Agra Urology Center Maitri Urology & Stone Laser Clinic

18/05/2025

Healthy Prostate - 5 ways to maintain it

The prostate gland, an essential part of the male reproductive system grows throughout your life. As you grow older, it becomes imperative to keep this organ healthy.

Here's what you can do to maintain a healthy prostate:

1. Workout to stay fit - Exercising regularly and maintaining an optimum weight can help to keep your prostate gland at an optimal health. Several types of research have revealed the beneficial aspects of exercising. It's said that physically active men are less likely to suffer from enlarged prostate if they performed a physical activity of low to moderate intensity. Likewise, physically active men who ran for 90 to 108 minutes are 20% less likely to develop erectile dysfunction.

2. Eat fruits and vegetables - Including fruits and vegetables in your diet can help to maintain a healthy prostate. Guava, papaya, tomato and watermelon are some of the options that spell good for your prostate. Vegetables like cabbage, cauliflower, broccoli and Brussels sprouts should also be included to boost the health of the gland. Ideally, you should have about 5 servings of fruits and vegetables daily.

3. Have more soy products - Eating more soy products like tofu, soy flour, soy nuts can help to keep cancer of the prostate at bay. A study published in the British Journal of Urology International revealed that men who had soy products saw a 40% decrease in their risk of developing an enlarged prostate.

4. Have selenium-rich foods - Having foods rich in selenium (a powerful trace mineral) like tuna, eggs, cashews, onions, garlic, etc can reduce your risk of developing prostate cancer.

5. Say yes to healthy fats and no to trans and saturated fats - Choosing healthy fats like avocados, nuts, and olive oil can aid in boosting prostate health. At the same time, limiting saturated fats and trans fat intake are vital for keeping the prostate gland healthy. If you wish to discuss about any specific problem, you can consult an urologist.

18/05/2025

18/05/2025

17/05/2025

Silent symptoms & sign of Kidney stones disease -

Severe, sharp, and debilitating, the pain of kidney stones could bring daily life to a sudden halt, and make even simple tasks a struggle. However, the renal stones do not form overnight, as crystals and mineral deposits slowly accumulate in the kidneys till they harden to become a stone-like object that begin to irritate and scratch urinary tract lining and cause inflammation in the body.

There is no clear answer on how to prevent their formation completely, but certain lifestyle habits can certainly help. Drinking enough water, eating a diet rich in fibre, and avoiding excessively salty foods can reduce the risk to some extent. Certain supplements and medicines may also increase the risk. Staying well-hydrated is especially important, as stones tend to form when urine contains too little water

What are kidney stones?

Kidney stones are solid accumulations of minerals and salts that develop within the kidneys.
Though they tend to be very painful, some of the initial signs can be insidious and so subtle that people usually ignore them on confuse them for symptoms of minor health issues. However, paying close attention to these silent symptoms can warn you ahead and take measures.
There are several types of kidney stones, and the most common are calcium oxalate stones. These stones usually form when there's an imbalance in the urine - low levels of citrate and high levels of calcium, oxalate, or uric acid.
Diets high in oxalate (found in many plant and animal foods), poor hydration, and genetic factors can all increase the risk of developing these stones.

Silent signs of kidney stones

Six silent signs include frequent urination, cloudy or smelly urine, lower back pain, nausea, chills or fever (with no other obvious cause), and unexplained tiredness.
However, these signs being vague and non-specific may be neglected by people, and this may cause the ailment to escalate.

Do men and women have different kidney stone symptoms?

This is true. Kidney stones may show up different symptoms in men and women, although both genders also share common symptoms.

In men, kidney stones usually manifest as stinging pain which starts in the back and radiates to the groin, and might be confused with muscular strain or hernia.

Women, however, can mistake the pain for menstrual cramps, urinary tract infections (UTIs), or reproductive conditions.

Due to women's higher risk of UTIs, the similar symptoms - such as urinating more than usual and pelvic discomfort - can hinder accurate diagnosis

"Differences in hormones and anatomy might also affect how stones form and where the pain is perceived. In addition, females are more likely to complain of generalized symptoms like fatigue and nausea, whereas men are likely to complain of localized and intense pain

Compared to men women are more prone to misdiagnosis as a UTI or reproductive issue due to overlapping symptoms.

