Dr Suchart Chaimuangraj is a distinguished urology specialist working at the Bangpakok 9 International Hospital (BPK 9), Bangkok, Thailand. He obtained his medical degree from the Doctor of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University. He then went on to do a residency in Urological Surgery as well as Anatomical Pathology at the Faculty of Medicine Ramathibodi Hospital, Mahidol University. He also has two fellowships under his belt from the UK and Austria. He specialises in Kidney disease diagnosis and treatment. He also performs kidney surgeries.
Dr Suchart is a part of various international and national articles published in renowned medical journals. He also is certified by the Thai Board of urology as well as the Thai Board of Anatomical Pathology. He is fluent in Thai as well as English.
The conditions which are being treated by Dr. Suchart Chaimuangraj are mentioned here for your convenience.:
The surgical treatment of health conditions that arise in the urinary tract and the male reproductive system is done by a Urosurgeon.. The surgeries done by the Urosurgeon involve tumors of ureter, bladder, kidney and prostate. Urosurgeons are approached by the patients to resolve one of the most common conditions known as Hernia.
Let us have a look at the various symptoms and signs of a urogenital condition.:
Frequent urinary tract infections (UTI) and bladder incontinence are really a worrying sign and indicate that you must consult the Urosurgeon immediately. You could be suffering from a urogenital condition if symptoms like blood in urine, reduced urine output or pain during urination is felt.
The surgeon consults with the patients 6 days a week, the operating hours are 10 am to 5 pm, Monday to Saturday with Sundays being an off day. The high success rates of the procedures performed by the surgeon is a sign of the excellent skills displayed.
Dr. Suchart Chaimuangraj performs many popular procedures and we have listed them below for your convenience.:
The surgeon performs procedures that can be just an outpatient one or may require a stay of a night or more than that. Inguinal hernia surgery, total cystectomy and bladder tumor surgery are some examples of the urogenital procedures that a Urosurgeon performs. The surgeons' perform the procedures with due consideration to the patients' specific case details and their requirements.
The prostate is a gland in the male reproductive system, which makes fluid that forms an essential part of the semen. Prostate cancer starts when cells of the prostate glands begin to grow abnormally
Prostate cancer is one of the leading cancers in men above the age of 60. In most of the cases, it is slow growing and may even go undetected and do not cause any problem. However, in some cases, it could be aggressive and cancer cells can spread to other parts of the body (metastatic prostate cancer)
Prostate cancer is a very slow growing disease and starts with tiny alterations in the shape and size of the prostate gland cells. The prostate cancer risk increases with age and it is rarely observed before the age of 40. That is the main reason why many men die of old age, without ever knowing that they had prostate cancer.
There is no direct prostate cancer causes. However, there are some factors that can increase the risk of prostate cancer, including the following:
Usually, prostate cancer means the cancer of prostate gland cells called prostatic intraepithelial neoplasia (PIN). Almost all the prostate cancers are adenocarcinomas, but there are some other types of prostate cancer as well, including the following:
Based on how abnormal the patterns of cancer cells look, prostate cancers are classified as:
There are no warning signs of prostate cancer. The symptoms of metastatic prostate cancer usually appear first in the region that the cancer cells have invaded.
After cancer causes the prostate gland to swell, the following signs of prostate cancer may be experienced:
In prostate cancer stages, the following symptoms may also be there:
The prostate gland is present below the urinary bladder in men. It surrounds the urethra and produces fluid that helps in the movement of the semen. Prostatectomy is a surgery that involves total or partial removal of the prostate gland. It is commonly performed as a part of treatment for prostate cancer.
Radical prostatectomy: This surgery involves the removal of the entire prostate gland along with the surrounding lymph nodes. The surgical techniques used to conduct radical prostatectomy include the following:
Open simple prostatectomy: This surgical procedure involves removal of just the affected part of the prostate gland and is recommended for men with the cancerous prostate gland or benign prostatic hyperplasia (BPH).
Cancer in Bladder can be found to vary depending on the type of its origins. It can arise from the lining of the epithelium which is the inner lining of the urinary bladder or the urothelium. Rare forms of cancer are not of epithelial origins like the sarcoma or lymphoma. Tumours in bladder is found to be the 9th leading type of cancer in United States as per a survey conducted in 2012 with 430,000 new cases and mortality of 165000 deaths annually.
The first and foremost question to ask is where is your bladder located? The sac like muscular urinary bladder is located in the pelvis region above the pelvic bone. It is connected to the kidneys through the two ureters that transfer the urine from the kidney to the bladder for storage. An abnormal growth of cells in the inner lining causes a tumour requiring diagnosis and then followed by a turbt surgery.
In most cases the tumour cannot be assessed in the primary stages. There are hardly any notable evidences found when the patient is harbouring a primary tumour.
The next stage is designated as Oa and categorized as a non invasive type papillary cancer.
In the stage next of the stage 0 or the carcinoma in situ the inner lining of the bladder is affected and is still considered non invasive.
In stage I the cancer has spread into the lining of the bladder further but has not affected the muscular wall of the bladder.
While in Stage II the inside part gets affected including the muscles of the bladder making it now invasive.
And when the cancer has spread enough in muscles and the tissues around the bladder like the reproductive organs it is considered to be in stage III.
And in the final or stage IV the cancer will spread to the lymph nodes affecting the organs around it as well.
The causes of tumour in bladder are not always very clear and well defined but it has been linked with smoking, chemical exposure and radiation or a parasitic infection. The abnormal cells undergo some mutation that allows them to multiply in a non orderly fashion and goes beyond control and they do not die thus giving rise to the tumour.
