Friday, February 27, 2009

Urology Blog - Urology Thoughts

I was looking up urology information when I inadvertently discovered the "Urology Surgery" Blog. I have added this blog to the urology section on my blogroll.

I am particularly interested in information on ureteral strictures and related surgeries. This blogger wrote about ureteral surgeries and it is the most comprehensive urology information on ureteral surgeries that I have found in the last 2 1/2 years. It is the first really informative post I have seen on ureteral strictures and the Psoas hitch surgery.

This surgeon writes about the indications for surgery, planning, the surgery, outcomes-complications, results, success and a whole lot more.

Hopefully this Urology Surgery blog will be helpful to anyone meandering through here who may be in need of some urological care.

I look forward to reading more. Of course it scares me when I see what a big deal it seems to be... the Psoas hitch surgery. Maybe it is as natural as breathing for the surgeon to do... but it seems pretty complicated to me.

I still don't feel the green light in my spirit to do the surgery. I am working on getting healthier through healthier lifestyle choices. I am reconsidering my options..for long term.

I am getting another Mag III renal scan with Lasix in March. I am praying for good results and that my renal function is good.

I am still praying for that miracle so I can once and for all avoid the whole thing.

It is hard to believe that 1 stupid kidney stone caused all this damage and subsequent treatments, etc. and I always tell people...DRINK WATER. DRINK, DRINK, DRINK!

Drink to keep your kidneys flushing out the impurities so they don't crystalize into kidney stones.

Many people pass the stones and aside from the horrendous, worse than childbirth pain... they end up alright. But others like me...end up having to go to the OR to have them removed and then have a ureteral stent placed in them for awhile.

Unfortunately...sometimes the kidney stone causes damage/scarring in the ureter... causing it to constrict..thus causing other complications... which is what happened to me.

So... it is important to drink fluids throughout the day. I recently read that you should even drink water when you wake up at night to keep the kidneys hydrated. Shoot! If I did that... I might as well just sleep in the bathroom, cause I'd be whizzie winkling all night.

Sometimes I get busy and still forget to drink.. but I am usually pretty good about it.

It is such a simple thing to do to help prevent kidney stones.

* This blog has links to other surgical specialties with the same in depth information about specific surgeries.

19 comments:

Robin Mackey said...

I have a website on answering urology questions. In it I am also placing some of our solutions for our urology and overall health on
what is available in the bleeding edge of technolgy in clinical trials and still in the laboratories. 99.9% of the populas have not even heard of the list of new procedures we have now.Look at the second page of www.blood-in-urine.net. As an avid med blogger I am curious about your perspective. Keep blogging. Robin

Robin Mackey said...
This comment has been removed by a blog administrator.
SeaSpray said...

Wondering if this is spam?

Robin said...

No, it is not spam I am a urology nurse for the last 15 years.I am about to post another piece on kidney pain tonight or tomorrow. The flash animation of the urinary system was made by me.I thought that since you are viewing information on urology sites you could give some feed back. I will be posting many websites on specific urological problems at a rapid pace in the next 3 weeks. It is aimed at the layperson using common language because most of my patients have no idea what the medical jargan means.It will also be aimed at emerging technologies in medicine. your feed back may help, since you have looked at urology sites.An example would be the first ever home complete genome sequencing and analysis encrypted box that keeps you updated on the research on you specific genes? I wrote .com on my first post but the website is .net hence the second post with the corrected URL. Thank you Robin

SeaSpray said...

Hi Robin-I will be interested in reading your urology stories too and will comment where I can. Good luck with the new blog. :)

SeaSpray said...

Oh Robin-I should say I don't understand"home complete genome sequencing and analysis encrypted box that keeps you updated on the research on you specific genes" and so not sure what I would say about that.

You have to put THAT in layman's terms for ME! :)

Also, as of yesterday...I didn't see any place to leave comments like the other blogs do.

SeaSpray said...

Oh Robin-I should say I don't understand"home complete genome sequencing and analysis encrypted box that keeps you updated on the research on you specific genes" and so not sure what I would say about that.

