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Category Archives: Urologist


Ureteroscopy in Pune For Kidney Stones

Ureteroscopy is done to remove small stones from ureter & is a non-invasive procedure. Care Well Medical Centre is offering Ureteroscopy in Pune at the best cost with best of quality treatment & services.

With so many technological advancements that had come up there is no doubt. That you get the best of the medical help at great pricing. Taking of which, Ureteroscopy is one such process that is a perfect example of technology. In this process, there is a small yet flexible telescope called ureteroscope which is inserted in the ureter and bladder. It is done in such a way that stones can be detected in the right manner along with some other problems. If there are any that are related to urinary tract. The surgeon with the help of such process can examine the ureteral stone. Which is located inside the ureter without any kind of problem.

It is one of the popular processes to detect stones in the ureter as it gives accurate results in less time span. Under this Ureteroscopy surgery in Pune. The doctor inserts a small yet flexible forceps in the bladder to the lower ureter which automatically collects the stones and pulls them. The surgery is also an outpatient process that can only be performed by the expert with years of experience in this field. With this process, the surgeon can access the 2/3rd of ureter without any kind of hassle. If you are planning to get this treatment done, make sure you are pretty much careful with the surgeon that you choose.

The best part about this treatment process is along with diagnosing. It can also help you get rid of number of stones irrespective of the size. As long as you have ureteroscopy performed by the doctor. You can be relaxed by the fact that you will get best solution. This treatment as compared to ESWL treatment is the best one to deal with. It includes the kidney stone fragmentation done with the help of helium laser device. It is undoubtedly secured and of course gives the best possible results. Once the treatment is over, no doubt that recovery process can be pretty quick, but you need to also understand that you must pay extra attention with the diet plan you follow.

How is Ureteroscopy performed?

Under this process, your local anesthetist will give you a dose by which there will not be any kind of sensation in the ureter. Then doctor will insert the ureteroscope into the urethra while sliding it into the bladder. There is a sterile liquid which flows throughout the scope to make sure it fills bladder. So, that the stretch can be easily achieved to make it convenient for the doctor to view the wall of the bladder. Once the bladder gets filled with liquid, patient usually feels discomfort and want to urinate. Doctor of course would release some liquid or employ the bladder the moment examination is done.

During the time of scope insertion till the removal of the same, there are few minutes in which doctor will decide the problem and accordingly treat it. Once the biopsy is done by taking the small sample of the tissue the process can last longer.

What are the Benefits?

Talking about the advantages, there is no doubt that this process is a perfect way to clear the ureteral and kidney stones. It is the most convenient way to inspect the kidney and ureter visually which even the radiologic treatment might not help. There are other injuries and structures which are also conveniently inspected. This is certainly the best way by which the stones can be checked and the right treatment is offered to the patient. The results are accurate and the treatment makes it further convenient for the patient to get received quite sooner. In the single session you will notice the fragmentation of the stones being done.

Why it is done?

Many people wonder the reason behind performing this type of process. Of course the new patients, might get tensed to see such type of option coming up. But it is also true that if you are looking out for some healthy options by which you can get rid of kidney stones and deal with other issues related to urinary tract then certainly. This is the right step to be taken. With this option, it becomes convenient for the urologists to get rid of stones that are accumulated in the ureter or the kidney. This is undoubtedly a new technology that has come up which can also help to deal with the small stones of kidney.

It might be difficult but is perfect solution with accurate results. If there is any kind of ureteral injury, tract infection, bleeding, or even the pain in the belly area. It is better that you immediately speak with your doctor about the same instead of ignoring.

After Care

Once the treatment gets over, you may notice some blood passing by the urine for next 2-3 days. There are also good chances for the people to go home the same day of the process. If, there is no complication noticed. At times, during the recovery stage, a patient may feel a burning sensation while urinating. However, this doesn’t lasts longer and it is always better to drink a lot of water as a part of aftercare process.

For the best Ureteroscopy treatment consult Dr. Suraj Lunavat one of the best urologist in Pune.


