urologist in Nashik

Male Intimate Dysfunction

Many males suffer from Erectile Dysfunction (ED) but often they avoid talking about their issues to their Urologist for treatment. Very few people know how Dangerous impacts it may have. Erectile Dysfunction (ED Erectile dysfunction (or impotence) is the inability to get and keep an erection firm enough for sex is not only causes you face problems in your relationship but also it can be a sign of heart disease and other health issues.


Identify it before it’s too late. Here are some symptoms of erectile Dysfunction :

  • If you have trouble getting an erection
  • Facing difficulty in maintaining an erection during sexual activities
  • Losing interest in courtship.


Erectile dysfunction can be caused by various reasons. One of its main reasons is stress and mental health. Given below are some possible causes of ED:

  • cardiovascular disease
  • Stress
  • Anxiety
  • diabetes
  • hypertension, or high blood pressure
  • high cholesterol
  • obesity
  • low testosterone levels or other hormone imbalances
  • kidney disease
  • increased age
  • depression
  • relationship problems
  • certain prescribed medications are given by the consultant doctor, like those used to treat high blood pressure or depression
  • sleep disorders
  • drug use
  • consuming too much alcohol
  • using or consuming tobacco products
  • Some health conditions like Parkinson’s disease or multiple sclerosis (MS)


There are some other male sexual Dysfunctions which include-

  • Desire disorders
  • Premature ejaculation (reaching orgasm too quickly).
  • Low libido (reduced interest in love).

How to cure sexual dysfunction in males?

Visit your urologist and he will recommend various medications to treat such sexual dysfunction among males. Some of the treatment includes:


Physical exercise: exercise like yoga, aerobic activity can help in curing ED Dysfunction.

Oral Medication: Your urologist will advise the required medicines.

Penis pumps: if needed your doctor may recommend you for A penis pump (vacuum erection device) which is a hollow tube with a hand-powered or battery-powered pump. over your penis, the tube is placed, and then the pump is used to suck out the air inside the tube. This makes a vacuum that pulls blood into your penis.

Penile implants: This is a surgical treatment that involves surgically placing devices into both sides of the penis. In this type of implants, it is either consist of inflatable or malleable (bendable) rods. Such Inflatable devices help you to control when and how long you have an erection.

How Male sexual Dysfunction can be a sign of heart disease?

As per the experts male face sexual dysfunction or the most common one ED dysfunction mainly due to their lifestyle or stress. The erectile dysfunction preceding heart problems is more often due to the dysfunction of the inner lining of the blood vessels (endothelium) and smooth muscle. Endothelial dysfunction causes the poor blood supply to the heart and reduced blood flow to the penis, and aids in the development of atherosclerosis.


How to fix it?

Here are some steps which can help you to avoid or prevent erectile dysfunction-

  • Follow the instructions of your consulting doctor Work to manage diabetes, heart disease or other chronic health conditions.
  • Go for regular checkups and medical screening tests.
  • Stop smoking
  • Stop consuming tobacco
  • Avoid drinking alcohol and don’t use illegal drugs.
  • Exercise everyday
  • Try to take less stress.
  • Try to avoid or get rid of your anxiety, depression or other mental health concerns.


Anyone can grow kidney disease, regardless of the age

Kidney diseases may happen in all age groups. Except for the genetic link, in many cases, kidney disqualifications may have been caused by an underlying condition. Glomerulonephritis is a situation where the kidneys get inflamed/swollen. Diabetes (excess sugar in the blood) is one of the primary reasons for kidney failure. Urinary tract infections when left untreated may lead to kidney infections and cause irreparable damage.


Renovascular conditions are noted by deposits in the inner lining of arteries and lead to narrowing and blockage. This influences the blood to give to the kidneys and decreased kidney function and failureUrinary incontinence improves the risk of urinary tract infections and consequently leads to reduced kidney function. Urinary reflux is seen in babies where there is a backflow of urine from the bladder into the kidneys. In addition to these causative conditions, there are also hereditary conditions like polycystic kidney disorder that may lead to kidney dysfunction and failure.

The probable signs of kidney diseases are demoted a lot of urine, swelling of your legs-ankles-feet from retention of fluids affected by the failure of your kidneys to eliminate water waste, shortness of breath, extreme drowsiness or fatigue, persistent nausea, nervousness, pain or stress in the chest and seizures.



