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Question
I am a male 72 yrs having severe burning sensation during urination and otherwise for the last 2 yrs. My blood tests all are normal especially PSA values.The  prostate size initially in jan 2013 was 32cc which shrunk to 17cc in June 2013 after  continued medicationnunder a Urologist. But the  problem still persisted.Then Cystoscopy / TURp was done in Aug 2013 and I was assured by the Dr. that the problem will be solved.But even after this the problem continued.I am still under medications under different Urologist  and the latest Urethra calibration and Urithra Xray indicate a Stricture in the Prostate region.Is this the  problem for the  severe continous burning  sensation.The Dr.suggests anothrb Cystoscopy for treating Stricture.What is your expert Advice.Will this solve my problem.What are the problem triggering food items that has to be avoided.

Answer
Sivadasan:

I suspect the urethral stricture may be responsible for at least some of your discomfort and it should probably be treated.

As for food, typically high potassium foods like raisins and bananas can cause burning.  We also typically recommend avoiding caffeine, alcohol and hot spices.

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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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