Answered by Dr. Vivekanandan Govindasamy

Answered by Dr. Vivekanandan Govindasamy

What is the reason for UTI after ureteric bilateral surgery?

Hi doctor,

My 19 months old daughter has suffered with for around seven months. Then, we had an MCU test and it was diagnosed that she had grade 5 reflux in right side and grade 4 in left side. Her ultrasound showed she had 40 cc urine residual. Her doctor suggested ureteric bilateral surgery. She has an open vascular surgery before two months and her stents removed before 20 days. Now, she again had an UTI and reflux problem. Is there any problem? Please guide us.

30 Apr 2024 - 1 min read

Why do I have issues in my groin four years after surgery?

Hello doctor,

I had a right inguinal hernia laparoscopic surgery four years back. After about 10 days of surgery, I started walking for about 3.1 miles. The first two days, I did not feel any trouble. But, on the third day of my walk, I begun to feel trouble in the area of the groin and felt weak too. Starting from there, I always feel trouble and weak whenever I go for a long walk. It hurts and troubles me more when I lift heavy objects, any straining type of exercise in the groin area too hurts and I could never turn on the right side to lie down and sleep. The symptoms that I felt after getting hurt in the surgery are not only troubles, but feel immensely weak and discomforts in the right side of the flank. Now, it is more than four years, but still I have trouble. When checked with ultrasound abdomen, everything is normal except for the fatty liver which I have since five years. Some days back, I went to the urologist and have done ultrasound scrotum, but the results too turned out normal. So, what really is the problem in me? Kindly advise me. I also want to know what other examination methods can be taken to find out what is really wrong in my surgery. Please guide.

19 Apr 2024 - 1 min read

Is there any link between Silofast tablet and semen production?

Hi doctor,

I was diagnosed to have a kidney stone. I am taking Silofast 8 mg tablet and Stone B tonic. Now, I do not have any pain and in the last scan, the stone was not visible. Earlier, it was 3 mm. My doctor asked me to continue the same tablet and tonic. I was away from sex for a month due to stone problem. In the last three days, I did not get semen when I tried to ejaculate. Please let me know if this tablet may give any issue. In the scan, my prostate size was normal and no problem seen. Please help me.

26 Feb 2024 - 1 min read

I have hard lump under the penis shaft. Is it smegma?

Hi doctor,

I am a 31 year old male. My height is 6 feet and weight is 185 pounds. My medical history includes psoriasis, hyperuricemia and essential primary hypertension. I am taking Cilacar 10 mg (Cilnidipine) one tablet daily after dinner at 9 PM for hypertension. For psoriasis I am applying Propygenta NF cream - combination of Clobetasol propionate and Neomycin sulfate cream. For scalp topical 3% lotion - Clobetasol propionate 0.05% and Salicylic acid 3% lotion. My uric acid is under control by drinking 1.05 gallons of water regularly. My current blood pressure is 120/80 mmHg. For the last 14 months, there are flat hard lumps at the base of the penis just under the shaft. For this reason, I had visited a local urologist last year, but he suggested me to clean my penis under the shaft. This is to inform you that I have not cleaned my penis till the age 30. I am an uncircumcised male. As advised by the doctor I have cleaned my penis under the shaft with water. I do not masturbate regularly. But, since eight months the intensity of masturbation increased to four times a week till date. But for the last two weeks, I am feeling mild pain at the side of the lump. The size of the hard flat lump is more or less the same. Even if I press, there is no pain on the lump. My urinary flow is very good. No blood, discharge or foul smell under the shaft. The penile shaft is smooth. There is no burning sensation during urination and ejaculation. I am very much concerned. How to get rid of this occasional mild pain? What is this lump all about? Is this years of smegma deposition? Please help me out.

19 Feb 2024 - 1 min read

After the diagnosis of hydronephrosis, what is the next step of treatment?

Hi doctor,

I am an 18 year old girl. My height is 5 feet and weight is 42 kg. I have been suffering from frequent stomach ache for the past two to three months. I do not have any problem in urination. I thought that the pain was due to some food infection. Later, I was diagnosed to have moderate left hydronephrosis. What are the treatment options? Please explain whether surgery is must or laparoscopic procedure can be done. Do I need immediate treatment?

18 Feb 2024 - 1 min read

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MCH UROLOGY

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