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Urology (Expert Forum)
urinary retention
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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urinary retention
by mavin, Mar 11, 2007 12:00AM
I had Indigo Laser Surgery, after a BPH diagnosis, where my urologist "cut" tissue from prostate that was impinging on the bladder neck, in October 2006. I had been on, and still am, Uroxatral and Flomax. My symptoms appear to be worse now: Partial urinary retention lasting almost all day and nocturia. No dysuria and no hematuria. My question is, how effective is Indigo Laser Surgery and would I now be a candidate for the more invasive Greenlight Laser procedure? My urologist swears there is no longer a prostate issue--but he hasn't done a follow up cystoscopy--but I disagree. He thinks it's residual bladder irritation from the surgery, which should dissappear in time. Meanwhile, the symptoms are extremely uncomfortable. I keep going to his office for ultrasound and UTI tests but the resultsare always negative.
Doctor's Answer
by Kevin Pho, MD, Mar 12, 2007 12:00AM
, Mar 12, 2007 12:00AM
I am not a urologist, so I cannot comment on the Indigo laser surgery or the Greenlight procedure.
It is possible that the retention may be a complication from the surgery. However, you may also want to exclude infection - with a urinalysis or urine culture.
Metabolic causes like diabetes or thyroid dysfunction should also be evaluated for.
A second urological opinion can be considered, preferably at a major academic medical center. I agree that a cystoscopy can be considered to exclude anatomical causes that may lead to the symptoms.
If the symptoms continue despite negative testing, you may want to consider a referral to a neurologist to exclude any nerve damage.
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_
It is possible that the retention may be a complication from the surgery. However, you may also want to exclude infection - with a urinalysis or urine culture.
Metabolic causes like diabetes or thyroid dysfunction should also be evaluated for.
A second urological opinion can be considered, preferably at a major academic medical center. I agree that a cystoscopy can be considered to exclude anatomical causes that may lead to the symptoms.
If the symptoms continue despite negative testing, you may want to consider a referral to a neurologist to exclude any nerve damage.
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_
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