Tuesday, 22 January 2019

Urine infections in men: causes and treatment


The urinary tract infections also affect men. Although the prevalence is lower than in women, in men the treatment tends to be longer. In the symptoms and causes, it can be seen that men and women are different. The urologist in West Delhi help us to know the peculiarities of these infections.

Prevalence of urine infections in men
Men do not get rid of urine infections, however the prevalence is a little lower than in women. "While urinary tract infections affect between 10 and 12 percent of women of sexually active age and 25 or 30 percent in postmenopause, in young men they are around 2 or 3 percent and when the prostatic volume increases, around 45 or 50 years of age, that figure rises to 7 or 10 percent, "says urologist in Palam.

According to urologist in Janakpuri, in the adult male, the prevalence and incidence of urinary tract infections (UTI) increase after the age of 50, most often related to benign prostatic disease (benign prostatic hyperplasia or BPH). UTIs can affect up to 30 percent of men over 65, and it is estimated that 12 percent of men will experience UTIs throughout their lives. This risk in men is greater in diabetic patients, immunosuppressed, patients with urinary lithiasis and in carriers of urinary catheters transient or permanent.

Causes in man
Urologist in Dwarka says that there is no single cause for the development of a UTI in men. "There are anatomical, hormonal and behavioral factors that can favor the development of an infection. Some diseases such as BPH increase the risk of developing UTI, but also other diseases such as diabetes, urinary stones, neurodegenerative diseases, vesicoureteral reflux ... Sexual activity can favor the appearance of these infections due to the bacterial translocation of germs that cause infection".

The most common bacteria in UTIs are Escherichia coli (responsible for 80 percent of cases), Staphylococcus saprophyticus, Klebsiella pneumoniae and Proteus mirabilis.
Urologist in Uttam Nagar, on the other hand, points out that there are great differences between the causes that cause urinary infections in men and women, among other things due to the different length of the urethra. " Chlamydiae or ureaplasmas can colonize the prostate in young men of sexually active age. In those who already have an enlarged prostate and the emptying of the bladder is more inappropriate, usually the germs that condition the infection are other bacteria: Escherichia coli, Klebsiella and Proteus ", specifies this urologist in Dwarka.

Less intense symptoms 
Roughly speaking, the pain and stinging when urinating (dysuria), the bad smell of urine, the presence of dark color or blood in the urine (hematuria), fever with chills and malaise are symptoms.

"Unlike women, who usually have UTIs with bladder (cystitis) or kidney (pyelonephritis) seats, in men the most frequent seats are the prostate (prostatitis) and the testicle (orchitis or orchiepididymitis), "Says urologist in West Delhi.

More in detail, kidney hospital in Uttam Nagar distinguishes the symptoms of urine infections typical of young men from those of men over 50 years of age. Classify them as follows:
  • In young men, urine infection usually occurs as a prostatitis, which can be acute (high fever, difficulty urinating, severe pain and stinging when urinating, feeling of weight in the area of ​​the anus and genitals) or chronic ( disorders in ejaculation - including haemospermia or blood in the semen - pain in the genitals and in the lower part of the lumbar area).
     
  • In men of more advanced age, the symptoms are pain and itching when urinating or, in some cases, inability to void, which requires the placement of a probe in the bladder.
"As the symptomatology of urine infections in men is less intense on debut, it takes longer to go to the urologist's office. In other words, the acute symptoms make the woman go to the doctor before, "says urologist at kidney hospital in Hari Nagar.

Longer antibiotic treatment than in women
Urologists at kidney hospital in West Delhi  indicate that the treatment of UTIs in men is the same as in women, and their mainstay is antibiotics. The difference is that, because they are considered in the male as complicated infections due to anatomical and local factors, the duration of the antibiotic cycles is usually longer to ensure that the infection disappears (usually between two and three weeks, compared to short patterns of two, three or seven days in the woman).
In some forms of chronic prostatitis, antibiotic treatment must be continued until six weeks.

Recurrence of urinary tract infections in men
The recurrence of UTIs in the presence of a correct antibiotic treatment is low. Risk factors for recurrence are the concomitant presence of prostatic hypertrophy (BPH), urinary lithiasis, immunodeficiencies or voiding disorders of the urinary tract.
According to the best urologist in West Delhi, "the usual thing about women is to have a reinfection. On the other hand, in the man many times the antibiotic removes the symptoms, but there remains a small latent source of infection and weeks later it becomes active again, starting the symptomatology again ".

