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Dr. Mahesh Chandrakanth Sable

Urologist, Hyderabad

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Dr. Mahesh Chandrakanth Sable Urologist, Hyderabad
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Mahesh Chandrakanth Sable
Dr. Mahesh Chandrakanth Sable is a renowned Urologist in Basheerbagh, Hyderabad. He is currently associated with Dr. Ramayya's Urology Nephrology Institute & Pramila Hospitals in Basheerbagh, Hyderabad. You can book an instant appointment online with Dr. Mahesh Chandrakanth Sable on Lybrate.com.

Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 35 years of experience on Lybrate.com. You can find Urologists online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Dr. Ramayya's Urology Nephrology Institute & Pramila Hospitals

Basheerbagh Land Mark: Beside New MLA QuartersHyderabad Get Directions
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Men Urinary Incontinence - Know The Treatment!

MCh Urology & Transplant Surgeon, MS - General Surgery, MBBS Bachelor of Medicine & Bachelor of Surgery
Urologist, Pune
Men Urinary Incontinence - Know The Treatment!

Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

  1. Stress Incontinence– when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
  2. Urge Incontinence– when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
  3. Overflow Incontinence (chronic urinary retention)– when you're unable to fully empty your bladder, which causes frequent leaking.
  4. Total Incontinence– when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking.

It's also possible to have a mixture of both stress and urge urinary incontinence.

What causes urinary incontinence in men?

Urinary incontinence in men results when the brain does not properly signal the bladder, the sphincters do not squeeze strongly enough, or both. The bladder muscle may contract too much or not enough because of a problem with the muscle itself or the nerves controlling the bladder muscle. Damage to the sphincter muscles themselves or the nerves controlling these muscles can result in poor sphincter function. These problems can range from simple to complex.

A man may have factors that increase his chances of developing UI, including

  1. birth defects—problems with development of the urinary tract
  2. a history of prostate cancer—surgery or radiation treatment for prostate cancer can lead to temporary or permanent UI in men

UI is not a disease. Instead, it can be a symptom of certain conditions or the result of particular events during a man’s life. Conditions or events that may increase a man’s chance of developing UI include

  1. benign prostatic hyperplasia (BPH)—a condition in which the prostate is enlarged yet not cancerous. In men with BPH, the enlarged prostate presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty, leaving some urine in the bladder. The narrowing of the urethra and incomplete emptying of the bladder can lead to UI.
  2. chronic coughinglong-lasting coughing increases pressure on the bladder and pelvic floor muscles.
  3. neurological problems—men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
  4. physical inactivity—decreased activity can increase a man’s weight and contribute to muscle weakness.
  5. obesity—extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
  6. older age—bladder muscles can weaken over time, leading to a decrease in the bladder’s capacity to store urine.

Treating Urinary Incontinence

Initially, your GP may suggest some simple measures to see if they help improve your symptoms. These may include:

  1. lifestyle changes – such as losing weight and cutting down on caffeine and alcohol
  2. pelvic floor exercises – exercising your pelvic floor muscles by squeezing them, taught by a specialist 
  3. bladder training – where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
  4. You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
  5. Medication may be recommended if you're still unable to manage your symptoms.
  6. Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
  7. Surgical treatments for stress incontinence, such as tape or sling procedures, are used to reduce pressure on the bladder or strengthen the muscles that control urination.
  8. Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3239 people found this helpful

I am 32 years old. Last 5 yrs. Itching on my anus. And gas in my stomach. Pantosec dsr ki ek pill jab subah khali pet khata hu to din var relaxe rehta hu. Nahi khata hu to phir gas aur itching home lagti hai. Pls. Solve the problem.

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
I am 32 years old. Last 5 yrs. Itching on my anus. And gas in my stomach. Pantosec dsr ki ek pill jab subah khali pet...
Well you have two problems1. Gas problem,- for this you must avoid fried and spicy food. Take 6 small meals instead of 3 major meals. Take plenty of water. One of your meals should be fruits. Slowly with draw the said medicine. If the problem recurs, take consultation with a gastroenterologist to rule out h pylori infection. For your second problem,- you must maintain good hygiene at the anal area. Wash it with plenty of water twice daily. Avoid constipation or loose stools. Take isafgole 3tsf with a glass of water daily as one of your meals (out of 6). Do a stool examination. Thanks.
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I am esrd patient and I am on dialysis. My weight is lose 20 kgs. How can I improve my health on dialysis suggest me something.