You have to put THAT in layman's terms for ME! :)

Also, as of yesterday...I didn't see any place to leave comments like the other blogs do.

sasha said...

very nice and informative blog
here i would love to share a blog about
women health

http://www.mybabydoc.com/blog/
tubal reversal

vishnuprasath said...

The main advantage of urology is that it can be used for both diagnostic and therapeutic (treatment) purposes. Hence endoscopy has become a mandatory investigation in Gastroenterology.

Tom said...

Disabled or very ill people appreciate the help friends and loved ones provide. Getting suitable equipment and medical supplies can mean the difference between life and death in some cases. Friends and relatives can assist persons with urological problems getting things like latex gloves, catheter holders, or other urology supplies. However, a Certified Nursing Assistant might be needed to deliver and set up other kinds of medical equipment and medical supplies such as an intermittent catheter or apogee catheter. Before the nurse leaves, find out how to help with cleaning the patient's skin and catheter to ensure that the patient receives quality care at all times.

Mackey said...

Interesting and Informative post!!!

Urologist | Urology Surgeons said...

Wow, thanks for a really good post. I completely agree with the fact that drinking a lot of water is really good for the health especially for the ones who are going through urology condition. My friend had been going through the same situation and the doctor recommended the same and said it will help in the improvement of her health condition. It is always recommended to get the treatment done on time so that one is able to lead a normal life. I have been researching on urological conditions for quite some time now and came across a website http://www.cburology.com/index.htm that has been treating these conditions in PA. Central Bucks Urology has provided expert management of the full spectrum of urologic conditions.

SeaSpray said...

Hi Urologist/urology surgeons - thank you for your thoughtful comment. one thing especially stood out. Thank you.

4d ultrasounds said...

Fantastic topic, keep up the good work

David said...

When medication and other non-surgical treatments are either unavailable or cannot relieve symptoms, surgery is the accepted treatment for a broad range of conditions that affect the male reproductive organs and the organs of the urinary tract. Traditional open urologic surgery – in which large incisions are made to access the pelvic organs – has been the standard approach when surgery is warranted. Fortunately, less invasive surgical options are available to many patients facing urologic surgery in India. The most common of these is laparoscopy, which uses small incisions. The benefits includes less pain, shorter hospital stays and faster recovery times than they do in traditional surgery. 

SeaSpray said...

Hi David - or Spam - I don't usually allow spam, but I allowed your comment since it is informative.

I know what you say about surgery being, "the accepted treatment for a broad range of conditions", to be true. I have just fought like heck to avoid it if possible since there are inherent risks to all surgeries and so is an absolute last resort for me ...very last resort.

I have to say ..that patient room with a view is quite a nice accommodation. :)

Leo Voisey said...