Advice for prevention
The most important prevention, in the words of best urologist in Janakpuri, "is the control and/or treatment of the predisposing condition, which in the adult male is usually BPH. In general, effective measures for the prevention of UTIs are considered to be adequate water intake (2 to 3 liters of water daily), bladder emptying regularly (urination every 2 or 3 hours) and proper genital hygiene. "

For the young man who suspects a urinary tract infection because he has some symptoms, Burgos recommends, as a preventive measure, "to go to the specialist in Urology soon to avoid becoming chronized." For the over 50, the advice is to go to the urologist, at least once a year, to keep track of your prostate. It will be useful to screen for prostate cancer and to rule out the presence of benign prostatic hyperplasia or, if there is one, to avoid urine infection.

Monday, 14 January 2019

Reasons Why Your Pee Appears Cloudy

Voiding urine is probably something we take for granted often without any regard for the huge role it plays in our overall wellbeing. Urine is an indication of well-functioning kidneys. It should have the ideal color, odor, and fluidity. Any change in color especially indicates a disease or infection that requires our attention, says urologist in Janakpuri.

Cloudy urine is one such abnormal sign of renal or other systemic diseases. In healthy individuals, having too much dairy can cause slight cloudiness of urine, which is known as phosphaturia. This is temporary and doesn’t need treatment. However, there are other reasons explained by urologist in West Delhi why your pee is appearing cloudy.
You Are Suffering From A Urinary Tract Infection
If you have been experiencing a burning sensation during urination and your urine appears cloudy then you should meet the urologist in Palam as soon as possible. Other symptoms include a pungent vaginal odor almost ammoniacal in nature and pain during sexual intercourse. It can also be a symptom of STDs like chlamydia and gonorrhea and require urgent treatment from urologist in Dwarka.
You Are Not Drinking Enough Water
The color of the urine should normally be straw-colored. Anything darker indicates dehydration especially if it’s an amber tone. Not meeting your body’s hydration needs will lead to an improper breakdown of crystalline proteins and toxins in the body. These get removed from the blood via urine and render it a foamy experience, says urologist in Uttam Nagar.
You Have Kidney Stones
Kidney stones are a fairly common condition that can affect almost anyone. If you are experiencing severe flank pain with cloudy urine, then most likely it could be due to stone in the kidney or ureters. Often the stones are too big to pass through urine which causes obstruction and pain during urination. In renal diseases that destroy the filtrations system in the kidneys, proteins start showing up in urine thereby giving it a cloudy appearance, says urologist in Hari Nagar.
Your Prostate Health Is Failing
In men, cloudy urine can indicate that the prostate gland is infected, enlarged or has a cancerous growth in it. The change in urine is one of the ways your body tries to get your attention to a serious underlying condition. In such case, a person should immediately consult best urologist in Delhi.
You Are Pregnant
Many women complain that their urine appears cloudy or milky in early pregnancy. It can happen due to the surge of the pregnancy hormone, HCG, or due to excess vaginal discharge mixing with urine. However, it’s best to consult the urologist in Delhi and get a urinalysis done to rule out any infections. Scientific studies claim that women with UTIs during pregnancy are at a higher risk of having a preterm delivery with low infant weight.
You Have Diabetes Or Hypertension
Urine that appears murky and smells sweet is a red flag as it could mean you have diabetes. Even in individuals with high blood pressure, urine color can change due to the leaking of proteins from the kidney to urine. This condition is known as proteinuria and is often seen in kidney failure induced by diabetes or hypertension and in such case, patient should contact nephrologist in Delhi.
Anytime you spot a difference in color or consistency of urine, seek immediate medical attention as any delay could complicate the pre-existing condition.

Sunday, 6 January 2019

Chronic unilateral obstructive uropathy


Alternative names

Unilateral chronic obstructive uropathy; Chronic ureteral obstruction

Definition

According to best urologist in Janakpuri, it is a condition in which there is a prolonged blockage of one of the ducts (ureters) that drains urine from the kidneys.

Unilateral obstructive uropathy usually occurs when kidney or ureteral stones block the flow of urine. The urine is dammed and causes a swelling of the kidney (hydronephrosis).

Among the risks of suffering from unilateral obstructive uropathy are:
  • Kidney stones
  • Tumours in surrounding structures such as the uterus, cervix, or lymph nodes
  • Ureteral stones and tumours
According to urologist in Janakpuri, Chronic unilateral obstructive uropathy occurs in approximately 5 out of every 1000 people.

