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Greetings, My Dad Has The Following Issues: 1. Hernia 2.

Posted on Sat, 6 Mar 2021

Question: Greetings, my dad has the following issues:
1. Hernia
2. Enlarged prostate
3. Frequency to urinate (unable to control and urinates very often)

We have consulted a doctor for removal of Hernia and we were suggested to visit a Urologist and take some tests based on the guidance received from the Urologist. Post seeing the test results, we have been advised to cure the frequency to urinate and prostate before performing the Hernia surgery.
All I am looking for is a genuine guidance as my dad is a pure vegan and he has been off any sort of medications for over 3 years now. He is feeling healthy and we don't want him to take the route of taking unwarranted medications if they are not required. I hope you understand my sentiment and am looking forward to a genuine advise. Thanks!

Answered by Dr. Anders Mark Christensen (6 hours later)

Brief Answer:
Catheterization or prostate resection is a possibility

Detailed Answer:
Hi Jagdish,

It sounds like benign prostate hyperplasia. If your father does not want to take medicine to help alleviate the outflow obstruction, he could undergo prostate resection before hernia surgery or be taught intermittent catheterization in the weeks after surgery so that he does not apply pressure when voiding.

Hope this helps. Please let me know if you have further questions.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Anders Mark Christensen (13 hours later)

Hello Doctor,

Thank you for your response. Would you be willing to see his test results to provide a bit of more accurate advice?

Thanks,
Jagdish

Answered by Dr. Anders Mark Christensen (52 minutes later)

Brief Answer:
Certainly

Detailed Answer:
Hi Jagdish,

Certainly, just send the documents and I will have a look.

Best wishes.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Anders Mark Christensen (47 hours later)

Hello Doctor,

Thank you, I have uploaded the reports. Kindly review them and advise.

Thanks in advance!
Jagdish

Answered by Dr. Anders Mark Christensen (18 hours later)

Brief Answer:
I would advise intermittent catheterization

Detailed Answer:
Hi again Jagdish,

Thank you for uploading the files. It appears your father has benign prostate hyperplasia with no evidence of UTI, urinary retention or kidney dysfunction. In my view, a prostate resection would be overkill, so I would advise that your father or a nurse performs intermittent catheterization from the day of surgery and the first two weeks. The risk of hernia recurrence is low, as it appears to be an inguinal hernia that will likely be inforced with a mesh.

Hope this helps. Please let me know if you have further questions.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Anders Mark Christensen (5 hours later)

Hello Doctor,

Thank you for your response. Your response did bring in some XXXXXXX I have a follow-up question; what's the solution for the frequency to urinate problem (my dad is unable to hold it).

Thanks,
Jagdish

Answered by Dr. Anders Mark Christensen (24 hours later)

Brief Answer:
It is probably linked

Detailed Answer:
Hi again Jagdish,

The frequency is likely linked to the prostate issue, where the bladder is distended and never adequately emptied. Then it doesn't take a long time before the bladder fills again and there is an urge to urinate. So this issue will resolve when then prostate issue is resolved.

Does it make sense to you?

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Yogesh D