Dr. Keshavamurthy Mohan

Consultant Urologist (Visiting) RAK Hospital

What are the common urological problems faced by men over 40 and at what stage should they seek medical help?

Common urological problems faced by men over 40 years of age are:

Prostatitis, Kidney stones, Benign Prostate enlargement, Erectile Dysfunction, Urethral Stricture, Prostate cancer, Kidney cancer. Symptoms that suggest need for urological consultation include:

Dysuria, Di culty in passing urine, increase in night-time frequency, urgency, a sense of incomplete void, hematuria, ank pain, suprapubic pain, perineal pain, testicular pain, backache, and weight loss, among other things. Our basic evaluation includes:

Urological consultation, Per rectal exam, Urine routine, Ultrasound KUB with PVR, Serum Prostate Speci c Antigen (PSA) in case of Erectile Dysfunction, a detailed history , evaluation of diabetes, hormonal analysis, penile doppler test and even a heart evaluation.

Men are encouraged to seek help when urinary symptoms as enunciated above disturb normal daily activity or sleep.

Based on a provisional diagnosis made by the Urologist further specialized investigations are recommended. ese include :

• Uro owmetry, Urodynamic study, CT scan, MRI Scan, PET scan, Transrectal Ultrasound, Urine CS,

• Semen CS, Tests for STD

• Guided biopsy for histopathological exam may be required.

• Treatment of kidney stones is by laser enabled endourological procedures such as Retrograde Intrarenal Surgery (IRS) , Ureteroscopy (URS) and Mini Percutaneous Nephro Lithiotomy (PCNL)

Treatment of Benign Prostatic Hyperplasia that is a health issue that becomes more common as age advances, can be:

• Medication

• Bipolar TURP

• Laser TURP

• HOLEP

ere are several procedures that allow for preservation of sexual functions despite BPH solutions. ese include:

• Rhe’zum, UROLIFT

• Prostatitis can be managed with: Medication, ESWT

• Urological cancers can be managed by a combination of Laparoscopy and Endourological techniques.

Erectile Dysfunction can be managed by procedures such as:

• Medication

• Lifestyle changes

• Extracorporeal Shock Wave erapy

(ESWT)

• Vacuum device

• Penile prosthesis