Minimally Invasive Urological Procedures

Advancements in Minimally Invasive Urological Procedures

by Urology

Minimally invasive urological surgery has transformed the field of urology by providing methods that shorten recovery times, alleviate discomfort, and lessen the likelihood of problems. These developments have resulted in much better patient outcomes and satisfaction. This blog delves into some of the most significant advances in minimally invasive surgery for urological problems, as well as their benefits.

Patientexperts.co is here to assist you with the best hospital in Dubai, which can treat you with any health concerns.

Advancements in Minimal Invasive Urological Surgery 

Robotic Assisted Surgery: 

Minimally invasive urology now relies heavily on robotic surgery. The most popular technology is the Da Vinci Surgical technology, which improves the surgeon’s precision, control, and flexibility during treatments. 

Benefits of Robotic Assisted Surgery Enhanced Surgery: 

  • The robotic system provides excellent precision, allowing surgeons to conduct difficult procedures with minimal invasiveness. This precision is especially useful in procedures like prostatectomy, where precise tissue manipulation is necessary.
  • Improved Visualisation: High-definition 3D cameras give surgeons a detailed picture of the operating area, resulting in better precision and outcomes. 
  • Reduced Recovery Time: Patients often have shorter hospital stays and recover faster than with standard open surgery.

Laser Surgery 

Laser technology has evolved tremendously, resulting in effective treatments for a variety of urological problems. Lasers are employed in operations like lithotripsy, which breaks down kidney stones, and to treat benign prostatic hyperplasia (BPH). 

Applications for Laser Surgery 

  • Laser lithotripsy: employs high-energy laser pulses to break up kidney stones into tiny pieces that can be readily passed via the urinary tract. This approach is less intrusive and requires a shorter recovery period than regular surgery. 
  • BPH Treatment: Laser treatments, such as Holmium Laser Enucleation of the Prostate (HoLEP), are used to eliminate extra prostate tissue, alleviating urinary symptoms without requiring invasive surgery.

Laparoscopic surgery 

Laparoscopic surgery is another minimally invasive approach that uses small incisions and a laparoscope to guide the procedure. This approach is commonly employed in a variety of urological procedures, including nephrectomy (kidney removal) and ureteral reimplantation. 

Advantages of Laparoscopic Surgery

  • Less scarring: Scarring is reduced when little incisions are used instead of open surgery. 
  • Reduced Pain: Patients usually have reduced postoperative pain and discomfort. 
  • Faster Recovery: Laparoscopic surgeries are known to result in shorter hospital stays and a faster return to daily activities.

Ureteroscopy 

Ureteroscopy is a minimally invasive treatment that diagnoses and treats urinary system issues such as kidney stones and tumours. A thin, flexible scope is placed via the urethra and bladder to access the ureter and kidneys. 

Benefits of Ureteroscopy 

  • Direct Visualisation: The ureteroscope enables direct visualisation and exact treatment of urinary tract problems. Ureteroscopy is a endoscopic treatment, thus no exterior incisions are required. 
  • Effective Stone Removal: It is extremely effective in removing kidney stones that are not candidates for shock wave lithography.

Minimally Invasive Urological Surgery: Conclusion 

Advances in minimally invasive urological surgery have greatly improved the treatment of a variety of urological disorders. Robotic-assisted surgery, laser surgery, laparoscopic surgery, and ureteroscopy provide various advantages, including less discomfort, faster recovery times, and better overall outcomes.

If you are looking for the best urology doctor in Dubai, your search is over with Patientexperts.co. We can help you find the right doctor and hospital to get the optimal care in Dubai, UAE. Contact us today 

Prostatectomy | Patientexperts.co

Prostatectomy: Purpose, Types, Procedure, Risks & Recovery

by Urology

What is a prostatectomy? 

A prostatectomy is a surgical procedure that involves removing all or part of your prostate. Your prostate is a tiny gland in the male reproductive system. It surrounds the urethra, the channel through which semen (ejaculate) and urine (pee) exit the body. It adds more fluid to your ejaculate. 

 

During ejaculation, fluid (semen) from your prostate enters the urethra, and when you orgasm, the muscles around the urethra contract to force the semen out.

How many types of prostatectomy are there? 

There are two main forms of prostatectomy. 

Simple prostatectomy. 

Your prostate gland is divided into two parts: an inner section that expands with age, and an outside portion that forms a capsule. The interior area resembles the fruit of an orange, while the outer portion resembles the peel of an orange. A simple prostatectomy involves a surgeon making a vertical cut (incision) in your lower abdomen and removing the inner portion of your prostate through the cut while keeping the outside portion intact. They remove the inside portion in the same manner you would eat an orange. They scoop away the core piece but leave the outer portion intact.

