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Diabetic, hypertensive, burning and frequent urination, tests showed cortical cyst, bladder outlet obstruction, prostatomegaly. Treatment advise?

I am 55 years old male working in a public sector. I have a history of Diabetes and hypertension for last 8 years. Recently I was feeling burning sensation while voiding urine and also had to urinate frequently. My report on USG examination of Kidney states Renal configuration is normal. Cortico medullary demarcation is distinct. Cortical thickness and echotexture of both kidneys are normal. Renal sinuses are normal. Left kidney shows an exophytic simple cyst measuring about 2.25/2.03 cm in the middle segment. Right kidney measure about 10.28/5.29 cm. Left kidney measure about 11.5/5.8 cm. Eamination of Urinary bladder : The outline of the urinary bladder is normal. No vesicle calculi or mass shadow are seen. Pre-void urinary volume is about 484 ml. Post void urinary volume is about 50 ml which is more than normal in amount. Examination of Prostrate: The prostate appears enlarged. Prostatic weight is about 45 gm. Impression: Left Renal simple cortical cyst. Bladder outlet obstruction. Grade II Prostatomegaly. Kindly suggest me the further course of action. Whom should I consult? Can it be cured by medicines or it needs a surgical intervention? A detailed response would help us taking a better decision. Thanks & Regards Mr. H M Thakur
Asked On : Sat, 15 Sep 2012
Answers:  1 Views:  5936
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Urologist 's  Response
Jul 2016
Thanks for your query.I will try to answer your query from point to point.
1) Your ultrasound scan shows cortical cyst2-3 cms in size in your Rt kidney This may be accidental finding and seen in so many people.You do not need any treatment for the same as this is symptom less.
2)You are having increase frequency of urination this is due to combination of Diabetis and Prostatomegally.IS your diabetis well controlled?.If nor consult diabetologist or Physicinan for proper medicines and dosage schedule
3).As regards your prostatomegaly your prostate is 45 gm with postvoid urine of 50 cc which is significant.For this pl consult Urologist.Since you are 55years old you can certainly try medicines You may start Tab Urimax -D once a day at night a.This will relieve your symptoms and improve the flow of urine and repeat Ultrasound scanning every 3 months to see the size and post void residue.Have a good luck .
Answered: Sat, 15 Sep 2012
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