Suggest Remedy For Frequent Urination
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Detailed Answer:
Hello
Thanks for your query ,based on the facts and the report of your father that you have posted I would summarize his problems
1) He has gall bladder polyp which is benign in nature
2) he has one stone of a size of 9.8 mm in urinary bladder .
3) He has impacted stone in his left lower ureter causing back pressure changes in ureter and left kidney
4) He is known diabetic and have not mentioned whether it is under control or not .
5) He has Enlarged prostate.
Looking at the multiple problem I would suggest to plan treatment as detailed below.
1) Bring blood sugar levels under control with insulin so that rest of the surgical procedures that are needed to be done at earliest can be carried out .
The basic cause for his urinary symptoms and having stone in bladder and ureter is Enlarged prostate which needs to be dealt with first
He needs to undergo endoscopic resection of prostate (TURP), the stones in the bladder and stone in the ureter (all the three procedures ) can be carried out simultaneously in one sitting .
Once he recovers from this surgery which may take 3-4 weeks he can be operated for Laproscopic Cholecystectomy to remove his gall bladder,
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil
1> As per the report, is the problem in gall bladder alarming? or can wait for 3-4 weeks for gall bladder removal i.e. till he recovers from other treatments.
2> Based on the age of the patient, should we go for gall bladder removal along with the other treatments together(prostate and stone treatment)?
3> As I am from XXXXXXX can you please recommend some hospitals which specialize in this and are not too costly.
4> What is the average cost of the treatments.
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Detailed Answer:
Hello
Thanks for follow up.
1) The polyp in the gall bladder is benign in nature and one can certainly wait for 4 weeks or till he recovers completely from the first surgery which is rather more morbid than Laproscopic Cholecystectomy.
2)One would personally suggest not to carry out all the procedure in one sitting as it will be more traumatic surgically for his age .
3) I have no knowledge about Hospitals and charges in XXXXXXX .You have to inquire with your family physician .
Thanks and Regards.
Dr.Patil.
1> As the polyp in gall bladder is benign in nature, should we actually go for removal of gall bladder or we can ignore it?
2> Also, would like to know the side effects or consequences if the gall bladder is not removed till it creates problem for patient.
3> I read it somewhere that if polyp is smaller than 10 mm doesnt require treatment, is that true?
4> How alarming will it be if we decide not to get the gall bladder removed?
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Detailed Answer:
Hello
Thanks for writing again
1 and 2) Though it is benign in nature there is high risk of it getting to be malignant in future
3) Looking at the risk involved the size is not significant.
4) Be prepared to accept the risk by not operating it now.
Thanks and Regards.
Dr.Patil.