 

They may also do the surgery laparoscopically. Laparoscopic surgery is a less intrusive procedure than standard open surgery. The surgeon will make two to four small incisions in your belly, each measuring half an inch or less. Next place a small rod with a camera at the end (a laparoscope) into one of your incisions to see inside. They introduce surgical tools into the remaining incisions and then remove the inner area of your prostate.

Radical prostatectomy

A radical prostatectomy is a surgical procedure that removes your entire prostate gland. They frequently remove the fat and tissues surrounding your prostate as well. These may include seminal vesicles (glands that aid in ejaculation) and lymph nodes. The surgeon next stitches your urethra to your bladder and cuts the vas deferens, the tube that transfers sperm from your testicles to your urethra. Your surgeon may conduct a radical prostatectomy either openly or laparoscopically. An open radical prostatectomy involves the physician making a vertical incision between your belly button and pubic bone to remove your prostate.

 

A laparoscopic radical prostatectomy involves the physician making numerous small incisions and inserting a laparoscope to examine inside your body. They place surgical tools into the remaining incisions. You might be a candidate for a robotic laparoscopic radical prostatectomy. This is a robotically assisted surgery. Your surgeon “pilots” a robot’s limbs, allowing them to manoeuvre far more precisely in difficult-to-reach places of your body. Laparoscopic radical prostatectomy and robotic laparoscopic radical prostatectomy are both less invasive than open prostatectomy.

 

Some patients may be suitable for a single-port radical prostatectomy. This is a robot-assisted radical prostatectomy in which the instruments enter through a single tiny incision in the lower abdomen. It is a more recent method than traditional laparoscopic prostatectomy and robotic radical prostatectomy, which require incisions. It’s also less intrusive, leads to a faster recovery, and leaves less scarring. However, because this is a relatively new technique, it may not be available in all hospitals.

Is a prostatectomy considered significant surgery? 

Yes, most healthcare providers consider a prostatectomy to be a major surgery. A surgeon will surgically remove some or all of your prostate. Certain surgical techniques are less invasive than others. Your surgeon will discuss the procedure they prescribe and why. 

Although prostatectomy is a significant surgery, doctors believe it is safe for patients who are healthy enough to have surgery without major heart or lung problems.

Who needs a prostatectomy? 

To treat prostate cancer confined to the prostate in men and persons assigned male at birth, healthcare providers typically recommend a radical prostatectomy (AMAB). If you have a condition that causes your urethra to obstruct and affects how you pee, such as benign prostatic hyperplasia (BPH), the Best Urology doctor in Dubai  may consider a simple prostatectomy. 

How common are prostatectomies? 

Prostatectomies are a highly common procedure for prostate cancer that has not progressed beyond the prostate. Each year, healthcare providers in the United States perform approximately 90,000 prostatectomies. Prostate cancer is the second most prevalent malignancy in men and people with AMAB, following skin cancer. It affects around one in every eight men, with an average age of 66.

Procedure Details: 

What happens before the prostatectomy? 

You will meet with a healthcare provider before having a prostatectomy. The provider will discuss the best type of prostatectomy operation for you. You may undergo either a basic or radical prostatectomy. The provider will evaluate your overall health. They’ll also check your vital signs (temperature, pulse, and blood pressure). Inform your healthcare practitioner about any prescription or over-the-counter (OTC) medications you are using. Herbal supplements are among these. 

 

Aspirin, anti-inflammatory medications, certain herbal supplements, and blood thinners can all raise your chances of bleeding. Before surgery, you may need to temporarily discontinue some medications. Before discontinuing any drugs, consult with your healthcare provider.

What exactly happens during a prostatectomy? 

A prostatectomy will be performed by a well-trained team of healthcare experts. The team usually includes: 

 

  • A urologist. 

  • An anesthesiologist. 

  • Nurses.

 

The anesthesiologist will use general anaesthesia to subdue you. During the process, you will be unconscious, unable to move, and experiencing no pain. A provider will install a urinary catheter after you have gone under. A urinary catheter is a short, flexible tube that drains urine from the bladder into a bag. The process differs depending on whether you have an open or robotic prostatectomy.

What is the recovery time? 

After an open prostatectomy, most patients can resume normal activities within eight weeks. A robotic prostatectomy typically leads to a speedier recovery. Most patients can return to normal activities four to six weeks after a robotic prostatectomy. Your recovery, however, is dependent on the type of prostatectomy, your medical history, and any other issues you may have. The doctor is the best person to tell you about your recovery timeframe.

Contact patientexperts.co today and brief us on your health concerns and let us help you to book appointments with the best urology doctors and hospitals in Dubai, UAE.

Endometriosis

Managing Endometriosis Symptoms with Treatment

by Urology

Endometriosis, a common disease, is uncomfortable and can influence your daily life. Endometriosis Symptoms causes tissue identical to the uterine lining to grow in other areas of your abdomen and pelvis. Endometriosis can cause painful and heavy periods, as well as reproductive problems.