A person suffering from a tumour will experience mild sensation of burning and discomfort in the times of urination for quite a few days. The force of the urinary stream may also undergo significant changes which can be observed for a week to a fortnight. Usually there could be none of the symptoms and in certain cases all symptoms even if experienced may not lead to the conclusion that it is a bladder cancer. There can be blood or clots of blood in the urine along with a tendency of urinating too frequently. Tendency of urinating at night may be felt more but there can be general problems in urine passing. Associated along with this the patient can experience pain on either side of the body.
This procedure aims at removing bladder tumours at an early stage by inserting a scope through the urethra leading to the bladder. In the TURBT procedure bladder cancer can be detected by the urologist and potentially allow the urologist to treat various other kinds of bladder related disorders. But 75% of the cancer of bladders that are detected are superficial in nature causing growth only on the surface of the walls of the bladder and does not get very deep. So this facilitates the surgeon to have the tumour removed at the bladder wall level causing no damage to the deeper layers of the organ. The information that is collected while executing the procedure will help the surgeons to decide the type of the abnormality of the tumour and the extent of the tumour. This later allows the urologist surgeons to decide whether further treatments will be required or not.
Some of the other treatment alternatives for TURBT are being worked upon while some of them have tremendous side effects
Blue light fluorescent cystoscopy : Enhanced tumour visualization is possible and detection of tumour chances are increased by almost 20 to 25% with this method where an ultraviolet blue light is used. A dye is injected an hour prior to the procedure.
Adjuvant bladder cancer therapy: TURBT is not suitable for many who have high chances of suffering a recurrence within 12 months from the treatment. In this case adjuvant therapy is recommended. It includes intravesicle chemotherapy. Chemotherapy for bladder cancer includes giving medication to curb the abnormal growth of cells. But it also has its sets of side effects like experiencing irritation in bladder and loss of hair, nails and feeling debilitated for a very long period of time.
The enlarged prostate gland can become a subject of concern after a certain age in men. It causes trouble while urinating and that is one of the main reason why such men are advised to undergo trans urethral resection of prostate (TURP) surgery.
The prostate gland goes through two phases as a man grows old. The growth phase occurs during puberty when the gland assumes double its size. The second phase of growth takes place after a man has attained the age of 25. This final size at this stage continues to remain the same throughout the life. But when men suffer from benign prostatic hyperplasia, the prostate gland gets further enlarged.
When the gland enlarges, it squeezes the urethra and as a result, the wall of the bladder grows thick. With time, the bladder grows weak and loses its ability to empty the urine completely. This allows some urine to stay back in the bladder at all times. Along with this, the urethra also narrows and hence, all the problems associated with urination keep coming back.
As of now, it is not totally clear why most men develop BPH but it mainly indicates an imbalance of hormones and sexual activities with advanced age. Apart from that, there can be urinary tract infection, narrowing of the urethra known as urethral stricture, inflammation of the prostate, bladder or stones in the kidney, nerve problems in controlling the bladder, or scarring in the neck of the bladder as a result of previous surgery.
The following are some of the symptoms of BPH:
Frequent urge to urinate
Some of these above symptoms can occur even in men whose prostate has not enlarged significantly.
Get a Priority Appointment with
Dr. Suchart Chaimuangraj
Dr Suchart has more than 15 years of experience in his field of Urology
Dr Suchart specialises in kidney surgeries such as kidney stone removal. He also specialises in the diagnosis and treatment of many other kidney-related diseases.
Yes, Dr Chaimuangraj provides online consultation through MediGence.
It costs 81 USD for online consultation with Dr Chaimuangraj.
Dr Suchart is certified by the Thai Board of Anatomical Pathology as well as the Thai Board of Urology.
Dr Suchart specialises in treating conditions related to the kidney. These include all urine related problems as well. Some commonly treated conditions are kidney stones as well as prostatitis and intestinal cystitis.
He can be easily consulted by registering your profile with MediGence and writing down your enquiry. A meeting with the surgeon will be scheduled. Following which the consultation can be done.
A Urosurgeon has an important role in relieving a patient from the pain and discomfort that arises because of their urogenital condition. Their is appropriate testing and screening which is involved prior to the procedure itself done under the supervision of the Urosurgeon. As an enterprising Urosurgeon the surgeon has to ensure that they keep up to date with the latest innovations and upgradations which bring more finesse and better results through the surgery processes. When it comes to preparing for the procedure and guiding the patient with the lifestyle changes to be made and prescribing the medications, it is the doctors responsibility.
Here is a comprehensive list of the tests that can be needed prior to and during a Urosurgeon consultation.:
When the patient has been agonizing over a urogenital condition, the doctor usually recommends tests related to the issue at hand, kidney tests surface more often than not among them. When abnormal growths like tumors are present in kidney or prostate, the surgeons can guide you to get a biopsy done to confirm or rule out cancer. Kidney Ultrasound, Prostate/Rectal Ultrasound are also some of the routine tests advised by the doctor.
When the medical treatment methods have failed to help you in your urogenital problem or has been ruled out by your primary doctor then you must see a Urosurgeon. Instead of being referred by a primary care doctor, you can choose to approach a Urosurgeon directly if the symptoms are severe and a clear indication that only surgery can help you. Also, please do so If you are experiencing problems or complications during recovery from a urogenital operation. The specialist may be consulted by your doctor to rule out urogenital problems as well which can be a reconfirmation of your primary care doctor's diagnoses.