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

What does your dad want to have happen? That seems to be missing from your post? Docs stopped using digital exams instead relaying on PSA tests instead. If your dad needs a TURP vs. having an in dwelling foley to contend with 24/7 I’d have surgery. Docs with robotics have gotten very good at this procedure. Hopefully your dad is healthy enough for the procedure.

@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.

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.

I'm glad to say his health was/is improving a great deal. Everything is on time for him. His meals and medicines are kept up on a better scheduled, With exercise and naps. He feels great. But this whole deal with his urine retention and enlarge prostate. If the 2 meds he was given to control and reduce the growth of his enlarge prostate, Remember his PSA level went down from 56.92 to 3.0 with meds. Would the prostate still be consider an obstruction? Now is his bladder neck have any nerve damage from long term use of oral hypoglycemic drugs? How do most doctors measure the prostate? Our understanding is always different than the discussion we have in the office. The PSA test is looking for cancer. right? But being referred to other doctor for the discussion of HoLEP procedure in August, 2024.

I’m guessing if he has retained over time normal PSA levels and he’s peeing that empties his bladder he shouldn’t require the surgery. That’s my 2 cents non doctor non urologists. Your dad’s DM2 with uncontrolled numbers probable doomed his prostate. Be thankful he doesn’t have worsening ailments from the DM2.

What is DM2. I am new. Pl. explain

Diabetes Mellitus Type 2

@hbrajendra , Type 2 Diabetes Mellitus on Insulin For my Dad's case, he either not making or it does not know when insulin to be release into the blood system. We are still trying to figure that out. sp

Here we are in May still waiting for August. I call but same answer "not yet." From to there what can we do? Testing Imagings. Dad just want the indwell catheter out... Its been now 1 year and 4 months.

Just an update on Dads and his doctors, I wonder why they don't talk together as team? When it come to my 79 year old dad health. Right now he is the best and stable he going to get. We did a carotid scan, MRI Brain, U/S kidney and bladder. colonoscopy/EDG and set of labs. Every test checks out great. But no testing for his prostate?? So now his PCP wants a DEXA scan. I begged the urologist for a CT Scan, waiting to hear from him. Before this visit 5/28, his brother passed away. But he still seen his Endocrinologist, but instead dad meet with his new PA. I show her on of the test results and reviewing his labs dad AC1 level is still coming down its 7.1 from 12.5, we still watching his diet and exercising. But she wants to add a new injectable to have him lose weight is 194 5'8, which is a name brand New with no generic. At a Hugh price. But, I felt I had to do a small history of dad condition so she knows he still has an indwell catheter in and waiting to having HOLEP. I don't get it. Any suggestions?