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Suggest Treatment For Voiding Difficulty

Posted on Fri, 28 Nov 2014

Question: Urine is not passing completely as per sonography report. What could be the medicine to cure such problem or required any treatment??

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Needs detail evaluation.

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you are unable to empty bladder completely during micturition.

I shall be happy if you can post me few more details to help me in making comments on your problem
1)How is your urine stream whether weak,moderate or normal?
2) Do you have other urinary complains like increased frequency,urgency ,burning,pain etc?
3) Have you done Ultrasound scanning of abdomen?
4) Do you have to strain to pass urine ?
5) Have you consulted Urologist ?
6) have you undergone any instrumentation of your urethral passage in the past?
7)Have yo been catheterised in the past ?
8) Did you have unprotected sex with unknown woman ?

Please do write to help me to make precise comments on your problem

It is utmost important to find out the cause of incomplete emptying of bladder before deciding about the modality of treatment .

Please consult qualified urologist for clinical assessment and get following basic test done under his guidance. .
1) Urine routine and culture
2) Ultrasound scanning of abdomen and pelvis with specific mention of residual volume of urine
3) Uroflometry
4) Radiological test called Retrograde Cystourethrogram to rule out stricture Urethra.

Hope I have answered your query .Please do write about the information I have asked for .I shall be happy to help you.
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (43 hours later)

Thanks for your reply.
1. Urine stream is moderate.
2. Urinery complains of burning pain & urgency.
3. Ultrasound scanning of abdomen carried out & observed that residual volume 143
4. Having strain during passing urine.
5. We have consulted to urologist.
6. No- Instrumentation of urethral passage in the past.
7. Catheterised not understood.
8. Urine Problem complaint is from Wife.
Following test carried out.
1. Urine routine & culture carried out.
2. Ultrasound of Aabdomen & pelvis carried out & residual volume is 143
Kindly suggst further.

Answered by Dr. Dr. P. T. Patil (33 minutes later)

Brief Answer:
You need to do Cystourethrogram.

Detailed Answer:
Hello
Thanks for feedback.
Looking at the information that you have provided I suspect you to have stricture of the Urethra which can be confirmed by a radiological test called Cystourethrogram,

Further treatment will depend upon the extent and site of the stricture ,

Please get it done at earliest and do write to me and visit your urologist again

Thanks with regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (43 minutes later)

Thanks foy your reply.
What could be the estimated cost for doing Cystourethrogram. We need to admit the patient for some hrs?? What type of Treatment will be done during this Cystouretheogram rediological test. What could be the estimated cost for this treatment.

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Please read details bello

Detailed Answer:
Hello
Thanks for follow up.
Cystourethrogram is a radiological procedure done as a out patient in radiology department.It is simple procedure carried out by X-ray technician.

During the procedure a 20-30 ml of Radio Opaque XXXXXXX (Urograffin) diluted in saline is passed through urethral passage and films are taken while injecting the XXXXXXX .This is called Retrograde Cysto urethrogram

Second film is taken while passing the urine mixed with the XXXXXXX passed earlier.This is called as Micturating Cysto Urethrogram.(MCU).

Entire urethra is visualised in both the films which gives information about site of narrowing of Urethra(Stricture) ,length of stricture etc which helps in deciding the modality of treatment.

This procedure cast about 2500 to3000 XXXXXXX RS.

Thanks and Regards.
Dr.Patil.

Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (19 hours later)

Thanks for your reply.

Doctor has not suggested Cysto Urethrogram but suggested Cystoscopy.
What is cystoscopy test?? How much cost for this test. What type of treatment will be done during this test & how much approx cost & time will take??

Answered by Dr. Dr. P. T. Patil (53 minutes later)

Brief Answer:
Detail answer below.

Detailed Answer:
Hello Thanks for follow up.

Have you consulted Urologist?

Cystoscopy is an endoscopic examination of urethra passage (Urethra) and bladder .

It has to be done under anaesthesia as a day care procedure and will cost you 10-12 Thousand Rs.(Depending upon the discretion of a Urologist).

Normally I do not put any instrument in urethra unless utmost necessary or all the test have not been conclusive .

Cysto Urethrogram will help to diagnose whether you have stricture (Narrowing of the urethra or not). and modality of further management.

Now it is up to you to take the decision .
Thanks and Regards.
Dr.Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar