Question And Answers
Q. I have a male toddler who is 21 months old. His weight is 15 kg. He had normal penis when he was born. He was 2.6 kgs at the time. But when he had turned 4 months old, he started gaining weight and then his penis got buried and its still the same. I didn't know about the undescended testicle earlier. Recently learnt about this term and when I examined him again, i somehow felt that he had this condition. His scrotum is extremely small and i cant feel anything in it. Its just flesh you can say. Is my child ok?? Can anyone guide me with his treatment?
Undescended testis is when the testis is not found in the scrotum and lies somewhere inside the abdomen. This condition needs immediate evaluation and treatment to bring down the testis inside the scrotum by surgery to preserve its function. Regarding the penis being buried may be due to excess fat in the area above the penis. It needs to be examined by a urology doctor and if no other abnormality found can be observed with weight reduction. If other problems are identified then it needs proper evaluation and treatment.
Q. I am 61 years old. Recently I have been diagnosed with a kidney stone, and I experience severe abdominal pain frequently, should I do consider surgery or medicines would help?
Kidney stones if causing severe abdominal pain then it may be due to obstruction of the urinary tract like infundibulum, pelvis, or ureter. If the stone is causing obstruction and symptoms then surgery is advisable. Sometimes if the kidney stone is very small like less than 4-5 mm medicines may help to flush it out.
Q. My son is five months old; he is suffering from hypospadias. I want to know is it safe to repair hypospadias at this age?
Hypospadias is a congenital disease and needs surgery for treatment. It is diagnosed at birth but the best time for surgery is between 6 months to 18 months of age of the child. It is suggested to visit a pediatric urologist for a thorough assesment.
Q. My creatinine level is elevated. Is there anything serious? What Should I Do?
Creatinine is a marker reflecting the function of the kidney. Its normal range varies according to age and lean body mass. If it is higher than the normal range of particular age, it signifies decreased kidney function. It can be due to medical renal disease or any obstruction in the urine path. In these conditions consult a urologist and nephrologist for evaluation and treatment. If not treated then it may progress to complete kidney failure.
Q. I am 33 years old and I am diagnosed with kidney stones. Is surgery the only option to eliminate kidney stones? Would you please suggest any helpful advice?
Surgery is not the only option for kidney stones. It depends on multiple factors such as the size of the stone, is it obstructing urine or not, what is the kidney's function, is the stone causing symptoms or complications, etc. In these cases, surgery is needed. If you have a large stone or symptoms of it kindly consult a urologist for further evaluation and proper management.
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