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Dr. Shashikant Bhanje

Urologist, Pune

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Dr. Shashikant Bhanje Urologist, Pune
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Shashikant Bhanje
Dr. Shashikant Bhanje is an experienced Urologist in Nagar Road, Pune. He is currently associated with Shree Hospital - Nagar Road in Nagar Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Shashikant Bhanje on Lybrate.com.

Lybrate.com has top trusted Urologists from across India. You will find Urologists with more than 38 years of experience on Lybrate.com. You can find Urologists online in Pune 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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What You Should Know About Urinary Incontinence?

MBBS, MS - General Surgery, DNB (UROLOGY), MNAMS
Urologist, Indore
What You Should Know About Urinary Incontinence?

Urinary incontinence is the inability to hold urine in the bladder because of loss of control of the bladder. The severity may range from temporary to chronic, depending on the cause of this disease. Urinary incontinence is more common in women than men and can be categorized into three types.

Types and symptoms of urinary incontinence

Stress incontinence: this incontinence may occur while participating in any physical activity such as a sudden cough, laugh, sneezing or exercising. The stress here refers to the sudden physical pressure that a person experiences, leading him/her to urinate involuntarily.

Urge incontinence: a sudden, involuntary contraction of the muscular wall of the bladder causes an urgency to urinate. This urgency can be formed by a sudden change in position or sex.

Overflow incontinence: this is more common in men with prostate gland problems, damaged bladder or blocked urethra. The person has an urge to urinate frequently but in small amounts.

Causes of urinary incontinence

There are a number of causes of urinary incontinence ranging from aging to cancer and physical damage to the neurological disorder.

1. Aging: with age, the bladder muscle weakens and the chances of incontinence increases.

Damage: since the pelvic muscles support the bladder any damage to it (surgery or any procedure to remove the uterus) can lead to urinary incontinence.

2. Enlarged prostate: enlargement of the prostate gland in older men may give rise to this condition.

Cancer: urinary incontinence may be associated with untreated prostate cancer, which is a side effect of treatments for it.

3. Menopause: estrogen is a hormone that keeps the lining of bladder and urethra healthy. After menopause the production of estrogen is decreased, increasing the chances of urinary incontinence.

4. Prevention: urinary incontinence is not preventable but some steps can be taken to reduce the risk of it. Maintaining a healthy lifestyle, avoiding smoking, practicing pelvic floor exercises, avoiding caffeine and acidic foods and eating more fiber to prevent constipation can help decreasing the risk of it.

1 person found this helpful

I am 25 year old male and my problem is that as soon as I drink water I have to go washroom within few minutes .I drink approximately 3 ltr water everyday but I urinate same amount of water. Its like that my body has stop accepting water and my tummy is also increasing like a balloon. Please suggest me some solution.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 25 year old male and my problem is that as soon as I drink water I have to go washroom within few minutes .I dri...
Hi. Your urinal baldder is not controlling urine. May be prostate increasing size. Pl. Do ultrasound for k you b, urine r/m and reply again. Avoid more alcohol.
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Dear sir/mam my question is that, My father have sugar problem from the last 5years will you please tell me how to reduce it they have urin sugar problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Dear sir/mam my question is that, My father have sugar problem from the last 5years will you please tell me how to re...
hi i suggest you some very effective home remedies 1.take 2tsp triphala churna at night after dinner 2.keep methi beans in one glass of water for whole night and in the morning empty stomach eat that methy beans and also drink that water start this above remedies but dont stot anti-dibetic drug
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It is about 7 days gone when I wake up in morning and start peeing my urine is looking severe yellow means slight red only in morning. But overall day it is normal. So I want to know about is it kidney problem or not? Kindly give some information about symptoms of kidney problem.

