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Prostrate gland surgery and calculi - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   hi
Doctor :   how can i help yoiu
User :   hi;;
User :   well, i had a question about my father,
User :   this is about urology;;
User :   [are you there]
Doctor :   s
Doctor :   carry on
User :   ok,
User :   so my father had a prostrate gland surgery in 2004
User :   on his recent visit to the doctor,
User :   the doctor asked him to undergo some tests - primarily scan, blood test, xray to confirm if all's well,
Doctor :   ok
User :   the reports (scan / xray) indicate hydronephrosis and possibility of calculi,
User :   wanted to understand what these terms are :-)
User :   and what is the recommended treatment;;
Doctor :   why had he gone to the doctor again
Doctor :   did he has any problem
User :   aha, in 2004, during the preliminary tests, before the surgery,
User :   the doctor had noticed a swelling around the kidney
Doctor :   What is the recent reason for visit
Doctor :   jsut a general check u[
User :   but during surgery of the prostrate he could not operate on it,
Doctor :   Ok
User :   subsequently the swelling had disappeared around early 2005
Doctor :   Ok
User :   so the doctor had asked him to revisit after some months to see if there was a recurrence or if it was one of those statistical things,
Doctor :   How is the urine now, any problems
User :   unfortunately, owing to a number of issues he could not go in past 2 years,
User :   so this was a follow up in a sense,
User :   father has no pain or anything of the kind right now,
Doctor :   Ok
User :   he does feel that the bladder does not empty completely,
Doctor :   even now
User :   and the scan results indicate post void residual urine
User :   yes even now;;
Doctor :   ok do he has to run to the toilet
Doctor :   as he feels the sense
User :   yes, and takes a while to come back;;
Doctor :   i mean is he able to control the bladder
User :   yes, that he is,
User :   and also the scan indicate the prostate is perfectly fine 3 years after surgery;;
Doctor :   SO he is not able to empty the bladder completely right now
User :   right;;
Doctor :   What was the surgery done
Doctor :   Radical prostatectomy or TURP
User :   hmmmm
Doctor :   any idea
Doctor :   Is it removed
User :   let me check;;
Doctor :   What is his age
User :   TURP was done,
User :   he is 65 years;;
User :   [cystoscopy TURP]
Doctor :   good
Doctor :   SO the prostrate is removed
Doctor :   was he put on the medication
Doctor :   after that
Doctor :   Ok
User :   hmmm I am not sure about that
Doctor :   where are the calculi now
Doctor :   at which part of kidney
User :   VU junction ;;
User :   [so the report says]
Doctor :   Ok
User :   also it is not confirmed from the report, says
Doctor :   both sides?
User :   CT is advised to rule out ureteric calculi
User :   no only right side;;
Doctor :   Ok is the CT done
User :   no not yet,
User :   but the question i had is what is hydropnephrosis ;;
Doctor :   Ok, CT is the best diagnositc test for the renmal stones
User :   understood;;
Doctor :   Hydronephrosis is the swelling in the kidney pelvis due to retention of water and pressure backwards as there is no outlet forward blocked by the stones
User :   aha - understood;;
User :   is it quite common,
User :   my father is a diabetic for the past 26 years;;
Doctor :   (It is the obstructive uropathy
Doctor :   Oh
User :   [are you there]
Doctor :   yes
Doctor :   It could resutl dangerous if there is a renal compromise
Doctor :   The Obstructive Uropathy could fall more dangerous on the Kidney function
Doctor :   So the pressure should be relieved as soon as possible
User :   and what is the recommended procedure for this ;;
User :   incidentally my father has had no pain thus far;;
Doctor :   Yes if it is chronic hydronephrosis
Doctor :   which is gradual
Doctor :   three would be no pain
Doctor :   the treatment depends on the kidney function, infection and pain
Doctor :   Usully the stones are broken by the lithotripsy, or endoscopy surgery
Doctor :   If the cause of obstruction( stones) cannot be rapidly corrected, particularly if there is infection, kidney failure, or severe pain, the urinary tract is drained
Doctor :   So all depends on the kidney function
Doctor :   OK
User :   great,
User :   it has been very illuminating,
User :   thanks doctor;;
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