Da Vinci Robotic Surgical System and it is ideal for delicate urological surgeries.

Advantages of Robotic Prostatectomy:-

Robotic Prostate Surgery:

Clinically Superior Results Reduced Risk of Complications less post operative pain Less Scarring Less blood loss A shorter hospital stay Erectile Function Faster recovery and return to normal activities Fater return of urinary continence

Dr. Mahesh desai is the head of robotic surgery for prostate, kidney and urinary bladder cancer at Muljibhai patel urological hospital ( Centre for Robotic Surgery) in India. He is Top Urologist in world. It is the first super specialty hospital in India dedicated to Urology. We serve our patients for more than 35 years and we are popularly known as “Nadiad Kidney Hospital in India”.

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Tips for healthy Kidney

Kidney performs the central role in a human body. It is as important as Heart or Lungs. Many organs of the body are dependent on Kidney to function healthily. Kidney removes toxic waste and excessive fluid from blood. It also helps control the Blood Pressure and produce Hormones which are responsible for Strong and healthy bones.

According to a survey conducted for Kidney Disease, Approximately 26 million Americas were suffering from Chronic Kidney Disease till 2012. Since then the number has multiplied. In order to bring down this ever increasing number, people needs to be serious about preventing such fatal disease.

Primary risk for Kidney disease includes factors like High Diabetes, High Blood Pressure, Family History, Heart Disease etc. Obesity; Autoimmune Diseases; Urinary Tract Infections and Systemic Infections are the secondary risks.

Kidney damage occurs in stages and in most of the cases, body does not show any kind of symptom till Kidney is damaged up to 90%.

STAGES OF KIDNEY DAMAGE

Stage 1: Slight Kidney damage Stage 2: Mild decrease in Kidney function Stage 3: Moderate decrease in Kidney function Stage 4: Severe decrease in Kidney function Stage 5: End-stage Renal Disease

STEPS FOR MAINTAINING A HEALTHY KIDNEY

Keep a control on the Blood Pressure and take every preventive measures against its increased level

For people suffering from Diabetes, have a control on your Glucose Level 

Keep the cholesterol level in the appropriate range

If on medications, take the prescriptions on time

If you have a high salt intake, cut-off the intake and aim for less than 1,500 milligram sodium per day

Eat healthy food like fruits, frozen vegetables etc. 

Have a limit on your alcohol intake

Exercise should be a compulsory part of daily routine

For those who are overweight need to work on reducing the weight

Smokers need to quit it slowly and gradually as smoking would led to serious Kidney damages

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Symptoms of Kidney Failure

People suffering from Chronic Kidney Diseases suffer from a very subtle symptoms which often go unnoticed. The time period between Chronic Kidney Disease (CKD) and Kidney failure is undetermined. It may take years and also may happen soon, depending on case-to-case basis. Kidney failures can be determined with early stage symptoms which are necessary to be identified. Let us discuss the symptoms of kidney failures:

•   The beginning is often asymptomatic which means there would be a very less amount of visible symptoms but as the disease advances the kidneys would be unable to regulate water, balance the electrolytes, remove the waste from the body, and produce red blood cells. Such a person would often undergo Lethargic behavior, uneasiness, weakness, short of breath, and general swelling. •   The body would be unable to manufacture bicarbonate due to which the body acidity increases. It is known as metabolic acidosis. Such body dysfunction would alter the enzyme and oxygen metabolism which would end with an organ failure. •   Kidney would not be able to excrete the potassium from the body thereby increasing its level in the serum and it causes fatal heart rhythm disturbance. •   Urea level rises in the blood and it affects various body organs like brain, heart, muscles and would also be responsible for low calcium levels in the body. •   Weakness may be due to anemia but in certain cases the red blood cell counts starts decreasing due to the lower level of erythropoietin which is caused due to the kidney failure. It reduces the oxygen carrying capacity of the blood and hence the body gets tired very soon. •   Loss of appetite and fatigue becomes regular and if it continues, it may affect the mental balance which may end up in comma.   •   Rising blood pressure due to excess of fluid present in the body is another symptom for kidney failure and the fluid may start to deposit on lungs which ends with heart failure. The symptoms of kidney failure would vary a lot depending on patient to patient and also it depends on what kind of treatment you undergo. Test required to diagnose the Kidney Failure •   Kidney failures can be diagnosed with blood test. The buildup of waste product would determine the kidney failures. BUN, GFR, and Creatinine are essential factors to determine the condition of kidneys. When the BUN and Creatinine level rises up in the blood and the GFR level decreases, the kidney failure is confirmed. The above mentioned three factors determines the rate with which the blood is filtered through the kidneys. The rate would always differ depending on the age, gender, and race of the person. •   Urine can be used to determine the Kidney failure. With a urine test, the doctor would measure the amount of protein and the presence of abnormal cells in it. If protein is found in the urine, it points towards something abnormal in the body. Abnormally aggregated red and white blood cells in the kidney denotes the presence of Kidney Disease. •   Abdominal Ultrasound test can determine the size of the kidney. If any obstruction is seen in he reports, it denotes presence of Kidney Disease.

