Dr. P. Sukumaran
General Surgeon
Dear Dr. Sanya Dhingra,
The possibility of acute Urinary Retention in this case may be because of one of two reasons:
1. Acute Fissure in ano causes pain leading to retention
2. Prostatomegaly causing urinary retention
Once Fissure pain in alleviated with laxatives and topical agents usually these patients void well.
If the problem persists a trial of alpha blockers should be given for 14 days before attempting a catheter removal.
1. Flotral which is Alfuzosin 10 mg is not known to produce constipation.
2. Is the patient still on Catheter?
3. If the renal parameters are normal Silodosin 8mg once daily is a better medication at this stage.
4. You have not mentioned about size of prostate. Please do make a note.Similarly get a PSA done
5. What if Laser Surgery for fissure is done and then the patient doesn’t void after Catheter removal? So need not do it as of now.
Kindly give a trial void after 2 weeks of Silodosin therapy
07.Dec, 03:26pm