Symptoms
  • Abdominal pain in the lower right or left ventral area
  • Back pain that can occur on one side only
  • Blood in the urine
  • Urgent need to urinate
  • Frequent need to urinate at night
  • Painful urination
  • Side pain that can occur on only one side, but can also be felt in the groin, genitals or thigh
  • Urinary infection
Signs and tests

The urologist in West Delhi will perform a physical examination, which includes palpation of the abdomen. The test may reveal a swollen kidney.
A measurement of blood pressure may reveal high blood pressure. A urinalysis can show blood in the urine and a urine culture can determine if the person has an infection.
Kidney swelling or obstruction of the ureter may appear in these tests:
  • Abdominal ultrasound
  • Intravenous pyelogram (IVP)
  • Abdominal or renal CT
Treatment

The goal of treatment is to reduce or eliminate the obstruction.

The stents or drains placed in the ureter or renal pelvis may provide relief of symptoms in the short term.

A nephrostomy tube, which drains urine from the kidney through the back, may be used to relieve the obstruction.

Surgery at kidney hospital in Palam to repair the cause of the blockage usually corrects the problem.

Expectations (prognosis)

This condition causes damage to the urinary tract and can cause permanent damage to the kidneys. If only one kidney is involved, the other kidney usually continues to function and there is no failure or kidney failure.

Complications
  • Chronic or recurrent urinary infection
  • Arterial hypertension
  • Permanent failure of the affected kidney (chronic renal failure)
Situations that require medical assistance

The person should consult with the best urologist in West Delhi if they have pain in the flank or other symptom of chronic unilateral obstructive uropathy.

If this condition has already been diagnosed by urologist in Palam, it should be consulted if the symptoms worsen or persist despite treatment or if new symptoms develop.

Prevention

If the person is prone to kidney stones, he should drink plenty of water (6 to 8 glasses a day) to reduce the likelihood of kidney stones forming.

A diet low in sodium and oxalate, and high in citrate can reduce the risk of developing kidney stones based on calcium, so it is recommended to consult a nutritionist to obtain more information about these diets.

UTIs should be treated promptly and thoroughly at Kidney hospital in West Delhi.

Thursday, 20 December 2018

Treatment of chronic testicular pain


Treatment of chronic testicular pain

As a best urologist in Palam, West Delhi, I have decided to write this post after having treated in my practice, in recent weeks, several patients who had this problem and had long been going around trying to solve without success. In general, the patients I see in the kidney hospital in Palam, West Delhi have been evaluated by a multitude of specialists, they have undergone all kinds of tests, they have undergone multiple treatments ... without solving chronic pain.
The first thing we should do with a patient who is consulting for chronic testicular pain is a good clinical history in which we value:
  • Analysis of pain and its circumstances: from when you have it; possible causes (previous surgeries in the linguino-scrotal, abdominal or retroperitoneal area, traumatisms, infections or inflammations in these areas, etc.); characteristics and intensity of pain; irradiation thereof; triggering factors (when sitting, when urinating, when having an erection, when making a bowel movement, when the testicle is palpated, etc.); associated symptomatology (urinary frequency, urgency, nocturia, rectal or urinary tenesmus); etc.
  • Physical examination:  of the testicle, epididymis, deferent, spermatic cord, inguinal canal (hernias), abdomen, fist, renal percussion, etc.
  • Essential tests:  fractionated urine and semen culture, testicular eco-Doppler, abdominal and urological ultrasound. In some cases, it may be useful to perform Magnetic Nuclear Resonance of the pelvis.
With respect to treatment, our approach is as follows:
  • First, treatment of any process that could have caused the pain: torsion of testicular appendix, varicocele, epididymitis, orchitis, inguinal hernia, testicular tumour, tension hydrocele, etc. One should not lose sight of the so-called referred pain, that is, when the pain is caused by problems in other abdominal viscera but the patient locates it in the testicle (for example, kidney or ureter stones, appendicitis, etc.).
  • Second, use of analgesics. We use Paracetamol, Tramadol or the combination of both, depending on the intensity of the pain. In some cases, it is necessary to resort to specific treatments for what we call neuropathic pain (pain caused by disease or direct problem of the somatosensory nervous system). Among these neuropathic pain treatments, we have: carbamazepine, gabapentin, pregabalin, tricyclic antidepressants, etc.
  • In many patients, especially if the pain is of moderate or severe intensity, very constant, long evolution, etc. it is advisable to resort to psychological or psychiatric support to avoid anxiety, depression, stress, etc. associated with this situation.
  • If the pain does not remit with medication, we can resort to infiltration of the spermatic cord with anaesthetics and corticosteroids; radiofrequency; etc.
But in a high percentage of cases (possibly in more than 50% of patients) none of the above solves the problem. In these patients the only solution is surgery of denervation of the testicle. This is a technique that consists in sectioning all the nervous branches that collect the sensitivity of the testicle, thus avoiding the transmission of the painful sensation to the central nervous system. As a preliminary step, we should perform a cord block with local anaesthetics to confirm the possible efficacy of the subsequent surgical intervention. If the aesthetic block is effective, we will have a guarantee that the surgery will solve the pain. The surgical procedure must be performed by the best urologist in Janakpuri, West Delhi with the help of a surgical microscope that allows us to identify the arteries (testicular and deference); the veins; the lymphatics and the vas deferens, which will be the only structures that will be respected.