International Patient Desk

Contact: Mr. Bhargav Joshi

Email : ips@centreforroboticsurgery.com

Website: www.centreforroboticsurgery.com

Phone: +91-79-40243077 / 49 (Monday – Friday 11.00 A.M. to 6.30 P.M. IST)

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Facts about Enlarged Prostate Gland – Benign Prostatic Hyperplasia

Prostate Cancer

The prostate is a male reproductive gland that yields the liquefied that transmits sperm during ejaculation. It environs the urethra, the pipe through which urine passes out of the body. The prostate gland (just called prostate from now on) is found only in men. It lies just underneath the bladder. It is usually nearby the size of a chestnut. The urethra (the tube which passes urine from the bladder) runs over the mid of the prostate. The prostate's main function is to produce fluid which defends and improves sperm.

Enlarged Prostate Gland

An enlarged prostate is frequently called “Benign Prostatic Hyperplasia” (BPH) or Benign Prostatic Hypertrophy. It is not cancer, so it does not increase the risk for prostate cancer.

The expanding of the prostate gland happens obviously as a man becomes elder. Inappropriately, this procedure can press on the urethra and result in pain side effects with urination and bladder problems. The good news is that an enlarged prostate is benign (not cancerous) nor will it upsurge the risk of prostate cancer treatment; for these reasons it is often mentioned to as benign prostatic hyperplasia (BPH) or benign prostatic hypertrophy.

Causes of Enlarged Prostate Gland

The meticulous reasons why some men develop BPH and an enlarged prostate are not completely unstated at present. However, the main risk factor is age. Approximately a third of men over the age of 50 are thought to have symptoms caused by an enlarged prostate.

In men, urine flows from the bladder through the urethra. BPH is a benign (noncancerous) enlargement of the prostate that chunks the flow of urine through the urethra. The prostate cells progressively multiply, creating an enlargement that sets pressure on the urethra -- the "chute" through which urine and semen exit the body.

As the urethra constricts, the bladder has to bond more convincingly to push urine through the body.

Over time, the bladder muscle may slowly become stronger, thicker, and excessively sensitive; it instigates to contract even when it contains small amounts of urine, causing a need to urinate regularly. Ultimately, the bladder muscle cannot overwhelm the outcome of the narrowed urethra so urine relics in the bladder and it are not totally emptied.

The definite cause of prostate enlargement is unidentified. Factors related to aging and the testicles themselves may show a role in the development of the gland. Men who have had their testicles detached at a young age (for example, as a result of testicular cancer) do not develop BPH.

Likewise, if the testicles are detached after a man develops BPH, the prostate begins to shrink in size.

Some facts about prostate enlargement:

The probability of emerging enlarged prostate upsurges with age.

BPH is so common that it has been said all men will have an enlarged prostate if they live long sufficient.

A small quantity of prostate enlargement exists in many men over age 40 and more than 90% of men over age 80.

No risk factors have been recognized other than having usually functioning testicles.

Symptoms of Enlarged Prostate Gland

Over time, the bladder muscle may slowly become stronger, thicker, and overly sensitive; it begins to contract even when it contains small amounts of urine, causing a need to urinate frequently. Eventually, the bladder muscle cannot overcome the effect of the narrowed urethra so urine remains in the bladder and it is not completely emptied.

Many symptoms of BPH stem from obstacle of the urethra and gradual loss of bladder function, which results in incomplete emptying of the bladder. 

