How to manage ureteral damage during hysterectomy?
Hello doctor,
I have injured urinary bladder and the left side ureter during hysterectomy surgery by laparoscopy. Then, cystoscopy and nephrostomy were done. A catheter is used. Can surgery be done again?
30 Apr 2024 - 1 min read
What could cause meatal redness and painful urination?
Hi doctor,
My meatus is red and has a small spot on one side. There is a constant burning sensation when I urinate. I am frequently urinating in small amounts. Recently, I had a DRE, and they told me that my prostate is enlarged. I have a foul smell from my penis. I never had this problem before. I have difficulty in emptying my bladder.
30 Apr 2024 - 1 min read
How to cure urinary urge and incontinence?
Hello doctor,
I have been suffering from urge and incontinence of urine for the past four years. My USG is showing first grade BPH with about 50 ml to 75 ml of PV retention of urine. PSA is within normal range. The routine urine examination also reveals nothing abnormal and on culture sample, found sterile. I have been taking Tamsulosin 0.4 mg and Dutasteride 0.05 mg tablets OD as per doctor’s prescription. There is relief in the passage of urine but the urge and incontinence still persist. At times I feel irritation in the pelvic region. Please help me with your valuable guidance in this context.
24 Apr 2024 - 1 min read
What causes continuous pelvic pain that comes and goes?
Hello doctor,
My father's age is 56. He is diabetic for the last two years and the only medicine he takes is Metformin 500 tablets daily before meals twice a day. He is been complaining about a continuous mild pain in his pelvic area since last month and he says it hurts more usually after he pees. When he rubs that area he says the pain goes away. Currently, he is taking Glyciphage 500 tablets.
23 Apr 2024 - 1 min read
Can pain and difficulty in ejaculation be prostatitis?
Hello doctor,
I am a 30-year-old married man and this is my story. Three months back testicle pain and difficulty reaching ejaculation for a few days. Also, a mild pain near the rectum or anus for a few days. A month later received unprotected oral sex from a woman. The very next month started to feel intense burning sensation in the penis (not when urinating, in fact, urinating relieved it). Also, intense pain located in glans to the right, between the corona and the meatus. No discharge. Took 1.0 g of Azithromycin and 1.0 g of Ciprofloxacin, just in case. Gonorrhea. chlamydia, mycoplasma, etc, and urine culture and stain grams all were negative. Two days later I had a lot of urinary urgencies. CT scan revealed inflamed bladder walls, small urine retention, and urinalysis shows WBC count of 2 to 4. I was started on Levofloxacin. Two weeks later the symptoms continued. Urine turned very thick. Urologist says it is urethritis (which I do not think so, because the burning is not when urinating, but mostly all the time) orders another CT scan and MRI. Everything comes out normal, except WBC count in urine 8 to 10. Culture and STD negative again.
Two days later the doctor orders four weeks of Levofloxacin, Tamsulosin, and Solifenacin. Also, something for a fungal infection and a pill for if the penis pain was neurological. A week later another urine sample was taken. Everything was normal this time, including WBC count. STD panel negative. Three weeks later the doctor had diagnosed prostatitis and insists on continuing treatment. Symptoms persisted like frequent urination, constant intense burning in penis or bladder, painful ejaculation and a small amount of semen, thick urine, occasional testicle pain. No rash on the penis, no discharge, no lesions, no fever, no joint pain. Could this be really prostatitis? If it is, could it be bacterial from the oral sex episode? Is constant burning in pain more consistent with non-chlamydial NGU (or NSU) or prostatitis? Could it be related to the bladder more than the prostate? Please help.
23 Apr 2024 - 1 min read