Monday, 17 December 2018

Urinary Incontinence in Male & Child


URINARY INCONTINENCE

IN THE MALE
Urinary incontinence in men occurs, in most cases, as a consequence of surgery on the prostate, urethra or bladder, says urologist in Palam.
The therapeutic options are multiple. The most common procedure performed by urologist in Janakpuri are the following:
  • Rehabilitation of the perineal and pelvic muscles: Sometimes it is enough to resort to a good rehabilitation of the perineal and pelvic muscles to solve this problem. This is possible when the patient has residual muscle in the sphincter. On other occasions, rehabilitation should be used as a treatment associated with any of the surgical techniques described below. The results obtained with this type of treatment in our unit have been very satisfactory. The experience accumulated in this sense is broad and conclusive, being a reference centre for other urologist in West Delhi, who refer us to patients with this problem. In our unit, we recommend starting rehabilitation 4-6 weeks after having undergone radical prostate or bladder surgery.
  • Injection of bulking substances: It is a very simple and effective technique in about 50% of cases. When we associate the injection of bulking substances with Rehabilitation, the percentage of improvements and cures exceeds 75%.
  • Mesh placement: In males, meshes can also be used to correct certain forms of UI. The technique is not very complex and the results achieved can reach 70% cure / improvement says urologist in Dwarka.
  • Incontinence prosthesis placement: The results obtained with its implantation are very satisfactory.
IN THE CHILD
The causes of urinary incontinence in children can be very numerous. However, it is usually a problem of uncontrolled urination.
Children usually acquire daytime urinary continence around 2-3 years and nocturnal continence around 3-5 years. These ages are indicative and will depend, to a great extent, on the global maturity of each one.
Therefore, if a child is not able to contain urine during the day after 3 years or during the night after 5, he should consult with the specialist. Currently, most of the urologist in West Delhi think that it is better to value and treat these children from that age than to wait for their spontaneous evolution until they are older.
We, as a team of urologist in Hari Nagar, speak of enuresis when the child presents involuntary urine losses at an age when he should have already acquired control of urination. There are many different types of enuresis:
  • Primary or secondary: depending on whether the child has had control over the pee on occasion or not
  • Diurnal, nocturnal or mixed, depending on the time in which the enuresis occurs
  • Monosymptomatic or complex
  • Etc.
The most common form of presentation is usually monosymptomatic nocturnal enuresis. This clinical picture can appear as a consequence of multiple factors, such as:
  • Neurological factors
  • Psychic factors, critical emotional situations, etc.
  • Sleep problems
  • Hereditary factors
  • Etc.
Although this problem usually resolves spontaneously with the passage of time, it is not advisable to ignore it for two fundamental reasons: firstly, because it can be a more serious problem that starts manifesting in this way; and, secondly, because of the possible psychological effects that this situation could cause the child.
The therapeutic options are numerous. It is usually convenient and necessary to associate several of them to achieve satisfactory results. The available treatments at the hospital of urologist in Uttam Nagar are:
  • Behavioural measures: reduce the fluid intake before going to bed, urinate before going to bed, lift the child to urinate at night, motivate the child, not ridicule, etc.
  • Medical treatments
  • Use of alarms
  • Rehabilitation and voiding re-education.

Tuesday, 13 November 2018

Habits Which Causes Kidney Stones


An expected 30 million Indians have kidney disease, with thousands all the more conceivably in danger for creating kidney issues. Kidney harm doesn't, for the most part, occur without any forethought. It is an unfaltering procedure that happens more than quite a while because of some poor way of life decisions and ill-advised administration of different conditions like diabetes.

