Book Clinic Appointment with Dr. Premkumar Krishnappa
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of UTI
Treatment of Bladder Stones
Treatment of Enlarged Prostate
Treatment of H.I.V
Treatment of Urine Stone
Hydrocele Treatment (Surgical)
Treatment of Urinary Tract Problems
Treatment of Benign Prostatic Hypertrophy
Treatment of Blood in Semen
Urinary Incontinence (Ui) Treatment
Urology Minimally Invasive Surgery
Kidney Transplant Treatment
Treatment of Impotence
Treatment of Bladder Cancer
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Patient Review Highlights
Even though I was fit and fine, it was shocked when I got to know that I have urinary tract infection. Thanks to Dr Premkumar for the treatment he gave me has given brilliant results. Never once that I felt that he is getting impatient, rather he has always responded to my each and every doubt with immense patience. Whatever tests he prescribed, were very correct and the gave they gave us an exact idea about my condition. His treatment suited me the best.
He ensures that he gives enough time to each patient. The Fortis Hospital is designed in such a manner that all requirements of patients are taken care of. I had lost hope, but the diabetes treatment given by Premkumar Krishnappa has helped me regain my confidence. With great ease Premkumar Krishnappa explained us the problem and how the treatment will be carried out.
I never get sick, but then last year i started developing these symptoms. The pelvic pain was increasing day by day. Dr Krishnappa has a very positive attitude towards all the patients. The atmosphere in the Fortis Hospital is always so positive and full of life. Whatever tests he prescribed, were very correct and the gave they gave us an exact idea about my condition.
One of my colleague referred Dr Premkumar so he reffered me. Thanks to the expert care and guidance, I feel much better than before. he certainly knows the in and out of his speciality. I was admitted to the Fortis Hospital in case of emergency, but not once did any of the nurses panicked. Over the period of time the kidney failure treatment has helped me a lot.
I am so much benefitted with Dr Premkumar's treatment, that i am perfectly fine now. In order to diagnose my problem completely he asked me a number of questions.Never once that I felt that he is getting impatient, rather he has always responded to my each and every doubt with immense patience. I am quite benefitted with the treatment he provided.
I was having this testicular pain, but the symptoms were not very visible. Thanks to Dr Premkumar, I am totally satisfied with the results. Overall testicular pain treatment was very effective. I am so much benefitted with his treatment, that i am perfectly fine now. He has a very positive attitude towards all the patients.
I was facing several issues due to my sensitive bladder problem. I consulted many specialist but I did not find any improvement. AS one of my friend referred, I consulted Dr Premkumar. HIs treatment benefitted me aloy, I am impressed with the way he treated me.
I found the answers provided by the Dr. Premkumar Krishnappa to be very helpful. Motamycin injection 6 Nos. in Rajiv Gandhi cancer institute
Doctor treatment is very good . so that I will continue doctor treatment this hospital , refer by dr sathish suriya hospital.
He is good. Go for it.
Prostatitis is a very common infection of the prostate. However, it is worth to note that prostatitis can also be an inflammation of the prostate without infection. Only 5 to 10 percent of prostatitis is caused by bacterial infection. Prostate cancer does not normally have its chances increased by prostatitis. There are several forms of prostatitis, including acute bacterial prostatitis, chronic bacterial prostatitis and chronic nonbacterial prostatitis (which is also known as chronic pelvic pain syndrome ).
The exact cause for prostatitis is not known, but here are some factors which increase its risk, particularly acute bacterial prostatitis.
- Medical instrumentation: Putting an instrument like a urinary catheter may well cause prostatitis.
- Rectal intercourse: This is basically another name for anal sex.
- Abnormal urinary tract: The urinary tract comprises of the bladders, kidneys, ureters and urethra. If any one of these organs gets infected, then prostatitis is much more likely.
- Bladder infection: A bladder infection may well spread to the prostate.
Prostatitis has a variety of symptoms. Here are the most common symptoms of prostatitis.
