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Consultation for conditions involving the urinary system and related concerns.
Appointments, clinician availability and the exact services offered should be confirmed with the hospital team.
The Urology department treats conditions of the kidneys, ureters, bladder, prostate and male reproductive system. The commonest problems — kidney stones, enlarged prostate, urinary infections and blood in urine — are also the most neglected, often tolerated for years before consultation. At Deccan Malti Hospital, Sangli, urological care emphasises accurate diagnosis, medicines where they suffice, and endoscopic/minimally invasive procedures where an operation is genuinely needed, with clear explanation at every step.
This educational page does not diagnose a condition or replace assessment and advice from a qualified clinician.
Urinary symptoms intrude on life quietly but completely: waking three times a night to pass urine, the fear of travel because of urgency, the dread of another stone episode. These are treatable problems, and seeking care is straightforward — a consultation, a few focused tests, and a plan.
Kidney stones deserve special mention in our region, where they are common. Treatment today is largely endoscopic — through natural passages, without cuts — and equally important is prevention: identifying why you form stones so the next one never forms.
For elderly men, prostate enlargement is nearly universal with age, but suffering is not compulsory. Modern medicines help most; for those they do not, endoscopic surgery reliably restores comfortable urination.
The examples below are general information, not a self-diagnosis checklist. A clinician decides what assessment is appropriate.
Stones causing severe flank pain radiating to the groin, often with nausea or blood in urine. Small stones pass with medicines; larger or stuck stones are treated endoscopically or with laser fragmentation.
Stone pain with fever and chills is an emergency — an infected, blocked kidney can become dangerous quickly.
Age-related prostate growth causing weak stream, straining, night-time urination and incomplete emptying. Managed with medicines initially; endoscopic surgery when medicines fail or complications develop.
Complete inability to pass urine is an emergency requiring catheterisation.
Burning urination, frequency and lower abdominal discomfort. Recurrent or complicated infections — especially in men, children and diabetics — need proper evaluation for an underlying cause.
UTI with high fever, flank pain or confusion needs urgent treatment, particularly in the elderly.
Visible blood in urine is never dismissed — evaluation with urine tests, imaging and cystoscopy rules out stones, infection and, importantly, bladder or kidney tumours.
Painless visible blood in urine after 40 needs full evaluation even if it happens only once.
Urgency, frequency and leakage affecting daily life. Behavioural measures and medicines help most patients once the specific type is identified.
New incontinence with back pain or leg weakness needs urgent neurological evaluation.
PSA testing and examination for men over 50 or with family history, with honest counselling about what screening can and cannot tell, before any biopsy decision.
A rising PSA or hard prostate on examination needs specialist evaluation.
Describe what you notice, when it started, how it has changed and how it affects everyday activities. Seek urgent care for severe or sudden symptoms.
Evaluation starts with history and examination, including prostate examination where relevant. Urine tests identify infection and blood; blood tests assess kidney function and, where indicated, PSA.
Ultrasound is the standard first imaging for stones, prostate size and bladder emptying; CT scanning defines stones precisely when treatment is planned. Uroflowmetry measures the urine stream objectively in prostate problems, and cystoscopy — camera inspection of the bladder — is advised for blood in urine or suspected bladder lesions. Please confirm the availability of specific tests when booking.
For stone formers, metabolic evaluation — stone analysis and targeted blood and urine tests — identifies preventable causes.
Medicines come first where they work: alpha-blockers for prostate symptoms and small ureteric stones, antibiotics guided by culture for infections, and behavioural plus medical therapy for overactive bladder.
When procedures are needed, modern urology is largely endoscopic: ureteroscopy and laser fragmentation for stones, endoscopic prostate surgery for obstruction, and cystoscopic procedures for bladder conditions — all through natural passages, without external cuts, and with short hospital stays.
Stone prevention is prescribed as seriously as stone treatment: fluid targets, dietary modification and, where tests indicate, preventive medication — because the best stone procedure is the one that never becomes necessary.
Minimally invasive, endoscopy-first approach for stones and prostate
Stone prevention programmes, not just stone removal
Respectful, unembarrassed consultation for intimate symptoms
Thorough evaluation of blood in urine — reassurance backed by proper testing
Coordination with nephrology for patients with kidney function concerns
Consultation
Symptoms, examination and review of previous reports.
Focused testing
Urine and blood tests, ultrasound, flow study or CT as indicated.
Medical management
Medicines and lifestyle measures tried first where appropriate.
Endoscopic procedure
When needed — laser stone treatment or prostate surgery, short stay.
Prevention & follow-up
Stone-prevention plan or symptom review at defined intervals.