Symptoms of enlarged prostate can include:

·         A weak or slow urinary stream

·         A feeling of imperfect bladder emptying

·         Difficulty starting urination

·         Frequent urination

·         Urgency to urinate

·         Getting up frequently at night to urinate

·         A urinary stream that starts and stops

·         Straining to urinate

·         Continued dribbling of urine

·         Returning to urinate again minutes after finishing

Occasionally a man may not know he has any obstacle until he unexpectedly finds himself incapable to urinate at all. This condition, called acute urinary retention, may be activated by taking over-the-counter cold or allergy medicines.

If you have BPH, you should have an annual exam to monitor the evolution of your symptoms and control if any changes in treatment are necessary.

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Patient's Testimonial on Importance of Exercise after Robotic Prostatectomy by Mr. Vinesh Antani - a Renowned Gujarati Author

By Mr. Vinesh Antani – A Renowned Gujarati Author

Dr. Mahesh Desai, the Medical director of famous MPUH hospital - Nadiad, has explained me in details about the side effect of prostate removal, when he decided to go for an operation for my prostate cancer.   The important thing for me was to know that a patient loses the control over urinate after the surgery, and that lasts for indefinite period – it can be for a few days, weeks or even for a few months. Once the prostate is removed, and if the muscles are not strong enough, patient will not be able to have control over urinate. For the purpose, Dr. Mahesh Desai strongly recommended me to do exercise regularly. The physiotherapist – Dr. Vijay gave me enough training for all type of exercises. These exercises are very simple, but patients have to do them regularly – before and after the surgery. Dr. Vijay has repeatedly reminded this instruction and I started following it.

Dr. Mahesh Desai performed my surgery on 28th May, 2013. After the surgery, all the doctors were regularly following up with me and all of them – including Dr. Desai have strongly recommended to continue the exercise. The physiotherapist – Dr Vijay used to visit twice a day, and kept on guiding about the exercise. Even the nursing staff reminded the same. I was worried about urine leakage. I followed the advice of Dr. Mahesh Desai and his team about the exercise quite sincerely. At hospital, I had nothing to do that is why I kept on exercising throughout my stay.

The catheter was removed on the seventh day after my surgery. Now, the urine was supposed to come out naturally. I was at a point, for which I was afraid of the most, when I couldn’t control the urine. Luckily, after few hours urine started naturally. I was very worried about controlling urine and I was praying God to take me out of this situation as early as possible. As per the instruction and the guidance given by expert team of doctors, I continued my exercise regularly. After removal of the catheter urine was passing naturally. I could feel urge of the urination. I could stand up and reach to toilet. Gradually I could hold urine up to four hours then five hours and finally up to six hours!! I was amazed that there was no single incident of urine leakage during the entire day.  I made doctors aware about it and they were happy as well. When Dr. Mahesh Desai came for a visit in evening, I informed him about it. He was very happy and he added that “this is the result of your regular exercise”. It’s been 15 days, when I am writing this, since the catheter is removed. I still do exercises regularly and follow doctor’s instruction very carefully. I am glad that there is no single incident of urine leakage till now.

Friends, I just want to tell you one thing. Like every patient wants the best doctors for their treatment, even doctors want their patients to follow all their instructions.  My own experience of following doctor’s instructions, kept me away from shameful situation of urinary incontinence. Such things give big relief to the patient. So every patient should follow the doctors’ advice very strictly and do the exercise regularly.

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How did you celebrated the World Environment Day?

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Keep Your World Clean and Green

Celebrate World Environment Day with Centre For Robotic Surgery

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Dr. Mahesh Desai Awarded an Honorary Membership of USANZ

Dr. Mahesh Desai – Medical Director and Managing Trustee of Muljibhai Patel Urological Hospital, Nadiad - awarded an Honorary Membership of Urological Society of Australia and New Zealand (USANZ) on 16th April, 2013.  

He was awarded this membership for a life time. The USANZ awarded him in recognition of his extensive experience and expertise in the management of stone disease and his appointments as a Visiting Professor at the Duke University, Stanford University, Cleveland Clinic, University of Vienna and Hamad Medical Corporation, Qatar. This award also recognizes his membership of the American Association of Genito-Urinary Surgeons and appointment to the Editorial Board of Journal of Endourology.

