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Dr. Rajesh Dhake, Urologist in Pune, Kidney Stone Specialist in Pune , Urologist in Dange Chowk , Kalewadi, Pimpri, Pune, PCMC.
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What Everyone Should Know About The Bladder Stones

Bladder stones, also known as urinary calculi, are hardened mineral deposits that form in the urinary bladder. They can be made up of various substances, including calcium, magnesium, and ammonium, and can vary in size from small grains to large pebbles. Symptoms of bladder stones may include pelvic pain, difficulty urinating, blood in the urine, and frequent urination. If left untreated, bladder stones can cause infection, damage to the bladder and urinary tract, and obstruction of the flow of urine. There are a number of factors that can increase a person’s risk of developing bladder stones. These include: – Dehydration: When a person does not drink enough fluids, their urine becomes more concentrated, which can lead to the formation of stones. Urinary tract infections:  Certain types of bacteria can promote the formation of stones.  Urinary tract abnormalities:  Some people are born with a structural defect in their urinary tract that can increase their risk of developing stones Certain medical conditions:

Dr. Rajesh Dhake, Urologist in Pune, Kidney Stone Specialist in Pune , Urologist in Dange Chowk , Kalewadi, Pimpri, Pune, PCMC.
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What causes urinary incontinence in women?

Urinary incontinence is a common condition among women in which they experience loss of bladder control and leakage of urine. It can be caused by a variety of factors and can have a significant impact on a person’s quality of life. Pregnancy and Childbirth One of the most common causes of urinary incontinence in women is pregnancy and childbirth. During pregnancy, the weight of the growing fetus can put pressure on the bladder and weaken the pelvic muscles. Childbirth can further stretch and damage these muscles, making it more difficult to control the bladder. As a result, many women experience urinary incontinence after giving birth. Menopause. Another common cause of urinary incontinence in women is menopause. As a woman goes through menopause, her body produces less estrogen, which can cause changes in the urinary tract and lead to incontinence. These changes can cause the muscles in the bladder and urethra to weaken, making it harder to hold urine in the bladder. Obesity Obesity is also a risk factor for urinary incontinence in women. Excess weight can put pressure on the bladder, making it more difficult to control the flow of urine. Neurological conditions Other causes of urinary incontinence in women include neurological conditions such as Parkinson’s disease, multiple sclerosis, and spinal cord injuries, as well as certain medications that can affect bladder control. In some cases, urinary incontinence can also be caused by a structural problem in the urinary tract. Treatment options for urinary incontinence in women will vary depending on the underlying cause of the condition. Incontinence can be treated with pelvic floor muscle exercises, also known as Kegel exercises. These exercises help to strengthen the muscles that support the bladder, which can help to improve bladder control. Additionally, Biofeedback therapy and electrical stimulation may also be effective in improving muscle strength. For some women, medication or certain medical devices such as urethral inserts may be recommended as a treatment option. Surgery may also be considered in certain cases, particularly when an underlying structural problem is causing incontinence. It is important to note that incontinence can be a symptom of the underlying medical condition, so it is always recommended to see a healthcare professional for diagnosis and treatment. With the right diagnosis and treatment, urinary incontinence can be managed and the quality of life can be improved.

Dr. Rajesh Dhake, Urologist in Pune, Kidney Stone Specialist in Pune , Urologist in Dange Chowk , Kalewadi, Pimpri, Pune, PCMC.
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Male Infertility: What Is It? Can It Be Treated?

Male infertility refers to the inability of a man to achieve a pregnancy in a fertile woman. It is a common condition that affects millions of men worldwide and can have a significant impact on a couple’s ability to have a child. There are several causes of male infertility, the most common of which is a low sperm count. Low Sperm Count This can be caused by a variety of factors, including genetic disorders, hormonal imbalances, and certain medical conditions such as diabetes and varicocele (a condition in which the veins in the testicle are enlarged, causing overheating and damage to the sperm). Lifestyle factors such as alcohol and drug use, smoking, and exposure to environmental toxins can also contribute to low sperm count. Poor Sperm Motility Another common cause of male infertility is poor sperm motility, which refers to the ability of sperm to move effectively. This can be caused by a variety of factors, including genetics, infection, and varicocele. In addition to low sperm count and poor motility, other factors can contribute to male infertility such as abnormal sperm shape (morphology) and problems with the delivery of sperm (ejaculatory dysfunction). The good news is that male infertility can often be treated, depending on the underlying cause. If the problem is a low sperm count or poor motility, treatment may include fertility drugs, lifestyle changes, and in some cases, surgery. If a varicocele is causing infertility, surgery to repair the veins may be recommended. Assisted reproductive technologies (ART) such as Intracytoplasmic sperm injection (ICSI) or in vitro fertilization (IVF) can also be used to help couples conceive. It is important for men who are experiencing infertility to see a specialist. A urologist or a specialist in male reproductive medicine and surgery can help identify and treat underlying causes. In some cases, a referral to an infertility clinic may be recommended. In conclusion, Male infertility is a common condition that can have a significant impact on a couple’s ability to have a child. It can have many causes and it is important to see a specialist to identify the underlying causes. With the right diagnosis and treatment, many cases of male infertility can be successfully treated, giving couples the chance to start a family.

