MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Gender: Male
Language Spoken: Bengali, Hindi, English
Experience: 12 years
Contact No. : 88743 15393
From: AMRI HOSPITAL, DHAKURIA : 5, Gariahat Rd, Ward Number 90, Kolkata, West Bengal 700029., Kolkata, India
Website: https://drbimaleshpurkaiturologist.com/
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Dr Bimalesh Purkait, is a board-certified urologist and urological surgeon with 12 years of experience. He has extensive training in the treatment of urological conditions, including prostate, kidney, bladder, and testicular cancers, as well as male infertility, erectile dysfunction, and urinary incontinence. With a strong commitment to providing personalized, evidence-based care, Dr. Purkait utilizes the latest surgical techniques and technologies to ensure the best outcomes for his patients. When he is not treating patients, he enjoys staying up to date with the latest advancements in the field through continuing education and research.
Balanitis (Foreskin Symptoms) Bedwetting (Nocturnal Enuresis) Benign Prostatic Hyperplasia Bladder Cancer Bladder Exstrophy Bladder Hernia (Cystocele) Bladder Stone Blood in the Semen Blood in the Urine Epididymitis Erectile Dysfunction (Impotence) Frequent Urination Glycosuria (Glucose in the Urine) Hydrocele Hypospadias Kidney Cancer Kidney Cyst (Renal Cyst) Kidney Failure (Renal Failure) Kidney Infection (Pyelonephritis) Kidney Stone Disease Male Infertility Neurogenic Bladder Dysfunction Nocturia Orchitis Overactive Bladder Painful Urination (Dysuria) Penile Cancer Penile Fracture Peyronie's Disease (Penile Fibrosis) Premature Ejaculation Priapism Prostate Cancer (Prostatic Carcinoma) Prostatitis (Prostate Inflammation) Retrograde Ejaculation Smoking (Nicotine Dependence) Spermatocele Stress Fracture Stress Incontinence Testicular Cancer Testicular Pain Testicular Torsion Undescended Testicle (Cryptorchidism) Urethral Stricture Urinary Incontinence Urinary Retention Urinary Tract Infection (Bladder Infection) Varicocele Vesicoureteral Reflux
Circumcision Colpocleisis Colporrhaphy Cystectomy Cystography Cystoscopy Fulguration Lithotripsy Microepidydimal Sperm Aspiration (MESA) Orchiectomy Penectomy Penile Implant Percutaneous Epididymal Sperm Aspiration (PESA) Percutaneous Nephrolithotomy Percutaneous Nephrostomy Prostatectomy Sacral Nerve Stimulation Stress Incontinence Testicular Sperm Aspiration (TESA) Testicular Sperm Extraction Uretectomy Vasectomy vasoepididymostomy Vasovasostomy
All Indian Health Insurance Companies are accepted
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May be. Neobladder will help void through normal passage after surgery. But neobladder is not suitable for all patients and need expert urologist.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
There will be one urine pouch made along abdominal wall and urine bag attached with it for life long. This is called ileal conduit.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Removal of whole urinary bladder and surround organs to cure bladder cancer. This is one of the biggest surgeries in urology oncology.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Nothing is absolutely harmless. These are also toxic and causes multiple side effects. They are basically palliative and cure of disease is not possible like radical cystectomy.<...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
TURBT is must for all patient. It is microsurgery and safe for most patients including very old and with multiple comorbidities. However, after biopsy there are chemotherapy or radiotherapy ar...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
No. TURBT is must for biopsy confirmation. After TURBT operation, there are many options available. Optimum treatment will be decided by treating urologist.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
For low grade, small tumor-TURBT is definitive treatment. For high grade or very large tumor, repeated TURBT or radical cystectomy may be appropriate. This will be determined by your treating ...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes. All treatment depends on biopsy report. Biopsy confirm bladder cancer, there characteristics, grade and muscle invasions.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
This is initial or most commonly performed surgery for bladder cancer. This is microsurgery and there is no cut mark outside body. TURBT removed bladder tumor and then specimen sent for biopsy...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Bladder tumor to be removed by microsurgery. There should be not any delay in starting surgery, otherwise tumor can spread rapidly.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Cystoscopy is looking inside urinary bladder. Special microscope/camera and light used to look inside urinary bladder for causes of bleeding. This is mandatory for anyone who are suspected to ...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
You should consult with your urologist as soon as possible. Your doctor will examine you, advises ultrasonography and urine report. Most of the time, these reports detect causes of bleeding. I...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Painless bleeding with urine, passage of blood clots, urgency, dysuria, weight loss are common problem of bladder cancer. However, symptoms and signs depend on tumor stage and patient profile....
