Introduction: Men, especially as they age, are more prone to specific genitourinary conditions compared to women. This study aimed to estimate the prevalence and identify correlates of chronic renal failure, incontinence, and kidney stones among men aged ≥45 years in India. Methods: Data from the first wave of the Longitudinal Ageing Study in India (LASI) wave-1, 2017-2018, were utilized. The sample included 33,097 men aged ≥45 years. Descriptive statistics reported prevalence with a 95% confidence interval. Multivariable regression analysis assessed associations between socio-demographic and behavioral factors with chronic renal failure, incontinence, and kidney stones. Results: The overall prevalence was 0.82% (95% CI: 0.71-0.93) for chronic renal failure, 3.02% (95% CI: 2.82-3.23) for incontinence, and 3.0% (95% CI: 2.79-3.20) for kidney stones. Multivariable regression analysis revealed that participants aged ≥75 years had higher odds [AOR: 1.91 (95% CI: 1.34-2.44)] of experiencing incontinence. Kidney stones were significantly associated [AOR: 1.88 (95% CI: 1.53-2.55)] with obesity. Conclusion: A noteworthy prevalence of chronic genitourinary conditions among aging men was observed, emphasizing the need for attention. The recently established Health and Wellness Centres (HWCs) offer a potential avenue for timely care, warranting further strengthening.