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Old aged, prostatomegaly, thick urinary bladder wall. Concerned - Online Doctor Chats

Date : 14-Mar-2013
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 1706 Questions
User:hi good evening
Doctor:How are you doing?
User:its regarding case of prostatomegaly and Thick urinary bladder wall of my father who is aged about 67 years
Doctor:The bladder wall has thickened due to the prostate enlargement
User:i have done the USG of KUB
Doctor:Does he have any symptoms like incomplete voiding, feeling of incomplete voiding?
User:if you need i can send the pdf attachment to ur email id
Doctor:email it to me YYYY@YYYY
Doctor:with attention to DR. XXXXXXX
User:yes he has symptoms like incomplete voiding, feeling of incomplete voiding
User:in day time he micturates less but he does frequent urination at night
Doctor:does he have any other problems like diabetes, high blood pressure
Doctor:Thats a symptom of benign prostate hyperplasia
User:no he does not have any other problems as diabetes or BP
Doctor:then the treatment is with drugs and surgery
Doctor:There are certain drugs like alpha blockers like tamsulosin
User:his prostrate size is 40.5 that a serious prob
User:upto what level human can have the normal prostrate gland
User:and in extreme cases
Doctor:around 7-16 g is normal size
Doctor:it increases in size with age
Doctor:but the treatment depends on symptoms
User:his age is 67 yrs now
Doctor:and other conditions
Doctor:it varies with person to person
Doctor:the rate of increase
Doctor:But if he has symptoms and there is a hypertrophied bladder wall, he needs treatment
User:now a days sometimes he is urine colour is turning mild yellow or reddish colour
Doctor:i told you about the drugs
Doctor:Is he taking enough water?
User:with pungent smell
Doctor:its possible he has an infection
User:he fears taking lot of water
Doctor:he must take atleast 2-3 litres of water
User:he is taking one URIMAX tablets in night on every alternate days
User:is it a case of surgery
Doctor:thats for the BPH
Doctor:\It has tamsulosin
Doctor:I would suggest that you XXXXXXX a urologist
Doctor:more investigations would be needed to decide whether a surgery is needed
Doctor:There is a procedure called TURP
Doctor:Transurethral resection of prostate
User:is it a open surgery
User:how much time it requires
Doctor:its a short surgery
Doctor:He would need to be admitted
Doctor:In some cases, its an outpatient procedure
User:can he leave hospital within day or two
Doctor:which means he can be discharged in 1-2 ddays
Doctor:but it would depend on any complications
User:what will be the approx cost of the TURP surgery
Doctor:where are you based currently?
Doctor:the cost will vary from centre to centre and city to city
Doctor:I can get my customer care team to assist you with that
Doctor:about the hospitals where TURP is done and the cost involved
Doctor:would you want that?
User:better if sent by e-mail
Doctor:they'll give you a call tomorrow
Doctor:and find out your requirements
Doctor:and send you the details by email
Doctor:does that work for you?
User:please suggest me whether there are any other advanced surgery other than TURP
Doctor:This is currently the treatment of choice
User:yes e-mails are always welcome
Doctor:others include TUNA and TUMT
Doctor:they are minimally invasive
Doctor:they use a needle transurethrally
Doctor:in TUNA to reduce the size of the prostate gland
Doctor:and in TUMT they use microwave radiation to reduce the size
Doctor:are there any more concerns that I can answer?
Doctor:are you there?
User:i believe there will be much comfort in TUNA & TUMT
User:or in TURP
Doctor:The procedure and its success depend on the expertise of the surgeon
User:secondly is TURP more hepful than other two
Doctor:it will vary from patient to patient
Doctor:TUNA and TUMT are outpatient procedures
User:so should he continue the URIMAX tabs for few days until the date for surgery is fixed
Doctor:take about 1 hour
Doctor:exactly who will benefit from this surgery has not been determined
Doctor:continue the treatment
Doctor:and my customner care team will help you find a urologist in Kolkata who can perform the procedure
User:any other medicine to be taken alongwith
User:i want surgery to be done within a month
Doctor:let me go thru your history , for a few sec
Doctor:there is no need for any other medications, if urimax is being taken
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