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Chronic smoking, older age> (50 years), long term catheterization, urinary bladder stone, chemical industry workers are risk factors for bladder cancer.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Male and female >50-60 years age, chronic smoker with painless hematuria is commonly affected.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Urinary bladder cancer is very common in older people. This cancer is very serious is nature and usually recurs if not treated properly. Tumor occurs inside urinary bladder and cause urinary p...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes, there is possibility of infertility especially local radio or chemotherapy used for tumor control. Sperm banking can solve this problem in some patient. Your doctor may guide you in detai...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
For some patient, having large tumor spread to abdomen and non-response to chemotherapy /radiotherapy, abdominal surgery may be needed for cure. With effective chemo or radiotherapy, these are...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Chemotherapy and radiotherapy or both are required for tumor control. Both options are well establishing treatment for testicular cancer. Seminoma and non-seminoma are common variety for testi...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes. But it depends on stage of the disease, early-stage cancer patient will get complete cure with adequate treatment. Advanced or metastatic disease will get less chance for cure even after ...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Usually, no. If opposite unaffected testis is normal, then affected testis usually have to be removed completely. But in some special situation like single testis or tumor is very small and do...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Surgery is the best treatment for testicular tumor. High inguinal orchidectomy surgery to be performed for best care. After surgery the tumor and affected testis sent for biopsy for tissue con...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Testicular tumors need urgent attention and prompt consultation with urologist. They must be evaluated and treated as soon as possible. Early treatment may decrease the complication and bad ef...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Alpha feto-protein (AFP), beta HCG and Serum LDH are commonly elevated in varying degree. Your doctor may advise them along with high resolution scrotal ultrasound. These are testicular marker...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Palpable by hand of any hard, painless or irregular swelling that is gradually increasing in size is commonly presented as testicular tumor. In doubtful cases, testicular ultrasound advised an...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Young children or adult, 20-40 years are most affected. However, younger or older people may also get affected by testicular tumor.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
No. There are different types of swelling may happen inside scrotum or testis, all are not cancerous. Infection, trauma, and some non-cancerous swelling may be present.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Testis are two in number and situated inside scrotum. Testis are important for men’s sexual, fertility and general health. Any swelling inside testis is called testicular tumor. Testicul...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes. Smoking and tobacco chewing has same bad effects.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
It is necessary to stop smoking immediately and then consult with urologist for best possible treatment. Smoking adversely affect treatment outcomes in cancer patient. Smoking is associated wi...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
It is very difficult to say all smoking patient will develop cancer, but it is certain that if someone smokes, they will get higher cancer risk than nonsmoker. This happen because, there are m...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
If you quit smoking for >10-14 years, then your risk of developing cancer will get drastically decreased but still not equal to nonsmoker. After quitting >14 years, you have only 1.1 rel...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Those who smokes for long time, may be years called chronic smoker. Bad effects result from chronic smoker mainly. Sometime some people takes multiple packs of cigarettes or bidi, they are cal...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Those who smoke called as active smoker. If one smokes, surroundings person also inhales smoke because of the smoke spread in the air. This is called passive smoker. Some study says, passive s...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Smoking has many types of carcinogenic substances. These substances cause cancer.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes. Smoking is responsible for almost all types of body cancer. Obviously, smoking is the most important risk factors for urological cancers risk i.e., kidney, urinary bladder, and penile can...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Among all urological cancers, prostate cancer is the most slowly growing cancer. But it all depends on the stage of disease at the time of diagnosis. Early or localized prostate cancer i...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Early-stage cancer-Surgical removal of the prostate (Radical prostatectomy), advanced stage disease-surgery/radiotherapy, for metastatic disease-hormonal injection. However, types of treatment...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
You should visit a urologist first. Early-stage cancer may be curable by doing surgery which will be done by a urologist. The advanced-stage disease may be dealt with by both urologists and on...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