While men are less likely to be misdiagnosed due to more typical stone pain patterns. However, men may are more likely to notice changes later or dismiss them, while women may notice frequent urination or burning earlier due to familiarity with UTIs

why these differences exist -

Experts explains that part of it may happen due to the anatomical differences. Women's urinary tracts are shorter, while men have a longer urethra and testicles, where pain may radiate.

Men may have a higher risk of kidney stone development than women, as estrogen in women may help reduce stone formation, while testosterone in men may increase the risk.

Six silent signs of kidney stones -

Kidney stones are known to cause intense pain, but early-stage signs are often subtle. In many people, especially in the early stages, stones may go unnoticed, causing damage silently.
Urologist doctors shares six signs and symptoms that could signal kidney stones:

1. Persistent lower back or side pain -

While severe pain is common during stone passage, dull, and intermittent discomfort in the lower back or side can be an early clue. In women, this is often misattributed to menstrual or ovarian issues, while men may confuse it with muscle strain.

2. Frequent urge to urinate -

An increased need to urinate, especially if not linked to fluid intake, could signal a stone near the bladder. Women may mistake this for a urinary tract infection (UTI), while men may assume it’s a prostate issue.

3. Cloudy or foul-smelling urine -

Kidney stones can lead to minor infections or inflammation, which in turn cause cloudy or bad-smelling urine.

4. Blood in the urine (hematuria) -

Even microscopic blood in the urine is a red flag. In men, this may be brushed off unless accompanied by pain. Women might mistake it for spotting or period irregularities.

5. Nausea and vomiting -

Stones can affect kidney function and disrupt electrolyte balance, leading to nausea. Women are more likely to report these symptoms early, while men may downplay or overlook them.

6. Urinary hesitation or dribbling -

Larger stones may block urinary flow. Men, particularly those over 50, might blame this on prostate issues, while women may not associate it with kidney health at all.

Silent kidney stones can grow and cause complications, including infections or kidney damage. Recognizing early, atypical symptoms is crucial, regardless of gender.
Regular check-ups, good hydration, and a healthy diet can prevent stones from forming.
If one of the silent symptoms lingers, particularly in combination with alterations in urine or abrupt pain, medical consultation is necessary

Kidney stones are curable and early diagnosis can prevent serious complications like infection or damage to the kidney. Knowledge of the fine differences in how the symptoms are felt by men and women can help in quicker, more precise diagnosis and treatment.
For that early diagnosis & treatment we should consult nearby Urologist.

14/03/2025

“6 Lifestyle Habits That Are Hurting Your Kidneys Without Your Knowledge “

The some frequent habits that can harm your kidneys. Beware your lifestyle habits put you at great risk.
Your kidneys play a crucial part in the overall health of your body. They aid in the removal of waste and excess fluid from the body. They also eliminate acid to keep the water, salts, and minerals in the body in a healthy equilibrium.
Like Your neurons, muscles, and other body tissues may begin to malfunction if you don't maintain a healthy balance. As a result, it's critical to keep your kidneys in good shape.

We shares some frequent habits that can harm your kidneys:

1. Consumption of a Vitamin-Deficient Diet:

Certain vitamins are beneficial to your kidneys, and a deficiency can cause damage. Vitamin D deficiency has been discovered in people with kidney disease. Vitamin B6 is also proven to help maintain your kidneys healthy when taken with other drugs. Vitamin D can be obtained by sitting in the sun for 10-15 minutes each day. Vitamin B6 can be found in salmon, chickpeas, potatoes, and other starchy vegetables, as well as non-citrus fruits.

2.Overuse of painkillers:

That constant headache may tempt you to reach for the pills on a daily basis, but overdoing so might be hazardous to your kidneys. Yes, they relieve your aches and pains, but they can also trigger kidney cancer.

3. Inadequate Water Consumption:

It's critical to keep your body hydrated. Our kidneys assist in the elimination of waste. Renal stones and other kidney problems can be caused by too many waste products in too little fluid. It is suggested that you drink 12 glasses of water every day.

4. Excessive use of processed foods:

Although processed food may satisfy your midnight munchies, those crispy morsels of bliss might be detrimental to your kidneys. Processed meals are high in sodium and phosphorus, which can contribute to kidney damage.