David Summers, a 37 year old MS patient from Murfreesboro, Tennessee was a score of 8.0 on the Expanded Disability Status Scale (EDSS) when he had the Combination Liberation Therapy and Stem Cell Transplantation at CCSVI Clinic in March of 2012. Having been diagnosed in 1996 he had been in a wheelchair for the past decade without any sensation below the waist or use of his legs.
“It was late 2011 and I didn’t have much future to look forward to” says David. “My MS was getting more progressive and ravaging my body. I was diagnosed as an 8.0 on the EDSS scale; 1 being mild symptoms, 10 being death. There were many new lesions on my optic nerves, in my brain and on my spinal cord. My neurologist just told me: ‘be prepared to deteriorate’. I knew that he was telling me I didn’t have much time left, or at least not much with any quality.” David had previously sought out the liberation therapy in 2010 and had it done in a clinic in Duluth Georgia. “The Interventional Radiologist who did it told me that 50% of all MS patients who have the jugular vein-clearing therapy eventually restenose. I didn’t believe that would happen to me if I could get it done. But I have had MS for 16 years and apparently my veins were pretty twisted up”. Within 90 days, David’s veins had narrowed again, and worse, they were now blocked in even more places than before his procedure.
“I was so happy after my original procedure in 2010. I immediately lost all of the typical symptoms of MS. The cog fog disappeared, my speech came back, the vision in my right eye improved, I was able to regulate my body temperature again, and some of the sensation in my hands came back. But as much as I wanted to believe I felt something, there was nothing below the waist. I kind of knew that I wouldn’t get anything back in my legs. There was just way too much nerve damage now”. But any improvements felt by David lasted for just a few months.
After his relapse, David and his family were frustrated but undaunted. They had seen what opening the jugular veins could do to improve him. Because the veins had closed so quickly after his liberation procedure, they considered another clinic that advocated stent implants to keep the veins open, but upon doing their due diligence, they decided it was just too risky. They kept on searching the many CCSVI information sites that were cropping up on the Internet for something that offered more hope. Finding a suitable treatment, especially where there was no known cure for the disease was also a race against time. David was still suffering new attacks and was definitely deteriorating. Then David’s mother Janice began reading some patient blogs about a Clinic that was offering both the liberation therapy and adult autologous stem cell injections in a series of procedures during a hospital stay. “These patients were reporting a ‘full recovery’ of their neurodegenerative deficits” says Janice, “I hadn’t seen anything like that anywhere else”. She contacted CCSVI Clinic in late 2011 and after a succession of calls with the researchers and surgeons they decided in favor of the combination therapies.For more information please visit http://www.ccsviclinic.ca/?p=904

Leo Voisey said...

Chronic cerebrospinal venous insufficiency (CCSVI), or the pathological restriction of venous vessel discharge from the CNS has been proposed by Zamboni, et al, as having a correlative relationship to Multiple Sclerosis. From a clinical perspective, it has been demonstrated that the narrowed jugular veins in an MS patient, once widened, do affect the presenting symptoms of MS and the overall health of the patient. It has also been noted that these same veins once treated, restenose after a time in the majority of cases. Why the veins restenose is speculative. One insight, developed through practical observation, suggests that there are gaps in the therapy protocol as it is currently practiced. In general, CCSVI therapy has focused on directly treating the venous system and the stenosed veins. Several other factors that would naturally affect vein recovery have received much less consideration. As to treatment for CCSVI, it should be noted that no meaningful aftercare protocol based on evidence has been considered by the main proponents of the ‘liberation’ therapy (neck venoplasty). In fact, in all of the clinics or hospitals examined for this study, patients weren’t required to stay in the clinical setting any longer than a few hours post-procedure in most cases. Even though it has been observed to be therapeutically useful by some of the main early practitioners of the ‘liberation’ therapy, follow-up, supportive care for recovering patients post-operatively has not seriously been considered to be part of the treatment protocol. To date, follow-up care has primarily centered on when vein re-imaging should be done post-venoplasty. The fact is, by that time, most patients have restenosed (or partially restenosed) and the follow-up Doppler testing is simply detecting restenosis and retrograde flow in veins that are very much deteriorated due to scarring left by the initial procedure. This article discusses a variable approach as to a combination of safe and effective interventional therapies that have been observed to result in enduring venous drainage of the CNS to offset the destructive effects of inflammation and neurodegeneration, and to regenerate disease damaged tissue.
As stated, it has been observed that a number of presenting symptoms of MS almost completely vanish as soon as the jugulars are widened and the flows equalize in most MS patients. Where a small number of MS patients have received no immediate benefit from the ‘liberation’ procedure, flows in subject samples have been shown not to have equalized post-procedure in these patients and therefore even a very small retrograde blood flow back to the CNS can offset the therapeutic benefits. Furthermore once the obstructed veins are further examined for hemodynamic obstruction and widened at the point of occlusion in those patients to allow full drainage, the presenting symptoms of MS retreat. This noted observation along with the large number of MS patients who have CCSVI establish a clear association of vein disease with MS, although it is clearly not the disease ‘trigger’.For more information please visit http://www.ccsviclinic.ca/?p=978

Ravi Prakash said...

I have enjoyed reading your blog. And am looking forward for more such blogs, Keep it up.it seems Primus International Super Speciality Hospital is really a good place for such treatment