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Refractory luts and bladder outlet obst.
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.
Answers (2)
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U are having overactive bladder can consult urologist for a better treatment
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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.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.