Dr. Rajesh Dhake, Urologist in Pune, Kidney Stone Specialist in Pune , Urologist in Dange Chowk , Kalewadi, Pimpri, Pune, PCMC.
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Effects of diabetes on kidney problems

Living with diabetes can be a challenge, but it is even more difficult if it leads to kidney problems. Diabetes is the leading cause of kidney failure, accounting for 44 percent of all cases. The high levels of glucose in the blood resulting from diabetes can damage the tiny blood vessels in the kidneys, impairing their ability to filter waste from the body. The long-term effects of diabetes on the kidneys can be severe and even life-threatening.

Dr. Rajesh Dhake, Urologist in Pune, Kidney Stone Specialist in Pune , Urologist in Dange Chowk , Kalewadi, Pimpri, Pune, PCMC.
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Does kidney stone pain occur frequently in summer?

Summer is a beautiful time of year for outdoor activities, but it can be a particularly challenging time for those who suffer from kidney stones. Kidney stone pain is often more frequent during the summer months as the heat and humidity can increase the likelihood of stone formation. Kidney stones are a common problem that affects many people each year. While the severity of the pain varies, it can be very intense and debilitating. Many people wonder if kidney stone pain occurs more frequently in the summer months.

Dr. Rajesh Dhake, Urologist in Pune, Kidney Stone Specialist in Pune , Urologist in Dange Chowk , Kalewadi, Pimpri, Pune, PCMC.
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A Silent Condition: Chronic Kidney Disease

Chronic kidney disease (CKD) is an increasingly prevalent health condition that often goes unnoticed due to its silent and progressive nature. CKD is a progressive disease in which the kidneys are damaged and their ability to function is impaired. This can lead to a buildup of waste products and fluids in the body, and eventually, the need for dialysis or a kidney transplant.

Dr. Rajesh Dhake, Urologist in Pune, Kidney Stone Specialist in Pune , Urologist in Dange Chowk , Kalewadi, Pimpri, Pune, PCMC.
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Arm yourself with knowledge – What are the main warning signs of urological ill-health?