DM - Nephrology
Nephrologist, Ahmedabad
It is about 7 days gone when I wake up in morning and start peeing my urine is looking severe yellow means slight red...
No it is concentrated urine. Foaming of urine, swelling of legs or eye, blood pressure at age below 35, frequent urine infections are signs of kidney problem.
47 people found this helpful
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I am 21 year old female having pain while urinating. The pain occurs when the process ends and it stays for sometime. Also there is feeling of urinating frequently whereas I just urinate a little. Please advice on same.

MD - Homeopathy, BHMS
Homeopath, Palakkad
I am 21 year old female having pain while urinating. The pain occurs when the process ends and it stays for sometime....
Please take following HOMOEOPATHIC MEDICINES for 5 days and revert back. Rx 1.Can notharis30 4 pills morning and night 2.Apis 200 4 pills daily morning 3.Uva ursiQ 10 drops in quarter glass of water 3 times. 4.Ferrum phos6X 4 tabs 4 times. Please avoid coffee while taking HOMOEOPATHIC MEDICINES. Drink one glass of cranberry juice daily. All your UTI symptoms will get relieved in 5 days. Nothing to be worried. For further queries please feel free to contact me through Lybrate. Thanks.
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Dear sir Meri problem ye hai ki muje urine bar bar ata hai mein din bhar me bahot bar jata hu raat me b 3 4 bar urine jana padta hai. Pahele aesa nahi hota tha. Pls tell me aese kyu hota hai.

pg general medicene
Ayurveda, Hyderabad
Dear sir
Meri problem ye hai ki muje urine bar bar ata hai mein din bhar me bahot bar jata hu raat me b 3 4 bar urine...
Dear Juber first of all get urine and blood examined to rule out Urinary tract infection and diabetes. Take Chandra prabha vati 2tabs morning and evening with water.
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Kidney Stones - 8 Diet Tips to Prevent It!

MCh, MBBS
Urologist, Visakhapatnam
Kidney Stones - 8 Diet Tips to Prevent It!

The kidneys filter the blood and eliminate the waste products through urine. The waste deposition is sometimes in the form of excessive calcium, uric acid and other undesirable contents. It causes the urine to get highly saturated. The solid depositions then turn into stone like formations, also termed as renal lithiasis or calculi. There are different kinds of kidney stones, which are differentiated based on its varied constituents. Kidney stones cause excruciating pain and uneasiness. Frequent urination and discomfort during urination, presence of blood in the urine, are some major signs of kidney stones.

Kidney stones can be prevented by maintaining a healthy lifestyle and a balanced diet with sufficient nutrients:

  1. Calcium and oxalate-rich food should be consumed together. This leads to the binding of calcium and oxalate together in the stomach intestines, before they can be processed in the kidneys. This helps to control the formation of calcium and oxalate depositions in the kidneys.
  2. Do not cut down on calcium. Since most of the kidney stones are found to be calcium depositions, many people tend to cut down on their calcium intake. It is important to continue with food that is rich in calcium such as milk. However, it is necessary to reduce intake of other calcium supplements. Decrease in calcium can lead to degeneration and deformation in bones and muscles.
  3. Too much of red meat consumption and high fat dairy products can lead to the formation of stones in the kidneys. Animal protein is rich in purine that increases uric acid, saturating the urine and creating stones. It is important to balance your diet by including lots of green vegetables, whole grains, fibres, fruits and low-fat dairy products. Opt for non-animal protein such as lentils or legumes.
  4. Cut down on sugary and aerated drinks. They contribute to the formation of depositions due to their high and unhealthy levels of fructose and preservatives.
  5. Reduce or abstain from alcohol. Alcohol is known for its multiple disadvantages to the human body. It has also been found to increase the levels of uric acid in blood.
  6. Keep your body hydrated. Drink adequate quantity of water throughout the day, preferably 3 litres or more depending on your physical activities. It prevents the solidification of the depositions and helps to eliminate wastes smoothly.
  7. Increase the intake of anti-oxidants in the form of green tea, dark chocolates and fruits.
  8. Lower the intake of salt. If you wish to discuss about any specific problem, you can consult a urologist.
6086 people found this helpful

She can't able to control her urin She had a urological problem Her bladder is not proper Please help me.