5. Not Getting Enough Exercise:

Kidney stones are substantially less likely in people who exercise at least three times each week. Walking is recommended for those with impaired kidney function because it can help with cardiovascular difficulties, which are a major health risk for people with CKD and those on dialysis. Make it a point to exercise for 30 minutes a day, five days a week.

6. Excessive salt consumption:

High-salt (sodium) foods and diets can raise your blood pressure, which can injure your kidneys. Rather than oversalting your meal, try seasoning it with herbs and spices. This habit will help you avoid adding salt to your diet over time.

14/03/2025

31/05/2024

*Robotic Surgery*

_How Does the Robotic Surgical System Work?_
To operate using robotic surgery in India, the surgeon makes tiny incisions in the patient’s body and inserts miniaturised instruments and a high-definition 3 D camera. However, in some cases, skin incisions are not needed at all. Then, the surgeon uses the devices from a nearby console to perform the operation.

During a robotic surgery, the surgeon uses master controls to utilise the instruments. The instruments translate the surgeon’s movements into precise movements inside the patient’s body. The surgeon controls the whole time; the surgical system responds to their instructions. However, before going ahead with any procedures, people should know what are the advantages of robotic surgery.

Why is Robotic Surgery Done?
Healthcare providers who use the robotic system find that for many procedures, it enhances precision, flexibility and control during the operation. With robotic surgery, surgeons can perform delicate and complex procedures that might be impossible with other methods.

Often, robotic surgery makes minimally invasive surgery possible. The benefits of robotic surgery are as follows:

_Fewer complications_ , such as surgical site infection
Less pain and blood loss
Shorter hospital stay and quicker recovery
More minor or less noticeable scars
What Are The Major Benefits of Robotic Surgery?
Robotic surgery requires tiny incisions; therefore, the selected patients can benefit from minimal scarring, less surgical trauma, and faster recovery times than with traditional open surgery.

Mentioned below are some of the significant benefits people get by having robotic surgery.

The system uses two high-definition cameras for the surgeon with a magnified view of the surgical site, combining very accurate depth perception with a 40 per cent sharper image than traditional and old systems.
An additional arm is used to hold a retractor or other surgical instrument. It gives the surgeon more operating capabilities.
An instant image referencing is received by the surgeon that displays diagnostic snapshots, for example, ultrasound, CT scan images of the area taken before surgery, and more on the monitor, alongside the surgeon’s view of the surgery being performed.
It offers enhanced near-infrared imaging that is used during surgery and helps in identifying abnormal tissue from normal tissue and evaluating blood flow in real-time.
It also has extra wrist action, which works like a human and helps in holding an array of specific surgical instruments. It gives an even greater range of motion.
The robotic surgery offers scalability that allows the surgeon to calibrate the robot’s arm to move a fraction of an inch for every inch the surgeon’s hand moves, a feature that simplifies the most complex movements, including delicate removals such as suturing, knot-tying, and more.
Significant advancements have been made in the field of robotic surgery in the past few years. Robotic surgery is preferred for urologic, gynecologic, thoracic, cardiothoracic, and gastrointestinal procedures. Moreover, many large hospitals across the United States and the countries around the world , have adopted robotic surgery as a standard
Healthcare professionals are leveraging digital solutions such as AI to improve current surgical procedures. This article highlights 4 ways AI is revolutionizing the field of surgery to help healthcare professionals and business managers in making better future decisions regarding its implementation.

*AI-enabled preoperative planning*
Preoperative or pre-surgical planning refers to the plan that surgeons create of how the procedure will be done. This process is based mainly on historic methods and data of similar surgeries performed. AI can help improve this process.

For example, a study on AI-based preoperative planning for knee arthroplasty (surgery), found that the technology made the process more efficient.
*AI-enabled intraoperative assistance*
This is another popular application of AI in the field of surgery. As mentioned before, surgeries have various complications that can impact the life of the patient. This impact is called surgical trauma. Minimally invasive surgery (MIS) is a combination of techniques and technologies in which the trauma caused by the surgery is reduced to a minimum. MIS procedures are increasingly being used with AI-enabled robotic assistance.

As the potential for robot-assisted surgeries is realized, healthcare professionals are investing more in the technology. The global market is projected to increase from $4B in 2022 to about $18B by 2030.