The majority of the time, urological health-related symptoms are unimportant and readily treatable. If you experience any of these symptoms, you should always see your doctor as soon as possible. In certain cases, they may be more serious. Some of the main warning signs of a urological health issue can include: 1, Urine with blood 2. Having trouble passing urine, a slow urine flow, or experiencing pain while doing so 3. A greater urge to urinate or trouble to hold it in 4. Pee that appears murky or dark 5. The fifth sign is pelvic pain 6. Discomfort during sex 7. Dramatic weight loss 8. Bone pain or pain that prevents you from going about your daily life 9. Fatigue 10. Abnormally high or low body temperatures, such as those that cause a person to feel shaky and overheated (below 36C)  What could this mean? Urinary Tract Infection (UTI) Urinary tract infections (UTIs) can sometimes affect your urethra, kidneys, and bladder. UTIs can typically be treated at home, but they can also be treated with antibiotics. The symptoms can include lower stomach pain, frequent urination, blood in the urine, pain when passing urine, and a high temperature. Home remedies including taking painkillers, getting enough rest, and drinking lots of water are frequently effective. You might have a brief course of antibiotics prescribed by some general practitioners. Additional treatment is offered if the issue persists (i.e., if there are more than 2 UTIs in 6 months).  Bladder and prostate cancer The most typical indicator of bladder cancer is blood in the urine, which can also be a sign of prostate cancer. Along with pain when passing urine, these malignancies can also cause more frequent and urgent desires to urinate as well as weak or problematic urination. If you are a male who was born, you may experience benign prostate enlargement, a non-cancerous disorder that causes your prostate to expand as you age. Although not necessarily a sign of cancer, these symptoms ought to be investigated as soon as possible.  Cervical cancer, Endometriosis Blood in the urine, pain during sex, changes in vaginal discharge, and irregular bleeding should all be looked up right once as they could be symptoms of cervical cancer. Conditions like endometriosis may also be associated with these symptoms. Endometriosis is a condition in which tissue that ordinarily grows in the womb’s lining begins to grow in other locations, such as the ovaries and fallopian tubes. Additional signs of endometriosis include severe menstrual discomfort and feeling sick or constipated. Post-surgery urinary issues Urinary problems are frequent during recovery from surgery and are often handled in hospitals. An indwelling or intermittent catheter may be used to address urinary problems like retention or incontinence. When you leave the hospital, you might need to conduct ISC for longer times in some situations and self-catheterize for a little period in others.  Neurological conditions and other conditions linked to incontinence There are some neurological conditions that might lead to urinary health problems. It’s not unusual to experience problems with your bladder or bowels in addition to Multiple Sclerosis, an illness that damages your nerves. Although there is a wide range of MS symptoms, exhaustion, bowel and/or bladder problems, and increasing pain may be indicators. Treatment is available to help you feel more normal if your incontinence is brought on by a neurological condition. Patients with the congenital disorder Spina Bifida may also have issues urinating. I have one of these symptoms, what do I do next? Focus on trying not to panic or feel embarrassed about your symptoms. It is always best to err on the side of caution because most doctors, nurses, and general practitioners have seen a wide variety of problems. To ensure you receive the most precise treatment possible, you must schedule a GP consultation if you encounter any of these symptoms. A blood test is frequently required to diagnose your symptoms. To guarantee assistance from your doctor, we advise maintaining a daily journal of your symptoms. It is also beneficial to reflect on it when undergoing therapy or at doctor’s appointments.  Your chances of receiving effective treatments for more serious disorders, like cancer, will rise if they are discovered early. If you are found to have a condition, your nurse specialist or medical professional will direct you through the succeeding phases of your therapy. There are numerous ways to treat bladder issues, including incontinence. A prescription may be written for medications, painkillers, diet and fitness regimens, or injections like Botox. You might need to either get an indwelling catheter put in or learn how to catheterize yourself. In more extreme cases, you might need surgery or bladder augmentation. Although these therapies appear to be challenging, with practice they will become a normal part of your routine. Conclusion It’s critical that you get assistance if anything doesn’t feel right because you are the expert on your body. Even though it can be extremely difficult to discuss genital or bladder health, we want to do our part to eradicate the persistent stigma so that you can receive the best care possible. Your chances of receiving a quick diagnosis can be severely harmed if you put off talking about something that worries you out of embarrassment. If you are worried, ask your doctor about a quick blood test. How can Hunter Urology help? We offer a variety of catheters to meet different demands, including those of people with illnesses like: ” Those who have Mitrofanoff, a bladder augmentation, Spina Bifida, MS, or other neurological   conditions ” Overgrown prostate ” Ruptures of the urethra ” Endometriosis Arm yourself with knowledge – What are the main warning signs of urological ill-health? The majority of the time, urological health-related symptoms are unimportant and readily treatable. If you experience any of these symptoms, you should always see your doctor as soon as possible. In certain cases, they may be more serious. Some of the main warning signs of a urological health issue can include: 1, Urine

Dr. Rajesh Dhake, Urologist in Pune, Kidney Stone Specialist in Pune , Urologist in Dange Chowk , Kalewadi, Pimpri, Pune, PCMC.
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What is Urethral Stricture Disease?

