Dr. Vijaykumar Malladi
Robotic Surgeon
Pain management - MITR
Pain Management
Pain management is a crucial aspect of healthcare that focuses on alleviating or reducing pain in individuals suffering from acute or chronic conditions. Pain can be caused by various factors, including injury, illness, surgery, or certain medical conditions. Effective pain management aims to improve the quality of life for patients, enhance their ability to function, and promote overall well-being. Here’s some content on pain management covering different aspects.
Remember that pain management should always be tailored to the individual’s specific needs and condition. It is essential to work closely with qualified healthcare professionals to create an effective and safe pain management plan. If you or someone you know is experiencing chronic or severe pain, consult a healthcare provider to discuss appropriate treatment options.
Types of Pain:
- Acute Pain: Acute pain is usually short-lived and typically results from an injury, surgery, or illness. It serves as a warning signal that something is wrong and needs attention. Acute pain management often involves medications like nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids, as well as rest and physical therapy.
- Chronic Pain: Chronic pain persists beyond the expected healing time and can last for weeks, months, or even years. It can be caused by conditions such as arthritis, neuropathy, fibromyalgia, or back pain. Chronic pain management may involve a multimodal approach, combining medications, physical therapy, psychological counseling, and lifestyle changes.
Urology And Andrology
Hypospadia Surgery
Urology And Andrology
- Kidney and Ureteral Stones: This is a condition in which a solid material is formed due to the presence of certain substances in higher proportion in urine. These can be extremely painful and can be found blocking the urine flow from kidneys to the urinary bladder. They are of various sizes and shapes; hence treatment is based on the aspects like- location of the stone, size, surface of stone and shape of stone.
- Bladder stones: They are stones found in urinary bladder.
- Urinary tract obstructions like PUJO (Pelvi-ureteric junction obstruction)
- Urinary Tract Infections: any infection that occurs in the urinary system is called as urinary tract infection. This infection could affect the kidneys, ureters, bladder or urethra.
- Urethral strictures
- Urinary Incontinence: A medical condition that leads to no control over the bladder.
- Neurogenic Bladder: The urinary bladder has nerves and muscles that work in synchronisation to allow urination to occur. But in cases of nerve injury due to an illness or trauma, the nerve endings to the bladder are damaged as well which hamper normal urination. Due to this miscommunication between the nerves and muscles of the bladder occur resulting in improper emptying of the bladder.
- Benign Prostatic Hyperplasia (BPH): Prostate is a gland present in males that is necessary for reproductive functioning. Usually in men this gland tends to grow in size. This enlarged growth of prostate is called as benign prostatic hyperplasia which affects the quality of life for them. It leads to displeasing symptoms like poor flow of urine or difficulty in urine leading to pain or incontinence.
- Hematuria: It is a condition in which blood is present in urine. It can arise in cases of infection, any trauma to the urinary system and due to certain viruses.
- Erectile Dysfunction: A sexual dysfunction that leads to the inability to maintain an erection of penis during sexual activity.
- Prostatitis: Infection of the prostate gland is called as prostatitis.
- Vasectomy Reversal
- Interstitial Cystitis: Interstitial cystitis is also called as bladder pain syndrome. It is a chronic inflammatory condition of the muscular layers of the bladder. The exact cause of Interstitial cystitis is not known as of yet
- Voiding Dysfunction
- Female Urology
- Prostate Cancer: Prostate gland is an essential part of a male reproductive system. It secretes an alkaline fluid that is part of the seminal fluid. This gland is around the urethra and still
- Kidney Cancer: Kidney cancer usually occurs only in one kidney but it can affect both too. Surgery is carried out to remove a part of the kidney that has the tumor or in certain cases the whole kidney might need resection.
- Testicular Cancer: Cancer of testicles could either occur in either one or in both. Testicles are part of the male reproductive system that are necessary for production of male hormones and sperms. If detected early, it is treatable.
- Bladder Cancer: Bladder cancer is cancer of the urinary bladder. If caught in time it can be treated easily.
- Low Testosterone
Hypospadia Surgery
- Endo-urology:
- 1. Laser Stone surgery
- 2. Extracorporeal Shock-Wave Lithotripsy (ESWL) for Kidney and ureteral stones
- 3. Percutaneous Nephro-lithotomy (PCNL)- Treatment of large kidney stones (> 2 cm)
- 4. Treatment of calyceal diverticula
- 5. Ureteropyeloscopy /Ureterorenoscopy (URS)
- 6. Treatment of ureteral and kidney stones
- 7. Visual Internal urethrotomy (VIU) for urethral strictures
- 8. Percutaneous Cysto-Lithotripsy for bladder Stones
- 9. Cystoscopy and DJ Stenting
- 10. Cystoscopy and RGP
- 11. Cystoscopy and Biopsy
- 12. Transurethral resection of bladder tumour (TURBT)
- 13. Transurethral resection of Prostate (TURP)
- 14. Bladder neck incision
- Laparoscopic surgery in Urology
- 1. Laparoscopic Nephrectomy
- 2. Laparoscopic Nephroureterectom
- 3. Laparoscopic adrenalectomy
- 4. Laparoscopic pyeloplast
- 5. Laparoscopic kidney biopsy
- 6. Laparoscopic drainage of renal cysts
- 7. Laparoscopic ureterolithotomy for ureteric stones
- Orchiopexy for testicular torsion
- Ureteric re-implantation
- Pyeloplasty
- Sling surgeries for incontinence in Females like TVTO
- Management of Kidney trauma
- Management of injuries to ureter
- Radical prostatectomy
- Radical excision of bladder tumour
- Bladder augmentation
- Uretero-ureterostomy
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