Kids may develop kidney disorders due to birth defects, genetic diseases, and infections. Renal agenesis is a condition where the baby is born with only one kidney. Renal dysplasia is a situation where the child is born with two kidneys with only one functioning. An ectopic kidney is a condition where the kidney is placed in an unusual position. Polycystic kidney disorder (PKD) is hereditary and is signed by the appearance of fluid-filled cysts/ unusual sacs. Hemolytic uremic syndrome and Post-streptococcal glomerulonephritis are influenced by bacterial viruses. The hemolytic uremic syndrome is caused by the Escherichia coli (E. coli) bacterium discovered in meat, dairy products and juices. E. coli’s toxins may lead to kidney failure in any children.


Different types of kidney disorders are observed in young adults who are in the age group of 18 to 35. Polycystic kidney disease, also known as polycystic kidney syndrome and PKD, is a genetic dysfunction of renal cyst formation, and prominently found in young adults, children, and women. It is characterized by the presence of various tiny cysts in both kidneys. Goodpasture’s syndrome induces glomerulonephritis or acute or chronic infection of the renal glomeruli–the clusters of microscopic blood veins in the kidneys. IgA Nephropathy is a kidney disorder marked by blood or protein in the urine. This kidney disorder is very normal in young adults.


Normally, kidney diseases in middle and old aged are a fall-out of diabetes, high blood pressure, and obesity. Gross neglect of diabetes, blood pressure, and obesity may start to chronic kidney disease, a situation when kidneys stop working and waste can no longer be extracted from the blood. Middle and old aged who now have kidney disorder can slow down its progression with proper medication.


Particular levels to follow to assure healthy kidneys include, checking blood sugar by medication-exercise-diet; controlling high blood pressure by healthy diet-exercise-medication; having kidney health check at regular intervals with close follow-up with the specialist urologistvisiting to urinary tract diseases now; controlling blood cholesterol levels with diet and medications; drinking plenty of water; and having diet rich in fiber and less of fat and sugar.


Kidney diseases are counted as silent killers, as it is not unusual for kidneys to fail with no prominent symptoms at all. End-stage kidney diseases are handled with dialysis and kidney transplantOlder people are extra at the chance of kidney diseases than children, young and middle-aged patients. However, by way of overall health checks, choosing the healthy lifestyle and urologist support, kidney diseases can be checked to ensure the healthy working of kidneys.


Myths about Kidney Stone

Kidney stone treatment in Nashik

Hydrotherapy can flush out urinary calculi

Myth: Drinking copiously will help increase the passage of kidney and ureteral stones. The reason for this advice is that by hydrating massively, ahead of force will be formed to help passage of stone present in the kidney.

Reality: The appearance of a stone often affects urinary tract obstruction. Over-hydration in the appearance of obstruction will further distend the already bloated and inflated portion of the urinary collecting system located above the stone. This extended distension can exacerbate pain and nausea that are often symptoms of colic. The collecting method of the kidney and the ureter have natural peristalsis related to that of the intestine and over-hydration has no physiological basis in terms of helping this method along, being pointless and perhaps even dangerous. Drinking moderately on the surface of a kidney or ureteral stone is sound advice.

Barley water is good for preventing and dissolving urinary stones 

Myth: Barley water has medicinal properties that can dissolve and prevent urinary stones

Reality: Barley water is no different from normal plain water. The key is to prevent the supersaturation of urine. 

Everyone must drink 3-4 liters of water a day.

Myth: Many references of information (frequently non-medical and of dubious reliability) dogmatically assert that humans 3-4 liters of water daily to stay well hydrated and thrive.

Reality: Multiple people aged people drink a lot of water end up in urologist’ offices with urinary urgency, frequency and often urinary leakage. The truth of the matter is that although some urinary issues are brought on or worsened by insufficient fluid intake–including kidney stones and urinary infections–other urinary problems are brought on or worsened by excessive fluid intake. Water specifications are based upon ambient temperature and activity level. If you are sedentary and in a cool environment, your water requirements are significantly less than when in the hot conditions. Heeding your thirst is one of the best ways of keeping good hydration status, in other words, drinking when thirsty and not otherwise. A different method of keeping good hydration status is to pay attention to your urine color. Urine color can vary from deep yellow too as clear as water. If your urine is dark yellow, you need to drink more as a lighter color is ideal and indicative of satisfactory hydration.

Beer helps in reducing kidney stones.

