Brief Answer: Yes continue soliten;prostate may require drainage Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. Yes ma'am, in my opinion Soliten (solifenacin) should be continued. The doctor who had prescribed soliten was hoping your husbands urinary incontinence would have resolved within this one month, which is why he/she prescribed the medication for a duration of one month. This medication can be taken for a longer duration of time in dosages of 5 mg or 10 mg once or twice daily, to be decided by the prescribing doctor based on the patients requirements. Please do restart this medication, but also consider a revisit to your husband's doctor to find a more permanent cure for your husbands condition. The duonem 200 should be effective enough to take care of the strong UTI that jas been found. But the prostatic abscess may or may not respond to this antibiotic, and if it does not then surgical drainage may be required. Please wait for a duration of 7-14 days while on the antibiotic and then go for a repeat ultrasound examination to look for signs of improvement or resolution of the abscess. If these are not present, then surgical drainage may have to be considered. I hope this information helps you ma'am. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.

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Brief Answer: All queries addressed ma'am, and sorry for delay Detailed Answer: Hello once again ma'am. My sincere apologies for the delay. It is the last day of the year, and the last day before the holidays which is why it was a very busy day in the OT. I shall be more than happy to address each of your issues. 1. I am afraid both soliten and duonem have diarrhea as a common side effect, and constipation has not been documented as a side effect of either of these medications. It could be possible that these medications are interfering with the ayurvedic medication, as this is the only plausible cause I can think of. 2. I would recommend strong oral or intravenous antibiotics for treatment of the abscess, as I was afraid to go in for a surgical procedure as well. But of course, intra-venous antibiotics will require hospital admission ma'am. 3. By all means, all three conditions need to be adequately and simultaneously addressed. But if there occurred a situation in which we had to choose to treat one or two of them first, then the UTI and prostate abscess would have to be given importance. And no, simulatenous treatment is not the cause for the recurring problems ma'am. The cause is the over-reactive bladder, being the main source of infection spread. 4. If sir's( your husband's) blood sugar is well controlled, which it seems to be; with oral hypoglycaemic drugs alone, then insulin will not be required ma'am. If your husband/s blood sugar were not well controlled, we could have assumed diabetes to be the cause for the recurrent infections, but it seems to be well under control, and it would be best if ti remains that way for as long as possible. I hope I have explained things well enough, and in a manner best understood by you. Please feel free to write back to me for any further clarifications, I would be more than happy to help. Best wishes.

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Brief Answer: You made my year ma'am, best wishes Detailed Answer: Thank you so much for your kind words ma'am. My patients being happy and healthy is all I really need. Thank you for the beautiful start to my New Year ma'am. You really made it special for me. God bless you, your husband and the rest of your family with good health, wealth and prosperity always. Best wishes.

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