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Should my nephew undergo surgery for high bilirubin and UTI?

Patient's Query

My Nephew was being treated for high bilirubin during which Blood/urine test were done with +ve UTI. MCU suggested PUV which is not clearly visible in the X-Ray. One surgeon mentioned surgery, another Urologist mentioned nothing is required as it’s not clear and there are no symptoms of fever or UTI in the kid. Please advise.

Answered by Dr. Neeta Verma

Your nephew was watched for high bilirubin, which is good. It’s a puzzle with a positive UTI and maybe PUV. Symptoms include fever and UTIs. PUV can block urine flow. Surgery might be necessary but it’s not clear from the X-ray. If there is no fever or symptoms, don’t hurry now. Continue working with the doctors.

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Questions & Answers on "Urology" (874)

Answered on 23rd May '24

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ज्यादा हस्तमैथून के कारण लिंग टेढा हो गया है ओर तनाव भी नही आता हैं । हमेशा कमजोरी महसूस करता हूं

Male | 25

follow these herbal combination for complete cure :- vrihad vangeshwar ras 1 tablet twice a day, vrihad kamchoonamani ras 1 tablet twice a day, kamdev avleh 10 gms twice a day, after breakfast and dinner with milk or juice or water

Answered on 10th July '24

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Why my penis is so shorter and stiky type?

Male | 19

It is crucial to have an appointment with a urologist for all doubts about the color and shape of the penis. Only a doctor can give the proper assessment and what to decisively do in the context of your result of the particular case.

Answered on 23rd May '24

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Why my penis is moved to back from one month, one month bullet kick back incident happened to me injury to right leg feet, knee, and right groin area and pain at penis , now all problems cleared except penis is moved to back sometimes no pain what is it please explain

పురుషుడు | 37

Your description sounds like penile deviation may be present. If trauma occurs nearer to the groin that can change how your penis sits. When you mentioned the bullet kick back episode with injury on the right hand side, it could have caused things not aligning down there anymore. Because everything down there is still in the process of healing, your penis might have moved into a different position by itself. If there’s no pain occurring at this time, that’s good news. Wait for a while longer and observe if things get back on track naturally. In case they don’t or start feeling worse or any other symptoms develop, then it’s best to have them looked at closely by medical personnel.

Answered on 27th May '24

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I want to consult with urologist for my excessive precum and premature ejaculation

Male | 27

Take medicine saphamdha ,brahmivati and stress com 1-1 for reducing precum and premature ejaculation better to consult our experts on 9555990990

Answered on 23rd May '24

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Good evening, male, 47 y/o. For about 30 years I have been suffering from pelvic pain that arises ONLY a few hours after ejaculation. The pain originates precisely at the base of the scrotum and extends over hours to the entire scrotum and sometimes to the shaft of the penis. It arises as an itch, then a pinch, then grows in intensity until it becomes aching with a strong sense of heat accompanied by pronounced relaxation of the scrotum. Ice and (sometimes) supine position are the only things that provide temporary relief. I should add that prolonged abstinence has always given me discomfort and sensation of urinary urgency, which disappears with orgasm. Until two years ago the pain disappeared with sleep at night, so I only had regular sexual activity before going to sleep, and in this way I had a normal sex life and children. Then it began to occur EVEN THE NEXT DAY starting around noon and escalating into the evening, then (usually) disappearing the next morning. Over the years I have consulted several urologists. In 2001 the first transrectal ultrasound (all negative). Recent worsening of symptoms (i.e., their persistence even the next day) prompted me to confront other urologists, who were unable to help me. Prescribed spermioculture and Stamey test (all negative), prostate echo normal (some calcification). For the past two years I have been taking prostate supplements, anti-inflammatories, muscle relaxants, PEA etc without success. I tried acupuncture, ozone therapy, craniosacral osteopathy, TENS, pelvic floor physiotherapy (identified and treated contracted "triggers"), without success. A neurologist hypothesized muscular causes possibly related to a tempomandibular dislocation (hypothesis ruled out by maxillofacial surgeon) and prescribed Mutabon Mite 2 cpp/day which I took for three months, without success. A psychologist specializing in chronic pain has suggested nociplastic (psychogenic) pain and is helping me to manage the distress this problem causes me, but unfortunately not to reduce it as I had hoped. Thanks to her, however, I was able to accurately track the point of origin and course of the pain (so-called "somatic tracking"). On the advice of the GP I went in February to the Niguarda Hospital Pain Therapy where, with hypothesis pudendal neuropathy, I was prescribed pelvic MRI (resulted adductor enthesopathies), lumbosacral MRI (resulted disc dehydration, asymptomatic), pelvic EMG (no abnormalities), physiatric examination (no abnormalities). I have follow-up visit in September to evaluate nerve block, but in light of the negative EMG I don't know what they will say. In the meantime I have been prescribed Pregabalin 25+25 and then 50+50, which makes me sleep very well but has no effect on the disorder, so I will insist a little longer and then I think I will discontinue. I am very frustrated, I am asking if anyone reading me has any idea, if not of a treatment, at least of a diagnosis that I've never been given. Thank you.

Male | 47

Answered on 16th July '24

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Hi..my father is 80yrs old. He has a enlarged prostate issue. He don't have control on urine. He is having swelling at foot . Their local Dr. told to get operated for the same but he has various health issues like BP, Diabetes. etc..pls suggest what action should we take further. Thanks

Male | 80

Your father see­ms to be struggling with prostate issues. He­ might have trouble pee­ing and swollen feet. Enlarge­d prostates are common as men ge­t older. But his other health proble­ms make surgery risky right now. Ask his doctor about medications or non-surgical tre­atments instead. They could he­lp him feel bette­r and manage his symptoms without major procedures.

Answered on 23rd May '24

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