BAMS
Ayurveda, Ambala
She can't able to control her urin She had a urological problem
Her bladder is not proper
Please help me.
To treat the incontinence of urine- *take very less amount of fluid after 6 pm & go for urination after every hour. * do urination before bed time & wake up in the midnight for urination. * during daytime, while you are urinating, once take a pause then start urinating again & repeat it 2-3 times. It increase the muscle tone of bladder muscle. * sit in the possition of padmasana or sidhasana in morning for 8-10 minutes.
2 people found this helpful
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People says that drinking beer helps removing kidney stone in a quick way but I am non alcoholic guy so what is the alternative for me apart from simple water to get rid of kidney stone quickly.

BHMS
Homeopath, Secunderabad
People says that drinking beer helps removing kidney stone in a quick way but I am non alcoholic guy so what is the a...
You can drink water to flush the stones. Keep the follow up with your doctor to know the status of the kidneys. Adapt a healthy routine so that you stay fit and healthy. You may also try homeopathy if there is a tendency of recurring kidney stones. You can contact me for a personal consultation.
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I have frequent urination problem, consulted many doctors but no use, what will be the solution for this.

Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine Specialist, Delhi
I have frequent urination problem, consulted many doctors but no use, what will be the solution for this.
Hello lybrate-user, frequently urination is not a disease its a symptom of any disease like sugar, urinary track infection, testical infection, swelling of urethra, get done your test by nearest lab. Get done your sonography, blood sugar, urine analysis, it will diagnose your problem.
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Hi Kindly explain me d causes symptoms n treatment of kidney failure as I am a diabetic n under insulin control.

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Hi Kindly explain me d causes symptoms n treatment of kidney failure as I am a diabetic n under insulin control.
There won't be any symptoms till the last stage of kidney failure. Please don't depend upon symptoms to detect kidney failure in early stages. You must get urine protein levels and blood creatinine levels at least once a year and show to your doctor.
6 people found this helpful
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I am having urinary infection. Urine routine report and urine culture is as follows urine examination test report urine r/m & flowcytometry investigation result units urine image 68 years / m physical examination 40 ml volume yellow color sl. Cloudy transparency nil deposit 1.020 specific gravity 8 reaction/ph chemical examination negative albumin norm sugar 10 blood /ul negative ketone bodies negative bilirubin negative nitrite 500 leucocytes /ul norm urobilinogen microscopic examination 639.6 wbc (/ul) /ul 0 - 40 100-120/hpf pus cells 10.0 rbc (/ul) /ul 0 - 20 2-3/hpf r. B. C. 2.0 epithelial cells (/ul) /ul 0 - 28 0-1/hpf epithelial cells 1.65 casts (/ul) /ul 0 - 2 microbiology urine culture/ sensitivity & mic urine image 68 years / m specimen urine organism isolated escherichia coli colony count 1, 00, 000 /ml esbl positive + ampicillin resistant (>=32) piperacillin + tazobactam sensitive (<=4) ceftriaxone resistant (16) cefepime sensitive (<=1) ertapenem sensitive (<=0.5) imipenem sensitive (<=0.25) meropenem sensitive (<=0.25) amikacin sensitive (<=2) gentamicin sensitive (<=1) ciprofloxacin sensitive (0.5) tigecycline sensitive (<=0.5) nitrofurantoin sensitive (<=16) trimethoprim/sulfamethoxazole resistant (>=320) cefoperazone/sulbactam sensitive (<=8) colistin sensitive (<=0.5) cefuroxime axetil resistant>=64 cefuroxime resistant (>=64) augmentin sensitive 4 nalidixic acid resistant>=32 what medicine should I take. I am taking cipro 500mg1bd+augmentin 1000mg1bd. I want a second opinion from an expert since medicine prescribed is by general physician.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
I am having urinary infection. Urine routine report and urine culture is as follows
urine examination test report
uri...
Dear , if you are taking ciprofloxacin 500 mg then take 1 hour before meals or 2 hours after meals with only water and not with milk for 15 days and check urine again to see pus cells have come down to 5 or less. Medications fine.
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I am boy 20 year old and my chest become like breast and have small stone in in the centre of nipple point? Is that any solution?