For example, a study by Harvard Medical School presented that some of the benefits of a robot-assisted prostate cancer surgery include a shorter recovery period, lower post-surgery pain, and fewer post-surgery complications.
*AI for avoiding surgery
Surgery* has many complications attached to it, that is why healthcare professionals do not use it as the first resort. There are some diseases, which can be treated without surgery if detected earlier. For example, peripheral artery disease (PAD) is difficult to detect and in late detection can require surgical amputation of the limb.

Early detection of PAD through AI can help avoid surgical amputations. The National Health Service (NHS) of the UK has initiated a program called Accelerating Detection of Disease (ADD) which will leverage big data and AI to develop solutions for the early detection and anticipation of illnesses in the UK.
Artificial intelligence and 5G network enabled remote surgery in the most urban and distant areas across the world
Remote surgery is another way AI is improving the field. Sometimes the surgeons can not be in the same place as the patient, whether because the patients are in remote areas or is in isolation due to a global pandemic. Remote surgery can help overcome these challenges.

With remote surgery, the surgeon can use surgical robots through a computer or controlling platform to perform surgery while being away from the patient.

While this technology is not common, healthcare facilities are starting to adopt it.

The Da Vinci surgical robot system offers remote surgery with higher accuracy and less invasiveness.
In February 2019, the first tele‐mentored surgery over 5G was done in Barcelona, Spain. The laparoscopic was performed between the Mobile World Congress (MWC) Barcelona 2019 at Fira Gran Via and the Hospital Clinic de Barcelona, approximately 4 km away. The telementored surgery was conducted with the help of a 5G connection provided by Vodafone and an online education portal, the Advances in Surgery (AIS) Channel. The procedure duration was around 118 min, the average latency time was 202 ms, and the mean data upload speed was 98 Mbps, with no observable signal loss, image buffering, or pixelation. Three surgeons rated the image quality as 9.67/10 and audio exchange as a 10 out of 10
Then in 2020 in Fujian ,China the surgery was performed at 48 kms distance and rapidly these tests are being conducted more and more for 500 kms area distance on animal model etc.
Upload speed and download speed should be almost same of the operating place and the place where surgeon is on the console to get the accuracy and prevent lag.
Soon,matching speeds between countries and continents will make it possible where you could see a surgeon from new York operating on a patient in New Delhi.
*Remote tele‐mentored collaboration* could help expand knowledge between clinicians in real‐time, increasing medical aid where 5G networks have been established. The high‐speed data transfer could allow large volumes of research and data collection to be shared in real‐time. New technological advancements could serve as a ground for emerging novel therapeutic applications. While limitations and challenges related to the 5G infrastructure, learning curve, cost analysis and device compatibility exist, conducting further research to overcome these limitations and comprehend the potential benefits of integrating the technology before widespread use for cancer management is imminent. Remote and tele‐mentored 5G‐powered procedures could offer a new tool in improving care of patients requiring robotic surgical management such as Prostrate Cancer patients.
We will also see more information exchange via cloud services among surgical robots. Any of the IT companies above could put a surgical robot on a protected internet with libraries of prior case information along with guidance from the best surgeons in the world. At the simplest level, surgeons could view data, animations, videos, simulations and real-time interactions applicable to a case. At a more advanced level, it creates the infrastructure needed for an AI to provide real-time warnings, guidance and advice during a procedure
We will also see more information exchange via cloud services among surgical robots. Any of the IT companies above could put a surgical robot on a protected internet with libraries of prior case information along with guidance from the best surgeons in the world. At the simplest level, surgeons could view data, animations, videos, simulations and real-time interactions applicable to a case. At a more advanced level, it creates the infrastructure needed for an AI to provide real-time warnings, guidance and advice during a procedure
Imagine a standardized and open operating system for surgical robots similar to your smartphone. This “Surgical Android” system could be licensed by multiple robotics manufacturers who no longer need to create costly software from scratch, but can leverage the skills, debugging and certifications of a commercialized software platform. This would significantly shorten the development and government approval of the software. Beyond AI capabilities, it could also deliver services similar to Google’s and Apple’s app stores, creating a market for third-party software to enhance the capabilities of the robot as an information processing device.

The surgical robotics future offers much more than mechanized extensions of a surgeon’s hands. Robotic software and hardware are the next generation of instruments and tools to improve surgeon skills and patient outcomes, just as technologies like MIS instruments, energy therapies and biologics have done in in the past.
Exciting times lie ahead.