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Why does my father have residual urine?

Q: My 54 years old father is having prostrate 42 gm and residual urine is 504 ml. For the last one month he has been put on catheter twice for ten days. He has taken Dutas T regularly. What is the right treatment for him? What type of food should he take and what should he avoid?

A:Your father's main problem seems to be the failure of bladder emptying with a residual urine of more than 500 ml. Immediate treatment has been done with indwelling catheter. Such large residual urine is unusual with prostate obstructing problem alone, and may result from failure of bladder to contract (bladder atony). Since treatment of obstruction due to prostate and failure of bladder to evacuate due to atony are different, it would be important to diagnose the ailment before proceeding. He would require a thorough examination of nervous system apart from the local examination. A Voiding cystometry or Urodynamic study would be needed to differentiate between obstruction and atony.


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