Myth: Beer helps in reducing kidney stones.

Reality: It is worse than water. Beer or alcohol may produce more urine by a diuretic effect but this can also be achieved by consumption of other oral fluids or water. Excess beer consumption increases the risk of oxalate renal calculi by increasing oxalate and urate content in urine.

Restriction of calcium in the diet helps to reduce urinary stone recurrence

Myth: Calcium is a major component of 75% of stones hence many people believe that restriction of dietary calcium is a logical means of preventing a recurrence.

Reality: Many studies have shown that severe limitation of calcium in the diet improves the recurrence rate of urolithiasis by increasing the oxalate absorption from the intestine. So calcium should be consumed in moderation and should not be restricted.


There are medicines to dissolve urinary stones


Myth: 80% of the urinary stones are composed of calcium oxalate or calcium phosphate. For these, there are no medicines available that can dissolve the stones.

Reality: In select patients with small uric acid stones (5 % of stones) or cystine stones (1-3% of stones), medications can potentially be used to help dissolve their stones. However, even in these, surgery may be required.

Shock Wave Lithotripsy (SWL) can be used to treat renal calculi of any size and form

Myth: SWL is used to operate only small calculi less than 2 cm. If ESWL is used to fragment larger renal calculi then these fragments may block the ureter or some of these fragments may remain in the kidney and lead to a recurrence.

Reality: Thus SWL for large renal calculi has poor success rates and is associated with a high risk of ancillary treatments for the residual calculi. Also, it is not ideal for very hard stones. It cannot be recommended as a universal treatment for all renal calculi but must be used selectively.

Staghorn or large renal calculi cannot be treated by endoscopic surgery ie PCNL

Myth: Open operation for renal calculi is done because the stone was “very large”.

Reality: Percutaneous nepholithotripsy (PCNL) is “the treatment of choice” for large renal calculi, irrespective of the stone size.


Clamp the catheter intermittently to maintain bladder tone

Myth: Patients who have been temporarily catheterized during an acute illness or after surgery have their catheter clamped intermittently before removal often starting 24 to 48 hours before removal of the catheter. It has been claimed that the bladder shrinks after it has been catheterized and the intention of clamping the catheter is to maintain bladder tone and capacity

Reality: There is no evidence, however, that the cyclical bladder filling produced by intermittent clamping has any effect on bladder capacity except in defunctionalized bladders. Patients undergoing prostatic surgery after several weeks or even months of catheterization void without difficulty after surgery and maintain normal bladder volumes.

There is pericatheter leak from the sides of the catheter; it must be too small-  “Put in a bigger one”


Myth: The leakage of urine around catheters is a common problem and has been reported to occur in 40-70% of catheterized patients. Although it is occasionally due to a blocked catheter, particularly if haematuria is also present, the usual In the catheterized patient these detrusor contractions may be caused by irritation of the bladder by the catheter balloon, by debris or stones within the bladder, or by infection.

Reality: The logical management of this problem is, therefore, to reduce to a minimum the volume of water in the catheter balloon either by partially deflating the balloon or preferably by using a catheter with 5 ml balloon capacity. The addition of anticholinergic medication may help.

Doing a prostate biopsy will spread any cancer that may be present.

Myth: Using a needle to obtain tissue samples of the prostate allows cancer cells to seed and implant along the needle track, or alternatively, into the blood or lymphatic vessels.

Reality: Although this is a theoretical consideration, millions of prostate biopsies performed every year and incidence of seeding is virtually non-existent and the potential risk can be thought of as being negligible.



Smoking Can Cause Infertility.

Smokers are more likely to have fertility problems. If you smoke for many years or smoke many cigarettes per day, your chance for fertility is built.

If you smoke, more than 7000 chemicals spread throughout your entire body together with all of your organs. This can begin to fertility problems, including the following:


Genetic issues

  • Ovulation difficulties
  • Harm to your reproductive organs
  • Harm to your eggs or premature menopause.
  • Enhanced risk of cancer and improved risk of miscarriage
  • Also, smokers that try fertility treatments tend to take longer to get pregnant. Smokers are also more likely to give birth to babies with health problems.

Passive smoking can also affect your fertility.

If you breathe with a smoker or surrounded by a smoker, Passive smoking exposes you to poisonous chemicals, harming your fertility. Specialists say that passive smoking is almost as damaging to your fertility as if you were smoking yourself! Exposure to cigarette smoke for even just some days can change your health and your fertility.

