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Dr. Premkumar Krishnappa  - Urologist, Bangalore

Dr. Premkumar Krishnappa

88 (64 ratings)
MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery

Urologist, Bangalore

15 Years Experience  ·  400 - 1000 at clinic
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Dr. Premkumar Krishnappa 88% (64 ratings) MBBS, MS - General Surgery, DNB - Urology/Genito - Urinar... Urologist, Bangalore
15 Years Experience  ·  400 - 1000 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Premkumar Krishnappa
Dr. Premkumar Krishnappa is an eminent Urologist, Uro-Oncologist, Andrologist and Renal transplant surgeon, with over 13 years of surgical experience. He is an expert in laser urology procedures and reconstructive urology procedure in all age groups. He has performed over 1000 laser enabled transurethral prostate procedures (LASER TURP), over 500 laser fragmentation of kidney (RIRS) and Ureteric stones(URS) and over 50 kidney transplants. He has immense experience in implantation of flexible and inflatable penile prosthesis and redo hypospadias surgery. After completing his MS in general surgery, he did his DNB urology from prestigious St. John’s Medical College and Research Center, Bangalore. He has contributed many articles in various peer reviewed journals. He has special interest in urethral surgeries, reconstructive urological procedures, innovative interventional urology and uro radiology.

Info

Specialty
Education
MBBS - J.J.M.MEDICAL COLLEGE - 2002
MS - General Surgery - Father Muller Medical College - 2007
DNB - Urology/Genito - Urinary Surgery - National Board Of Examination - 2013
Languages spoken
English
Hindi
Kannada
...more
Tamil
Telugu
Awards and Recognitions
Best Poster Award - ASICON
Professional Memberships
Karnataka medical council,
Karnataka urology Association(KUA)
Urological Society Of India(USI)

Location

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Fortis Hospital - Nagarbhavi

23, 80ft Road, Guru Krupa Layout, Nagarbhavi 2nd StageBangalore Get Directions
  4.4  (64 ratings)
400 at clinic
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Fortis International hospital

111, West of Chord Road, Opp Rajajinagar 1st Block Junction,Bangalore Get Directions
  4.4  (64 ratings)
400 at clinic
...more

Fortis Hospital - Bannerghatta Road

154/9, Bannerghatta Road, Opposite IIM - BBangalore Get Directions
  4.3  (64 ratings)
1000 at clinic
...more
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"Sensible" 2 reviews "knowledgeable" 6 reviews "Very helpful" 8 reviews "Nurturing" 1 review "Well-reasoned" 2 reviews "Saved my life" 1 review

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7 Symptoms Of Prostatitis!

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
7 Symptoms Of Prostatitis!

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.

Possible causes:

  1. Medical instrumentation: Putting an instrument like a urinary catheter may well cause prostatitis.
  2. Rectal intercourse: This is basically another name for anal sex.
  3. 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.
  4. Bladder infection: A bladder infection may well spread to the prostate.

Symptoms
Prostatitis has a variety of symptoms. Here are the most common symptoms of prostatitis.

  1. Constant need of urination: This is one of the most common symptoms of prostatitis.
  2. Difficulty when urinating: Just like the constant need of urination, difficulty urinating is also a sign that you may have prostatitis.
  3. 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.
  4. Chills and fever: This is a rarer symptom, but may indicate prostatitis if it is coupled with the other symptoms.
  5. Pain in perineal area and genital organs: If you are experiencing pain in genital organs, than it may indicate prostatitis. 
  6. 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.
  7. 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!

2042 people found this helpful

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?

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
Hi doctor, what does it mean when stones are in lower calyx of kidney. If a stone is in lower calyx, does it take tim...
Each kidney has about 9 to 15 calyces. Divided into 3 parts upper middle and lower depending on their location. Lower calyx stone has less chances of passing out spontaneously because it has to climb up to the level of the middle calyx. This is because the exit from the kidney is from the middle calyx. Stone in upper and middle calyx pass out much easily than the lower calyx stone, provided the size is small enough.
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3 Treatment Methods For Urinary Problem In Men!

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
3 Treatment Methods For Urinary Problem In Men!

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;

  1. The need to urinate frequently during the night.
  2. Urinating more often during the day.
  3. Urinary urgency is the urge to urinate can be so strong and sudden that one may not reach the toilet in time.
  4. The urine stream is slow to start.
  5. Urine dribbling for some time after finishing urination.
  6. A sensation that the bladder is not fully emptied after urination.
  7. A lack of force to the urine flow, which makes directing the stream difficult.
  8. The sensation of needing to go again soon after urinating

Treatment

  1. 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.
  2. Medication to improve urine flow and other symptoms (for obstruction caused by an enlarged prostate).
  3. 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;

  1. 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.
  2. Medication to reduce the size of the prostate gland. These drugs work by blocking the action of male hormones produced by the prostate gland.
  3. Medications to relax the bladder, making unwanted contractions less likely and reducing the symptoms of urgency and frequency of urination.

Reasons Behind Bladder Pain!

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
Reasons Behind Bladder Pain!

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.

  1. 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.
  2. Sometimes bladder stones can also give rise to bladder pain.
  3. 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.
  4. 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.
  5. Bladder cancer in occasional cases can cause pain, otherwise usually it is painless with blood in the urine. 
  6. 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.
  7. 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. 

2531 people found this helpful

I want to do male vasectomy operation what the cost of vasectomy and how many days take for recover.

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
Simple procedure. Takes probably 15 min to 1/2 hour. Cost varies-- Free I government hospitals. May cost upto 50000 in Hi-Fi corporate hospitals. Recovery in less than 3 days.
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Common Prostate Problems Faced By Men!

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
Common Prostate Problems Faced By Men!

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.

Prostatitis

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:

1. Chemical irritants
2. Past bacterial infection
3. Dysfunctional pelvic floor muscles
4. Sexual abuse
5. Chronic anxiety

Enlarged prostate

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.

Prostate cancer

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.

1986 people found this helpful

How Bladder Tumor Can Be Treated?

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
How Bladder Tumor Can Be Treated?

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.

Diagnosis

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.

Treatment

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.

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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?

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
Urine microalbuminuria tests measured as mg. Of protein leakage. Less than 30 mg is normal. My urine test result show...
In simple words micoalbuminuria is due to loss of holding capacity of the kidney and absorb protein and leak more than usual protein in the urine. The reasons are many. Usually injury to the kidney (infection, hypertension, diabetes, autoimmune diseases etc) causes this. Finding out the reason for the same will help us doctors to treat the problem and bring the leak down. Please consult a Nephrologist for the same.
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I'm 18 years old. I have problem of hydrocele for 1.5 years But I didn't go to doctor. And I'm suffering from UTI for 8 months. I went to doctor many times. But the problem is not solved. So I started for eating ayurvedic medicine Chandra Prabha vati" but the problem is not solved. Please help me. Give the better decision.

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
I'm 18 years old. I have problem of hydrocele for 1.5 years But I didn't go to doctor. And I'm suffering from UTI for...
Hydrocele is a condition of fluid collection around the Testis. It is not a cause for urinary infection, but can result from urine infections involving mainly the epididymis. You need further evaluation of the cause of repeated urine infections. It can be because of problems in the urine passage, renal or urine stones, long standing infections in the epididymis. You will need proper evaluation of the cause of Urine infection. Please consult a Urologist.
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