Our urinary tract normally consists of two kidneys, each attached to a ureter (urine tube) that connects the kidney to the bladder, and the urethra which allows us to urinate. The kidneys perform many jobs including removing waste from the blood, keeping a stable balance of salts and other substances in the blood, and producing hormones that help build strong bones and form red blood cells.
The most common reason for stones to form is from being dehydrated and drinking too little of fluids. If you are obese, dehydrated, eat a diet full of sodium, purine, and uric acid, or you have other medical conditions, you may be at risk for developing kidney stones.
Kidney stones are made when a substance normally dissolved in your urine precipitates out, and forms a solid crystal that then forms into a stone in the kidney. In other words, the reason this leads to stone formation, is because it results in too much of the stone forming substance and not enough water to keep it dissolved in the urine. Once a crystal forms, more layers of crystal continue to pile up making a stone.
The most common form of kidney stone is a calcium oxalate stone. Calcium is a part of a person's normal diet and an important structural and functional element of the body. Calcium that is not used by the bones and muscles goes to the kidneys and is flushed out with urine. However, when there is excessive calcium in the urine or problems with the body's ability to eliminate it, this can lead to the development of kidney stones.
Once a kidney stone forms, Dr. Alvi will treat you in a number of ways depending on your case. If the stone remains tiny enough, it may travel through the urinary tract and pass out of the body naturally, or with the help of medications. However, some stones grow too large to be passed out of the body easily and get stuck on their way through the urinary tract. Although, for larger stones that are too large to pass on their own, surgery is often required. Kidney stones can block the normal flow of urine, causing severe pain, sometimes infection, and even kidney damage, if left untreated.
Peyronie’s Disease is a disorder characterized by the growth of fibrous plaques within the soft tissue of the penis. The plaque, a flat plate of scar tissue, develops on the top or bottom side of the penis inside a thick membrane called the tunica albuginea, which helps trap blood in the corpora cavernosa, when the penis becomes erect.
The plaque causes inflammation and develops into a hardened scar. Due to the hardened scar tissue (plaque), it causes an abnormal penile curvature when a man has an erection. Peyronie’s Disease may make sexual intercourse difficult, painful, or occasionally impossible.
Progression of the disease will eventually result in complete atrophy, if left untreated. Dr. Alvi suggests that men over 50 with any degree of erectile dysfunction are directed towards treating this disease with a penile prosthesis. The Penile Prosthesis will correct curvature and defect.
Blood in the urine, also called hematuria, is due to blood cells leaking from some part(s) of the urinary tract. This includes the kidneys, the ureters (tubes that carry urine from the kidneys to the bladder), the bladder and the urethra, which carries urine out of the body. Blood in urine can come from a variety of conditions as result of irritation, infection, tumor, or injury in any part of the urinary tract. Blood in the urine is itself a symptom of another condition, such as a urinary tract infection (UTI), BPH, kidney infection, and kidney stones. If Dr. Alvi suspects other physical abnormalities that might be causing blood to appear in the urine, he may order additional testing to find out the underlying cause of why blood is in your urine.
When you’ve made the decision to have children or not, a male vasectomy is one of the most common, safest, and effective methods of permanent birth control.
A vasectomy is typically performed using one small incision made in the center of the scrotum. The vas deferens is a small tube that carries the sperm from the testicle to the ejaculatory ducts. Ordinarily, there is one tube connected to each testicle. Part of each tube is removed and the open ends are clipped to interrupt the flow of sperm.
Dr. Alvi performed the first no scalpel vasectomy. This minimally-invasive in-office treatment typically takes about 30 minutes, using mild sedation. However, the procedure can be done under deeper sedation to provide a more pain-free experience. It is important to note that a vasectomy can be reversed.