My father (Aged 75 years, patient with high BP since last 30 years) was diagonised suffering from GRADE 3 Prostatomegaly (after carrying out ultrasound test + CT Scan).
Also, Gross PVR with Chronic Cystitis was the impression given in these reports. (Pre void - 2547 cc PVR - 1498)
Serum creatinine in blood was found around 4.5 mg/dl.
Since last 4 weeks, he is with Foley's bulb (initially for evacuating the urine blocked).
Now, after 4 weeks,
Serum creatinine is found reduced to 2.1 mg/dl.
potassium - 4.3 mmo/lSodium - 148 mmo/l
As per latest ultra sound report (after 4 weeks):
-Grade 3 Prostatomegaly with Chronic Cysts
-Bilateral Moderate Hydrourteronephrosis
-Bilateral Renal Cortical Cysts
-Right Kidney: Moderate dilatation pelvicaliceal system and ureter noted. Cortical Cyst in upper pole measuring 3.7 x 3.0 cm.
-Left Kidney : Moderate dilatation pelvicaliceal system and ureter noted. Cortical Cyst in upper pole measuring 2.5 x 2.1 cm.
-Urinary bladder : Gross mucosal thickening noted.
-Prostrate: Enlarged in size with normal echogenisity. Weight - 180 gms.
My queries are:
- Are the Cortical Cysts in Kidneys need to be treated to further reduce serum creatinine to normal level ?
- (Note: He is strictly following diet - low sodium, low potassium + medicine for BP changed + Blocked urine emptied in last 4 weeks). No back pain, No pain near hip.... complaint,
- Still, is it recommended to have Foley's bulb/tube for 3 to 4 weeks ?
- Can enlarged prostrate can be shrinked using medicines for improving lower urinary tract /passage ? (Note: As per my father, even 4 weeks back, he is releasing urine freely - not aware that some amount blocked inside itself) - no inflammation etc -
-How to improve bladder distended bladder (thickned walls) ? Any medicines recommended at this stage ?