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Dr. Sriram Joglekar

Urologist, Pune

Dr. Sriram Joglekar Urologist, Pune
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Sriram Joglekar
Dr. Sriram Joglekar is a popular Urologist in Shivaji Nagar, Pune. You can visit him at Joglekar Hospital in Shivaji Nagar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Sriram Joglekar on Lybrate.com.

Lybrate.com has top trusted Urologists from across India. You will find Urologists with more than 27 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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Hindi

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#1066/ A, Gokhale Road, Model Colony, Shivaji Nagar. Landmark: Near to Om Super Market, PunePune Get Directions
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Tips on Treating Urinary Incontinence:

Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.


1. Stress incontinence

Non-medical treatment

• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Biofeedback
• Electrical stimulation

Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.

Surgical treatment

• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters

Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.

The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.

Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.

An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.

Surgical treatment

Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.

Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.

3. Overflow incontinence

Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.

4. Total incontinence

Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.

Treating faecal incontinence

Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.

Let’s look at some of the treatment options available for FI:

Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.

Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.

Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.

Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.

Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
13 people found this helpful

My prostate is 124cc, urologist suggested urimax capsule in a day and lazer surgery is mandatory , as per doctors. Is there any other treatment to get rid of this disease. Please suggest

MD - Oncology
Oncologist, Hubli-Dharwad
If controlled with tablets can delay surgery or else have to do, before that do a PSA and a biopsy to rule out malignancy.
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I am 33 years old have 2 stone in kidney one s 1.1 another is 7 mm so what should I eat and what I should not eat strictly please rely soon plz.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 33 years old have 2 stone in kidney one s 1.1 another is 7 mm so what should I eat and what I should not eat str...
Take 1 cup of horse gram + Add ½ L water + Heat the mixture till water level reduces to 1/5th + Strain and collect the soup + add 2 tsp of crushed pomegranate + Mix well + Drink once a day
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I am suffering with kidney stone 6 mm at left kidney pole I'm using zyloric please advise me.

MD - Homeopathy, BHMS
Homeopath, Delhi
I am suffering with kidney stone 6 mm at left kidney pole I'm using zyloric please advise me.
Me Shaik 6 mm kidney stone is considered a small category of stone which can easily be cured with homeopathy. So try that
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Hi, when I am going to pass urine its coming low flow and and its burning after having sex its more.

B.A.M.S
Ayurveda,
Hi, when I am going to pass urine its coming low flow and and its burning after having sex its more.
take liquids in sufficient quantity and take lemon juice and amla.juice.do not take fast food, fried and spicy food.
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When I go to the toilet to doing urine but it irritate me. How can I solve this problem?

Diploma - Urology, MS - General Surgery, MBBS
Urologist, Kochi
When I go to the toilet to doing urine but it irritate me. How can I solve this problem?
Hello and welcome to lybrate. There are several causes for irritation as you describe. Try to describe if you've burning while passing urine, if you're getting itching over the area of passing urine, or you have any problem over the skin of the penis. Treatment will depend on the type of irritation you have. Also mention your age and if you're on any other medication.
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Hi I am male 22, I am staying in hostel since 6 months. From last five days when I go to poop in thee morning my anus is burning. Please suggest me a tablet so that it reduces I am suffering a lot.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg and take syp cremaffin two tsp at night and apply lidocaine ointment and avoid spicy food in your diet and also avoid peanuts and potatoes in your diet.
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I took ultrasound during my annual health check which showed that there is considerable urine retention(around 150mL0 out of 500ML) Is there any medicine or treatment which non-invasive for this?

MD - Internal Medicine
General Physician, Bangalore
HI Yes there is medicine but first the cause has to be found . Kindly upload the Ultrasound report so that I can advise you better.
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Sir, I am taking DUTAS T since last 3 years.Recent sonogram shows-mild enlarged prostrate and PVR 18cc. Psalm is 1.4.Prostrate volume is 32.5th.Sir,should I continue the medicine more ? i am 63 year old. Thanks.

MD-Dermatology, MBBS
Sexologist, Pune
Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.
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Hello Dr, iam 30years female with 1 year old baby. 15days back I just got to know that I have a 5mm Stone in the left side and I was just given a pain relief tablet by the Dr. and he told me that its just a small stone which will go off without medicine but consume more water after that pain was reduced and I take almost 4ltrs of water every day. But now from past 3-4days I have a kind of pain/discomfort in my full abdomen not only in left side like before, especially when I get up in the morning. Pls pls tell me what to do? What are the foods that I need to consume more and avoid? Is it true that the kidney stones are can not be healed completely?

