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What Causes Urinary Retention?

Posted on Thu, 21 Apr 2016

Question: My Husband had a TURP procedure July 2015 and is still having problem urinating. He fells like he has to go but he just dribbles. sometimes he it takes him 20 minutes to go. He has alot of pressure on both sides of his abdomen. He said it feels like he is urinating but is just dribbling. Still gets up often during the night.
He does not know what to do.

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
Could be due to narrowingg of Urethra(Stricture Urethra)

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have undergone surgery of TURP in July and now has difficulty inpassing urine and frequency for urination with poor stream .

This is mostly due to narrowing of urethra (Stricture of Urethra )

This is known complication of this surgery aand happens due to injury to urethra due to instrumentation .

Please consult your Urologist who has performed surgery earlier and get following tests done to confirm the diagnosis .
1) Urine routine and culture
2) Retrograde Cystourethrogram
3) Uroflowmetry.

He may need endoscopic incision of stricture (VIU).

Hope I have answered your query ,please feel free to ask if you have more questions ,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 (38 minutes later)

Thank you for answering. His concern now is can this be corrected? Does this mean another surgery?

Answered by Dr. Dr. P. T. Patil (3 minutes later)

Brief Answer:
Yes it can be corrected

Detailed Answer:
Hello
Thanks for follow up.

This is one of the commonest known complication of TURP and can be corrected by a a day care surgery of Visual Internal Urethrotomy (VIU ).

Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (6 minutes later)

the Dr that did the TURP seemed very unconcerned when he started having problems a month or so after surgery. So, I think we will find a new Urologist to consult with to try to get this corrected. Thanks for your input.

Answered by Dr. Dr. P. T. Patil (14 minutes later)

Brief Answer:
Go ahead and consult other Urologist

Detailed Answer:
Hello
Thanks for follow up.

You can consult other Urologist and get the problem resolved .Thanks and Regards.
Dr.Patil.

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