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Refractory luts and bladder outlet obst.

2021-08-21 03:31:29
Raised urine frequency. poor urine outflow (11ml/s) perineal(saddle pain ) . All this since 11 months urine routine- normal urine culture - E coli took cipro and iv mero for that and after antibiotics culture was sterile. usg- altered echotexture of prostate. (PVR 35ML) Cystoscopy- sphincter spasm, swelled prostate, trabeculated bladder. urodynamics. borderline high bladder pressure, bladder outlet obstruction. tried all salts of alpha blockers tried mirabegron, darifenacin , solifenacin , tolterodine but no relief. tried baclofen for spasm but no relief in flow I am a  mbbs graduate please guide me with this.
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U are having overactive bladder can consult urologist for a better treatment

Answered2021-08-21 08:21:34

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Try Pyridium tablets for a week ...it will stain your urine but will relieve your pain and frequency. Try Tab pregabalin 75 mg bd for a week. Continue mirago s combination for 6 weeks followed by plain mirago 25 mg for 3 months. Review usg abdomen and pelvis with postvoid residue after 6 weeks.

Answered2021-08-21 06:49:31

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