Fortis C-Doc Hospital- Chirag Enclave

Hello Everyone! My name is Dr. Abdul Munnon Durrani. I am a urologist and kidney transplant surgeon.

Today I will talk about the prostate disease. Prostate is a gland which is found in males. As the person ages, the prostate increases inside and volume and it may cause symptoms to elderly male people. The symptoms of the prostate glands are with increased frequency, that means going to the bathroom again and again to urinate. Urgency, that means sudden compelling desire to urinate and nocturnal. That means going to the bathroom to urinate which disturbs the sleep.

The other symptoms of the prostate which one should know i.e. the patient has difficulty urinating that means he doesn't start to urinate immediately. He has to strain to urinate. Basically, the lower urinary tract symptoms which are bothersome. If someone has the symptoms, he should consult a doctor and most probably an urologist. When patient comes to us, we evaluate the patient in number of phase. There are many investigations that we do which include blood test, ultrasound abdomen to see if there is a uro-fro and a PSA. After the complete examination and investigation, we come to a conclusion that this gland is either benign or malignant.

If it is benign and causing symptoms, there are 2 pathways for the treatment. One is taking medical treatment i.e. medicines taken at bed time and which is continued for at least 3-6 months. If the patient improves with these medicines that it can continued with the medicines. The other treatment which we offer as urologist is restriction of the prostate gland by various number of ways. The operation is called transurethral resection of the prostate (TURP). It can be done by using old methods like electricity for cutting or a laser. What are the benefits of a laser and TURP. The benefits are that the patient is off the drugs. There are minimum complications.

The patient stays with us for just 1 days or 2 days and he goes home with a catheter for 2-3 days which is later removed on and he urinates well. The symptoms also go away and the patient is happy. Some patients who have these bothersome symptoms can also be in danger of cancer. And we detect cancer by an examination by PSA and prostate biopsy. They should also evaluate that the gland is benign and not malignant. If malignancy is there, we evaluate completely with a MRI and the before mentioned investigation. The treatment again goes into a medical treatment or surgical treatment.

We prefer surgery for localize glands which have cancer and it includes robotic radical prostatectomy. Otherwise, if the cancer has spread outside the gland or to different parts of body than we offer bilateral orchiectomy i.e. removing the testis or chemo and radiotherapy. But a peson should be wise enough that whenever he starts with the symptoms, he should immediately consult a doctor and should not waste time in getting local treatment. To get rid of this disease, visit and consult me in New Delhi, in Fortis Hospital, Nehru Place. I would be glad to investigate, examine and to diagnose it and to give proper treatment as per latest standard.

Lybrate | Dr. Tanvi Pal speaks on IMPORTANCE OF TREATING ACNE EARLY

Causes, symptoms and treatment for Knee Pain

Hello, I'm Dr. Duraj Prakash, Orthopedic Surgeon practicing in areas of South Delhi and specializing in the field of knee replacement surgery and Orthoscopic reconstruction procedure of knee and shoulder. Today I'll briefly talk about common problems of the knee and how to prevent degeneration of knee in people who're reaching middle age group. Knee arthritis is one of the common problems that we're facing as population ages and people want to become and lead a more and more active life. Generally, knee arthritis has multiple reasons, why somebody gets knee arthritis others don't. It could be related to genetics, lifestyle, the weight of the person and activity level. There is a small group of people where a neglected injury very rapidly damages the joint and gives rise to premature or early arthritis.

The symptoms of knee arthritis are:
1. Pain
2. and Stiffness

Many people use to complain of morning stiffness and the issue becomes complicated if the person trips or falls because weak muscles fall in arthritis. Make sure that cause people to trip and fall more frequently. So the way to avoid is to maintain proper weight. In case someone has got early childhood deformities like bow legs and knock knees it should be appropriately corrected in the younger age group. Then any injury which a person may sustain, it may look innocuous, it may hurt for a couple of days and then becomes alright should never be neglected. If the problem is instability, if your knee feels it is going to slip out of the alignment on a rough surface you must go see an orthopedic surgeon.

Another group of people is ones who are suffering from Rheumatoid arthritis where the problem starts with fingers and small joints of hands and feet but gradually progresses to the knees. These people should regularly do exercise to maintain muscle strength and ensure that they take proper medication in time to prevent long term damage to the knee. Regular strengthening of the knee muscles, the thigh muscles which stabilizes the knee goes a long way in preventing any problem in the knee joint. Even with mild arthritis if your knee and your thigh muscles are strong, your likelihood of getting surgery is very rare. In addition, when the muscles are strengthened not only the knee feels better, the likelihood of fall also reduces to a great extent.

In those people where the knee is already damaged the technology now offers us many remedial measures starting from small procedures to regenerate the cartilage to upcoming procedure like platelet rich plasma, stem cell therapy and reconstruction therapies ranging from many many ways of small surgery partial knee replacement and leading onto total knee replacement which everybody knows right now. The smaller procedures have a very big advantage in terms of safety, better function, smaller stay in the hospital and equally long functional life of the prosthesis. With the newer technology, it is possible to treat these conditions but then the best remedy is to take a step before the problem arises. So stay healthy, keep active and remain fit. In case you have a concern or query, you can always consult Best Orthopedic Doctor in Delhi & get answers to your questions!