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Question
Active dynamic successful husband is now 88.  He uses walker (post polio syndrome), got type 1 diabetes at age 83, and now has severe dementia.   -   BUT also has seen urologist for some years about frequent urination.  Few months ago started wetting slacks before could reach bathroom. Dr cleared some scar tissue.  He takes 5mg Finasteride in AM and 5mg Terazosin PM .  We initiated last two appointments and he now gave us 12 Myrbetriq samples and next appointment after a year (why try 12 Myrbetriq when it says won't be effective for several weeks).

Any advice will be greatly appreciated....even just to accept at this age.....

Answer
Joan:

Doesn't sound like he got much treatment for his leakage.  12 myrbetriq are probably not enough and there are other things he could try like vesicare, sanctura or enablex.  The goal is to use something that might help without affecting his dementia.  Check with his office to make sure he is unwilling to treat the leakage problem if it persists.  Find another physician if your original physician won't help.

Meanwhile, try to limit any caffeine intake as it stimulates bladder contractions.

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Stephen 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 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved 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. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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