Doctor insights on:
Bladder neck incisio: Transurethral resection of the bladder neck ( TURBN ) should be a bladder neck incision in most all cases. It is often indicated for patients for symptoms of BPH with a small prostate gland. If a formal resection is done bladder neck scarring may occur. Sometimes TURBN is done for bladder neck contractures and should be best performed as an incision. ...Read more
Prostatectomy generically refers to total or partial removal of the prostate gland by surgical or endoscopic means for benign or malignant conditions. More commonly it refers to radical prostatectomy, an operation to treat prostate cancer, though in the past, endoscopic prostatectomy (TURP) for enlarged prostate (BPH) was a more common operation ...Read more
Perhaps: Chemotherapy following bladder cancer removed by radical cystectomy may be advised depending on the stage of the cancer. A deeply invasive cancer, or a cancer with lymph nodes involved may be treated post-operatively with chemotherapy if chemotherapy was not used preoperatively. ...Read more
Could suprapubic cathether be better than ileal conduit surgery for my father with URI bladder cancer?
Here are some ...: Radical cystectomy with non-continent (ileal conduit) or continent (neo-bladder) diversion is the standard of care for muscle-invasive bladder cancer for appropriate surgical candidates. So, suprapubic catheter has no position for treating bladder cancer but only in case for palliative care. Meanwhile, would you tell me what is URI bladder cancer? For additional detail? Ask treating Doc timely. ...Read more
Very briefly.: An indwelling ureteral stent is removed in one of two ways. A quick pull on a little string to pull it out of the urethra, or by using a flexible scope to enter the bladder and pulling out the stent with forceps. Both can cause bladder discomfort and some flank pain as it is quickly removed. Some residual pain can linger for a day or two. Pain can be variable with many feeling no pain. ...Read moreSee 1 more doctor answer
Ultrasound minimal generalized thickness bladder wall, prostate size normal.Difficulty in ejaculation and prostate burning and incomplete emptying?
No: There are of course different type of prostate surgery. Postate removal for cancer has a severe incontinence rate of 3-5% and a mild to moderate incontinence rate of 10-15%. Both are very treatable in hands of surgeons who treat this often. Prostate scraping and laser treatments for benign disease rarely lead to incontinenece buts is also very treatable. Bottom line:it happens and is treatable. ...Read moreSee 1 more doctor answer
Post void incontinence, ultrasound bladder,kidney and prostate normal, after voiding showed bladder empty normal, awaiting uroflowmetry resul,concern?
Here are some ...: For postvoid incontinence, I assumed you have so-called postvoid dribbling after you ripped in the penis into underwaer, which is indeed very annoying. You may try correctly milking the entirely urethra after each voiding by wiping the urethra x 3-4 times from the area behind scrotum toward the end of penis until "dryness" before zipping in the penis. Do this first. Due to 400-letter limit, end .. ...Read moreSee 1 more doctor answer
Sporadic frequent/urgent urine, prostate pushing into bladder (per mri), left hn, 73 yo w/m. Would flomax (tamsulosin) relieve hydronephrosis by easing BPH backup?
Surgery: If one develops severe urianry incontinence after radical surgery and has failed conservative management and medications, then surgery is the next option. This includes collagen injection to help close the bladder opening or placement a sling underneath the urethra. A fianl measure would be to place an artificial (plastic) sphincter to close the urethral while not urinating. ...Read moreSee 2 more doctor answers
Prostate size: 17ml, no infection & bacteria found in urine culture & analysis.Symptoms: weak urine flow-testes pain-pelvic discomfort after urination?
Very briefly.: An indwelling ureteral stent is removed in one of two ways. A quick pull on a little string to pull it out of the urethra, or by using a flexible scope to enter the bladder and pulling out the stent with forceps. Both can cause bladder discomfort and some flank pain as it is quickly removed. Some residual pain can linger for a day or two. Pain can be variable with many feeling no pain. ...Read more
Through urethra: When a TURP (transurethral resection prostate) is performed, what is being done is 'coring out' the inside of the prostate tissue. The urethra in the prostate is not really a tube inside a tube. The inside of the prostate is hollow and the urethra inside the prostate is made of prostatic tissue-this is what is being removed in a TURP;it heals back over and you still urinate through the prostate ...Read more
Medication/surgery: If you are in true retention and can't urinate at all it becomes an emergency. If it's not treated you can have renal failure and die. There are many medications, mainly Alpha blockers (flomax, opens bladder neck) and 5 Alpha reductase inhibitors (proscar, shrinks prostate) that can help. Minimally invasive treatments like microwave can help. For more: @thepeedoc www.Peedoc.Com. ...Read more