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Urology, also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the male and female urinary tract system and the male reproductive organs.
Pediatric urology is a surgical subspecialty of medicine dealing with the disorders of children's genitourinary systems. Pediatric urologists provide care for both boys and girls ranging from birth to early adult age. The most common problems are those involving disorders of urination, reproductive organs and testes.
Some of the problems they deal with are:
In India, most pediatric urologists are associated with children's hospitals. Training for board certification in pediatric urology typically consists of a surgery internship as part of a urology residency followed by subspecialty training in pediatric urology at a major children's hospital. In India, Pediatric Urology is practiced by Pediatric Surgeons with a special interest/ training in pediatric urology as well as by adult urologists who get trained in Pediatric Urology.
There is a rising need for specialized therapy in the area of men's health. Men tend to be less forth coming when faced with potential health issues. There are also health conditions that only affect men. These issues are treated with up most privacy and compassion in our centre. We offer non-invasive evaluation, medical and surgical management.
- Erectile dysfunction management
- Hormone replacement therapy
- Premature ejaculation
- Sexually transmitted diseases
- Male factor subfertility
- Low sperm count
- Surgery for penis
Evaluation and treatment of Erectile Dysfunction
There various causes of erectile dysfunction. We attempt to elicit the cause and provide targeted therapy such as medical therapy (pills), injection of prostaglandin, vacuum devices and penile prosthesis. Sexual counseling is also available as psychological support is often necessary.
Evaluation and treatment of Erectile Dysfunction
Evaluation and treament of Late Onset Male Hypogonadism
Late onset male hypogonadism was previously known as andropause or PADAM. It is a condition of low testosterone which is the male hormone often wrongly accepted as part and parcel of an aging male. However, research has shown the benefits of recognizing and treating hypogonadism. We offer hormone replacement therapy with oral medications (pills), depo injections and implants.
Evaluation and treament of Sexually Transmitted Diseases
Symptoms of sexually transmitted diseases may sometimes be not apparent and delay in treatment would result in more complications. Amongst the area that we offer care are gonorrhea, syphilis, chlamydia, herpes and penile wart infections.
Evaluation and treatment of Premature Ejaculation
Premature ejaculation is now believed to be both psychological as well as physiological abnormalities. We offer sexual counseling and education in stop-start and sensate focusing techniques. Coupled with application of local anesthesia and medications (SSRIs), we can achieve a significant increase in intravaginal latency time.
Evaluation and treatment of Male Sub Fertility
Up to 50 percent of fertility problems in couples may involve the male partner. We evaluate with Semen analysis, male hormone profile and ultrasound examination of the testes.
Varicocele is a group of abnormal and enlarged veins in the scrotum and may cause of poor sperm count. Semen analysis will often show mild to moderate oligospermia (decreased sperm numbers) and teratospermia (deformed sperm). This can be corrected with a simple day surgery procedure and sperm count would improve after 2-3 months.
Absence of sperm or azoospermia is evaluated with non invasive method by Transrectal ultrasound examination. Ejaculatory duct obstruction is corrected with transurethral incision.
Percutaneous testicular aspiration or open testicular exploration, biopsy and retrieval of sperm (TESE/TESA/MESA procedures) may be necessary in patients with obstruction of the vas. Sperm can be collected and frozen for use in future IVF/ICSI. The presence of an embrologist within the operation room ensures good collection of spermatozoa.
Our mission is to provide cutting edge urology care with compassion.
We strive to provide highly positive medical outcomes by applying proven advanced technology and pharmaceuticals. Our centre emphasizes on individualized care for every patient with utmost compassion.
This has been the philosophy of Dr. Mojjada Prasada Rao, M.S. (General Surgery, PGI - Chandigarh), M.Ch. (Urology, BHU-Varanasi - Gold Medalist) Chief consultant urologist at Vizag Kidney And Urocare.
The centre offers comprehensive urology services for adults and children, provided by a renowned and experienced urologist. We specialize in minimally invasive surgery, embracing the techniques of laparoscopy, robotic, percutaneous and endoscopy urology. We also offer a full range of services pertaining to men's health and male factor infertility.
Our urology centre is located at MVP Double Road, Visakhapatnam, We are supported with the full range of medical imaging, laboratory and pathology services.
Evaluation and urology surgery can be performed on an outpatient, day surgery or in patient basis with full intensive care support, depending on the complexity of patients' condition and illness.
Urology is the branch of medicine that focuses on the urinary tracts of males and females, and on the reproductive system of male. Urology conditions include problems of the kidney, adrenal gland, ureter, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis).
Urology combines management of medical (non-surgical) problems such as prostate enlargement, urinary tract infection and male sexual problems; as well as surgical problems such as the surgical treatment of urology cancer, urinary stone, congenital abnormalities, male infertility and correction of urinary incontinence.