M Ch. Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Durg
I am boy 20 year old and my chest become like breast and have small stone in in the centre of nipple point? Is that a...
You may be having gynecomastia. Gynecomastia can be due to many reasons - drug intake, endocrinal (hormonal) problems, metabolic causes or pubertal gynecomastia. Get serum testosterone, prolactin and thyroid profile done. Surgical correction of gynecomastia can be done by liposuction and sos gland incision. It's a safe and near scarless procedure. Consult a plastic surgeon for that.
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I m urinating frequently and I feel the burning sensation after urination wat should I do?

PGDHHM, MBBS
General Physician, Delhi
I m urinating frequently and I feel the burning sensation after urination wat should I do?
U seem to be having urinary tract infection. Drink plenty of liquids. Take alkaliser 2tsf in water twice daily. Get ur urine routine test done. If symptoms persists, u may need antibiotics too. Hope I answered your query
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My grandmother is 85 years old. From last few days she complaint for the back pain and today urine report was came. In which wbc count is 35400, polymorphic 96% + lymphocytes 4% + pus cells are many and red cells are many. So please suggest what to do?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
My grandmother is 85 years old. From last few days she complaint for the back pain and today urine report was came. I...
1.Pass urine whenever you feel a desire, empty bladder completely. 2.Wipe from front to back after toilet 3.Take lots of water so as to have clear urine 7.Keep genital area dry- wear cotton, loose under garments, she has infection in urine and needs medicine. Show to doctor or contact on private chat for medicine.
6 people found this helpful
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8 Causes Of Chronic Kidney Diseases!

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
8 Causes Of Chronic Kidney Diseases!

Chronic Kidney Disease (also known as Chronic Renal Failure) is the progressive loss of kidney function occurring over a span of several months to several years and is characterised by the replacement of kidney architecture with nonfunctional fibrotic shrunken tissue. Chronic kidney disease is classified into five stages on the basis or proteinuria (presence of protein in large amounts in the urine) or Glomerular Filtration Rate (GFR) 1 being the mildest with no distinct symptoms and 5 being end stage renal failure. 

Causes and Risk Factors of Chronic Kidney Disease 

The various reasons (called risk factors) that can increase chances of Chronic Kidney Diseases are: 

  • Diabetes mellitus, hyperlipidemia (excess fat proteins in the blood) 
  • Hypertension 
  • Family history heritable renal disease 
  • Older age smoking 
  • Autoimmune disease 
  • Past episodes of acute renal disease 
  • Kidney Stones 
  • Excessive self-medication especially pain killers 

The direct causes of Chronic Kidney Diseases are: 

  • Diabetic nephropathy (leading cause) 
  • Hypertensive nephropathy Glomerulonephritis (swelling of the glomerulus in the kidneys) 
  • Reno-vascular disease (ischemic nephropathy) 
  • Polycystic kidney disease 
  • HIV-associated nephropathy 
  • Transplant allograft failure 
  • Exposure to drugs and toxins 

Diet that you must maintain in Chronic Kidney Disease: 

It is essential to make dietary as well as lifestyle amends once you are diagnosed with CKD. The main purpose of this diet is to maintain the levels of carbohydrates, fluids and minerals. This is done to prevent the buildup of waste products in the body as the kidneys are unable to fulfil its function properly. It is recommended to refer a dietician who can make you a diet chart that helps you adhere to your diet. 