Cancer Treatment : Prostate Cancer

Prostate Cancer


Just men have a prostate. It is a minute gland that sits below the bladder near the rectum. It environs the urethra, the way in the penis during which urine and semen pass. The prostate organ is an element of the male reproductive system. It produces most of the liquid that makes up semen that enriches sperm. The prostate is frequently described as being the size of a walnut and it is usual for it to grow as men age. The prostate needs the male hormone testosterone to grow and enlarge.  At times this can cause problems, such as difficulty urinating. These harms are common in older men and not always symptoms or signs of cancer.


In the early stages, here may be no symptoms. Within the later stages, some symptoms of prostate cancer might include:

  • Feeling the common or sudden need to urinate
  • Finding it hard to urinate (for example, trouble starting or not being able to urinate when the feeling is there or poor urine flow)
  • Distress when urinating
  • Ruling blood in urine or semen
  • Pain in the lower back, higher thighs or hips.

The particular symptoms may not mean you have prostate cancer, but if you experience any of them, go and see your doctor.


Factors that are most powerfully linked to an enlarged chance of developing prostate cancer:

Age: Prostate cancer is an age-dependent syndrome, which means the chance of growing it increases with age. The risk of receiving prostate cancer by the age of 75 is 1 in 7 men. In the age of 85, this increases to 1 in 5.

Family history: But you have a first-degree male relative with prostate cancer, you have a higher chance of raising it than men with no such history. The risk increases over if more than one male relative has prostate cancer. Risks are too higher for men whose male relatives were diagnosed when young.


STAGE I: cancer involves only one lobe of the prostate.

STAGE II: The cancer is recovered or involves both lobes of the prostate. But, it has not spread outside the prostate.

STAGE III: cancer has spread outside the prostate connecting adjacent organs such as the seminal vesicles.

STAGE IV: cancer has extended to the bones and other parts of the body.

Another system for risk assessment of prostate cancer is the D’Amico System, which combines the PSA level, the Gleason score on the basis of biopsy and clinical stage based on radiological examination.


A doctor will frequently do a blood test and/or physical examination to test the health of the prostate.

Blood check (Prostate Specific Antigen (PSA) test): The result shows whether there is an increase in this specific protein. Depending on the product, you might need further investigation with a specialist. A high PSA test outcome does not necessarily mean cancer. Prostate diseases other than cancer can as well cause a higher than normal PSA level.

Digital Rectal Examination (DRE): Since of where the prostate is located, the doctor inserts a gloved, lubricated finger into the rectum to check the mass of the prostate and assess if there are any abnormalities. A normal DRE effect does not rule out prostate cancer.


But your tests prove you may be at risk of prostate cancer, the next step is a biopsy. A biopsy is the only method a firm diagnosis of prostate cancer can be made. A urologist removes small samples of tissue from your prostate, using very thin, hollow needles guided by an ultrasound. The prostate is also accessed through the rectum (transrectal) or the perineum (transperineal), which is the area between the anus and the scrotum. A biopsy is typically done as an out-patient system and the doctor will likely advise a course of antibiotics afterward to reduce the chance of infection. The tissue is sent to a pathologist to recognize whether the cells are malignant (cancerous) or benign (not cancerous).

Dr. Suraj Lunavat is an expert in the Enlarge Prostate Treatment in Pune , Kidney Stone Treatment with Laser technique, Urinary tract infection treatment, Urinary cancer diagnosis and treatment, treatment of female urinary problems, treatment of urinary and bladder stones and treatment for urinary obstruction With the 10 years of experience in the industry He deals with the surgical aspects of diseases of the kidney, bladder, and prostate.



Enlarged Prostate Treatment

Enlarged Prostate: A Complex Problem

There are several treatments for enlarged prostates (BPH), but all have side effects and possible complications. Find out what to expect — and how to decide.

All his life, he slept similar to a stone. But now, there’s an annoying trip to the bathroom each night, sometimes once or twice a night.