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How Kidneys Work - The vital Role of the Kidney in Human Beings

We celebrate World Kidney Day on every 2nd Thursday of March each year. This year we celebrated on 14th March 2013. Now it is obvious that why do we focus much more in saving our kidneys. What type of work the kidneys really do for us, why they are so important and why it is essential to take care of the kidneys. This article is all about the workings of our kidney. They are the waste disposal system of our body, which keeps on working 24 hours a day, 7 days a week and 365 days of a year – that is without taking a single leave. When it takes a leave, our life comes to danger. Let’s explore why: What do Kidneys do? Have you ever thought that what will happen if the garbage collector does not appear for a week or the output of your toilet is chocked? Just imagine, how your home will look like? Similarly we can consider kidneys as garbage disposal unit of our body, without which our life comes to an end. 

Kidneys are the bean shaped organ located just under the ribs and in the middle of our back. There are total two kidneys located on either side of our spinal cord. Their weight is about 0.5% of the total body weight and approx. size is about of our feast.  Their main task is to purify the blood by removing the wastes.

Every day, a person's kidneys process about 200 quarts of blood to sift out about 2 quarts of waste products and extra water. The wastes and extra water become urine, which flows to the bladder through tubes called ureters. The bladder stores urine until releasing it through urination. They requires large amount of blood to perform following tasks:

They clean the blood by removing the wastes such as urea, ammonia, toxic substance etc. and keep the essential elements as it is, thus they act as filter of our body. Regulate the composition of blood; they keep constant concentration of various ions and other important substance such as salts and acids in body by purifying and filtering blood. Maintain body’s calcium level. Make red blood cells and help maintain blood composition and pH levels Keep the proper balance of salts and acids in the body, and produce hormones and enzymes which help to control blood pressure, keep internal water level and maintain strong and healthy bones

Inside of Kidney:

Half cut of kidney includes following Parts: A.    Renal Vein: It transmits the processed blood, which is repaid to the body through Renal Vein. B.    Renal Artery: Kidneys obtain the blood from the renal artery; it is processed inside of kidneys. C.    Ureters: It gathers the urine from the kidney and passes to the bladder. D.    Medulla: a darker, reddish-brown, inner region E.    Renal pelvis – It is a flat, funnel-shaped cavity that collects the urine into the ureters F.    Cortex: A light colored outer region Nephrons (the enlarged area in this image): They are located between Cortex and Medulla. They are tiny tubular structures stretched perpendicular to the surface of kidney. There are approx. one million of such nephrons.

Each Nephron Contains: 1 & 2. Loop of Henle - A long, hairpin loop after the proximal tubule, it spreads from the cortex down into the medulla and back. 3. Peritubular capillaries – They are nearby the proximal tubule, loop of Henle, and distal tubule. 4. Proximal convoluted tubule or proximal tubule - The first warped region after the Bowman's capsule; it's in the cortex. 5. Bowman's capsule - This closed end at the start of the nephron is placed in the cortex. 6. Distal convoluted tubule or distal tubule - This second warped portion of the nephron after the loop of Henle is located in the cortex.

Overall, the process of waste removal from the body is as follows:

We eat the food and it enters into stomach. It is wrecked in to smaller particles and turned into nutrients.

This nutrient consists of solid and liquid.

The solid part enters into long intestine, where solid waste products are removed and nutrients are absorbed in the blood stream.

Such nutrients are used by the body in terms of energy utilization, to fight from the antibodies, and repairing and maintenance of any body part.

The wastes are transferred by blood and it then enters into kidneys.

Kidney filters blood from the smallest micro part called as Nephrons.

The waste is sent to bladder via ureter and it is stored in the bladder. Which we call as urine.

When sufficient urine is collected in bladder, the muscles contracts, which gives urge to urinate and we release urine via urethra.

The filtration process is carried out under pressure inside the Bowman’s capsule. The waste is consists of small molecules, small proteins, urea, glucose etc. The capacity of the filtration process is approx. 180 liters a day. This means if we have 7 to 8 liters of blood in our body, then kidney filters blood about 20-25 times each day.

The filtrate only covers small particles and water, and no Red Blood Cells. If we get blood in urine, then it is owing to hematuria. This is a conceivable sign of Kidney failure. If we get such difficulties then it is counseled to consult urologist directly.

Why do kidneys fail? Maximum kidney diseases attack the nephrons, initiating them to lose their filtering capacity. Damage to the nephrons can happen rapidly, often as the result of injury or poisoning. But most kidney diseases abolish the nephrons leisurely and silently. Only after years or even decades will the damage become apparent. Most kidney diseases attack both kidneys concurrently.

