← Return to Unable to urinate? Is it BPH or Bladder Disease caused by DMT2?

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@heysp22

@jenatsky I'm glad you ask of what my Dad wants. We were just talking about what going on? From time he got out of the hospital in Jan. 2023. Saw his PCP, referred him to Urologist. She reviewed Hospital records, and (still troubles with his DMT2 with Acute Kidney Injury and Urine Retention With 2 UTI which started all this prostate stuff). She referred, us to talk with a Urology Surgeon about his options. Okay saw him Feb 20, 2023, doctor asks, "What bring you in today?" I asked him if he reviewed the hospital records from Jan 2023? I have presented Dec. 2022 (2) ER visits. Okay all we discussed, How is Diabetes caused all of these problems. We talked about Invasive and Noninvasive approach to the Urine retention and bladder outlet obstruction surgery. The Prostate with medications, a Voiding trial, if fails and/or TURP procedure. My Dad and I decided to do the following plan, " To start with the meds: to increase Flomax to 08mg and add in Finasteride 5mg. Have monthly catheter changes with the nurses. And follow his creatinine level. See him back in 3 months for a recheck. Now he being diagnosed with BPH w/ LUTS, Urine Retention with Foley. To tell you we are trying to figure out what the heck is going still. In Mar. Apr. May, he now having problems with the catheters plugging up and bacterial infection and will be coming in every three weeks. Office Visit, June 29, 2023, he passed void trail and be recheck the next morning for PVR. I'm requesting some type of x-ray to be done. He order RBUS. Dad still not reading for any type of surgery. His PCP wants him to see a Cardiologist for A-fib. July 27,2023 the surgeon discuss management vs CIC vs Bladder outlet surgery and follow up in 3 months with (Side note his PSA from 12-2022 was 56.92, retested in Jan 3, 2023 was 27.30 with flomax. a few days retested on Jan 25, 2023 it was 6.03 What going on? As of Dec. 14, 2023 is down to 3.0). I thought for sure we are ready for surgery. We get referred to other urologist for consult about HoLEP in August 2024. For the months Aug. Sept, Oct, Nov, change catheter every three weeks.

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Replies to "@jenatsky I'm glad you ask of what my Dad wants. We were just talking about what..."

You should be pleased that his prostate shrank as the numbers show. Your poor dad has had all the wrong. Illnesses leading up to this point. The DM2 alone causes multiple damage to vessels and organs and I’ve seen this sequence previously in my nursing days. I was a public health nurse back in the 1980’s in Los Angeles and this was common. Hopefully he will continue to improve with your excellent care and home health.