For mainly men, these nightly bathroom runs may be the first sign of an enlarged prostate. Other symptoms may include trouble starting a flow of urine, leaking, or dribbling. And, like gray hair, an enlarged prostate is a normal by-product of getting older, doctors say. Problem is, the nightly bathroom runs become more frequent — eventually edging their way into the daytime routine.

“They can’t sit through a gathering or a plane flight without getting up,” says Kevin Slawin, MD, a professor of urology at Baylor School of Medicine in Houston. “It’s extremely annoying … and when they have to go, they really have to go.”

It’s a problem to has several names — enlarged prostate, kind prostate hyperplasia, or simply BPH. According to the National Kidney and Urological Disease Information Clearinghouse, the most general prostate problem for men over 50 is prostate enlargement. In age 60, over one-half of men have BPH; by age 85, the number climbs to 90%, according to the American Urological Association (AUA).

Enlarged Prostate Symptoms and Causes

In men, urine flows as of the bladder through the urethra. BPH is a benign (noncancerous) enlargement of the prostate that blocks the flow of urine during the urethra. The prostate cells steadily multiply, creating an enlargement that puts pressure on the urethra — the “chute” through which urine and semen exit the body.

Your Quality of Life with an Enlarged Prostate

But your enlarged prostate symptoms are mild and not bothersome, there’s likely no need for treatment. One-third of men with mild BPH find that their symptoms clear up with no treatment. They may just watch and wait.

Though, when enlarged prostate symptoms are bothersome or are affecting your quality of life or overall health, it’s time to talk to your doctor about the treatment options. Together you will

decide if you would benefit most from medication, a minimally invasive procedure, or surgery. It’s important to speak with a doctor when you begin noticing changes in urinary function. You want to find out what’s going on so you can be treated for enlarged prostate if necessary. Used for many men, especially those who are young while the prostate start growing, getting early treatment can head off complications later on.

Time to Do Something about Your Enlarged Prostate?

Mainly men put up with an enlarged prostate for months, even years, before seeing a doctor, says Slawin. “while they’re getting up several times a night, and have trouble falling asleep again, that’s when they come in,” he tells WebMD.

It’s not always clear what’s going on, Slawin adds. “While men start having urinary problems, it’s hard to know the reason. They must see a doctor when anything changes, because there can be bladder cancer, stones, prostate cancer. BPH is often a diagnosis of exclusion … behind we make sure nothing more serious is going on.”

Watchful Waiting with an Enlarged Prostate

while the symptoms of an enlarged prostate gland are mild, with low scores on the BPH Impact Index (less than 8), it can be best to wait before starting any treatment — what’s known as “watchful waiting.”With regular checkups formerly a year or more often, doctors can watch for early problems and signs that the condition is posing a health risk or a major inconvenience. That’s wherever the BPH Index is especially helpful, Westney tells WebMD. “It let us know how high the symptom score is … when to start treatment.”

The “pouring might in treatment,” she explains, is whether the symptoms are affecting your quality of life — and whether a blockage is causing serious complications, such as inability toward urinate, blood in the urine, bladder stones, kidney failure, or other bladder problems.



About Urologist

About Urologist

What is a urologist?

Only put, we are surgical specialists who treat people for problems and diseases of the urinary tract and male reproductive system. A few of the organs we look after include the kidney, prostate, bladder, urethra, testes, penis and associated glands.

But you are having any issues related to the over areas then a urologist can help by discussing the problem, probing you, investigating and reaching an accurate diagnosis. Though there is a common misconception that we only treat men, urologists actually treat men, women, and children. Our main responsibilities contain planning and undertaking surgery, using various methodologies to treat problems and prescribing medications.

Toward become a urologist, we first have to become a qualified doctor before specializing. These resources that as well as in-depth skills and knowledge in urology, we also have broad, general medical knowledge.

Several urologists treat general diseases of the urinary tract while others specialize in the following areas:

Male infertility – focusing on troubles that prevent a man from conceiving children.

Female urology – focusing on the situation of a woman’s reproductive and urinary tract.

Neurourology – focusing on urinary problems caused by the situation of the nervous system.

