AboutStephen W. Leslie, MD Expertise Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.
Experience Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.
Organizations American Urological Association, Ohio State Medical Association, Sexual Medicine Society
Publications Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.
Education/Credentials Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison
Awards and Honors Thirlby Award of the American Urological Association.
My father operated on prostate two years back after operation he is suffering from Urinary Track Infection)UTI for last two years he is experiencing following problems.
1.does not having urine holding capacity
2.urinate in every 10 or 15 mins
He is taking antibiotics his prostate size is normal in shape & size .
Pl suggests remeady to me.
Rajarshi
ANSWER: Rajarshi:
It is highly doubtful that a urinary tract infection would last for 2 years with or without prostate surgery. If patient had prostate surgery, then prostate cannot completely normal in size and shape. Exact type and name of prostate surgery needs to be clarified. Symptoms of urinary frequency with small amounts without infection (2 year duration and he's on antibiotics) suggests a hyperactive or overactive bladder but interstitial cystitis is also possible. Urodynamics (bladder pressure testing) would be helpful in documenting this problem. A urine cytology to eliminate CIS of the bladder would be helpful. Overactive bladder drugs like Detrol LA4 might help. If his current urologist cannot help or solve the problem, you might want to get another opinion.
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QUESTION: Sir,
Thank u for ur suggestion, he has operated prosted using TURP method in august 2006. the present KUB ultrasound shows a slightly thick urinary bladder,However he is taking two drugs namely veltride .5 mg & niftran as pescribed by doctor, Is it ok?
Answer After a TURP, much of the prostate tissue is removed to open the urinary passage. A thickened bladder wall usually indicates some level of overwork or increased activity.
Veltride is an Indian brand of dutasteride. There should not be any need for this drug following the TURP surgery. Niftran is another Indian brand name for a simple urinary antibiotic. Neither is similar to the Detrol we recommended previously. The earlier suggestions about a second opinion still stands.