You will be advised of some imaging tests (like MRI/PET SCAN/BONE SCAN) for accurate staging or spread of cancer. Before any treatment decision, staging is mandatory.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Not every patient needs a prostate biopsy. Those who are vulnerable and debilitated for other severe problems (like severe heart disease, last-stage kidney disease, severe neurologic disease, ...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
No. It is mandatory before taking any treatment for prostate cancer. However, diagnosing prostate is not helpful for all patients.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
For confirmation, always do the prostate biopsy.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
PSA, MRI prostate (multiparametric MRI) with PIRADS scoring, and PSMA PETCT scan may be advised if doubtful for prostate cancer.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Don’t panic. Not all raised PSA will be prostate cancer. Your doctor will assess, examine, and then advise some tests to further confirm your diagnosis.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
No. No PSA is safe for prostate cancer, even normal-range PSA may be indicative of prostate cancer. However, PSA<4 usually has a very low chance of getting prostate cancer. There are rare v...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Other than prostate cancer, the following are reasons for raised PSA.
- Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
When a normal prostate becomes Prostate cancer. In prostate cancer, PSA is raised in a variable range.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
<4 ng/ml. The different labs may take slight variances in the normal reference range.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
PSA is a prostate-specific antigen. It is produced and secreted from the prostate gland. It is measured in blood.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Urologist checkups and periodic PSA screening help detect early prostate cancer.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Men, older age, usually, above 60-70 years. However, no age is safe for prostate cancer, nowadays even younger age groups are also getting prostate cancer.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Persistent fever or pain and swelling of the testis (probably (UTI)
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
It depends on the pathology lab. From a private lab, usually, 3-5 days later you will get a biopsy report.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
No.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Sterile urine, stop anti-coagulant (like ecosprine), and avoid constipation. Details will be explained and written by the hospital the day before the procedure.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Usually, minimal side effects in expert hands. These include…
- Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Usually day care procedure. After the procedure, 4-6 hrs. observation is needed and then the patient can go home with oral medications.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
10-15 min, depending on the expertise of the urologist.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Prostate biopsy is done under ultrasound guidance, so sometimes called TRUS (transrectal ultrasound) guided prostate biopsy. It is done in a lateral position with both legs flexed at knee leve...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Usually done under anesthesia, sometimes local anesthesia, so nowadays pain is not there. However, if adequate anesthesia is not given, there may little pain for the duration of the procedure....
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
The urologist / Radiologist does a prostate biopsy.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Till now, it is mandatory before any type of prostate cancer treatment. Despite having a special MRI and PET scan of the prostate, we still need a prostate biopsy report to confirm prostate ca...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Prostate biopsy is taking a few prostate chips/ tissue by needle puncture through the perineum, usually done under ultrasound guidance. This is a very common procedure to confirm prostate canc...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Usually, an oncologist has no role in early-stage kidney tumors because medicine does not work for kidney tumors, they are treated by urologists. But for advanced disease, where surgery is not...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes. However, they are usually different types from adult patients.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes, always there must be follow-up visits. Visit frequency may be decided by your urologist depending on disease stage and biopsy reports.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Usually, No. Only late-stage or advanced metastatic disease may be treated with limited CT/RT, and immunotherapy with poor results. But they are not curative treatments.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes. Both partial and radical nephrectomy can be done by laparoscopically/minimally invasive technique.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Completely safe in expert hand. But complications are little more than radical nephrectomy. Partial nephrectomy patients had a chance of tumor recurrence and a high probability of urine leakag...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Sure. One kidney is sufficient for survival and normal life. No need to panic after the removal of one kidney if an opposite kidney is normal.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
An early or small tumor can be removed without removing the kidney, this is called a partial nephrectomy. But it is not feasible in all cases. If the tumor is large and located in the middle o...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Practically no. However, in rare cases, small tumors or tumors in frail patients may be treated with non-surgical therapy like cryotherapy or radiofrequency ablation. However, these are not st...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes. The only definitive or curative treatment of kidney cancer is surgical removal (Radical or partial nephrectomy). There is no medical treatment for cure for kidney tumors.
