Frequent urination, urinary incontinence, blood in the urine, and perineal pain can be distressing symptoms that significantly impact daily life. These symptoms may indicate underlying urological conditions that require expert evaluation and treatment. Dr. Pruthvi Raj Honnaiah, a specialist in urology and endourology, provides comprehensive diagnostics and advanced treatments to address these concerns effectively.

1. Constant Urination (Frequent Urination)

Frequent urination can result from bladder dysfunction, infections, or prostate disorders.

Common Causes:

• Urinary Tract Infection (UTI): Bacterial infections cause irritation, leading to urgent and frequent urination.
• Overactive Bladder (OAB): The bladder contracts involuntarily, causing frequent urination, even with low urine volume.
• Diabetes: High blood sugar levels can lead to excessive urination.
• Benign Prostatic Hyperplasia (BPH): An enlarged prostate compresses the urethra, leading to frequent urination, especially at night.

Diagnosis & Treatment:

• Urinalysis, Urodynamic Studies, and Ultrasound to determine the cause.
• Medications, bladder training, and lifestyle modifications for OAB.
• Prostate treatments for BPH-related urinary symptoms.

2. Loss of Urine Control (Urinary Incontinence)

Urinary incontinence is the inability to control urine flow, leading to leakage or urgency.

Types & Causes:

• Stress Incontinence: Occurs with coughing, sneezing, or lifting heavy objects.
• Urge Incontinence: Sudden, intense urge to urinate, common in OAB and neurological disorders.
• Overflow Incontinence: The bladder does not empty completely, leading to dribbling.

Diagnosis & Treatment:

• Pelvic floor therapy, medications, and bladder training for mild cases.
• Minimally invasive procedures like sling surgery or Botox injections for severe cases.

3. Blood in Urine (Hematuria)

Hematuria can be a warning sign of kidney, bladder, or prostate disorders.

Common Causes:

• Urinary Infections & Kidney Stones: Cause irritation and bleeding in the urinary tract.
• Bladder or Kidney Cancer: Early symptom of malignancies.
• Glomerulonephritis (Kidney Inflammation): Leads to blood leakage into the urine.

Diagnosis & Treatment:

• Urine analysis, cystoscopy, ultrasound, and CT scan for proper evaluation.
• Treating the underlying cause, whether infection, stones, or tumors.

4. Pain in the Perineal Region

Pain in the perineum (area between the genitals and anus) can be associated with prostate disorders, infections, or nerve conditions.

Common Causes:

• Chronic Prostatitis: Prostate inflammation causing persistent perineal pain, difficulty urinating, and pelvic discomfort.
• Pudendal Neuralgia: Nerve compression causing burning pain in the perineum.
• Pelvic Floor Dysfunction: Weak or tight pelvic muscles leading to pain and urinary symptoms.

Diagnosis & Treatment:

• Prostate examination, ultrasound, and MRI to assess inflammation or nerve issues.
• Medications, pelvic therapy, and minimally invasive treatments for long-term relief.

Why Choose Dr. Pruthvi Raj for Urological Care?

With expertise in endourology, prostate health, and minimally invasive surgery, Dr. Pruthvi Raj Honnaiah offers precise diagnosis and personalized treatment for urinary and perineal issues. His patient-focused approach ensures effective relief, improved bladder control, and enhanced quality of life.