- Constant need of urination: This is one of the most common symptoms of prostatitis.
- Difficulty when urinating: Just like the constant need of urination, difficulty urinating is also a sign that you may have prostatitis.
- Pain while urinating: This is because the prostate gland is a part of your urinary tract and if it does not work properly, there will be pain.
- Chills and fever: This is a rarer symptom, but may indicate prostatitis if it is coupled with the other symptoms.
- Pain in perineal area and genital organs: If you are experiencing pain in genital organs, than it may indicate prostatitis.
- Painful ejaculations or relief of perineal pain after ejaculations: If you are having painful ejaculation or the pain arises after ejaculation, then it may be due to prostatitis.
- Hematospermia: Pinkish or brownish semen.
If these symptoms are persistent or bothersome, then a proper consultation is required. Evaluation includes physical examination along with few simple tests. This can be followed by proper treatment for cure or relief of symptoms.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Hello Sir, I'm suffering from Kidney stones Last year I went to Diagnosis in Hyderabad I came to know that I have only one Stone They gave me some Medicine's I used them and I felt that I have no stone in my kidney after using those medicine At present I'm having symptoms of kidney stone My symptoms are. Pain area's: in the left side of Abdomen, back, testicle, left kidney area. I have mild pain And those pain I'm getting is Sudden and it goes away sudden. So here my doubt is about What type diagnose should I undergo What type of diet should I have. Which sort of Doctor should I consult please help me with this.
Hi doctor, what does it mean when stones are in lower calyx of kidney. If a stone is in lower calyx, does it take time to come out of it?
The prostate gland is a male reproductive organ at the base of the urinary bladder and urethra is a thin tube that carries urine out of the penis. It runs through the prostate gland. A fluid produced by this gland helps to carry sperms produced by the testes outside during intercourse.
Cause of urinary problems in men
Men experience urinary symptoms either due to inflammation of the prostate gland or prostatitis or symptoms may be the result of a blockage of the passage due to enlargement of the prostate gland.
Symptoms of urinary problems
Urinary symptoms commonly experienced with prostate problems include;
- The need to urinate frequently during the night.
- Urinating more often during the day.
- Urinary urgency is the urge to urinate can be so strong and sudden that one may not reach the toilet in time.
- The urine stream is slow to start.
- Urine dribbling for some time after finishing urination.
- A sensation that the bladder is not fully emptied after urination.
- A lack of force to the urine flow, which makes directing the stream difficult.
- The sensation of needing to go again soon after urinating
- A long course of antibacterial medication (for bacterial prostatitis) is prescribed, because infection is difficult to get rid of, the antibacterial medication will need to be taken for many weeks.
- Medication to improve urine flow and other symptoms (for obstruction caused by an enlarged prostate).
- Surgical procedures (for blockage caused by an enlarged prostate), such as Transurethral Resection of the prostate(TURP), Laser Resection of prostate, Transurethral Incision of the prostate(TUIP).
A number of other procedures that have been developed to reduce urinary symptoms.
Medication for urinary problems
Various medications to help ease your urinary problems, including;
- Medications to reduce the tone of the muscles of the urethra and prostate to minimize any obstruction to urine flow caused when these muscles contract.
- Medication to reduce the size of the prostate gland. These drugs work by blocking the action of male hormones produced by the prostate gland.
- Medications to relax the bladder, making unwanted contractions less likely and reducing the symptoms of urgency and frequency of urination.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Bladder is an organ of the lower abdomen which stores urine. Though it is a problem common to both men and women, women are two times more prone to be affected than men.
The following are some of the causes that give rise to bladder pain.
- Bacterial infection or urinary tract infection is one of the common causes of bladder pain. Women are more likely to encounter uninary tract infection. It occurs if bacteria sneak in through the urethra leading to develop an infection in the urinary tract, which in turn affects the urinary bladder.
- Sometimes bladder stones can also give rise to bladder pain.
