This is a branch of urology which deals with the dynamic study of the bladder. It consists of uroflow and pressure flow studies.
Uroflow is a voiding study which measures the velocity of the voided urine as a function of voided volume and compares it with a series of nomograms. This tells the urologist whether the person is having obstruction or not during voiding.
This is a more detail study of the bladder. This is carried after inserting pressure transducers in the bladder and rectum to measure pressures and a filling line in the bladder. In this study, the urologist finds out how the bladder behaves to different volumes of filling.
The study is in two phases the filling phase and voiding phase and the parameters studied are bladder volume, sensations, detrusor compliances and stability during filling phase and detrusor contraditiy and evidence of obstruction during voiding.
By compiling this test with EMG we can find detrusor ext. sphincter dysynergia. This pressure flow test is done in patients with prostatic enlargement, neurological problems spinal injuries, incontinence patients.
KLES Kidney Foundation established the first mobile lithotripsy services in north Karnataka in the year 2002. Dornier state of the art Lithotripsy machine was installed in a van so that it could be taken to near and far areas to offer the services of lithotripsy at rural and semi-urban areas of north Karnataka and Goa. This lithotripsy units crosses and covers Belgaum, Bagalkot and Karwar districts. Centres in Ankola, Kumta, Honnavar , Jamakhandi , Mudhol , Gokak are covered by this unit . The charges are at concessional rates to help the poor and needy.
Andrology & Sex Clinic:
We have very advanced gadgets to investigate problems of erectile dysfunction. The basic test is the Rigi scan.
Rigiscan is a highly advanced gadget which records the different events that accompany erection. It is a very useful tool to differentiate between functional and organic ED.
In the OPD we have facilities to carry out a provocative Rigiscan where we give a visual stimulus in form of erotic movies. This we combine with oral medications to increase the efficiency of the test. It is a helpful if the patient takes this test in company of his female partner.
We also have facilities for intra cavernosal injections, vacuum pump and colour Doppler studies. We also provide facilities for implantation of artificial prostesis for patients where conservative management fails.
Do You Know?
- There are more than 2,000,000 patients with renal failure in India.
- Every year, in India, there are 1,00,000 new patients with end-stage renal failure (ESRD) who require treatment.
- Of these patients alone, 9,00,000 patients will require dialysis, apart from the already existing patients.
- Only 2% of these patients can avail of dialysis treatment.
- Only 5% of these patients get transplanted.
- Less than 0.5% of these patients undergo peritoneal dialysis.
- The cost of dialysis per month could sometimes amount to the entire family income per month, or even more than that.
- 1 out of every 3 girls and 1 out of every 5 boys will have a urinary tract infection before the age of 11 years.
- Causes of renal scarring in children:
· 10% of the cases are due to uremia.
· Upto 38% of the cases are due to hypertension.
· 13% of the cases are due to toxemia of pregnancy.
- Renal scarring is the 4th leading cause of transplant in children.
- 30-40% of the cases of chronic kidney failure (requiring dialysis) are due to diabetes mellitus and 15% of the cases are due to hypertension.
- The global incidence of chronic kidney failure in children is five per million children (who are under the age of 12 years) per year.
- Kidney-related problems in a growing foetus can be picked up during a routine abdominal ultrasound of pregnant women. If a detailed follow-up is done throughout the intrauterine life of the affected baby, then soon after the birth, these defects can be corrected.
- Infections of the kidney that occur early in life (that is, within 2 years), if left unidentified, and improperly investigated and treated, will lead to scarring and irreversible damage. The symptoms pertaining to kidney diseases in children could be in the form of a failure to thrive, vomiting, pallor (anaemia) and growth retardation. A high degree of suspicion is necessary to diagnose urinary tract infections and a renal problem in children.
- Acute Kidney Failure: can occur following severe infection, severe diarrhoea and vomiting with dehydration, extensive burns, poisoning with toxic chemicals or drugs, or as an allergic reaction to certain medications. This is often a temporary situation. Here, timely treatment can often retrieve the kidneys to near normalcy.
- Chronic Kidney Failure: occurs due to an immunological disease affecting the kidney (chronic glumerulonephritis), diabetes mellitus, hypertension, genetic diseases affecting the kidney (polycystic disease), or a block to the urinary passage for a prolonged period of time.
- Most of the kidney diseases in children are due to common treatable causes. The main advantage of a child’s kidney is that, as a growing kidney, it has the capacity to recover if timely treatment is administered. Whereas, an adult kidney in which the process of destruction had commenced in early childhood, but had gone undiagnosed, can succumb to irreversible damage.
- An adult kidney (either from a living or cadaver donor) can be transplanted to a child [who has suffered irreversible kidney damage due to end-stage renal failure (ESRD)].
A girl child who undergoes a kidney transplant can have a normal growth phase, including ‘menarche’ – the onset of menstrual cycles.
- Children cannot be subjected to repeated dialysis. This is because, in children, the blood volume is naturally less. Therefore, haemodialysis is not a good preposition. Even technically, dialysis in children may pose difficulties, as the blood vessels in children are small.
National Kidney Foundation Information Resource
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