The urethra’s main job in males and females is to pass urine outside the body. This thin tube also has an important role in ejaculation for men. When a scar from swelling, injury or infection blocks or slows the flow of urine in this tube, it is called a urethral stricture. Some people feel pain with a urethral stricture. What Happens under Normal Conditions? The bladder empties through the urethra and out of the body (called voiding). The female urethra is much shorter than the males. In males, urine must travel a longer distance from the bladder through the penis. In males, the first 1″ to 2″ of the urethra that urine passes through is called the posterior urethra. The posterior urethra includes: Strictures that happen in the first 1″ to 2″ of the urethra that urine passes through are called posterior strictures. In males, the final 9″ to 10″ of the urethra is called the anterior urethra. The anterior urethra includes: Strictures that happen in the last 9″ to 10″ of the urethra that urine passes through are called anterior strictures. Causes Men are more likely to have a urethral disease or injury because of their longer urethra. For this reason, strictures are more common in men. They are rare in women and in infants. Stricture (narrowing of the urethra) can happen at any point from the bladder to the tip of the penis. This narrowing restricts or slows the flow of urine in. Some common causes are: In most cases, no cause can be found. In adults, urethral strictures are most often due to: Posterior Urethral Stricture Posterior urethral strictures happen in the first 1″ to 2″ of the urethra. This kind of stricture is due to an injury linked to a pelvic fracture (e.g., motor vehicle or industrial accident). In these cases the urethra is disrupted, or completely cut and separated. Urine cannot pass. A catheter must be placed either through the abdomen into the bladder (suprapubic tube), or through the penis into the bladder. This lets urine drain until the stricture can be fixed. Anterior Urethral Stricture Anterior urethral strictures happen in last 9″ to 10″ of the urethra. This kind of stricture is caused by: Symptoms Simply put, the urethra is like a garden hose. When there is a kink or narrowing along the hose, no matter how short or long, the flow is reduced. When a stricture is narrow enough to decrease urine flow, you will have symptoms. Problems with urinating, UTIs, and swelling or infections of the prostate may occur. Severe blockage that lasts a long time can damage the kidneys. Some signs are: Diagnosis There are several tests to determine if you have a urethral stricture including: Urethroscopy The doctor gently places a small, bendable, lubricated scope ( a small viewing instrument) into the urethra. It is moved up to the stricture. This lets the doctor see the narrowed area. This is done in the office and helps your doctor decide how to treat the stricture. Retrograde Urethrogram This test is used to see how many strictures there are, and their position, length and severity. This is done as an outpatient X-ray procedure. Retrograde in this case means “against the flow” of urine. Contrast dye (fluid that can be seen on an X-ray) is inserted into the urethra at the tip of the penis. No needles or catheters are used. The dye lets the doctor see the entire urethra and outlines the narrowed area. It can be combined with an antegrade urethrogram (antegrade means “with the flow” of urine). Dye inserted from below fills the urethra up to the injured area. Dye inserted from above fills the bladder and the urethra down to the stricture. These tests together let the doctor find the gap to plan for surgery. Also, if you have trauma to the urethra, you may have this X-ray procedure after emergency treatment. Contrast dye can be injected through the catheter that was placed for healing. Prevention Treatment There are many options depending on the size of the blockage and how much scar tissue is involved. Treatments include: There are no available drugs to help treat strictures. Without treatment, you will continue to have problems with voiding. Urinary and/or testicular infections and stones could develop. Also, there is a risk of urinary retention (when you can’t pass urine), which could lead to an enlarged bladder and kidney problems. Dilation This is usually performed in the urologist’s office with local anaesthesia. The stricture is stretched using larger and larger dilators called “sounds.” A special balloon on a catheter can also stretch the tissue. But this stretching is not really a cure and needs to be repeated regularly. If the stricture comes back too quickly, you may be taught how to insert a catheter from time to time to prevent it from coming back. Side effects include bleeding and infection. Sometimes a “false passage” or second urethral channel may form from the stretching. Urethrotomy This uses a special scope that is moved along the urethra until the stricture is found. A knife blade or laser at the end of the cystoscope is used to cut the stricture and create a gap. A catheter may be placed into the urethra to hold the gap open and let it heal. The suggested time to leave a catheter tube draining is based on the length of the stricture. Open Surgery Many reconstructive procedures have been used to treat strictures, and some involve 1 or 2 operations. In all cases, the choice of repair is based on the location and length of the stricture and how serious it is. No single repair is right for all cases. The 2 main types are anastomotic urethroplasty and substitution urethroplasty. Anastomotic Urethroplasty This method is usually reserved for short urethral strictures. In this case, a cut is made between the scrotum and rectum. The urethra can then be reconnected after removing the stricture. This is usually performed as an outpatient procedure or with a short hospital stay. A small,

Dr. Rajesh Dhake, Urologist in Pune, Kidney Stone Specialist in Pune , Urologist in Dange Chowk , Kalewadi, Pimpri, Pune, PCMC.
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Breaking down kidney stones with laser