Passive smoking is also a known cause of Sudden Infant Death Syndrome (SIDS). If you do become pregnant, you and your partner need to stop smoking to preserve the health of your child.

Smoking increases the chance of miscarriage

The pain of miscarriage can be devastating. Due to the toxins from smoking, smokers are more likely to undergo from miscarriage. Besides, smoking raises several health risks throughout pregnancy, such as preterm labor and ectopic pregnancy.

Despite these warnings, millions of women of childbearing age continue to smoke. By doing so, they risk their health and the health of their children.

Smoking causes fertility problems for men.

Men that smoke cigarettes are at increased risk for the following male fertility problems:

  • Hormonal issues
  • Erectile dysfunction – trouble getting or keeping an erection
  • Lower sperm count and sperm motility problems (motility is the ability of sperm to swim towards and penetrate the egg)
  • If you are deciding to get pregnant without success and your partner smokes, encourage him to quit. The quickly he quits, the earlier you may be able to conceive.

Quit smoking to improve your chances of getting pregnant.

Fertility often increases for women after they stop smoking. Studies show that female smokers can increase their chances of conceiving by quitting at least two months before trying to get pregnant. Quit smoking and you may just find it easier to get pregnant.


Kidney Stone

Stay healthy and energetic

Having fit supports to decrease your blood pressure and therefore decreases the chance of Chronic Kidney Disease.

Urologist in Nashik

Keep proper control of your blood sugar level

Around half of people who have diabetes occur kidney damage, so somebody with diabetes requires to have regular inspections to check their kidney functions.

Kidney injury from diabetes can be decreased or prevented if detected early. It is essential to keep control of blood sugar levels with the help of doctors or pharmacists, who are always happy to help.

Control your blood pressure

Although numerous people may be conscious that high blood pressure can lead to a stroke or heart attack, some understand that it is also the most common cause of kidney damage.

The average blood pressure level is 120/80. Between this level and 139/89, you are supposed prehypertensive and should adopt lifestyle and dietary changes. At 140/90 and above, you should consult the risks with your doctor and control your blood pressure level routinely. High blood pressure is particularly likely to cause kidney damage when associated with other factors like diabetes, high cholesterol, and Cardio- Vascular Diseases.

Eat healthily and maintain your weight in check

This can support prevent diabetes, heart disease and other conditions associated with Chronic Kidney Disease.

Decrease your salt eating. The suggested sodium intake is 5-6 grams of salt per day. To reduce your salt eating, try and limit the amount of processed and restaurant food and do not add salt to food. It will be simpler to manage your intake if you make the food yourself with fresh elements.
Keep a healthful fluid intake

Although clinical researches have not reached an understanding of the ideal quantity of water and other fluids we should drink daily to maintain good health, traditional wisdom has long recommended drinking 1.5 to 2 liters (3 to 4 pints) of water per day.

Do not smoke

Smoking reduces the flow of blood to the kidneys. When less blood enters the kidneys, it reduces their ability to work properly. Smoking also raises the risk of kidney cancer by about 50 percent.

Do not use over-the-counter medicines regularly

Common medicines such as non-steroidal anti-inflammatory drugs like ibuprofen are known to cause kidney damage and disease if taken regularly.

Such pills apparently do not act vital danger if your kidneys are relatively healthy and you use them for emergencies only, but if you are dealing with chronic pain, such as arthritis or back pain, work with your doctor to find a way to control your pain without putting your kidneys at risk.

Understand your kidney function checked if you have one or more of the ‘high risk’ factors

· Diabetes
· Hypertension
· Obese

One of your fathers, mother, brother or other family members suffers from kidney disease
If you have suffered from any of the risk factors, consult with Urologist.
Dr. Lomesh Kapadnis is one of the best Urologist in Nashik, He Provides a Best Kidney stone treatment in Nashik and related problems. Consult Dr. Lomesh Kapadnis Best Urologist in Nashik.


Kidney Stone Treatment

Unfortunately, one in 10 Indians will experience the unpleasant small kidney formations called kidney stones at some point in their life. 

While not everyone will get kidney stones, it’s important for you to not only understand why you’re feeling kidney stones but also what to do when you have one. Moving kidney stones is not simple, and if you’ve never had a kidney stone before you may not know what to expect. 