Previous ultrasound, CT reports and any stone analyses
Urine test and culture reports, especially for recurrent infections
Current medicine list, including blood thinners
A voiding diary (times and volumes) if you have frequency or incontinence
Recent kidney function reports
Insurance documents for planned procedures
Recovery after endoscopic stone or prostate surgery is typically quick — most patients are up the same day and home in one to two days. A temporary stent may be placed after stone surgery; its removal date will be clearly scheduled — do not miss it.
Drinking enough fluid to keep urine pale is the single most important long-term instruction after stones. Specific dietary guidance follows your stone analysis.
Report fever, inability to pass urine, or worsening bleeding promptly after any urological procedure rather than waiting for the scheduled review.
A clinician may ask about frequency, urgency, pain, stream, leakage, blood in urine, night-time waking and how long the concern has been present. Note any change, what seems to trigger it, and whether it affects sleep or daily activities. These details help guide assessment without assuming a cause.
Bring prior urine tests, imaging, prescriptions and information about earlier procedures. Mention fever, pain in the side or back, difficulty passing urine and any blood you have noticed. Tell the clinician about medicines and supplements, because some can affect urinary symptoms or test planning.
Depending on the concern, evaluation may involve a history, examination, urine or blood tests, imaging or another procedure. Not everyone needs every test. Ask what question each test addresses, how to prepare, whether a medicine should be reviewed and who will explain the result.
A test result may need context from symptoms, examination and prior findings. Ask what is known, what remains uncertain and whether follow-up is needed. If a report suggests a new finding, discuss it with the clinician who requested it rather than trying to diagnose the problem from an isolated phrase.
Urological concerns can feel sensitive. You may ask for an explanation before an examination, discuss privacy and request a chaperone where available. Tell the team about communication or comfort needs before the visit. The clinician should explain the purpose of a test or examination and obtain your consent.
If medicines or a procedure are discussed, ask about the intended benefit, common and serious risks, alternatives, follow-up and what to do if symptoms worsen. Do not start or stop medicine based on general web content. Confirm which clinician will coordinate care if more than one specialty is involved.
Urine tests and imaging may have specific timing or collection instructions. Confirm whether a sample should be collected at the clinic or at home, which container to use and how quickly it must be returned. If you cannot follow an instruction, tell the team instead of changing it yourself.
For imaging, mention kidney problems, prior contrast reactions, implants and pregnancy or possible pregnancy. Ask whether fasting or medicine instructions apply. Bring earlier results so the clinician can compare them and decide whether a repeat test is useful.
Explain whether symptoms disrupt sleep, work, travel or confidence, and whether they vary through the day. If leakage occurs, note the circumstances and any associated pain or urgency. A private, factual description helps the clinician understand the effect without assuming a diagnosis.
Ask which lifestyle changes are safe for you and whether a symptom record could help. Fluid advice, pelvic exercises and medicine choices are not identical for everyone. Check with the clinician before restricting fluids or starting an exercise programme.
If a medicine is prescribed, ask when benefit should be reviewed, which side effects matter and what to do if a dose is missed. Do not stop treatment without discussing the reason with the prescriber. Report a new or severe reaction promptly.
After a procedure, confirm recovery instructions, wound care if relevant, activity, results and follow-up. Ask how to reach the team outside clinic hours. Severe pain, fever, inability to pass urine or heavy bleeding can need urgent assessment.
These general answers support a conversation with a qualified clinician; your care plan depends on your individual situation.
No. Small stones — typically under 5–6 mm — often pass on their own with medicines and hydration. Surgery is needed for stones that are too large, stuck, causing infection, or damaging kidney function.
Recurrent stones usually have an identifiable cause — low fluid intake, dietary factors or a metabolic tendency. Stone analysis and metabolic testing identify the cause, and targeted prevention cuts recurrence substantially.
No. Benign prostatic enlargement (BPH) is age-related growth and is not cancer. However, symptoms overlap with prostate cancer, which is why evaluation — including examination and PSA where appropriate — matters before starting treatment.
Endoscopic prostate surgery for BPH commonly causes retrograde ejaculation (semen going into the bladder) but usually preserves erections. Effects vary by procedure and individual; discuss this openly with your surgeon beforehand.
Yes. Painless blood in urine that stops on its own still needs evaluation — stones, infection and bladder tumours can all bleed intermittently. One episode after 40 justifies a full check.
Enough to produce roughly 2–2.5 litres of urine daily — in practice, fluid intake spread across the day such that urine stays pale yellow. In hot weather or physical work, more is needed.
Yes. UTIs are far less common in men, so when they occur they usually signal an underlying issue — an enlarged prostate, stones or poor bladder emptying — which itself needs evaluation and treatment.
A DJ stent is a thin tube temporarily placed between kidney and bladder after stone surgery to keep the passage open while it heals. It causes mild urinary symptoms but must be removed on schedule — forgotten stents can become encrusted and difficult to remove.
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