Dr Nachiketa Vya
About Me
Dr Nachiketa Vya
MS
Urologists
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
BLADDER OUTLET OBSTRUCTION
This condition occurs when there is blockage at the base or neck of the bladder restricting urine flow outwards. It commonly affects men as they age but may have other causes too.
- Symptoms / Causes: Difficulty starting urination , weak stream , dribbling , frequent nighttime urination , often due to benign prostatic hyperplasia (BPH) .
- Diagnosis: Digital rectal examination , uroflowmetry tests , postvoid residual measurement by ultrasound .
- Treatment / Management: Lifestyle changes , medications such as alpha-blockers , minimally invasive procedures or surgery depending on severity .
- What to Expect: Gradual symptom improvement with treatment ; regular follow-up needed ; untreated cases can lead to urinary retention or infections .
Identifying this obstruction early helps preserve bladder health and improve quality of life significantly .
ACUTE PYELONEPHRITIS
An ascending bacterial infection affects one or both kidneys causing systemic illness. Prompt diagnosis and treatment are essential for recovery and prevention of kidney injury.
- Symptoms/Causes: High fever, flank pain, painful urination often stemming from untreated urinary tract infections spreading upward.
- Diagnosis: Urine culture confirms causative bacteria; blood tests show signs of infection/inflammation; imaging used if abscess suspected.
- Treatment/Management: Antibiotic therapy tailored according to sensitivities; hospitalization in severe cases for intravenous antibiotics and supportive care.
- What to Expect:This serious infection requires adherence to medication schedules and monitoring for improvement over days; complications are rare with timely care.
PRIAPISM
This is a prolonged and often painful erection unrelated to sexual arousal that requires urgent medical attention. It can result in lasting damage if not treated promptly.
- Symptoms/Causes: Erection lasting more than four hours accompanied by penile pain; causes include blood disorders, medication side effects, or idiopathic reasons.
- Diagnosis: Physical exam combined with history; blood gas analysis from the penis determines type of priapism (ischemic vs non-ischemic).
- Treatment/Management: Initial conservative measures followed by aspiration or injection therapies; surgery if required to restore normal blood flow.
- What to Expect: Quick response improves outcomes; delayed treatment increases risk of erectile dysfunction due to tissue damage.
If you experience prolonged erections without sexual stimulation, seek emergency care immediately for best results.
URETERIC STONE OBSTRUCTION
The passage of stones from the kidney into the ureter may block urine flow and trigger intense pain. This blockage needs timely evaluation and management.
- Symptoms/Causes: Severe flank pain radiating towards the groin, nausea, hematuria; caused by crystallized minerals forming stones.
- Diagnosis: Imaging tests like ultrasound or CT scan confirm stone size and location; urine analysis checks for infection or blood.
- Treatment/Management: Pain control with medications, hydration therapy, possible surgical intervention if stones do not pass spontaneously.
- What to Expect: Pain attacks often require hospital care; stones smaller than 5mm may pass naturally while larger ones might need procedures like lithotripsy or ureteroscopy.
A timely approach ensures relief of obstruction and prevents kidney damage from prolonged blockage.
TESTICULAR TORSION
A sudden twist of the spermatic cord can cut off blood flow to the testicle. This is a urological emergency requiring immediate assessment and care.
- Symptoms/Causes: Sudden severe scrotal pain, swelling, nausea; commonly seen in adolescent males but can occur at any age.
- Diagnosis: Clinical examination and Doppler ultrasound to evaluate blood flow to the testicle.
- Treatment/Management: Urgent surgical intervention within hours can save the testicle; delayed treatment may lead to loss of testicular function.
- What to Expect: Rapid diagnosis and surgery are critical; postoperative recovery includes pain management and monitoring for complications.
If left untreated, this condition can cause permanent damage. Seek immediate medical help when symptoms arise.
ACUTE URINARY RETENTION
Sudden inability to urinate is a distressing condition requiring prompt attention. Acute urinary retention can cause severe discomfort and may signal an underlying urological issue.
- Symptoms/Causes: Inability to pass urine, lower abdominal pain, often caused by prostate enlargement, infections, or medications.
- Diagnosis: Physical exam, bladder scan to measure urine volume, urine tests, and sometimes imaging studies.
- Treatment/Management: Immediate catheterization to relieve bladder pressure, addressing the root cause with medications or surgery if necessary.
- What to Expect: Quick relief with catheter insertion; further treatment depends on cause; important follow-up to prevent recurrence.
This condition is an emergency that should be treated swiftly to avoid complications such as bladder damage or infection.