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
No, don’t try unnecessary medicine for false belief to treat kidney tumors. They will delay proper treatment and make a worse prognosis for the patient.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes, kidneys are serious in nature if untreated or delayed, and timely effective treatment helps cure patients.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
You should consult with your urologist immediately and they will guide you according to your disease status.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Males, chronic smokers, obese patients, and hypertensive patients are more prone to kidney tumor development.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes, usually daycare procedure and minimal problems on the expert hand. However, renal failure patients and patients on anticoagulants (like ecosprine) may be challenging and difficult cases f...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Kidney tumor biopsy is not indicated for all patients. For clear-cut diagnoses on CT/MRI scans, kidney tumor biopsy may not be needed and directly go for surgical removal of the tumor as early...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Usually, ultrasonography is the initial test for diagnosing kidney tumors. But USG scan cannot confirm the nature of a kidney tumor (benign or malignant), so for confirmation and staging purpo...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Surprisingly, small kidney tumors are completely asymptomatic or minimally symptomatic. Vague pain abdomen, fever, hematuria, and unexplained loss of weight may be presenting symptoms in some ...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Any swelling or lump arising from the kidney is known as a kidney tumor/cancer. The tumor may be benign or malignant. Malignant tumor is known as cancer.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Inside the abdomen, on both sides in the flank region. The kidney is located very deep in the posterior region and is sometimes more easily felt from the back than the front abdomen.
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
The kidney is a very important organ in the human body. They act as filters and remove unnecessary waste products from the body. There are two I numbers, one on left and one right side of the ...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
CIC is less cost effective, less side effects, less long-term complication (UTI, Stone formation, cancer etc.) than long term Foley catheterization.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
For Nelaton catheter, one can use for many times and many days or even weeks if catheter is not broken or damaged. For E Coli catheter, usually they are single use and comes in branch of 50 or...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
You can apply extra jelly and use new catheter in this condition. There may be recurrent stricture or passage may not be adequate for passing catheter. Or sometimes catheter may get blocked du...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Pain, burning micturition, bleeding may occur during CIC. Usually, adequate lignocaine jelly will decrease pain and burning micturition. However, if problem persist, you should consult your ur...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
For stricture patient, there may be problem over time, if you don’t follow CIC advise, stricture may recurs early. For neurogenic bladder, CIC is must or otherwise patient will need long...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Not really. Your doctor will guide you on how long you need CIC.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
For stricture urethra or narrow passage, your doctor will advise to how frequently to do CIC. Usually, it is done daily and then decrease gradually to once weekly or monthly.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Patient himself can do once explained and teach properly. Patient who are debilitated, parkinsonism or have cognitive problem, they can’t do CIC. Female patient also gets some diff...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
After use, clean with normal water and dry in sunlight preferably. After drying, keep the catheter in a dry placed and use again when necessary. Don’t use hot water for cleaning.<...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
It is done with 12 or 14 Fr Nelatone catheter or commercially available E coli catheter. They need not to be sterile but must be clean. It is done at sitting position with clean hand. First, 2...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
CIC is clean intermittent catheterization. This is a technique used to evacuate urine from urinary bladder in some patients. It is advised for underactive bladder (neurogenic) or stricture ure...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
When urinary bladder is unable to remove urine with good force despite no urethral blockage, then it is called underactive or neurogenic bladder. It is usually seen in very older age, spinal c...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Stricture urethra is a chronic disease, which means it recurs very often. It does not respond to medicine and treatment is only surgery. Dilation of urethral passage is done for good urine flo...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
It is narrow passage of urethra both in male and female (commonly occurs in male>female). Narrow urethra cause problem in passage of urine flow. Patient will have difficulty in passing urin...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Education about prostate symptoms and reassurance-patient must understand prostate and urinary symptoms relation, BPH progression, and consequences. They must be assured that an enlarged prost...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
For no symptoms or mild symptoms due to BPH, one can get relief by following some diets, fluid intake, and exercises. There is no need to take prostate medication for these patients. However, ...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
BPH-related problems are called LUTS, i.e., lower urinary tract symptoms. These problems are scored as mild, moderate, and severe. If someone has mild symptoms, then he may not need any medica...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Never. Simple enlargement of the prostate without any urinary problems does not need any medical treatment. However careful observation and follow up needed.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
BPH is the benign enlargement of the prostate, a common cause of urinary problems in men older than 50 years. As age increases, the incidence and prevalence of BPH also increase rapidly.