Here is a list of food items that you may avoid or may consume if you are suffering from Chronic Kidney Disease: 

  1. Carbohydrates: Carbohydrates are a good source of energy. If the intake of protein has been restricted, then it is recommended to replace that with carbohydrates as a source of energy. Fruits, vegetables, grains and bread can be consumed as they are rich source of fibres, minerals and various types of vitamins. You can indulge in some hard candies or sweets as well. 
  2. Fats: Fats can provide a good amount of calories as well. Ensure that you only stick to healthy fats such as the monounsaturated and polyunsaturated fats that are good for your cardiac health. 
  3. Reduce your phosphorus intake: A diet with no more than 800 mg of phosphorus can help reduce the risk of too much phosphorus building up in your blood. Limit intake of foods with high levels of phosphate or phosphate additives such as organ meats, whole grain breads, processed foods, cola beverages, cheese, dried beans, liver, peanut butter, dairy products and chocolate. Many beverages and processed foods have these additives. Other high-phosphorus foods to limit include: 
    • Ice cream 
    • Legumes 
    • Milk 
    • Nuts 
    • Yogurt 
  4. Monitor your potassium levels: Usually, potassium is not restricted in stage 3 CKD unless lab tests show potassium is too high. Your doctor may make medication changes or prescribe a low-potassium diet. Reduce an elevated potassium level by limiting some high-potassium foods and potassium chloride (found in salt substitute and many low-sodium processed foods). Some high-potassium foods to limit or avoid include: 
    • Avocado 
    • Bananas 
    • Cantaloupe 
    • Honeydew melon 
    • Dried fruit 
    • Legumes 
    • Milk 
    • Nuts and seeds 
    • Oranges and orange juice 
    • Pumpkin and winter squash 
    • Tomato products (juices, sauces, paste) 
  5. Proteins: Usually, before undergoing dialysis, it is recommended to adhere to a low-protein intake diet. However, when you are undergoing dialysis, it is necessary to consume a certain amount of class one high-quality protein like nonvegetarian, paneer, soyabean, mushroom. This detailed information can be obtained from your dietician. 
  6. Fluids: In the early stages of CKD, your fluid intake is not monitored. But as the disease progresses, you need to check your intake of fluids as too much fluids may accumulate in your body and create swelling in your legs and cause pressure on your lungs and heart. 
  7. Sodium Or salt intake: Keeping a check on your salt intake reduces the risks of high blood pressure. Also, having food low on salt can reduce your thirst and prevent fluid retention in your body. If you wish to discuss about any specific problem, you can consult a nephrologist.
2995 people found this helpful

Sir namasteI am a doctor. Working in a village hospital. My age is 32. I had an xray kub which suggested a calculus in right ureter near ischial spine. For which I took cef-o, flavoxate and potrait mb6 for five days. Again I did an xray kub which suggested a calculi at same place. It hasnt come down. Kindly suggest a remedy.ischial spine.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , if the stone is at the level of ischial spine, it must be small in size, hence passable per urethra. Treatment you took will not help pass the stone out. It was wrong treatment. If you dot have pain now then try oral forced diuresis: 1take anti spasmodic like drotaverine hydrochloride 80 mg with diuretic like lasilactone 50 mg in the morning and drink plenty of water. Do not be impatient, stone will out but not so quickly as you expect. Oral diuresis should continued for 20 days then break for 10 days for three months. Then stop medications, save the stone and get its chemical analysis done. During the treatment if you get the pain take drotaverine every 6 hours till pain settles down. If you have pain at the time of taking medicines in the morning then do not take lasilactone> when pain settles down take drotin and diuretic from next morning. If the stone recurs then try to find out underlying cause.
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I am 43 years old I have a problem gastritis, congested prostate gland and sex problem.

PDDM, MHA, MBBS
General Physician, Nashik
I am 43 years old I have a problem gastritis, congested prostate gland and sex problem.
Take tab rekool d once daily at 8 am for gastritis and consult further for detailed assessment and treatment for other problems.
4 people found this helpful
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