I would like to know if your ultrasound
, urine examination and serum PSA have been done. What was the size and weight of the prostate? In your age there is prostatic enlargement, the median lobe of it does not allow bladder emptying, there is significant post void urine which leads to UTI which further adds to frequency, hesitancy, urgency and burning micturition.
In such patients of mine, I stat some drugs which decrease prostatic size. A short course antibiotic is beneficial to counter the infection caused by frequent instrumentation. If nothing works, TURP, endoscopic surgery
is the last resort to reduce the symptoms, prevent a recurrence. UTI and prevent back pressure damage to kidneys.
I would like to see your urology record to know if you have a superadded urethral stricture
because that would require endoscopic optical urethrotomy
Hope I have answered your query. Let me know if I can assist you further.
Dr. AJEET SINGH, General & Family Physician