BAMS
Ayurveda, Ambala
Hello Dr, iam 30years female with 1 year old baby. 15days back I just got to know that I have a 5mm Stone in the left...
You should follow these very important and simple things to prevent stone formation & to get sure treatment of kidney stones: 1. First take a lot of fluid daily. The more you drink water and fluid, the less amount of deposit accumulate in kidney. So you have to make your kidneys healthy just only by drinking 2-3 liters (10-12 glasses) of water. 2. Stones are mainly formed of calcium and oxalate. So take very low quantity of milk, cheese, cream and dairy products. 3. Do not take strawberry, plum, spinach and tomatoes. These fruits and vegetables are rich in oxalate. So avoid them to prevent from kidney stones. 3. Stop taking supplementary vitamin d and calcium medication. 4. Avoid animal protein diet- eggs, red meat, fish in diet. 5. Take less amount of salt, pickle and western foods. They have high amount of sodium. So avoid it. 6. Urinary infection are also one of the cause of stone. So take proper antibiotic treatment of urinary infection on time. Even when you feelburning sensation or pain during urination, don't avoid it. Take medication as soon as possible. I hope you follow them in your life andstay healthy. 7. You can take gokshur tablets of himalaya for 3 months. It definitely get relief from kidney stones.
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I have 18mm stone in my kidney's. I already removed my gal bladder due to stone problem earlier. Do I need to again go for operation or there is any treatment.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I have 18mm stone in my kidney's. I already removed my gal bladder due to stone problem earlier. Do I need to again g...
18 mm is big stone . to remove it u should go for operate or another option take ayurvedic medicines for long duration.it will help you if u do operate ,then take ayurvedic medicines to avoid further stone formation in body . check your water source . no hard water to drink . do treat your hyper acidity
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Pain from the opening of vagina upto lower abdomen, back pain. Pains like pricking, urinating tendency but can not pass urine. Only few drops.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
Pain from the opening of vagina upto lower abdomen, back pain. Pains like pricking, urinating tendency but can not pa...
It indicates urinary tract severe infection. It requires vigorous treatment. First give urine for culture and sensitivity test. Take plenty of water a minimum of 3 litres a day. You need to start antibiotic medication after getting culture report. Meanwhile you need to start with some antibiotic. Take liquid Citralka 2spoons three times in the day. Take plenty of coconut water. For antibiotic and further guidance come back in pvt. Consults as we r not allowed give prescription in open questions. Good luck.
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Q. L have three renal stones in lt. Kidney, 18mm, 12mm, 11mm, so what should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Q. L have three renal stones in lt. Kidney, 18mm, 12mm, 11mm, so what should I do?
Homoeopathic medicine BERBERIS VULGARIS Q ( Dr Reckeweg) HYDRANGEA Q ( Dr Reckeweg) Drink 10 drops in 20 ml fresh water 3 times daily at a minimum difference of 20 minutes from each other and eating. For Kidney pain start taking below given homoeopathic medicine in between DIOSCOREA Q ( Dr Reckeweg) Drink 10 drops every 1-2 hrly in 10 ml luke warm water depending on severity of pain Start drinking atleast 3-4 bottles of soda water daily. Report after 15 days Instead of reducing your calcium intake, focus on limiting the sodium in your diet. Extra sodium causes you to lose more calcium in your urine, putting you at risk for developing another stone. Limit your sodium to 2,000 milligrams each day. There are many sources of hidden sodium such as canned or commercially processed foods as well as restaurant-prepared and fast foods. Calcium oxalate kidney stones are the leading type of kidney stones. Oxalate is naturally found in many foods, including fruits and vegetables, nuts and seeds, grains, legumes, and even chocolate and tea. Some examples of foods that contain high levels of oxalate include: peanuts, spinach, beets, chocolate and sweet potatoes. Another common type of kidney stone is a uric acid stone. Red meat and shellfish have high concentrations of a natural chemical compound known as a purine. High purine intake leads to a higher production of uric acid which then accumulates as crystals in the joints, or as stones in the kidneys.To prevent uric acid stones, cut down on high-purine foods such as red meat, organ meats, and shellfish, and follow a healthy diet that contains mostly vegetables and fruits, whole grains, and low fat dairy products. Limit sugar-sweetened foods and drinks, especially those that contain high fructose corn syrup. Limit alcohol because it can increase uric acid levels in the blood and avoid crash diets for the same reason. Eating less animal-based protein and eating more fruits and vegetables will help decrease urine acidity and this will help reduce the chance for stone formation. You should also be sure to drink at least 6-8 glass of water a day to help reduce the risk for stone formation.
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I am 59 years male and I suspect of having enlargement of prostate. Symptons like sudden urge to urinate, unable to control urine flow and slow dribbling while passing urine.

MS - General Surgery
General Surgeon, Jaipur
All these symptoms are indicative of bladder outflow obstruction. Get your routine blood investigations, and usg prostate done. Regards.
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My sister is 24 years old. She has two stones (5 mm) in kidney. So what is the treatment.

MD - Paediatrics
Pediatrician, Delhi
My sister is 24 years old. She has two stones (5 mm) in kidney. So what is the treatment.
usually stones 5mm or less comes out on its own with some pain.. But don't forget to evaluate her for the cause of stone so that she doesn't develop stones in future
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Iam 30 years old. I go toilet once very less and sometime pain in urinary bladder and once no toilet in a day.

BAMS
Ayurveda, Bangalore
Iam 30 years old. I go toilet once very less and sometime pain in urinary bladder and once no toilet in a day.
Hi, get your routine urine examination done and revert back with the reports. Drink 3-4 lts of water per day.
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How to reduce weight on body. And please tell me the symptoms of jaundice. From last 6month my urine colour is yellow colour. Please suggest what to do?

MBBS
General Physician, Mumbai
How to reduce weight on body. And please tell me the symptoms of jaundice. From last 6month my urine colour is yellow...
Vomitting with loss of appetite with yellow colour urine output are few symptoms of jaundice and get your urine checked in a laboratory and to reduce weight eat food with low fat content in your diet and exercise regularly.
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