Health
Manipal Urologist Explains What’s Normal and What’s Not in Urinary Problems for Men Over 50
Dr Ravi Shankar highlights key warning signs, risks of ignoring prostate enlargement, and a safer treatment option changing lives
Urinary problems are often brushed aside as a routine part of ageing, but for many men above 50, they can become a major disruption to daily life. When frequent nighttime trips to the bathroom begin affecting sleep, work, and personal comfort, experts say it may signal a more serious issue that requires medical attention.
In a conversation with HT Lifestyle, Dr Ravi Shankar J C, consultant – urology at Manipal Hospital, Kanakapura Road, Bengaluru, explained that the most common cause behind these symptoms is benign prostatic hyperplasia (BPH), or enlargement of the prostate. While the condition is not cancerous, its impact on quality of life can be significant.

“As men grow older, the prostate naturally increases in size. For many, this growth becomes significant enough to block urine flow,” Dr Shankar said. “It squeezes the urinary passage, making it harder to start urination, empty the bladder fully, or maintain a steady flow. It’s common, but it can seriously affect daily life when the blockage becomes severe.”
Early signs men shouldn’t ignore
According to Dr Shankar, the first symptoms are subtle and often mistaken for ageing. Key indicators include:
• frequent urges to urinate, especially at night
• weak urine flow
• straining to pass urine
• a constant feeling that the bladder is not empty
“These early signs should not be ignored,” he stated. In more advanced cases, men may suddenly be unable to urinate at all, requiring urgent catheterisation.
Why surgery isn’t always an option
Traditional prostate procedures such as TURP or laser surgery are effective, but they require spinal or general anaesthesia. Many elderly patients are not ideal candidates.
“Patients with heart disease, those on blood thinners, or those who have undergone joint replacement or have neurological disorders may face major risks during surgery,” Dr Shankar explained. As a result, doctors increasingly look for less invasive solutions.
Rezum therapy: a simpler, safer alternative
One such option gaining attention is Rezum therapy, a minimally invasive procedure that uses controlled steam energy to shrink prostate tissue.
“Instead of cutting or removing tissue, short bursts of steam shrink the enlarged prostate from within,” Dr Shankar said. The procedure:
• takes around 10 minutes
• can be done under local anaesthesia or light sedation
• generally does not require stopping blood thinners
• allows patients to go home the same day
Another major advantage, he added, is that Rezum typically preserves sexual function, a concern for many men.

How effective is it?
Studies have shown that Rezum offers results comparable to traditional surgery, with fewer risks for suitable patients. It has become increasingly popular in Western countries and is now slowly gaining traction in India.
Dr Shankar shared a case that highlights its benefits: an elderly patient with Parkinson’s, recent hip surgery, and on blood thinners was unable to undergo conventional surgery. After months of urinary retention and failed attempts to urinate naturally, he received Rezum treatment.
“The intervention was quick, and once his catheter was removed, he was able to urinate on his own again,” Dr Shankar said. For such patients, the therapy offers independence without the strain of major surgery.
With rising awareness and improved access, Rezum therapy is emerging as a practical option for men who want relief from urinary symptoms without long recovery periods or surgical risks.
Health
‘A New COVID Variant Enters the US…’ Mutated BA.3.2 Strain Detected at San Francisco Airport Raises Fresh Questions
First identified in an international traveler, the evolving variant is now spreading quietly—experts warn it may evade immunity but not necessarily cause severe illness
A new chapter in the ongoing COVID-19 story may be unfolding—quietly, but significantly.
A mutated strain of the virus, known as BA.3.2, has now been detected in the United States for the first time, after initially being identified in a traveler arriving at San Francisco International Airport.
According to findings released by the Centers for Disease Control and Prevention (CDC), this variant is not just another minor mutation—it carries genetic changes that could potentially allow it to evade parts of the immune system, even among vaccinated individuals.
How the Variant Was Discovered
The BA.3.2 variant first entered the US radar in June 2025, when a traveler from the Netherlands tested positive at San Francisco airport. The detection was part of the CDC’s global traveler-based genomic surveillance program—an effort designed to catch emerging threats before they spread widely.
Since then, the variant has been found in multiple locations. It has already been detected in 23 countries and, within the US, traces have appeared across 25 states, primarily through wastewater monitoring.
What Makes BA.3.2 Different?
Experts say the concern lies in the variant’s spike protein mutations—the part of the virus responsible for entering human cells.
“These mutations have the potential to reduce protection from previous infection or vaccination,” CDC researchers noted in their report.
In simpler terms, this means that the virus may slip past antibodies more easily—a phenomenon often referred to as “immune escape.”
However, that doesn’t automatically mean it’s more dangerous.