- Painful Bladder Syndrome is yet another cause, wherein your bladder holds pee after your kidneys have filtered it but before you pee it out. This condition causes pain and pressure below your belly button, causing pain in the bladder.
- Chronic pelvic pain is pain in the area below your bellybutton and between your hips that lasts six months or longer. There are multiple causes for such pain.
- Bladder cancer in occasional cases can cause pain, otherwise usually it is painless with blood in the urine.
- Urethral stricture is another cause of bladder pain. Men are likely to be more affected by this condition. In this case, the urethra becomes inflamed and narrow creating difficulties to pass urine.
- Yeast infection also known as, Candidiasis is another cause of bladder pain.
Bladder pain can vary from being mild to severe. But, no matter what the degree of pain is, it requires serious medical attention. It is highly recommended that if you are suffering from bladder pain you must consult and seek a doctor's advice right from the beginning.
I want to do male vasectomy operation what the cost of vasectomy and how many days take for recover.
What menstrual problems are to women, prostate problems are to men. The prostate is a gland in the lower abdomen that aids in the production of semen. The prostate is walnut sized in a young man, but can get enlarged with age. As it grows bigger, it can cause a number of problems. These are commonly seen after a man celebrates his 50th birthday.
There are three common prostate problems faced by men. Some of the symptoms that can tell if a man has a prostate problem are:
1. Difficulty faced while urinating.
2. The urge to urinate frequently at night.
3. Constant feeling of a full bladder.
4. Pain while urinating.
5. Blood in urine.
This can be defined as inflammation of the prostate gland. In most cases the cause of this inflammation is unknown. However, there are two types of prostatitis; bacterial and nonbacterial. While the former reacts well to antibiotics, the latter is more difficult to control. Symptoms of this disease vary from one person to the next. Some of the factors that could trigger this disease are:
As mentioned earlier, as men get older, the prostate gland tends to grow in size. This growth is benign, but can block the bladder neck and prostatic urethra. This can cause problems urinating and lead to acute urinary retention. This can be very painful. Inserting a catheter can provide temporary relief and help release stored urine. Chronic retention is much less common and is associated with high bladder pressure and can damage the kidneys.
Advancing age and family genetic history are said to be the main triggers of prostate cancer. This type of cancer can remain restricted to the prostate gland in its early stages but may spread to the other glands as the cancer advances. This can also cause the growth of secondary tumors in the bones.
The only way to correctly diagnose a prostate problem is with a thorough physical examination. This includes a digital rectal exam where the doctor will insert a gloved finger into your rectum to check the size of your prostate, a blood test, mid stream urine tests and ultrasounds. In some cases a biopsy of the prostate may also be required. Depending on the diagnosis, your doctor may prescribe antibiotics, surgery, radiotherapy or hormone therapy to manage your prostate. If you wish to discuss any specific problem, you can consult an urologist.
The bladder is a hollow storage organ that collects urine from the kidneys and stores it until it can be passed out of the body through the urethra during the process of micturition or urination. It has a thin inner lining of cells called urothelial cells and a thick muscular wall, which exerts pressure to push the urine out of the body.
Causes of Bladder Tumors
In most cases, the bladder tumor develops on the inner layer due to a combination of some of the following factors.
1. Hereditary: A strong family history of cancer predisposes a person to cancer.
2. Gender: Men are 3 times more prone for bladder cancer than women.
3. Ethnicity: White people are more prone for bladder cancer black people.
4. Smoking: Smokers develop bladder cancer 2-6 times more frequently than non-smokers. cigarettes contain toxic, carcinogenic substances which reach the kidney and are stored in the bladder, leading to their damage.
5. Occupational hazards: Some workplaces have a higher likelihood of causing bladder cancers, especially dye and rubber industries. The effects can be damaging, and the person may develop cancers years after the exposure has happened.