What is endometriosis?

Endometriosis is a condition in which tissue identical to the uterine lining grows on other regions of the body. When this tissue grows in the wrong places, you may have discomfort that interferes with your daily activities. Some people with endometriosis have trouble getting pregnant.

The endometrium is the inner lining of your uterus. This is the tissue you shed throughout your menstrual period. The endometrium is defined as layers of tissue that form along the uterine lining. When you have your period, these layers separate from the walls of your uterus and exit your body. If you become pregnant, the endometrium supports the early stages of development.

When you have endometriosis, endometrial-like tissue forms on other organs and structures. This tissue can grow in the belly, pelvis, or chest. This tissue is hormonally sensitive and can inflame throughout your menstrual cycle. These patches of endometrial-like tissue can result in ovarian cysts, superficial lesions, deeper nodules, adhesions (tissue that links and binds your organs), and scar tissue in your body. Endometriosis can develop in a few sites, including:

 

  • Outside and back of your uterus.
  • Fallopian tubes.
  • Ovaries.
  • Vagina.
  • Peritoneum (the lining of your abdomen and pelvis).
  • Bladder and ureters.
  • Intestines.
  • Rectum.
  • Diaphragm (a muscle near the bottom of your chest that plays an important role in breathing).

What are some of the risk factors for endometriosis?

Certain factors can increase your risk of having endometriosis. These considerations may include: 

  • Endometriosis runs in my family. The age that you first start having periods. 
  • People who start menstruating before the age of 11 may be at an increased risk. 
  • The length of your menstrual cycle (fewer days between periods) and the duration of flow.
  • Defects in the uterus or fallopian tubes.

What causes endometriosis?

The cause of endometriosis is uncertain. Endometriosis is characterised by the growth of tissue comparable to the uterine lining in the incorrect areas. Painful symptoms might occur when it forms on the outside of your uterus, fallopian tubes, ovaries, intestine, or within your pelvic cavity. This pain is associated with increased inflammation, fibrosis, and adhesions.

What are the symptoms of endometriosis?

There are numerous symptoms associated with endometriosis. The primary symptom is pain. The pain can be severe or minor. It is most commonly felt in the abdomen, pelvis, and lower back.

Endometriosis is a common illness, however not everyone develops symptoms. Endometriosis might sometimes go undetected until discovered during another infertility surgery or study. 

People with endometriosis symptoms may have:

  • Very painful menstrual cramps.
  • Abdominal pain or back pain during your period or in between periods.
  • Pain during sex.
  • Heavy bleeding during periods or spotting (light bleeding) between periods.
  • Infertility (difficulty becoming pregnant).
  • Painful bowel movements.

The severity of endometriosis is unrelated to its symptoms. Some patients may have only a few patches of endometriosis and still endure extreme discomfort. Other people may have severe endometriosis without experiencing much pain.

Management and Treatment

What is the treatment for endometriosis?

Your doctor will assist you in developing your endometriosis treatment strategy based on several considerations, including: 

  • The intensity of your endometriosis. 
  • Your intentions for future pregnancies. 
  • Your age. 
  • The intensity of your symptoms (usually pain).

In many circumstances, your treatment approach will prioritise pain management and reproductive improvement. Medication and surgery are two options for accomplishing this. Medications are frequently used to treat endometriosis symptoms. These may include pain relievers and hormone treatments.

Hormonal options for controlling endometriosis may include: 

  • Birth control: There are several types of hormonal suppression available, including combinations of oestrogen and progesterone and progesterone-only alternatives. These come in a variety of forms, including oral birth control tablets, patches, vaginal rings, birth control shots, Nexplanon implants, and intrauterine devices. This hormone medication frequently helps people experience lighter, less painful periods. These are not choices for patients who want to try to get pregnant.
  • Gonadotropin-releasing hormone (GnRH) medications: This medicine is used to suppress the hormones that induce the menstrual cycle. This effectively suspends your reproductive system to reduce your agony. GnRH medicines are available as oral pills, shots, or nasal sprays.
  • Danazol (Danocrine®): This is another type of hormonal drug that inhibits the production of the hormones that induce your period. While taking this drug to treat endometriosis symptoms, you may experience the occasional menstrual period or they may stop completely.

It’s essential to remember that if you stop taking any of these medications, your symptoms may return. These drugs are not suggested during pregnancy or if you are actively seeking to become pregnant. Before beginning a medication, discuss the advantages and disadvantages with your healthcare professional. Endometriosis pain treatment medications may include:

  • Over-the-counter pain relief.
  • Non-steroidal anti-inflammatory drugs (NSAIDs).

