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Urology (Expert Forum)
Trovan, or ream job
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.
Trovan, or ream job
by Titus-Mendel, Dec 27, 1998 12:00AM
I urinate every hour and sometimes right after again. My genral practicioner is treating me with Trovan and Iromethacin. He says that if this does not work, and its not (I am on the 6th day with no improvent) I should have a ream job done. Is there any other non invasive treatment. He said its a stone. What about not doing anything?
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Dear Mr. Mendell,
Your symptoms may be due to several conditions ranging from normal variation to prostatic problem or stones to a nerve problem involving your bladder’s function. It is difficult to pin point the diagnosis without opportunity to examine you. However the general guidelines are as follows:
The evaluation varies with your age and sex. If you are a male older than 50 years, prostate enlargement is common and needs to be excluded. You need a physical examination, urine testing, and blood work up and may be X-rays and ultrasound. If you have prostate enlargement, there are several medications and minimally operative methods to treat it.
You have mentioned stones in your letter. If it is stone you need x-rays to confirm it. Stones can be treated with several non-invasive methods including lithotripsy and endoscopies.
You may in fact have a problem with the nerves that enable your bladder to function. This will require a cystometrogram and pressure flow study to evaluate. A catheter is passed into your urethra to your bladder and then your bladder is filled at a constant rate and the pressures and bladder sensations recorded. Then you will be asked to urinate and the speed of your urine flow will be measured.
I would summarize the above by saying that you need a urologic consultation to take care of your problems. If you wish you can consult a Henry Ford Urologist. More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physician’s notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely,
HFHS M.D.-AT
* Keyword: BPH