Urologic oncology – focusing on cancers of the urinary tract, counting kidneys, bladder, prostate, and testicles.

Pediatric urology – focusing on urinary troubles in children.

Conditions we treat

We have knowledge in the medical and surgical management of conditions such as kidney, bladder and prostate cancer, kidney stones, incontinence, infection, pelvic floor problems, sexual dysfunction and traumatic injury to the urinary tract. We can also perform vasectomies and kidney transplants.

In children, urologists treat the following conditions:

Undecided testes – wherever one or both of the testes have not descended into the scrotum at birth;

Bladder exstrophy – wherever the skin over the bottom part of the stomach doesn’t form properly leaving the bladder open and exposed;

Hypospadias – wherever the meatus, which is where urine exits from the urethra, is located on the underside of the penis instead of the tip;

Epispadias – wherever the urethra and bladder do not form normally and the pelvic bones don’t sit together.

Symbols or symptoms that must be seen by a urologist

A urologist can offer comprehensive consultative, diagnostic and treatment services in a range of areas but below are some examples of symptoms that must be seen by a urologist.

 Male fertility

Any part of male fertility should be referred to a urologist as a small percentage of male infertility is caused by testicular cancer. Testicular cancer can be life-threatening but early diagnosis significantly increases the chance of endurance and the signs can often be missed by primary care and fertility doctors.

Blood in urine

The occurrence of blood in urine can be caused by a number of different conditions, and whereas some are not serious and often determine themselves, blood in urine can be a symptom of a urinary area infection or more a more serious disorder such as kidney disease or cancer. Since a result, this should never be ignored and should be checked out by a urologist.

Bladder control problems or pain

A further name for this is urinary incontinence and it is a common problem among women. An urologist can work out treatment options, including workout to strengthen the pelvic muscles, medication, implanted devices and surgery. But you are finding it painful to urinate, it could be a symbol there is an infection in the urinary tract caused by bacteria. Urologists can determine the cause of the virus and recommend treatment options.

Erectile dysfunction

Erectile dysfunction, where the penis is unable to reach enough rigidity to participate in sexual intercourse, can be a indication of an underlying condition and bigger health issue. Men can at times avoid coming to see us if they recognize a health issue to be embarrassing, but it is important to remember that we’re friendly, approachable professionals who you can trust.

What to expect during your visit

Toward see a urologist you will need a referral from your GP to ensure that we are the appropriate person for your condition, so if you have any urinary tract or male reproductive issue ask your GP about how to book an appointment. We resolve have been given notes from the doctor who referred you, but we will still ask questions about your symptoms and medical history.

Depending on your symptoms and what we think is necessary for your individual situation, we might perform the following tests and examinations:

Dr. Suraj Lunavat is a highly experienced Urologist in Pune who has a special interest in the laser treatment of kidney stones, prostate, and Pediatric Urology. He has earned MBBS, MS in General Surgery and Diplomate of National Board (DNB) – Urology/Genito – Urinary Surgery.


Treatment for Kidney Stones

Kidney Stone Treatment in Pune

How do health care professionals treat kidney stones?

Health care professionals commonly treat kidney stones based on their size, location, and what type they are.

Little kidney stones may pass through your urinary tract without treatment. If you’re able to pass a kidney stone, a health care professional may ask you to grab the kidney stone in a special container. A health care professional will fire the kidney stone to a lab to find out what type it is. A health care specialist may advise you to drink bounty of liquids if you are able to help move a kidney stone along. The health care specialist also may prescribe pain medicine.

Larger kidney stones or kidney stones that chunk your urinary tract or cause great pain may need urgent treatment.If you are vomiting and dehydrated, you may need to go to the hospital and get fluids through an IV.

Kidney stone removal

A urologist can take away the kidney stone or break it into small pieces with the following treatments:

Shock wave lithotripsy. The surgeon can use shock wave lithotripsy to blast the kidney stone into small pieces. The lesser pieces of the kidney stone then pass through your urinary tract. A surgeon can give you anesthesia throughout this outpatient procedure.