In some circumstances, your provider may recommend surgery to diagnose and treat endometriosis. There are always hazards associated with surgical procedures. However, surgery for endometriosis can effectively decrease pain and, in some situations, increase fertility.

Endometriosis is considered a chronic condition. Many patients get relief from endometriosis pain following surgery, but symptoms may return within a few years. The severity of your endometriosis could play a part in how quickly — if at all — it comes back following surgery. Your doctor may recommend combining a surgical treatment with drugs for the greatest results. For central nerve pain, your practitioner may offer pelvic floor physical therapy in conjunction with or instead of medicines.

Surgical options to treat endometriosis include:

  • Laparoscopy: During this surgery, your surgeon will create a small cut in your belly (<1 centimetre) to introduce a thin tube-like tool called a laparoscope. Using a high-definition camera, you can view your body and discover endometriosis. Additional 5-millimetre instruments can then be used to excise and remove lesions.
  • Hysterectomy: In severe situations, your surgeon may recommend removing your uterus based on the degree of endometriosis and scar tissue present, additional uterine disorders such as adenomyosis, and your desire for future fertility. Even if you had a hysterectomy, regions of endometriosis should be removed to improve your pain relief. If you have endometriosis and want to become pregnant, in vitro fertilisation (IVF) may assist. 

 

Conclusion: 

If you’re looking for skilled urology doctors and surgeons in Dubai, Patientexperts.co can assist. Contact our staff today to schedule an appointment with the best urologist in Dubai and the UAE.

 

Testosterone, often referred to as the “male hormone.

Testosterone, often referred to as the “male hormone.

by Urology

This plays a crucial role in various aspects of men’s health, including muscle mass, bone density, libido, and overall well-being. However, a decline in testosterone levels can occur as men age, leading to a condition known as low testosterone or hypogonadism.

Testosterone is a hormone produced primarily in the testicles and, to a lesser extent, in the adrenal glands. It plays a pivotal role in the development of male reproductive tissues and the maintenance of male characteristics. Testosterone levels typically peak during adolescence and early adulthood, gradually declining as men age.

Signs and Symptoms Of Low Testosterone

Reduced Libido & Erectile Dysfunction

One of the most common symptoms of low testosterone is a decreased interest in sex. Men may experience a decline in sexual desire and find it more challenging to maintain an erection. Testosterone is crucial for achieving and maintaining an erection. Low levels can contribute to difficulties in achieving or sustaining erections, impacting sexual performance.

Loss Of Muscle Mass

Testosterone plays a crucial role in muscle development and maintenance. Low levels can lead to a loss in muscle strength and mass, this makes it more difficult for men to engage in physical activities.

Increased Body Fat

Low testosterone is associated with increase in body fat, particularly around the abdomen. This change in body composition can contribute to a decline in overall health.

Low Energy

Low testosterone levels can contribute to feelings of fatigue and a drop in energy levels. Men may find themselves lacking the stamina and vitality they once had.

Decreased Bone Density

Testosterone plays a role in maintaining bone density. Low levels can lead to a decrease in bone mass, increasing the risk of fractures and osteoporosis.

Mood Change

Hormones have a significant correlation on mood regulation. Men with low testosterone experience irritability, mood swings and even depression. Addressing hormonal imbalances can positively influence mental well-being.

Causes Of Low Testosterone:

Aging

Medical Conditions – such as such as obesity, diabetes, hormonal disorders, chronic illnesses and infections affecting the testicles or pituitary gland.

Medications And Treatments – such as corticosteroids, opioids, treatments like chemotherapy or radiation therapy for cancer affect and lead to low testosterone levels.

Testicular Injury Or Dysfunction or Trauma

Lifestyle Factors – such as Unhealthy lifestyle choices, sedentary lifestyle, poor nutrition, excessive alcohol, smoking, consumption, can contribute to low testosterone levels.

Treatment Options for Low testoterone:

Testosterone Replacement Therapy (TRT) – It is a common and effective treatment for low testosterone which involves administering testosterone through an injection, pill, implant, patch, or topical gel.

Lifestyle Changes – Adopt a healthy lifestyle with regular exercise, balanced diet rich in nutrients, and sufficient sleep contribute to overall well-being and hormonal balance.

Address Health Conditions – Treating medical conditions contributing to low testosterone, such as obesity or diabetes, is important to manage and help restore hormonal balance.

Low testosterone is a common condition that can significantly impact men’s health and well-being. For individuals experiencing any symptoms indicative of low testosterone, reach out to patient experts. We will help you identify with an experienced Urologist who is amongst the best Urologists in Dubai and UAE, which is a crucial first step toward a diagnosis and tailored treatment plan.

Patient experts helps you chose the right Urologist committed to providing comprehensive care to adults with urologic disorders as well as other men’s health issues.