Bladder problems

  I am a 53 year old man and have for the past 5 years experienced
  bladder problems.My symptoms are;Frequency of urination especially at night,incomplete emptying of my bladder,swelling and bloating in my stomach/abdomen,pain in the rectum and base of abdomen I have had all the usual tests,including, scans
    blood tests, prostate tests, and a camera in the bladder.
  all of which were negative,I had a bladder neck incission
  2 years ago,to help empty the bladder fully, it did not work.
    I have disc problems in my lower back but have been assured by various consutants that it is not connected with my bladder problems ----Can you help with any information.

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Dear Anthony,
The symptoms that you have described do suggest bladder outlet obstruction, which happens in most men to varying degrees,  as they mature beyond their forties. You seem to have had most of the necessary tests , as well as the right procedure  for your problem.  One important study to do is what is referred to as urodynamic testing. This usually helps determine the cause of urinary problem. If this has not been done, you may want to discuss this with your urologist. Another follow up surgery which may be helpful for you is transurethral incision of prostate(TUIP), which is a bit more extensive than bladder neck incision. Talk these issues over with your doctor.  An overactive bladder can be treated medically if the urodynamics suggest this as a cause of your symptoms.
This information is provided for general medical educational purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.  More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-BE
*keyword:LUTS