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Suggest Treatment For Enlarged Prostate With Stones In Lower Ureter

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Posted on Tue, 1 Apr 2014
Question: My Father aged 63 years has laproscopic surgery for prostarte .But after the surgery also he got severe pain on teh right side of the kidney.Finally based scan reports they finalised that there are soem stone sin the kidney and they tried two to three times through laproscopic also but not successful.They are saying that the tubes inside have swelling.I have been attaching the scan reports recently taken.Please suggest me on this for further proceedings and also let me know is this serious issues or not.Attaching the scan reports.
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Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer: You need to wait for few more days . Detailed Answer: Hello Thanks for your query,based on the facts that you have posted and reports of scan it appears that your father has enlarged prostate with stones in Rt lower ureter with changes of obstructive uropathy.. He had undergone (Hopefully) TURP for resection of prostate and attempts were made to fragment the stone with Uretero Renoscopy (URS) .However many a times the ureteric orifice through which we pass the endoscope (URS) is oedematous and bladder wall is also trabaculated due to enlarged prostate making it difficult for surgeon to identify ureteric orifice and to pass the endoscope(URS) in to ureter. In such situation we have to wait for 2-3 weeks for oedema of the ureteric orifice to subside and attempt URS with fragmentation of stone at second sitting after 2-3 weeks. Please note that endoscopic surgery has its own limitations and one has to give natures its own time to settle down oedema and try it at later date instead of making forceful attempts to pass the endoscope which many times results in disaster complications. Please do not worry there is no harm in waiting for 2-3 weeks by the time he will fully recover from the first surgery of TURP. 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. .
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. Chakravarthy Mazumdar
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10591 Questions

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Suggest Treatment For Enlarged Prostate With Stones In Lower Ureter

Brief Answer: You need to wait for few more days . Detailed Answer: Hello Thanks for your query,based on the facts that you have posted and reports of scan it appears that your father has enlarged prostate with stones in Rt lower ureter with changes of obstructive uropathy.. He had undergone (Hopefully) TURP for resection of prostate and attempts were made to fragment the stone with Uretero Renoscopy (URS) .However many a times the ureteric orifice through which we pass the endoscope (URS) is oedematous and bladder wall is also trabaculated due to enlarged prostate making it difficult for surgeon to identify ureteric orifice and to pass the endoscope(URS) in to ureter. In such situation we have to wait for 2-3 weeks for oedema of the ureteric orifice to subside and attempt URS with fragmentation of stone at second sitting after 2-3 weeks. Please note that endoscopic surgery has its own limitations and one has to give natures its own time to settle down oedema and try it at later date instead of making forceful attempts to pass the endoscope which many times results in disaster complications. Please do not worry there is no harm in waiting for 2-3 weeks by the time he will fully recover from the first surgery of TURP. 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. .