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Suggest Treatment For Urinary Incontinence Despite Taking Solifenacin

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Posted on Fri, 1 Jul 2016
Question: Sir I got prostate enlargement and leakage of urine if i am not going to bathroom.Iam 66 years old having
diabetic and blood pressure problems also.Dr advice me to take solifenacin succinate 5mg morning and
alfoo tab 10mg at night.still problems are not cured .Is it ok taking both tab for a long time ?Is there any other medicine for this problem?
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
You need to evaluate and decide about modality of treatment .

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have Enlarged Prostate with diabetes and hypertension and having problem of urgency with incontinence of urine .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) What is the size of the prostate reported on Ultrasound Scanning ?
2) What is the nocturnal frequency for urination ?
3) Have you done Uroflometry if so what is the average flow rate ?
4) Is your diabetes under control ?

Urgency with incontinence even with taking Solifenacin and Alfoo need to evaluate and change the modality of treatment .

Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Uroflowmetry.

Medical treatment in such a situation has limited results and one has to take medication till one decides to get operated

You can discuss and explore the feasibility of an endoscopic resection of prostate by a surgical procedure called TURP .

This is a gold standard method to resect the enlarged prostate and improves quality of life for forever .

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
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10590 Questions

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Suggest Treatment For Urinary Incontinence Despite Taking Solifenacin

Brief Answer: You need to evaluate and decide about modality of treatment . Detailed Answer: Hello Thanks for your query ,based on the facts that you have posted it appears that you have Enlarged Prostate with diabetes and hypertension and having problem of urgency with incontinence of urine . I shall be happy if you can post me few more details to help me in making comments on your problem. 1) What is the size of the prostate reported on Ultrasound Scanning ? 2) What is the nocturnal frequency for urination ? 3) Have you done Uroflometry if so what is the average flow rate ? 4) Is your diabetes under control ? Urgency with incontinence even with taking Solifenacin and Alfoo need to evaluate and change the modality of treatment . Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Uroflowmetry. Medical treatment in such a situation has limited results and one has to take medication till one decides to get operated You can discuss and explore the feasibility of an endoscopic resection of prostate by a surgical procedure called TURP . This is a gold standard method to resect the enlarged prostate and improves quality of life for forever . 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.