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Urology (Expert Forum)
continuing urethral pain-female
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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continuing urethral pain-female
by judithb, Dec 03, 2005 12:00AM
For the past three years, I have suffered bouts of extreme urethral pain and urgency about once a month. No infection was ever found in the urine. I have been diagnosed with Skene's gland abcess, which was removed, urethritis, and pelvic floor disorder. I have had two hydrodistentions (no IC was found)and removal of scar tissue. I have also done biofeedback and followed the IC diet to no avail. Now I have been in pain for 6 weeks and no one has an answer for me. The vicodin is losing its effectiveness and I am desperate. Have you any suggestions?
Thanks so much for your help.
Thanks so much for your help.
Doctor's Answer
by Kevin Pho, MD, Dec 05, 2005 12:00AM
, Dec 05, 2005 12:00AM
I would assume that basic tests for infection have been performed - including STDs and a urinalysis.
You can consider a cystoscopy, which can comprehensively evaluate the lower GU tract for anatomical abnormalities leading to your symptoms.
A CT scan can be considered to evaluate the kidneys for possible stones.
Urodynamic testing can be done to evaluate bladder function. These are a group of tests that can measure urinary evacuation and storage function.
Another opinion can be sought with a urologist at a major academic medical center.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
You can consider a cystoscopy, which can comprehensively evaluate the lower GU tract for anatomical abnormalities leading to your symptoms.
A CT scan can be considered to evaluate the kidneys for possible stones.
Urodynamic testing can be done to evaluate bladder function. These are a group of tests that can measure urinary evacuation and storage function.
Another opinion can be sought with a urologist at a major academic medical center.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Member Comments (4)
by Dust, Dec 04, 2005 12:00AM
To: Misc. (Urology)
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by judithb, Dec 05, 2005 12:00AM
To: Misc. (Urology)
0
by Science, Dec 10, 2005 12:00AM
To: Misc. (Urology)
0
by lolajo72, Jan 20, 2006 12:00AM
To: Misc. (Urology)
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