Monday, February 13, 2012
Monday, June 22, 2009 SkyPilotLA asks

Q: Pain after urinating following cystoscopy to check and remove bladder (uric acid) stones.

My doctor advised I had many stones, some quite large (over 1.8cm) and he used a laser to clear them from my bladder.

 

After about 2 days, the blood in my urine subsided with only some drops at the beginning of urination but now (3 days after the cysto) I feel a pain in my prostate right after urination that lasts for 5-10 minutes and is uncomfortable. The flow has still not come back to normal as well. Since I have never felt this pain and did not have a flow issue previously, I was hoping for some suggestions. My doctor advised after the proceedure that he felt my prostate was inlarged but not that much (whatever that means) but thought I might need a reaming of my prostate as he felt I was not emptying which may be why I am having a stone problem. Up until now, I have not had a problem with flow, frequent urination or multiple urinations at night. I also never felt the un-empty feeling I do now since this procedure. To add, I have been passing bladder stones somewhat frequently for a few years and with little to no pain. Any advise will be greatly appreciated.


Also, my PSA is .4 and the Dr doesn't feel I have a cancer problem. My age is 56 and am in good general heath and ht/wt proportional. Earlier today, my Dr. gave me a script for a 7 day supply of Uroxatral which I have taken and so far, felt no side effects.

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Answers (2)
7/28/09 11:57am

Although you may not feel that you have an underlying bladder or urination problem, in actuality you do. Bladder stones occur as a result of bladder outlet obstruction, or incomplete emptying of the bladder. Although there are several causes of incomplete emptying, the most common would be a prostate that is causing an obstruction of the opening of the bladder. This type of obstruction would lead to residual urine that would remain in the bladder after you have voided. It is this urine that serves as a nidus for the stone formation and helps the stones to continue to grow. The Uroxatrol that you were prescribed should help with your emptying of the bladder. Many of the symptoms that you are describing should dissipate with additional time, and the Uroxatrol should help speed up your return to your baseline. Lastly, the PSA of .4 is normal and would be associated with an extremely low risk of co-existant prostate cancer, providing that you have a normal rectal exam.

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6/26/09 12:48pm

Hi SkyPilot,

 

Thanks for your question.  Although we can't off specific advice on diagnosis or treatment, I'm passing your question along to one of the doctors on our site to get his thoughts.  We'll let you know when a response has been posted. 

 

In the mean time, here are some resources that you may want to look into:

Enlarged Prostate Symptoms

Kidney Stone Treatment

 

-Dan

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