Cystoscopy and ureteroscopy. Through cystoscopy, the doctor uses a cystoscope to look inside the urethra and bladder to find a stone in your urethra or bladder. Through ureteroscopy, the doctor uses a ureteroscope, which is longer and thinner than a cystoscope, to see detailed images of the lining of the ureters and kidneys. The surgeon inserts the cystoscope or ureteroscope through the urethra to see the rest of the urinary tract. One time the stone is found, the doctor can remove it or break it into smaller pieces. The surgeon performs these procedures in the hospital with anesthesia. You can typically go home the same day.

Percutaneous nephrolithotomy. The surgeon uses a thin viewing tool, called a nephroscope, to locate and remove the kidney stone. The surgeon inserts the tool directly into your kidney through a small cut made in your back. For larger kidney stones, the doctor also might use a laser to break the kidney stones into smaller pieces. The surgeon performs percutaneous nephrolithotomy in a hospital with anesthesia. You know how to stay in the hospital for several days after the procedure.

Once these procedures, sometimes the urologist may leave a thin flexible tube, called a urethral stent, in your urinary area to help urine flow or a stone to pass. just the once the kidney stone is removed, your doctor sends the kidney stone or its pieces to a lab to find out what type it is.

The health care professional also may ask you to collect your urine for 24 hours after the kidney stone has approved or been removed. The healthiness care professional can then measure how much urine you produce in a day, along with mineral levels in your urine. You are more possible to form stones if you don’t make enough urine each day or have a problem with high mineral levels.


Health care professionals typically treat kidney stones based on their size and what they are made of.

How can I prevent kidney stones?

To help avoid future kidney stones, you also need to know what caused your previous kidney stones . one time you know what type of kidney stone you had, a health care professional can help you make changes to your eating, diet, and nourishment to prevent future kidney stones.

Drinking liquids

In most cases, drinking enough liquids each day is the best way to help avoid most types of kidney stones. Drinking sufficient liquids keeps your urine diluted and helps flush away minerals that might form stones.

While water is best, other liquids such as citrus drinks may also help avoid kidney stones. Some studies explain that citrus drinks, such as lemonade and orange juice, protect against kidney stones because they contain citrate, which stops crystals from turning into stones.

Except you have kidney failure, you should drink six to eight, 8-ounce glasses a day. But you before had cystine stones, you may need to drink even more. Speak with a health care professional if you can’t drink the recommended amount due to other health problems, such as urinary incontinence, urinary frequency, or kidney failure.

The quantity of liquid you need to drink depends on the weather and your activity level. But you live, work, or exercise in hot weather, you may need more liquid to replace the fluid you lose through sweat. A health care professional might ask you to collect your urine for 24 hours to determine the amount of urine you produce a day. But the amount of urine is too low, the health care professional may advise you to increase your liquid intake.


But you have had a kidney stone, a health care professional also may prescribe medicines to prevent future kidney stones. Depending on the type of kidney stone you had and what type of medicine the health care professional prescribes, you might have to take the medicine for a few weeks, several months, or longer.

For instance, if you had struvite stones, you may have to take an oral antibiotic for 1 to 6 weeks or possibly longer.

But you have another type of stone, you may have to take a potassium citrate tablet 1 to 3 times daily. You may have to take potassium citrate for months or even longer until a health care professional says you are no longer at risk for kidney stones.

Hyperparathyroidism surgery

Public with hyperparathyroidism, a condition that results in too much calcium in the blood, sometimes develops calcium stones. Action for hyperparathyroidism may include surgery to remove the abnormal parathyroid gland. Remove the parathyroid gland cures hyperparathyroidism and can prevent kidney stones. Surgery sometimes causes complications, including infection.

Dr. Suraj Lunavat is the Best Urologist in Pune and his Urology Clinic is one of the largest corporate clinics in Pune constantly achieving excellence in Urological treatments. We offer comprehensive treatment for urology and nephrological conditions. The organization specializes in providing services in the areas of Urology, Andrology, and Pediatric Urology.

For More Details:https://www.urologistinpune.in/