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Urology (Expert Forum)
Difficulty Urinating with Burning and Pain
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Difficulty Urinating with Burning and Pain
by franknico, May 02, 2006 12:00AM
My dad went through MRIT radiation for prostate cancer over a year ago, which was successful and resulted in normal PSA. He had very bad side effects of burning and pain when urinating. From time to time these symptoms recur but not to the degree they were during radiation. Over the last 2 months, he has been passing blood clots and was recently hospitalized for severe abdominal pains. A cystoscopy revealed 3 malignant polyups, which were removed. Shortly after the procedure, he had excruciating pain and was unable to uriniate. A catheter was inserted (with difficulty) and more blood and urine flowed. The catheter remained in for several days and was removed prior to discharge. Within 8 hours he was back in the ER with pain and inability to urinate. A catheter was inserted and it remained in for a week. Once removed, within 8 hours he was back in the ER again. A catheter was again inserted and will remain in place for 2 weeks. During this time he also received CIPRO for a urinary tract infection and is also taking Flomax. Multipe tests were done - bowels are fine, colon is fine, kidney stone was found, intestines are fine. His doctor thinks that dad's prostate may be enlarged blocking his urination flow and mentioned surgery to "scrape" the prostate after the 2 wk catheter/Flomax/Cipro is done and if he still cannot urinate and still has burning and pain. He also has been constipated and has trouble moving his bowels,with abdominal pains. What is your opinion? He is becoming very agitated and depressed that he cannot find relief.
Doctor's Answer
by Kevin Pho, MD, May 03, 2006 12:00AM
, May 03, 2006 12:00AM
Difficult to say without evaluation.
Radiation can lead to anatomical abnormalities - such as strictures or sclerosis - that can be leading to the symptoms.
Infection certainly is possible, and seems to be appropriately treated.
If the symptoms continue despite medical treatment, "scraping" the prostate during an endoscopic procedure can be considered. If there is evidence of stricture, stenting can also be considered.
These options can be discussed with your personal physician. A second urological opinion can also be considered if the treatment plan is unclear.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Radiation can lead to anatomical abnormalities - such as strictures or sclerosis - that can be leading to the symptoms.
Infection certainly is possible, and seems to be appropriately treated.
If the symptoms continue despite medical treatment, "scraping" the prostate during an endoscopic procedure can be considered. If there is evidence of stricture, stenting can also be considered.
These options can be discussed with your personal physician. A second urological opinion can also be considered if the treatment plan is unclear.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