What Experts Are Saying
Renowned infectious disease specialist William Schaffner from Vanderbilt University Medical Center described the variant as “substantially different” from earlier strains—but urged caution rather than panic.
According to Schaffner, early lab studies suggest that BA.3.2 may not infect lung cells as efficiently as previous variants, which could mean less severe illness in many cases.
Still, he emphasized the need for vigilance:
“We will have to watch this very carefully in the real world.”
Meanwhile, Monica Gandhi of University of California San Francisco has warned of a possible “spring surge”, noting a gradual rise in positive cases during routine screenings.
Should You Be Worried?
At this stage, health experts are not sounding the alarm—but they are watching closely.
The key takeaway:
- The variant may spread more easily
- It may reduce vaccine protection against infection
- But vaccines are still expected to protect against severe illness
Gandhi explained that while antibodies might not work as effectively, the body’s deeper immune defenses—like T cells—remain strong.
The Bigger Reality: A Global Virus
One of the most striking reminders from this development is how interconnected the world remains.
“What’s over there can be over here in 24 hours,” Schaffner noted—a reality that continues to define pandemic-era public health.
Despite lower current COVID levels in regions like California, the emergence of BA.3.2 reinforces a familiar lesson: the virus is still evolving, and surveillance remains critical.

What Comes Next?
For now, health officials are doubling down on monitoring and data collection. If the variant begins to spread more widely or significantly alters disease patterns, it could influence future vaccine updates.
For individuals—especially those at higher risk—experts recommend staying updated with vaccinations and considering booster doses when advised.
Because while the world may have moved on from the peak pandemic mindset, the virus hasn’t stopped adapting.
For More Update- DAILY GLOBAL DIARY
Health
“Tragic Loss: 6-Year-Old Dies From Meningitis Within 24 Hours — Parents Demand Vaccine Access…”
Oliver Hall’s sudden death highlights the urgent need for broader MenB vaccination for children across the UK.
The UK is mourning the heartbreaking death of Oliver Hall, a 6-year-old boy from Halesworth, Suffolk, who succumbed to bacterial meningitis (MenB) within 24 hours of first showing symptoms. His parents, Georgie Hall and Bryan Hall, have given a poignant account of their son’s final day, urging authorities to make vaccines accessible to all children.
Oliver, described by his parents as a bright and loving boy, fell ill during the first day of his half-term holiday. Georgie recounted that although Oliver initially showed no symptoms, within hours he developed sensitivity to light, rashes, and breathing difficulties. Despite calling emergency services and traveling to hospital themselves, Oliver tragically passed away at 2:07 a.m. in the intensive care unit, just five hours after being admitted.
“It’s just changed our whole future. We had hopes for Oliver, for his future… He was a bright, popular lovely boy, and our whole lives have changed,” Georgie said.
Vaccine Controversy and Public Outcry
The MenB vaccine, available through the NHS for infants under 12 months since 2015, protects against meningococcal group B bacteria, the leading cause of bacterial meningitis in young children. However, children older than one year are not routinely vaccinated, a policy that has sparked outrage after tragedies like Oliver’s.
Oliver’s mother explained:
“It’s shocking… children are dying from a disease that can be prevented for as little as £12. Had we known about the private vaccine option, we would have protected both our boys.”
Private clinics and pharmacies, including Boots and Superdrug, offer the MenB vaccine for around £210 for a two-dose course. Yet, the cost barrier leaves many families without access.
Meningitis Now founder Steve Dayman emphasized the devastation caused by the disease:
“We see time and time again the impact of meningitis on families. With no changes to the vaccine programme imminent, it is crucial parents are aware of the symptoms and seek urgent medical attention.”

