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Question
dr leslie,as I told you in my many e-mails I have enlarged prostate.lately ill go 17 hours with very little pee,then nect day ill urinate regular.when they checked my bladder last weel there was not much urine in it.this on and off urinating can it damage kidney,urine showed no infection.im 81 and pooor candicate for operation.catherer gives rise to infections.is there minimum invasive surgery that could be performed in doctors office with local anthesiamy cardiologist thinks turp would be   risky with mild a-fib333

Answer
Howard

TURP surgery can be safely done for men in their 80's with atrial fib.  There is no safe and effective office procedure although some have done laser procedures in the office.  Not all prostates can be do e this way and.it is much safer and less painful to do it in a hospital rather than an office.

Urology

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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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