In this blog, we include five points you should know about moving kidney stones. While we hope you can pass kidney stones naturally and with little discomfort, we know that it doesn’t always work out that way. This blog will help prepare you for the potential outcomes during and after passing kidney stones so you know exactly what to expect. 

Kidney Stone Treatment in Nashik

1. Not All Kidney Stones Can Be Passed Naturally

If your kidney stones are comparatively small, less than 5mm, they should be capable to exit your body easily. This means that the tiny stones will move down your urethra and exit the body along with your urine. 

However, if your kidney stones are bigger than 5mm, chances are you’ll need assistance getting them out. If this is the case, Dr. Lomesh Kapadnis Urologist in Nashik may recommend one of these three methods  

1.      Extracorporeal Shock Wave Lithotripsy (ESWL). This operation includes shock waves into your body to break up kidney stones so that they can be passed easily. 

2.      Ureteroscopy With Laser Lithotripsy. This method uses strong miniature lasers to break up kidney stones into dust and small passable fragments.

3.      Percutaneous Nephrostolithotomy. This is a therapy option for very big stones. This minimally invasive method utilizes a break directly into the kidney allowing placement of a stone-pulverizing device to remove very large stone burdens.

If you have a kidney stone, Dr. Lomesh Kapadnis Urologist in Nashik recommend which treatment is best for you.

2. There Are Various Ways To Help Pass Kidney Stones

While there isn’t a medication that can magically make the kidney stone come out of your body, Dr. Lomesh Kapadnis may prescribe an alpha-blocker to help with the pain. Alpha-blockers help decrease your urinary tract muscles and allow you to pass the stone without too much pain. 

However, there are other natural treatments you can try while attempting to pass a kidney stone. Try to:

1.      Drink lots of water. Water infused with citrus fruits like lemon, lime, and orange can help break up the stones to make passing them easier. This is easy to do at home, too. Easily cut up slices of your preferred fruit and place them in water.

2.      Drink equal parts lemon juice and olive oil. That may support ease the pain linked with passing kidney stones as well as help break them up.

3.      Drink apple cider vinegar. Take only a few ounces at a time mixed with water. This is also a great prevention practice!

4.      Eat diuretic foods. Watermelon, celery, and cucumber may help you move kidney stones. 

3. Passing Kidney Stones Will Probably Hurt

Moving kidney stones is rumored to be very painful, and every person will have a different experience. Being prepared for the pain and talking with a doctor about it can help to ease your fears. Plus, the doctor may be able to prescribe you medication such as alpha-blockers that can help ease kidney stone pain. 

Depending on the size of your kidney stones, some may be more extreme to pass than others. Even if your kidney stone is smaller than 5mm and can be passed easily, it will likely cause discomfort in your back, sides and urinary tract. If the pain becomes severe, do not hesitate to reach out to your doctor. 

4. Hydration is Key—Both for Passing and Prevention

Staying hydrated while passing kidney stones is crucial. Kidney stones need to be flushed outside of the body, and drinking lots of fluids will help pass them along. Water is best (or water with citrus fruits as mentioned above), and there are a few liquids that should be avoided while passing a kidney stone.

You should do your greatest to pass alcohol, coffee, tea, and soda during this time. Do your best to drink as much water as possible. Dehydrating fluids like alcohol and coffee will not help you pass your kidney stones and may make the pain worse.


5. Passing Kidney Stones May Take A While

The length of time it takes to pass a kidney stone very depends on the size and location of the kidney stone.

If the stone is small, it will likely be capable to pass on its own. However, it’s difficult to estimate how long it will take to exit the body. Additionally, stones that are positioned at the end of the ureter closest to the bladder (rather than the end near the kidney), are more likely to pass on their own and more quickly. stones that are located in a difficult place, are unlikely to pass on their own and may require medical assistance. 

Can’t Pass Your Kidney Stone On Your Own? We Can Help

If you’ve had kidney stones in the past, then you know two kidney stone activities are never the same. You may be able to move one naturally, and then need lithotripsy for the next. once you’ve had one kidney stone, your chances of having added. 

Whether you’ve had a kidney stone before or not, attempting to move them on your own isn’t always easy. If you are undergoing the pain associated with moving kidney stones, or are unable to pass your kidney stone on your own, reach out to us. 

Dr. Lomesh Kapadnis will be prepared to determine the size of your kidney stone and the next steps for treatment. Plus, we can operate with you to mitigate discomfort and make moving kidney stones as painless as possible.