MBBS, MD (Gynaecology) and Mch (Urology)
Dr. Lalitha has done her M.B.B.S. from kakatiya medical college from where she has passed out as the 'best outgoing student in the year 1987 with 10 gold medals in M.B.B.S
She Obtained Second Rank In Andhra Pradesh State Postgraduate Medical Entrance
This affects millions of women in our country, BUT ONLY FEW OF THEM CONSULT A DOCTOR BECAUSE OF THE EMBARASSMENT OF BEING EXAMINED BY A MALE UROLOGIST.
Incontinence can seriously impair the quality of life of these women as they can leak urine while coughing, sneezing, sometimes on the way to the toilet before they could reach it.We do complete evaluation of these women by clinical and urodynamic investigations and offer a wide range of treatment options like medical or surgical based on the individual needs.
Dr.Lalitha is one of the first few urogynecologists in India to perform minimally invasive surgery for Stress Urinary Incontinence called TVT AND TVT-O.
UROLOGICAL PROBLEMS IN PREGNANCY
TUMORS IN KIDNEY AND BLADDER
INTERSTITIAL CYSTITIS : (PAINFUL BLADDER)
PROLAPSE OF PELVIC ORGANS-CYSTOCELE-VAULT PROLAPSE
VESICO-VAGINAL AND URETERO-VAGINAL FISTULA
FEMALE SEXUAL DYSFUNCTION
"Female Urology or Urogynecology is a subspeciality in urology which deals with lower urinary tract problems and pelvic floor dysfunction in women. The field of urogynecology in India is still in its infancy and the awareness among the general public about female urology services is very low.
TREATMENT OF URINARY INCONTINENCE
Millions of women in our country suffer from urinary incontinence in silence because they are not aware of the availability of treatment by a specialist dedicated to treat this problem. Many of these women don't like to consult a male urologist as they feel embarassed to discuss this problem with them.
URINARY INCONTINENCE may be of different types
RECURRENT URINARY TRACT INFECTIONS INCLUDING GENITO URINARY TUBERCULOSIS IS ANOTHER COMMON UROLOGICAL PROBLEM IN WOMEN.
UROLOGICAL PROBLEMS DURING PREGNANCY ESPECIALLY URINARY INFECTIONS AND HYDRONEPHROSIS DURING PREGNANCY WILL REQUIRE SPECIAL CARE BY A UROLOGIST AND GYNECOLOGIST.
URINARY STONE DISEASE is a very common problem in our country. Urinary stones can be seen in all age groups, though it is more common in adults than in children. It is more common in men than in women though changing lifestyles have narrowed down this difference in incidence.
URINARY STONES CAN BE OF DIFFERENT TYPES
Calcium Oxalate, Calcium Phosphate, Uric Acid, Cystine, Triple Phosphate are the common types. Stones can be found in theKIDNEY, URETER(tube which carries urine from kidney to the bladder) or BLADDER itself.
CAUSES OF STONE FORMATION
The most common cause for formation of urinary stones is not drinking adequate water. This along with excessive perspiration in tropical countries makes the urine saturated with various crystals which eventually develop into a stone. Due to this reason stones are seen more commonly in summer.
Another common cause of urinary stone formation is taking diet rich in calcium (like milk and milk products) or oxalates (certain green leafy vegetables, soft drinks like cola) or purine rich diet (non-vegetarian diet).
Changing life-styles and westernization of eating habits like consuming lot of aerated soft drinks and eating fast foods like pizzas and burgers have definitely increased the incidence of stones.
Treatment of URINARY CALCULI
MINIMALLY INVASIVE SURGERY like URS, PCNL, ESWL, LASER, LAPAROSCOPY based on the size, site and nature of the stone.
This is seen in men usually over 50 years of age. Patients suffering from this problem may have various symptoms like increased frequency of urination in both day and night, urgency, hesitancy, thin stream,straining to pass urine, sense of incomplete voiding and sometimes passing blood in urine or even sudden retention of urine.
TYPES OF PROSTATIC ENLARGEMENT
For benign enlargement of prostate there are a wide variety of DRUGS. Some patients require endoscopic resection of prostate, like TURP, LASER PROSTATECTOMY.
For CANCER PROSTATE, treatment is surgical in early stages and in delayed cases either hormonal,radiotherapy or chemotherapy may be required.
Some congenital anomalies can cause urological problems requiring surgical intervention in infants and children.
PUJ OBSTRUCTION requires PYELOPLASTY operation.
VESICO-URETERIC REFLUX requires URETERIC REIMPLANTATION.
POSTERIOR URETHRAL VALVES requires VALVE FULGURATION.
MULTICYSTIC DYSPLASTIC KIDNEY.
Some urological procedures can be done by minimally invasive (key-hole) method.
LAPAROSCOPIC URETEROLITHOTOMY,LAPAROSCOPIC PYELOLITHOTOMY, LAPAROSCOPIC GUIDED PCNL FOR PELVIC KIDNEY,LAPAROSCOPIC NEPHRECTOM.
ANDROLOGY &MALE INFERTILITY
Male infertility and sexual dysfunction like impotence and premature ejaculation are evaluated and treated by a urologist and andrologist.
For patients with renal failure due to end stage renal disease renal transplant is offered.
Urinary incontinence is the most common urological problem in women. It affects almost 50% of the women over the age of 40 years. But only 10% of these women seek medical advice because many of these women with incontinence, especially in a conservative e country like ours feel embarrassed to discuss this problem with their doctors or even with their family members.
Incontinence can affect every sphere of a woman's life, be it social, occupational, domestic, marital or even spiritual life. Women with severe incontinence do not like to attend any social gatherings because they live in a constant fear of wetting their clothes in public.
Working women with this problem really find it difficult to cope up and some of them may even quit their jobs.
Not only working women, even housewives find it difficult to do their routine activity as any act of bending or lifting any object from the floor can cause urine leak.
Sometimes urine leak may follow sexual intercourse in those with coital incontinence.
When these women want to find some solace in spiritual life the poor women start leaking urine as soon as they kneel down to offer prayers and in many religions it is not acceptable to offer prayers when the clothes are soaked in urine. Finally these women go into depression, suffer in silence and may even seek a psychiatrist's help.
Thus a seemingly trivial problem like incontinence can devastate a woman's life.
Incontinence may be different types.
The most common type is stress urinary incontinence which means leakage of urine during coughing, sneezing, laughing or lifting objects. Many of these women releif with kegel's exercises.
Some women may have urge incontinence which is most often cured with drugs.
Early medical advice and treatment will go a long way in bringing a smile back on these women who otherwise may suffer in silence.