As suggested by urologist in Janakpuri, the more unfortunate propensities you have, the more regrettable it gets. Specialists found that guineas pigs with 3 to 4 unfortunate propensities named "undesirable way of life practices," developed their danger of creating constant kidney sickness by 337 percent contrasted with individuals who had no negative behavior patterns.
Hitting the bottle hard
Kidneys enable your body to sift through destructive substances, including liquor. So when you drink intensely, your kidneys are under enormous weight. Doing this all the time can make harm the renal framework.
Liquor is to a great degree dehydrating, and an overabundance level in your body can make your organs be insufficiently hydrated and hamper their execution, says urologist in Dwarka. Liquor is likewise a reason for liver disease, which thusly meddles with the direction of the bloodstream to the kidneys.
Not Drinking Enough Water
Kidneys rely upon sufficient stream of liquids to work appropriately. Remaining hydrated is vital to help the kidneys legitimately flush out the poisons from your body. Urologist in West Delhi reference to lack of hydration as a reason for kidney harm and kidney stones.
Continually Holding It In
Not urinating frequently enough can be awful for your kidneys. Nature's call is intended to be replied in an ordinary, convenient way and in the event that you don't, your body and kidneys specifically hold every one of the poisons intended to be removed. After some time, this can really prompt incontinence and also kidney stones and different types of kidney harm say urologist in Palam.
Winging It With Medication
Adhering to the endorsed meds is vital. A certain prescription can cause kidney harm whenever taken inaccurately or not nearly observed. In the event that your specialist has proposed particular measurements for a settled length, take it just for that long and no more, suggests urologist in Uttam Nagar.
OTC agony prescriptions like headache medicine, ibuprofen, and acetaminophen are for the most part awful for your kidneys whenever taken frequently or every day. Certain anti-toxins (aminoglycosides, amphotericin B, cephalosporins, bacitracin, and vancomycin) can likewise be destructive on the off chance that you have fragile kidneys.
Reveling Your Sweet Tooth Too Often
Having overabundance sweet sustenances like deserts, sweets, and snacks and soft drinks can be awful for your kidneys. Urologist in Hari Nagar says that devouring excessively fructose could get an ascent uric corrosive levels and at last prompt cardiorenal sickness.
Those with diabetes are as of now at high danger of creating renal issues; a lot of sugar in your eating regimen can compound this circumstance. Make sure to peruse sustenance marks and pick nourishments that are low in sugar and high in fiber.
Not Monitoring Your Blood Pressure
It is vital to monitor your circulatory strain since hypertension is the main source of kidney harm, says best urologist in Dwarka. Keep to the suggested levels set by your specialist and take measures to control and hypertension. The level is normally set at under 140/90 mm Hg.
Eating Too Much Protein
Inordinate protein, particularly from red meat sources, in your eating routine builds the danger of kidney harm. The kidney is in charge of sifting through poisons, similar to nitrogen and smelling salts discharged from a protein source. When you eat a great deal of protein, the kidney goes into an overdrive mode and starts hyperfiltration. This prompts kidney harm, says best urologist in West Delhi.
Skipping Exercise
Exercise is useful for the body's flow and can enable you to oversee conditions like circulatory strain and diabetes. Overweight or large individuals can cut the heap on their body by working out.
As one investigation appeared, weight reduction can emphatically affect renal capacity in extremely large people. For every other person, practice helps keep the body and cardiovascular framework in a great working condition.
Not Eating Right
Eating well may not constantly mean you're eating right when you have kidney inconvenience. On the off chance that your kidneys are as of now stressed, things change a bit. Best urologist in Dwarka may propose an eating regimen that has less potassium and phosphorus. This implies generally "terrible" sustenances like white rice, white bread, and pasta all of a sudden turn out to be beneficial for you.
What shouldn't you eat?
·         Whole-grain forms that are high on phosphorus
·         Phosphorus-rich oats, nuts, lentils, wheat grains, fish, meat, and poultry
·         Colas
·         Vegetables and organic products like tomatoes, potatoes, bananas, and oranges
What would you be able to eat?
·         Plenty of new vegetables and natural products (particularly apples, peaches, green beans, and carrots)
·         Rice drain rather than dairy
·         Corn and rice-based grains
·         Protein in moderate amounts
Additionally, plant protein sources and certain creature protein sources like chicken and fish are less demanding on your kidneys. Heart-sound nourishments are a smart thought by and large since they additionally help deal with your weight, diabetes, and pulse. Certain supplements like magnesium and nutrient B6 are useful for averting kidney stones.
Going Heavy On The Salt
Elevated amounts of sodium in your eating routine, regardless of whether as salt in your cooking or all the more generally through shrouded sources, are possibly tricky, particularly on the off chance that you have an inclination for hypertension.
Numerous snacks, junk, canned, and bundled sustenances contain high measures of sodium, so cut down on these. Decide on a crisp cut natural product, vegetables, nuts, or custom made snacks. Farthest point sodium admission to under 2,300 mg daily.
Not Treating Infections Quickly
Whenever you get this season's cold virus, make a point to treat it and take the entire course of anti-toxins. Best urologist in Janakpuri explains that untreated viral contaminations could hurt your kidneys. The infection could spread and harm the kidney. Likewise, not taking rest on the off chance that you have this season's cold virus, chilly, tonsillitis, or pharyngitis could affect your kidney work.
Being Deficient In Vitamins And Minerals
Research asserts a lack of nutrients B6 and D builds the danger of kidney harm and stones. Magnesium is an imperative mineral for your body. Without it, the body can't dispose of overabundance calcium and this causes kidney stones, says best urologist in Uttam Nagar.
Drinking Excessive Caffeine
One examination demonstrated that long haul drinking of a lot of caffeine would prompt perpetual kidney disappointment since it builds circulatory strain and puts a great deal of strain on the organ. Another investigation uncovered exorbitant caffeine could prompt kidney stones as it discharged a ton of calcium in the pee.
Not Sleeping Well
Rest is crucial for any individual. It is amid this time your body recuperates and recharges itself, including kidney tissues. In the event that you aren't resting enough or the nature of your rest is terrible, it could hinder your conduits. This raises your circulatory strain. Anything that raises your pulse can harm your kidney. Along these lines, get a decent 7-8 hours of rest each day.
Smoking
Smoking antagonistically impacts your circulatory strain. You additionally increment cardiovascular hazard since smoking builds your pulse, limits the veins in your kidneys, harms blood vessel branches, and causes arteriosclerosis in the renal supply routes. These, thus, stack the chances against you for kidney harm.
Smoking is dangerous for those with diabetes since it builds the odds of kidney issues. Smokers risk losing kidney work quicker than non-smokers. Be that as it may, stopping smoking will essentially diminish any future dangers.
Utilizing Excess Artificial Sweeteners
Can't quit drinking misleadingly improved soft drink? One examination uncovered individuals who have ordinary measures of falsely improved beverages have a two-overlap expanded hazard for kidney decrease.
Eating Genetically Modified Foods
Studies have discovered eating GMO products could effectively affect the kidney and liver. Indeed, even the littlest measure of GMO sustenances negatively affected the organs. Decide on naturally developed deliver and maintain a strategic distance from basic wellsprings of GM fixings, for example, prepared and prepackaged nourishments.

