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History of spinal cord injury. Difficulty passing stools, mucus in stools, difficulty emptying bladder. Want information

my husband was in a ATV accident in 2007, he has a spinal cord injury that was in c3 and c4. he has had at least 2 to 3 sever UTI infections a year, which out of the 5 years he has been in the hospital at least 3 times within the 5 year period. He also has problems with his bowels going as long as 6 to 8 days without a bowel movement. He also passes alot of mucas in between the bowel movements. The doctor did a sonagram on his bladder and kidneys. They found a mass on his bladder and have ordered a CT abdomen/pelvis renal mass protocol test with contras
Can you tell me how this is done and what they will do to the mass on his bladder. He has trouble emptying his bladder the doctor said it does not empty completely . It started about 6 months ago with pain on his lower left side and they thought is was caused from the UTI infections. Then they found the mass. So I was asking if you can tell me more about this. from Irma Collins , PS - My husband is 59 years old 5feet 6 inches and weighs 250 pounds.
Asked On : Thu, 25 Apr 2013
Answers:  2 Views:  40
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General & Family Physician 's  Response
CT scan is a none invasive exam with cross sectional picture of the body taken somewhat like the radiography. For the contrast, there will be injection of the contrast substance through the vein follow by serial radiography. The mass suggest bladder tumor (which explains most of the symptoms) and surgical procedure will most likely be taken to remove the mass.

Hope this is helpful
Dr Rogers
Answered: Tue, 25 Jun 2013
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General & Family Physician Dr. Ravi Kant's  Response
Thanks for using HCM.
First of all about contrast CT- in this process a ionic or non ionic iodine dye is injected IV and then serial images are taken by CT machine.
Asking for contrast ct after usg with past history of UTI, passage of mucus and paralytic ileus seems to be a case of intra abdominal abcess in the pelvic region which is pressing the bladder, rather it may be a case of bladder stone secondary to UTI caused by urea splitting organism like proteus, there can be associated reflux pyelonephritis due to urinary retention and infection. Enlarged prostate due to BPH or carcinoma prostate can also cause incomplete voiding and secondary infection in this age group which can be ruled out by ct scan and digital rectal examination and rectal USG.
Treatment will be according to the final diagnosis for which you should consult your treating doctor. wishing very well to your husband.
Answered: Tue, 25 Jun 2013
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