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Question
I had laser surgery on prostate to shrink it over 5 years ago. After the surgery I started getting a burning issue every time I had to go urinate. I went back to the doctor, and he said that somehow some infected scar tissue was not removed. He went in and removed the scar tissue. Still the burning issue continued. To this date I average about 2 UTI's a month. The doctor has no idea why, and I still have the issue of going about 15 times a day regardless of the drugs he gave. Tried battery implant, and Botox with no success. What might it be?

Answer
Paul:

I can honest say that it is very odd to have a significantly overactive bladder not responding to drugs, botox or interstim.  I have not seen such a case and would suggest that you consult a urology specialist in complicated bladder problems, possibly at a university or other tertiary center.

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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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