Specialities: General Urology
Paediatric Urology (Child Urology)
Uro-Oncology (Uro Cancer)
- Written on April 04, 2016
It is always a pleasure to see you and come back to such a nice environment with friendly and caring people. We Know Dr. Prasad Rao sir for a long time now and we feel very honoured to be their “patients” and “ friends
by Subhramanyam (Hyderabad - Telangana)
- Written on December 27, 2015
Thank you so much for the wonderful experience and helping me gain new self esteem through the proceedure. It was great how you held my hand when I was scared and stayed by my side. You are the best!
by Padhi (Sambalpur - Odisha)
- Written on July 02, 2015
Thank you so much for everything! This procedure is something I have always wanted to do and I am so pleased that I have had it done with you!
From the first email that I have sent you to the last appointment, you have always been approachable and professional. I will always remember you,
thank you again. I am the happiest girl in the world !!
by Praveen (Visakhapatnam - Andhra Pradesh)
This lists many of the urology services available at our urology centre. A detailed list of urology conditions that we treat and urology procedures that we perform can be found on main links of the page.
- Prostate problems
- Blood in urine ( hematuria )
- Cancer ( uro-oncology )
- Urine leakage ( incontinence )
- Laser circumcision
- Reversal vasectomy
- Laparoscopy surgery
- Endoscopy surgery
- Percutaneous surgery for stone
These are some common urology conditions, arranged according to the organ involved.
- Kidney and ureter
Kidney cancer can cause pain, blood in urine and sometimes a feeling of fullness or compression in the abdomen. However, in many occasions, it may not cause any symptoms. It is best diagnosed with a CT scan or ultrasound examination. An urologist will perform an ultrasound test as part of his examination of the patient in his clinic. Urology management of kidney cancer ranges from surgical removal ( nephrectomy ) of part or entire kidney and percutaneous ablation.
Symptoms of pyelonephritis or kidney infection are fever and pain over the affected kidney (back pain). The urologist manages these infections with antibiotics and ultrasound or CT scan to ensure response. In some cases, the infection may progress and require surgery to drain any pus that may have accumulated in pyelonephritis.
Kidney and Ureter stones
Urinary stones originate from the kidney and may migrate in to the ureter. Stones causing obstruction may result in severe pain and complications such as infection and kidney damage. Stone treatment includes medication to dissolve certain type of urine stone. Shock wave is commonly used to treat larger kidney or ureter stones. Surgery by endoscope and laser is done for more complicated ureter stones.
Kidney cyst is a common urology condition and is usually of congenital origin. Most cysts should be evaluated by a detailed CT scan to determine the exact size and nature of the cyst. The urologist would observe cysts with suspicious character and may suggest surgical removal if there is possibility of cancer changes. Large number of cysts may replace the kidney resulting in long-term kidney failure.
Prostate enlargement or benign prostatic hyperplasia ( BPH )
Prostate enlargement is a very common urology condition in elderly men. BPH is a non-cancer enlargement of the prostate, typically affecting males from 50 years old. Symptoms include difficulty in passing urine and frequent passage of urine in either day or night. Treatment includes prescription of medications to decease prostate enlargement. Endoscope surgery or laser prostate surgery to remove part of the enlarged prostate is another alternative.
Prostate cancer may not be associated with any symptoms at all during the early stage. Early stage cancer is potentially curable by laparoscopic prostatectomy surgery or radiation. Early diagnosis from blood test by Prostate Specific Antigen or PSA is advised for men above 50 years old. Advanced prostate cancer can still be effectively controlled by hormone therapy.
Prostatitis or prostate inflammation
Inflammation of the prostate gland may occur suddenly resulting in acute prostatitis. It causes pain in the scrotum, penis, lower abdomen and anus in addition to fever and general lethargy. This must be treated urgently by the urologist with intravenous antibiotics. Sometimes, it may progress to chronic inflammation or chronic prostatitis. This is a prolongation of the above symptoms but in a much milder form and might even last several months. Urology management can be complicated and include long-term antibiotics, anti-inflammation drugs and drugs to relax the prostate.
Blood in urine, either visible or detected by urine tests, may suggest bladder cancer. Diagnosis is confirmed by performing a cystoscopy examination and biopsy of the bladder. The urologist can perform this simple examination under local anesthesia. Early bladder cancer can be effectively treated by endoscopy removal of the tumor and infusion of chemotherapy agents directly in to the bladder, avoiding other major side effects of chemotherapy.
Bladder infection or cystitis
Bladder infection is a commoner urology condition in females than males due to a shorter urinary tube in the female. In any case, they require antibiotics treatment. All urinary tract infections in male and frequent infections in female (more than 2 in a year) should be investigated by the urologist. Urology evaluation includes scans of the kidney and cystoscopy examination of the bladder and functional study of the bladder and process of urination.
Large stones may form in the bladder as a result of chronic bladder infection or inefficient drainage of urine from the bladder. They may cause blood in the urine, pain during passage of urine and decreased urine flow. Stones of up to 5cm in size can be effectively treated by scope and laser surgery. The urologist would fragment the stone to sand particles before removal.
Urinary incontinence or leakage that occurs during coughing, sneezing, laughing or exercising is called stress urinary incontinence. Urology treatment includes pelvic floor exercises, oral medications (pills) or a simple tape surgery (usually for females). Frequent urination leading to leakage is called urge incontinence. This is corrected with bladder training exercises and medications. Night incontinence in children is called nocturnal enuresis and is managed by timed voiding and prescription of a short-term medication.
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