Monday, 5 June 2017

Symptoms that Show Urgent Need of Visiting Urologist in Janakpuri



With increasing age, men start experiencing certain problem related to reproductive organs. There are number of symptoms that may develop and show that there is urgent need to visit an urologist in Janakpuri. He treats conditions related to male reproductive parts and urinary tract.  The first visit however is a little awkward moment. You need to be prepared with the tests that are conducted by them. If you feel some symptoms it is always better to look out for perfect treatment plan. Here are some common problems that might need treatment by urologist –

·         Hematuria – If you are experiencing blood in urine it may be a sign of several other related issues. If there is something wrong with the urine it is better to get it treated by urologist.
·         Prostate exam – Digital rectal exam done by the urologist is beneficial in detecting the risk of prostate cancer. Any abnormalities, irregularities may be the sign of this type of cancer.
·         Testicular pain or lump – The testicular lump is actually a mass in testicles and is a very common problem in men.  This is mainly caused by the injury and is may lead to testicular cancer if left undiagnosed and untreated.
·         Kidney pain or mass – If you are experiencing abdominal pain, it is must to visit a doctor. He provides complete diagnosis of the kidneys. Some this pain and mass may be a sign of kidney cancer, or it may be cyst, infection of partial blockage of kidney.
·         If you and your partner are having trouble conceiving – If you are unable to get your partner pregnant, this may be a reason related to your unhealthy sperm production. This condition can cause several issues, it is better to visit a specialist. 

Make sure that you talk to the best urologist in Janakpuri about every problem that you are facing. Checking for these symptoms at an earlier stage is quite important so as to minimize the risk of infertility in males.  Set up your appointment with him and together decide what is right for you to live a healthier life.