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Low grade pain near the bladder area, urge for urination. Treatment? Had TURP surgery for enlarged prostrate

I am 57, my prostate is mildly enlarged. Three and half years ago I had TURP opertion. At two scans 6/7 months aaprt my urine retention went up from 55ml to 100ml. Sometimes I get low grade pain near bladder area. Sometimes there is strange and constant feeling in my lower bottom suggesting the need to go to urinate but very little urine when I go to loo. It seriously interfers with my sleeping. When I wake up during night, constantly worrying about urine retention what may be causing this and what is the treatment. Thanks a lot for your help with this.
Asked On : Tue, 22 Jan 2013
Answers:  2 Views:  68
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Pathologist and Microbiologist 's  Response
hi there, you are experiencing the typical symptom of urinary retention. It could be due to your enlarged prostate, compounded with urinary tract infection. You need to get a routine urine exam done to rule out infection and visit your urologist to re-evaluate the size of your prostate and whether you will require some definite measure like surgery for it again,.constant retention of urine may give rise to UTI and even prostatitis which is causeing the dull pain in your bladder region. Take caare.
Answered: Tue, 22 Jan 2013
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Urologist Dr. G.Srinivasan's  Response
Welcome to HCM.
It could be OVERACTIVE BLADDER or related to the long term complications of TURP.
Tests needed are urine routine, culture, blood for glucose, ultrasound scan to look for residual urine/ stone.
The treatment is for the cause.
If no cause is found, overactive bladder is diagnosed and need treatment for 3 to 6 months.
This is curable and there should be no worry.
Best regards
Answered: Tue, 22 Jan 2013
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