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What Does This Ultrasound Report Of Urinary Bladder Indicate?

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Posted on Thu, 20 Nov 2014
Question: My wife had lower back pain,then UTI ,and uncontroll of urine .
With doctor advise ultra sound of urinary bladder, MRI test has done .
ultrasound report shows post void residual urine volume is 200cc
and MRI report it shows Mild anterolisthesis of L5 over S1 vertebra is seen and with lumbar canal AP diamter of at L5/S1 =3mm.

Doctor suggest for operation but less guarantee of recovered from this condition
Then we consulate with othopedic Doct. back pain has recovered ,but uncontrolled of urine continue.
plz suggest.
doctor
Answered by Dr. Sudhir Kumar (1 hour later)
Brief Answer:
Surgery is preferable.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your wife's symptoms, her ultrasound and MRI reports.

The reports are suggestive of severe nerve compression at L5-S1 level and her urinary symptoms are because of that.

It is better to go for surgery, as the chances of recovery without surgery is very less.

There is no guarantee of 100% recovery after surgery but there are high chances of recovery, if the surgery is done at the earliest. On the other hand, without surgery, almost 90% chances are that she would not recover.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: XXXXXXX


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (45 hours later)
During these days we have consult Othopedic Doct.
Docts has advise ReNerve Plus (injuction ) ,Etova-er 600,Norflox -400
Should i take it or leave it..

doctor
Answered by Dr. Sudhir Kumar (1 hour later)
Brief Answer:
You can take these medicines.

Detailed Answer:
Thank you for getting back.

You can take these medications, as they are for immediate pain relief (Etova ER), urine infection (Norflox) and vitamins (Reserve plus).

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (42 minutes later)
Good evening sir,
Thanks for your advise

i have Another query before going for surgery,
As this MRI report is almost 2month back and patients had recovered (from both back pain and little bit from urine pass with Traction therapy with advise of Dr. Orthopedic , ) should i go for again MRI test for better position of L5 over S1 and lumbar canal AP diamter of at L5/S1

or There is any bad impact of health due frequent MRI test.,Plz Advise.

Regards XXXXXXX XXXXXXX

doctor
Answered by Dr. Sudhir Kumar (36 minutes later)
Brief Answer:
MRI is not needed now.

Detailed Answer:
Thank you for getting back with more information.

If she is getting better, then, there is no need to go for another MRI. She can continue the current line of treatment.

Only if there is no improvement and there is a plan to go for surgery, a recent MRI is needed.

There is no side effect on the body due to repeated MRI scans. If needed, they can be repeated.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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What Does This Ultrasound Report Of Urinary Bladder Indicate?

Brief Answer: Surgery is preferable. Detailed Answer: Hi, Thank you for posting your query. I have noted your wife's symptoms, her ultrasound and MRI reports. The reports are suggestive of severe nerve compression at L5-S1 level and her urinary symptoms are because of that. It is better to go for surgery, as the chances of recovery without surgery is very less. There is no guarantee of 100% recovery after surgery but there are high chances of recovery, if the surgery is done at the earliest. On the other hand, without surgery, almost 90% chances are that she would not recover. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: XXXXXXX