Men’s Health is taken for granted. The focus of this discussion is urinary problems in men. Urinary problems are by far the commonest and affect elderly population but there is a tendency to take these as part of the aging process.

• Urinary problems mostly seen in form of frequency, urgency, slow ow, incomplete voiding, frequency at night, pain and urine infections. In elderly males these are attributed to growing prostate which if neglected can lead to permanent bladder damage, acute or chronic renal failure, fulminating urinary tract infections/septicaemia.
• Blood in urine in elderly could be due to UTI, stone but importantly it could be presenting symptoms of cancer of bladder, kidney or prostate.
• Stricture or narrowing of urethra leads to poor ow, pain etc. and is seen in all ages because of previous procedures or infection or trauma.
• Coming to younger population erection problems, semen inadequacy and stones are common. Rarely testicular tumours are seen in this age group. Erectile dysfunction is very common now with early DM, stress, sedentary lifestyle.
• Infertility (male component) seen very common today due to multiple factors e.g., stress, late marital age, sedentary life etc. Most commonly seen semen problems are decreased number, motility and quality of sperms. Today we have a whole range of investigations to accurately diagnose and treat (by medical and surgical means) all male health issues in KEM.

Surgically, availability of laser and flexi scope apart from usual urology instruments has contributed in managing patients. For prostate and bladder tumours, we have the latest bipolar machine. We have ultramini scopes (0.3mm) for renal stones.
Our’s is the only centre in Pune with an electroejaculation facility.