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes. Overall, microsurgery is safe for most patients, even if it can be performed in older age groups. There are mild complications or side effects seen after surgery. Complications are less c...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
No. Laser is suitable for selective BPH patients, but not for all cases. It is mainly suitable for very large prostates, cardiac patients (on anti-coagulant), etc. Some BPH patients may have t...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
TURP. Transurethral Resection of Prostate surgery is most commonly performed worldwide for BPH.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
There is no best surgery suitable for all patients. Surgery deepens on many factors like prostate size, shape, facilities available, surgeon expertise, cost of surgery, patient’s choice,...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
All benign enlarged prostate surgery is now microsurgery. Microsurgery is done through the urinary passage, so there will be no scar marks on your body. Microsurgery is done with different tec...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
BPH is not itself a cancerous disease but cancer may be developed eventually form a long-standing disease or denovo. It is difficult to say which enlarged prostate will develop cancer later on...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
There may be recurrent UTI, urinary retention, and hematuria like dangerous problems if you don’t treat symptomatic BPH.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Not at all. If the patient does not have any urinary problems, then mere enlargement of the prostate (mainly seen on ultrasound) does not need any treatment. It is wrong to treat asymptomatic ...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes. There are many indigenous treatments available from various parts of the country and claims effective against BPH. But these are mostly anecdotal and they give only mild improvement of pr...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
If the following problems occur due to BPH, then prostate surgery may be better for the appropriate patient. Unable to void after acute urinary retention, recurrent hematuria, recurrent urinar...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
No. Most of the patients with enlarged prostate-related symptoms do not need surgery. Only if medicines do not help to relieve symptoms or the problem is so severe that treatment is not improv...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Even after urinary retention or recurrent UTI/hematuria, some patients may recover with appropriate and adequate medicines. It may take a few weeks to have the best results. This will be decid...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Yes. Almost >80% of patients will improve upon taking specific medicine for BPH. However, it needs an accurate assessment by a urologist to have the best treatment result. Empiric treatment...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Hematuria, urinary retention, recurrent urinary infection, stone formation, kidney damage, etc.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Slow flow of urine, post-void dribbling, repeated urination, urgency, straining during micturition, incompletes sense of voiding, dysuria/burning micturition, nighttime urinary frequency, urin...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
No. BPH is benign prostatic hyperplasia or enlargement. Prostate cancer is a completely separate disease and needs different tests, evaluations, and treatments.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Maybe. If family members (father, grandfather, etc.) had BPH, then you may have a higher chance of prostate-related problems. This is called a hereditary risk factor.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Probably not as increasing age is the only important risk for an enlarged prostate. However, education regarding prostate health and regular screening may help reduce the consequences of BPH.<...
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
Older age is the most important risk factor. Others are hormonal, dietary calcium or vitamin D imbalance, smoking, different immunogenic or growth factors imbalance, etc.
...Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
It is a small gland located just below the urinary bladder. Normal size is 20-25 ml or gm. Prostate growth is under the influence of the testosterone hormone. Present only in males.
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
It is a small gland located just below the urinary bladder. Normal size is 20-25 ml or gm. Prostate growth is under the influence of the testosterone hormone. Present only in males.
Dr. Bimalesh Purkait MBBS,MS (GEN.SURG.), M Ch (UROLOGY)
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