MBBS
General Physician, Mumbai
For a healthy body- Few tips on Diet for kidney disease - have a low protein diet (decrease in milk and its products and also decrease in the intake of pulses and nuts etc)- can use corn oil, sunflower oil, olive oil for cooking -decrease the intake of butter, ghee, cream,coconut etc - avoid farsan food items - whole grain cereals are best for carbohydrate intake - get your blood checked for electrolyte levels regularly and adjust salt in diet as per the report values.
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From last week I feel weak and my urine color is much more dark than normal color. I drink same amount of water daily. Please help me.

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
From last week I feel weak and my urine color is much more dark than normal color. I drink same amount of water daily...
Dear lybrate-user First check your blood sugar as well as Routine Urine test. Drink at least 3ltrs per day half an hour before and after meals.
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I have an awkward problem I. E. When I sneeze OR (khansi) then due to its pressure some urine also came Kindly suggest any remedy for the same.

MBBS
General Physician, Hyderabad
I have an awkward problem I. E. When I sneeze OR (khansi) then due to its pressure some urine also came
Kindly sugges...
Hi lybrate-user, do not feel bad its not an awkward problem, this problem treatment depends on how your symptoms affect your life. There are four types of treatment for stress incontinence: -behavior changes -medicine -pelvic floor muscle training -surgery drink less fluid (if you drink more than normal amounts of fluid). Do not hold it. Urinate when you first feel the urge. This may help reduce the amount of urine that leaks. Avoid jumping or running. Take fiber to avoid constipation, which can make urinary incontinence worse. Quit smoking. This can reduce coughing and bladder irritation. Smoking also increases your risk for bladder cancer. Avoid alcohol and caffeinated drinks such as coffee. They can cause the urge to urinate. Lose excess weight. Avoid foods and drinks that may irritate your bladder. These include spicy foods, carbonated drinks, and citrus. If you have diabetes, keep your blood sugar under good control. Apart from this do kegels exercise. If any doubt ask me. Do not ever feel bad.
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Urine coming out several times in every 10-15 min. And also getting pain in the stomach.

MBBS
General Physician, Mumbai
Urine coming out several times in every 10-15 min. And also getting pain in the stomach.
Dear Lybrateuser, - Your problem could be due to a urinary tract infection - have 8-10 glasses of water & other fluids - do investigations, urine RE/ ME, culture to know the causative bacteria if present - consult a doctor as you may require a course of antibiotics - take antispasmodic tablet for pain.
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Sir I am 21 years old, and I am very much worried about my health, I have suffered through piles, and I have also taken the treatment for it, blood ejaculation have been stopped. But I feel some burning problem.

BAMS
Ayurveda, Bangalore
Sir I am 21 years old, and I am very much worried about my health, I have suffered through piles, and I have also tak...
Hi, take cap. Rectone 1-1-1 after food with buttermilk and tab. Anuloma ds 1-2 tabs at bedtime with hot water. Take tab. Bolabaddha ras 1-1-1 after food whenever there is bleeding after passing stools. Apply pilon ointment before and after passing stools. Consume high fiber diet and drink 2-3 litres of water per day.
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I have one kidney large and other small. I am planning to take lean gainer protein powder .Will it be harmful for my kidneys?

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
I have one kidney large and other small. I am planning to take lean gainer protein powder .Will it be harmful for my ...
Advice can be given based only on your Kidney function test reports as well as Ultrasound reports and your detailed dietary history only for all these things you need to get a consult. You are young and overweight so please do not get into health issues at this young age and spoil your future Get educated and never medicated.
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I have a kidney stone (6.7 mm) and ureters multiple stone (largest 7.9 mm). Now i've no pain, no vomiting etc and also found mild hydronephrosis.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi
I have a kidney stone (6.7 mm) and ureters multiple stone (largest 7.9 mm). Now i've no pain, no vomiting etc and als...
kidney stones can be cured with medicines which are combination of herbal and homeo. It don't There will no such need to undergo surgery or operations. I will suggest you to avoid surgery there is no need of it. You need to take medicines that can help in removing them naturally such as our medicines combination of herbal and homeo that will help in removing stones. Kidney gets diseased due to an unhealthy diet and lifestyle. A kidney stone is a hard mass developed from crystals that separate from the urine within the urinary tract. Normally, urine contains chemicals that prevent or inhibit the crystals from forming.If the crystals remain tiny enough, they will travel through the urinary tract and pass out of the body in the urine without being noticed. You can connect with me and I will provide you with treatment by which you will be getting cured with kidney stones naturally. The medicines are combination of herbal and homeopathic only.
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