6. Recurrent bladder infections: In some people, this can also lead to bladder cancer in the long run.
Types of Bladder Tumor
Depending on the extent of the cancerous spread, it can be of two types:
1. Non-muscle-invasive bladder tumors: The tumor spread is limited to the inner part of the bladder (urothelial cells)
2. Muscle-invasive bladder tumor: The tumor has spread to the thick muscular outer layer. This is more advanced and prognosis is poor compared to the noninvasive type.
The most common and diagnostic symptom of bladder cancer is the presence of blood in the urine, known as hematuria. This will be intermittent and happens whenever the tumor bleeding happens. Other symptoms include pain in the lower abdomen and frequent urination.
From the most noninvasive to the most invasive diagnostic test, these include:
1. Urine microscopy to detect cancer cells in the urine
2. Cystoscopy A tube inserted into the urethra to look into the inner wall of the bladder is highly diagnostic
3. Ultrasound, CT Scan, and biopsy can also be further used to identify severity of the tumor.
Once the tumor is diagnosed, treatment would depend on the severity of the tumor. For both invasive and noninvasive tumors, definitive therapy is surgery, known as transurethral resection of the bladder tumor (TURBT). The cancerous bladder tissue is removed through a cystoscope as done for diagnosis. The bladder is then flushed with chemotherapy agent to kill any residual cancer cells in the bladder. This is then followed by BCG vaccine, which is again done 1 to 4 weeks for several months to avoid recurrence. In some cases, radiotherapy may also be included.
Bladder cancer BCG vaccination is once in a week for 6 weeks. Surgical removal of bladder is the best available treatment for muscle invasive bladder cancer. If you wish to discuss about any specific problem, you can consult a Urologist.
Urine microalbuminuria tests measured as mg. Of protein leakage. Less than 30 mg is normal. My urine test result shows 50 mg, which is above normal. Between 30 mg to 299 mg indicates early stage kidney disease. How can it be brought within the normal range?
Our kidneys are an important organ in the body and are responsible for the filtration of blood and creation of urine. Sometimes, during this process salt and other chemicals get stuck together to form small crystals also known as kidney stones. The size of a kidney stone can range from the size of a sugar crystal to the size of a ping pong ball. However, it is noticed only if it is large enough to cause a blockage. Smaller stones may pass out of the body without you realizing it.
Kidney stones can be a very painful experience. Some of the symptoms exhibited by patients suffering from kidney stones are:
Excruciating pain is usually the symptom that makes a patient consult a doctor in cases of kidney stone problems. A confirmed diagnosis can then be made by using a series of tests that include an X-ray, ultrasound, CT scan and urine analysis. A blood test may also be conducted to check the mineral levels in the body.
Kidney stones are a common condition faced by many people, but some people are at a higher risk of suffering from this than others. Some of these factors are:
1. Family history of kidney stones
2. High uric acid levels in the blood
3. Being between 20-50 years of age
4. A previous kidney stone
5. Chronic diseases such as diabetes and high blood pressure
6. Some medication such as diuretics and antacids with calcium
7. Inadequate fluid intake
Between men and women, the former are at a higher risk of suffering from kidney stones. Asians and Caucasians also suffer from this condition more than people from other races. Hormone changes during pregnancy can also trigger the formation of kidney stones.
The first thing to do if you suffer from a kidney stone is to increase your water intake. This can help dissolve some of the minerals in the stone and make it a small enough to pass through the urethra. Injectable anti-inflammatory drugs and pain relievers may be used to ease the pain caused by kidney stones.
If the kidney stone does not pass on its own, a process known as lithotripsy may also be used. This involves the administration of shock waves that can break a large stone into smaller pieces. In extreme cases, surgical techniques may also be used. However, Lithotripsy in only one of the ways of treatment and given in only selected cases nowadays. Better ways of treatment are:
- Ureteroscopy- seeing the stone through a long telescope through the urine passage and removing it.
- PCNL- removing kidney stone by a small puncture into the kidney through the skin.
- RIRS- visualising the stone in the kidney with a bendable telescope and breaking the stone using laser.
If you wish to discuss about any specific problem, you can consult an urologist.