Symptoms Every Parent Should Know
Meningitis can escalate quickly, often proving fatal within hours. Parents are urged to monitor for:
- Blotchy rashes that don’t fade under pressure
- High fever (38°C or above)
- Headache and neck stiffness
- Nausea, vomiting, and drowsiness
- Muscle and joint aches
Mary Ramsay, Head of Immunisations at UK Health Security Agency, urged vigilance:
“Vaccinating babies at 2, 4, and 12 months helps protect them when they are most at risk. But parents must remain alert — rapid medical attention can save lives.”
Legacy and Advocacy
In honor of Oliver, the Oliver Hall Forever Fund has been established, raising over £4,000 for Meningitis Now. Georgie and Bryan hope their campaign will pressure the government to expand the vaccine programme and protect children nationwide.
“Our main goal is to help Meningitis Now get this vaccination rolled out to more children,” Georgie said, highlighting the urgent public health implications.
Oliver’s tragic story is a stark reminder that meningitis can strike suddenly and fatally, even in modern healthcare systems, and that awareness, vaccination, and swift medical response are vital to saving young lives.
For More Update- DAILY GLOBAL DIARY
Health
“Kent Meningitis Tragedy: Second Student Dies as Outbreak Sparks Hospital Emergency…”
A Year 13 pupil joins a University of Kent student in death after contracting meningitis, while authorities race to contain the outbreak.
The county of Kent is reeling from a sudden meningitis outbreak that has now claimed a second life. A Year 13 pupil from a local school has tragically died, following the death of a University of Kent student earlier this weekend.
According to Kevin Rawlinson of The Guardian, the outbreak has left 11 other people seriously ill in hospital, highlighting the urgent public health challenge facing Kent.
The Deadly Spread
Meningitis, an inflammation of the membranes surrounding the brain and spinal cord, can progress rapidly and is particularly dangerous among young adults and teenagers. Public health officials in Kent have confirmed that both fatalities were caused by bacterial meningitis, a form of the disease known for its fast onset and severe complications.
An MP from the region, who spoke on the condition of urgency, stated:
“This is a tragic time for the community. Our thoughts are with the families affected. It is crucial that everyone recognizes the symptoms early and seeks immediate medical attention.”
Symptoms of meningitis can include high fever, severe headache, stiff neck, nausea, and sensitivity to light, often escalating to more severe conditions within hours.
Students and Young Adults at Risk
The first death involved a student from the University of Kent, and the second was a Year 13 school pupil, highlighting the vulnerability of young adults in shared environments such as campuses and schools.
Health officials have already mobilized vaccination campaigns and awareness programs in local schools and universities to prevent further spread. Hospital wards have increased monitoring for suspected cases, and medical teams are urging students and parents to remain vigilant.

Public Health Response
The Kent Public Health Department has confirmed that they are actively tracing contacts of the infected individuals and providing prophylactic antibiotics to those at risk. Community health centers are also disseminating information on the early warning signs of meningitis, emphasizing rapid medical intervention as critical to survival.
Local MPs and health authorities are urging parents, teachers, and students to report unusual symptoms immediately, as prompt treatment can significantly improve outcomes.
“We are doing everything possible to contain this outbreak and protect our young people,” said a spokesperson for the Kent County Council.
Community Impact
The deaths have sent shockwaves through local communities and the University of Kent, with vigils being held to remember the victims. Authorities have stressed the importance of maintaining calm while following official health guidance.
As the situation develops, Kent residents are being reminded of the severity of meningitis and the importance of vaccination, hygiene, and early medical attention.
The tragic loss of a second young person in Kent underscores the devastating potential of meningitis outbreaks and the need for heightened awareness and immediate response in schools and universities nationwide.
For More Update- DAILY GLOBAL DIARY
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