----------------------- Advertisement --------------------------
Q&A
If you have any query about any medical problem get an answer from an expert
  Comments: Read | Post

Why has my urinary frequency increased after prostate surgery?

Saturday, 18 December 2010
Answered by: Dr Rajesh Ahlawat
Chairman Division of Urology and Renal Transplantation Medanta Kidney and Urology Institute Medanta, the Medicity
Google Buzz

Q. I am a 62 years old male who was operated for enlarged prostate by cysto / TURP procedure eight months back. My urinary frequency and nocturia was 7-8 times a day and once at night. After the operation my symptoms worsened and I started urinating after every hour and I have to get up twice or thrice at night. The doctor has prescribed me Tropan. Is it safe to take Tropan for longer period of time?

A.  Urinary symptoms in elderly men may largely be divided into irritative (frequency and urgency) and obstructive (taking time to pass urine, interrupted stream, feeling of incomplete evacuation in nature. While obstructive symptoms may be attributed directly to obstruction following prostate enlargement, irritative symptoms may or may not be due to prostate. Up to 70% men and women (and women do not have prostate) may have urinary irritative features in form of night frequency due to bladder irritability by the age 70.

There are many medical conditions like uncontrolled diabetes and cardiac failure which may result in frequency. There are possible complications following prostate surgery too which may worsen the urinary frequency, especially failure to empty the bladder with large residual urine. In conclusion, your urinary frequency after prostate surgery could be due to a medical condition, an irritable bladder or a result of the surgery itself. You need to see your urologist who would go into details of your voiding pattern including voiding diary, and examine you. He may like to have some blood investigations and urine examination to exclude infection, flow test to judge the degree of obstruction, apart from an ultrasound of the KUB region to evaluate efficacy of bladder emptying. Having done this it will be possible to put a label to your problem of frequency and treat it appropriately.

A.  Urinary symptoms in elderly men may largely be divided into irritative (frequency and urgency) and obstructive (taking time to pass urine, interrupted stream, feeling of incomplete evacuation in nature. While obstructive symptoms may be attributed directly to obstruction following prostate enlargement, irritative symptoms may or may not be due to prostate. Up to 70% men and women (and women do not have prostate) may have urinary irritative features in form of night frequency due to bladder irritability by the age 70.

There are many medical conditions like uncontrolled diabetes and cardiac failure which may result in frequency. There are possible complications following prostate surgery too which may worsen the urinary frequency, especially failure to empty the bladder with large residual urine. In conclusion, your urinary frequency after prostate surgery could be due to a medical condition, an irritable bladder or a result of the surgery itself. You need to see your urologist who would go into details of your voiding pattern including voiding diary, and examine you. He may like to have some blood investigations and urine examination to exclude infection, flow test to judge the degree of obstruction, apart from an ultrasound of the KUB region to evaluate efficacy of bladder emptying. Having done this it will be possible to put a label to your problem of frequency and treat it appropriately.

Comments: Read | Post
More from this section
More »
Post comments
We request you not to tell us about your medical problems through this comment tool.
We are unable to keep track of the innumerable queries and their answers that we get everyday unless they are sent through "Ask a Question"

Name:*   E-mail:*
City:   Phone:
Comments:* 7000 characters remaining
Spam protection
Enter the code:*
Disclaimer: Material sent in this section is contributed by users. DoctorNDTV accepts no responsibility for the content or accuracy of such material and does not endorse or subscribe to the content.
----------------------- Advertisement4 --------------------------
 
Latest Photos
 
 
Survey
Radiation and health outcomes

The effect radiation has on human health has been the subject of recent interest.

-------------------------------- Advertisement -----------------------------------