The two most communal reasons of kidney disease are diabetes and high blood pressure. People with a family history of any kind of kidney problem are also at risk for kidney disease.

We will learn about Chronic Kidney Diseases (CKD) in next article. To summarize, kidney separates blood and the waste. They flush the wastes and keep you healthy. Love your kidneys.

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Dr R B Sabnis Speech

Dr R B Sabnis Speech - http://www.youtube.com/watch?v=0xRrjSy9euE&feature=youtu.be

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Dr Mahesh Desai Bladder Stone

Dr Mahesh Desai Bladder Stone - https://vimeo.com/65033859

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Dr Mishra Live Surgery - http://www.youtube.com/watch?v=Nm8F55uP62g

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The Benefits of Robotic Surgery for Prostate Cancer

What is Prostate Cancer?

Prostate gland is a central part of the male reproductive system located just beneath the bladder. It is of walnut size in the adult men. This gland contains the cells which make some of the semen. Semen protects and nourishes the sperms. It is located near the urethra - from where urine passes. So if gland keeps on growing as men gets older, this gland pushes the urethra and hence man faces difficulty to urinate. This causes the BPH (Benign Prostatic Hyperplasia). BPH lead to Prostate Cancer but it is not the cancer, but if the gland cells starts developing rapidly & abnormally, then it results in to prostate cancer.

Some of common Symptoms of the Prostate Cancer Treatment are as follows:

Frequent urination, especially at night

Inability to urinate

Trouble starting or holding back urination

A weak or interrupted flow of urine

Painful or burning urination and ejaculation

Blood in the urine or semen

Frequent pain in the lower back, hips or upper thighs

Prostate Cancer Treatment: Though, prostate cancer is common cancer found in men, but curable as well. It can be cured by:

Robotic High Intensity Focused Ultrasound (HIFU)

Early stage of localized cancer can be cured through HIFU. This technique uses high-energy sound waves to destroy prostate cancer cells. Patients, who did not get cured from radiation therapy, can also be benefitted through this therapy.

Radical Prostatectomy (Open Surgery)

Here the prostate gland is surgically removed through a large scare made either in abdomen or cut made between scrotum and back passage. Patient is operated with the large scare in the body.

Side effects to this operation could be problems in passing the urine, impotence, infertility etc.

Open surgery causes heavy blood loss and it takes long time to get recovered.

Laparoscopic Surgery

It does not require very large scars as compared to open surgery. Surgeon makes 4-5 small cuts of about 1cm in abdomen. He uses special tools for the surgery. Through one hole, surgeon passes a small camera. He can view the magnified view on the TV screen and can operate easily.

Advantage is comparatively less blood loss, quicker recovery and few chances of other side effects.

Robotic Surgery

Most advanced technology for prostatectomy, which has some added advantage over open and laparoscopic surgery.

It is an advancement of laparoscopic surgery. Similar to the laparoscopy, here also surgeon makes 4-5 small cuts of around 10 mm each. He operates robot by sitting at one end. Multiple robotic arms - which acts as individual instruments as in laparoscopic surgery - make the task easier for surgeon. He controls them by sitting at one control panel. Here higher accuracy is achieved because of better control, high definition 3D vision, and 360 degree movement of robotic hands. 

Advantage is very less blood loss, fewer complications, less scarring, shorter hospital stay, faster return to normal daily activities etc.

Robotic Surgery for Prostate Cancer (Prostatectomy) is getting more popular as compare to Traditional Surgery because the benefits of Robotic Surgery are more as compare to Traditional Surgery. In traditional open urologic surgery uses large incisions to access the pelvic organs and that leads to many complexities.

The benefits of Robotic Surgery for Prostate Cancer are:

Significantly less pain - Reduced pain (most patients do not require pain medication after discharge)

Less blood loss: In open surgery, the blood loss is between 600 cc to 1000 cc, it is around 200 cc in Robotic Surgery.

Fewer complications: There are less scars in Robotic Surgery, compared to the traditional one. So it turns in to fewer postoperative complications. Here the patient’s need for postoperative pain medicine and narcotics are also reduced significantly.

Shorter hospital stay: With smaller incisions, the postoperative pain is significantly less, which means your length of hospitalization is shorter - as is the time to return to usual activity (most patients go home the next day).