Kidney stones are rather typical. At some point throughout their lives, one in every twenty persons experiences them. They are solid salt and mineral deposits that develop inside the kidneys. Usually, they are tiny enough to pass naturally, but occasionally, if they are too big, the discomfort is too severe to wait for the stone to pass, the stone is impairing kidney function, or the stone is causing too much pain, intervention may be required. Anyone can acquire a kidney stone, although some people are more likely to do so than others due to illnesses like diabetes, inflammatory bowel disease, and hypercalciuria (high calcium in the urine). More information regarding kidney stones and how laser treatment should proceed. How do I know that I have kidney stones? Patients frequently exhibit symptoms like the following: You have a constant urge to urinate, which causes discomfort, and your urine is murky and foul-smelling. You also experience severe back and side pain, shooting agony down your legs, and fever if an infection is present. Kidney stones can occasionally remain within the kidney without obstructing the kidney or hurting it. Kidney stones: how are they found? A CT scan, intravenous pyelography (IVP), or an ultrasound scan can all be used to find kidney stones. What is the treatment for kidney stones? A shockwave machine was frequently employed in the past. To break up kidney stones into smaller bits, this was put over the kidney. The smaller fragments of stones, however, frequently become stuck at the base of the kidney and are ineffectively evacuated from the body. Laser treatment for kidney stones Kidney stones can now be removed quite effectively with laser therapy. By following the path of the urinary tract, an endoscopea thin, black tubein the shape of a camera can be inserted up into the ureter and the kidney. This avoids the need for any cutting throughout the procedure. The surgery is performed while completely unconscious. The surgeon can see where to point the laser to destroy the kidney stones thanks to the endoscope. The stones can be adjusted to be blasted either into a fine powder or into large shards by the laser. Stones that have crumbled into powder can naturally flow through the urine. A unique small grabbing basket can be used to retrieve the chunky stone shards. The medical professional could insert a temporary stent in the ureter after the kidney stone has been removed to make it easier for urine to travel from the kidney and into the bladder. Patients can typically return to their regular activities in two to three days. After four to ten days, a ureter stent that was implanted can be withdrawn. Make an appointment with a professional who will guide you through treatment if you are feeling any of the symptoms stated above along with a high temperature, shivering, and nausea.

Dr. Rajesh Dhake, Urologist in Pune, Kidney Stone Specialist in Pune , Urologist in Dange Chowk , Kalewadi, Pimpri, Pune, PCMC.
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8 Finest Steps to Determine Kidney Stone Treatment

Your physician will likely suggest a course of therapy if kidney stones have been identified. But what should you bear in mind prior to beginning treatment? Here are some things to remember: The type of kidney stone you have – There are several kidney stone varieties, and each variety has a unique course of therapy. For instance, calcium-based stones are often removed surgically, but struvite stones, which are composed of magnesium and ammonium, are frequently treated with drugs. The size of the kidney stone – Larger stones could need more intensive treatment, whereas smaller stones might be able to pass spontaneously. The location of the kidney stone – The optimal course of therapy will also depend on where the kidney stone is located. It could be necessary to have surgery to remove the stone if it is found in the ureter, which is the tube that transports urine from the kidney to the bladder. However, if the kidney itself is where the stone is situated, it is frequently treatable without surgery or with medicine. Your overall health – Your treatment plan may need to account for any additional medical issues you have, such as diabetes or high blood pressure. Your pain tolerance – Some kidney stone treatments might be quite uncomfortable. Consider a less intrusive treatment option if you have a low pain threshold. The side effects of the treatment – Nausea, and vomiting are adverse effects of several kidney stone therapies. Before beginning therapy, make sure you are aware of any potential adverse effects. Composition of the stone – While cystine or uric acid-containing stones are more likely to require more intensive treatment, calcium or struvite-containing stones are more likely to pass naturally. The cost of the treatment – Before starting any course of therapy for kidney stones, make sure to talk about the cost with your doctor. Tips to make your kidney stone treatment successful: Follow your doctors instructions. Take your medications properly as prescribed. Drink plenty of fluids. Avoid foods that may contribute to stone formation. Maintain a healthy weight. Keep your blood pressure under control. If you are diabetic, try to keep under control your blood sugar level. Get regular basic exercise. Be happy.   We are the greatest stone treatment physicians in Pune if you have a kidney stone and are searching for the best stone treatment facility in the city. If you have any inquiries or questions, please don’t hesitate to contact us. You may always get assistance from our professionals! Consult with Urologist Dr. Rajesh Dhake for treatment of urological concerns.

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