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Dear doctor. I am diabetic age 60+, stenting in 2001. Suffering from frequent uti since 2 years. Details as below uro flow on 12-4-2013 14.2/10/502 voiding time 50 sec uro flow on 26-6-2015 5.5/3.4/322 voiding time 96 sec prostate 21cc is constant sice 3 years. E coli is +ve. In feb 15 one testicles swelled, at that time also e coli was positive. Present psa 1.26, creatine 1.13, hba1c 6.38, fasting /pp 106/178. Usg both kidney normal, urinary bladder ie well distanced, wall thickening noted. Multiple internal echoes pre void vol 386/post 15cc. Urine pus cell 6-8 hpf, epithelial cell 3-5. Previous x ray genito urinary asu dtd 12-4.2013 remarks spastic prostatic and membranous urethra. Noticed ring like strictures in penice urethra. Present Dr. Has advised rgu (retrograde urethrogram and cyshscopy +o/v. I donot have temperator. Present problem. Feeling pressure during urination, dribblng, weak stream, unable to hold, smell in urine, require one or two urination at night. Kindly advice why there is obstruction in urine path. What is possibility of line of treatment left for me. Regards
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I didn't see any prostate medicine in your list. Rgu not needed, you can straight away go for surgery since medicine will give you only partial benefit. Turp will be the right choice.
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