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SPLIT STREAM URINATION AND PROSTATE PAIN
WAS HAVING SPLIT STREAM URINATION THAT WAS BOTHERSOME. HAVE HAD ENLARGED PROSTATE RECTAL EXAMS IN THE PAST. SAW UROLOGIST ON 7/23/13 FOR SPLIT STREAM URINATION AND PAINFUL URINATION. A CYSTOSCOPY WAS ORDERED ON 9/26/13. THIS SHOWED A NARROW URETHRA AND INFECTION. PLACED ON DOXYCYCLINE TWICE A DAY FOR 30 DAYS. THIS WAS FOLLOWED ON 10/22/13 WITH URINALYSIS AND FOLLOW-UP ON 10/29/13. URINALSIS SHOWED CLEAR BUT KEPT ON DOXYCYCLINE ONCE A DAY FOR ITU PREVENTION. AT THIS APPOINTMENT DISCUSSED PAINFUL URINATION, SPLIT STREAM URINATION BOTHERSOME, HISTORY OF PAST UTI'S, NARROR URETHRA, STRAINING, BLADDER FEELING LIKE IT'S NOT COMPLETELY EMPTING OUT, AND THIN STREAM WHEN REGULAR URINATIONS VERY RARE. URO-FLOW WITH ULTRASOUND WAS ORDERED ON 11/8/13. SAW NURSE PRACTITIONER ON 11/13/13. ULTRASOUND SHOWED BLADDER EMPTING OUT COMPLETELY BUT URO-FLOW SHOWED STRAINING AND DRIBBLING DURING URINATION. DISCUSSED DILATION AND CHANGING DETROL. THIS WAS CHECKED WITH UROLOGIST WHO WANTED A FOLLOW-UP PERSONALLY ON 11/15/13. THIS APPOINTMENT SHOWED AN ENLARGED PROSTATE DURING DIGITAL RECTAL EXAM AND PAIN DURING TOUCH. UROLOGIST ORDERED EKG/ECG, CBC, BMP, URINALYSIS, AND CHEST X-RAYS TO PREP FOR OUTPATIENT PROCEDURES. ORDERED ON 12/4/13 CYSTOSCOPY, BILATERAL RETROGRADE PYELOGRAM, POSSIBLE TRANSURETHRAL RESECTION OF PROSTATE, AND POSSIBLE DVIU (DIRECT VISION INTERNAL URETHROTOMY). NOW I KNOW I WILL BE SEDATED/ASLEEP FOR THESE PROCEDURES. I WOULD LIKE TO KNOW IF ANYONE ELSE HAS HAD THEM DONE. WHAT CAN I EXPECT THEM TO/OR SHOULD THEY SHOW? WHAT DOES IT DETAIL AND HOW ARE THEY DONE? WHAT CAN BE THE SIDE AFFECTS? I WAS TOLD BY MY UROLOGIST'S PHYSICIAN ASSISTANT THAT THEY MAY CAUSE SEXUAL PROBLEMS. WHAT ARE SOME OF THESE? ANYONE WITH ADVICE PLEASE LET ME KNOW.
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DVIU AND TRANSURETHRAL RESECTION OF THE PROSTATE WERE NOT DONE. EKG/ECG, CBC, BMP, URINALYSIS, AND CHEST X-RAYS SHOWED NORMAL. THE BILATERAL RETROGRADE PYLOGRAM AND CYSTOSCOPY SHOWED NORMAL. ABOUT A MONTH AGO I HAD ANOTHER CYSTOSCOPY BY A NEW UROLOGIST ON 2/25/14 WHICH SHOWED A PRETTY NORMAL URETHRA NOT NARROW AS PREVIOUSLY THOUGHT.
I'VE GOT AN APPT. ON WED. 2/19/14 WITH A NEW UROLOGIST. I'VE HAD ALL MY RECORDS FROM MY PAST 2 UROLOGISTS OVER THE PAST 10 YRS. FORWARDED TO HIM. HOPEFULLY HE WILL HAVE RECEIVED THEM IN TIME TO LOOK OVER THE TESTS, RECIORDS AND GO OVER MY PAST DIAGNOSIS'S TO GIVE ME SOME GOOD NEWS. I WILL KEEP YOU INFORMED OF MY PROGRESS WITH HIM.
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The split stream in the urine could be suggestive of an obstruction or structural changes in the lower urinary tract. Split stream may also be caused by prostate problems. It is also advisable to rule out urinary tract infection. All the tests mentioned by you will be done either in local anesthesia or sedation. Depending on your medical condition and history in few cases general anesthesia may be needed. Any test is suggested by a doctor only if indicated.Drink plenty of water. You may need evaluation by a urologist. Treatment will be specific depending on the cause. Your wife also needs to be evaluated. Do write to me again with more information.
Best luck and take care!