Urology/urinary

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Question
pain pelvic area went to E R and had a cat scan found thickining of urinary wall Dr also said have a 30 in prostate size. I am having pain urinating frequent passing blood rectum not a lot.  I have hade stage 3 colorectal cancer 5 of 13 lymph nodes were positive. Dr put me on flomax follow next week with Dr. Would there be any idea if cancer may coming back.  ThankYou

Answer
Rick:

With your history, a recurrence of the cancer is not impossible.  There could also be a fistula (abnormal connection) or possibly radiation effect if you had radiation therapy.  You should definitely check with your physicians.  Flomax is a reasonable start, but passing blood is obviously abnormal and will need further evaluation.

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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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