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Urology (Expert Forum)
bladder cancer
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.
bladder cancer
by Judy__0__0, Feb 13, 1998 12:00AM
I WAS WONDERING ABOUT BLADDER CANCER I HAVE HAD A PROBLEM FOR THE LAST 6 MONTHS AND I HAVE GONE TO DOCTORS OVER AND OVER UROLOGISTS ETC. I HAD THE SCOPE GO UP IN ME AND THE BLADDER LOOKED FINE. I HAD BURNING SENSATIONS AND FREQUENT URINATION. I DON'T REALLY HAVE THAT ANYMORE BUT WHAT CONCERNS ME IS THAT WHEN EVER I URINATE AFTER I AM DONE FOR THE NEXT MINUTE URINE SEEPS OUT AND DRIPS OUT LIKE I HAVE NO CONTROL I HAVE NO IDEA WHAT CAUSES IT NOR THE DOES THE DOCTORS WOULD U HAVE ANY IDEA AND IS THIS RELATED TO A CANCER? PLEASE HELP ME OUT HERE
Doctor's Answer
by hfhs M.D.-AK, Feb 13, 1998 12:00AM
Dear ADAM,
I don't think your problem is related to cancer, usually bladder cancer presents with blood in the urine and irritative voiding symptoms similar to the burning and frequency you described. If the doctors have performed cystoscopy and urinalysis with cytology, the chances of you having bladder cancer would be very low. To completely rule-out the urinary tract for cancer, an upper tract study would also need to be completed.
The dripping can result for a swollen prostate gland, infection in the urethra or prostate or even a stricture(narrowing of the urethra). Your symptoms of irritation would persist if you had an infection of the urethra or prostate and require antibiotics for treatment. Since you had cystoscopy, a stricture would have been seen and is not likely to be the cause.
You may have an enlarged prostate gland that we call BPH of which terminal dribbling is a symptom. However, I cannot make a diagnosis over the internet because I would need to examine you and ask several more questions. If your symptoms persist enough that they cause you concern or difficulty in your everyday life, I would return to your urologist an be re-evaluated. Ask to have a IPSS score. They will most likely give you a questionnaire that will help determine if severe BPH is causing 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.-AK
*keyword:Bladder Cancer
