Dr Madhu Sudan Ag
About Me
Dr Madhu Sudan Ag
MBBS
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
PRIAPISM
An abnormal prolonged erection lasting more than four hours without sexual stimulation characterizes priapism. It can lead to permanent erectile dysfunction if untreated promptly.
- Symptoms: Persistent painful penile erection unrelieved by ejaculation or physical activity; swelling may occur around the penis shaft.
- Causes: Conditions such as sickle cell disease, medications (anticoagulants), trauma or idiopathic origins contribute commonly.
TESTICULAR TORSION
A sudden twisting of the spermatic cord cuts off blood supply to the testis causing acute scrotal pain. Testicular torsion is a urological emergency requiring rapid diagnosis and intervention.
- Symptoms: Sudden onset severe unilateral scrotal pain with swelling and tenderness; nausea may accompany it.
- Causes: An anatomical abnormality allows excessive testicular movement leading to torsion often precipitated by trauma or physical activity.
- Diagnosis: Clinical examination alongside Doppler ultrasound assessing blood flow confirms torsion versus other causes like epididymitis.
- Treatment:This requires urgent surgical detorsion within hours. Delays risk permanent testicular damage necessitating removal.
- Prognosis:If treated early, testicular viability can be preserved but late presentation often results in loss of the affected testis.
A high index of suspicion combined with swift surgical correction offers optimal chances of saving the testicle in this critical condition.
URETERIC STONES (URETEROLITHIASIS)
The presence of stones in the ureter can cause intense flank pain and obstruct urine flow. Ureteric stones require timely diagnosis and tailored management based on their size and location.
- Symptoms: Severe colicky pain radiating from the back towards the groin is typical; hematuria may be present.
- Causes: Stones form due to mineral build-up often related to diet, dehydration, infections, or metabolic issues.
- Diagnosis: Imaging such as non-contrast CT scan or ultrasound identifies stone size and position precisely.
- Treatment: Pain relief is prioritized; small stones may pass spontaneously whereas larger stones might need lithotripsy or surgical removal.
- Expectations: With appropriate care, most patients experience symptom relief; follow-up prevents recurrence through lifestyle modification and medical therapy.
Caring for ureteric stones involves effective pain control complemented by individualized strategies for stone clearance depending on severity and patient factors.
ACUTE URINARY RETENTION
Sudden inability to pass urine, known as acute urinary retention, is a distressing emergency that requires immediate attention. This condition can cause severe discomfort and requires prompt management to prevent complications.
- Symptoms include a painful, distended bladder with inability to urinate despite urgency.
- Causes commonly involve obstruction due to enlarged prostate, urethral stricture, infections, or neurological disorders.
- Diagnosis involves physical examination including abdominal palpation, ultrasound to assess bladder volume, and sometimes post-void residual measurement.
- Treatment often starts with catheterization to relieve retention followed by addressing underlying causes through medication or surgery.
- Expected Outcome: Once the blockage is relieved and treatment initiated, most patients recover normal bladder function without long-term harm.
Early intervention in acute urinary retention is essential to avoid kidney damage and improve quality of life. Timely care reduces risks and improves outcomes significantly.