Brief Answer:
Seems to be an issue with the urethra !!!

Detailed Answer:
I warmly Welcome you!

Thanks for consulting at my virtual clinic HCM. It is my pleasure to help you today in resolution of the issues your husband has. I feel sorry for that pain and discomfort he is facing.

Actually there are some important possible causes for such issues. On top of them is Urethral Strictures and/or Fibrosis. Urethra is a very fine structure and narrow tube. When we manipulate it time and again like Stenting and resuturing chances are that we will get urethral issues discussed above. It causes urinary issues including blood in urine.

Back pain radiating to the leg may be due to nerve impingement that may be at the level of backbone (vertebral column). Some patients also get nerve issues at the level of Urethra. So it is important to rule out the cause for this pain. Vertebrae may have bone issues and impinge on the nerve exiting the spinal cord. Chances are there is intervertebral disc problems that also cause nerve impingement.
Some patients get this pain due to benign or malignant tumors that may be primary local tumor or a tumor at some other location that has spread here to the area of nerves supplying the legs.

I preferably suggest your husband to consult a Urologist and an Orthopedist to rule out the possible causes. They will also need to rule out if there is some bleeding diathesis and if needed they may refer your husband to a Hematologist. But first we need to rule out urinary tract issues and an MRI of the spine is mandatory. Sometimes we need to go for a GI Endoscopy to find if there is a bleeding cause involving gastrointestinal tract. Blood in stools may also be due to Hemorrhoids, chronic constipation, colonic pathology or a rectal disease. They can be ruled out on an Endoscopy.

I pray for the best times ahead for your family. Please feel free to contact me anytime directly from my profile or add a follow-up here if you need further assistance.

Regards!

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Brief Answer:
It's my pleasure to help you. Thanks for your kind words!

Detailed Answer:
It is my real pleasure that I received an encouraging follow-up regarding your husband. Now I am satisfied that you are on right lines.

Yes, it is sometimes troublesome that Primary care physicians are unable to care about due to some reasons. I appreciate your decision to change with a better one. I hope it will be a positive impact on his health.

Keep a follow-up for his spinal stenosis so that he gets better soon. It is the same as we were suspecting.

Please remember to contact me anytime directly from my profile if you need further assistance. If satisfied, please give a feedback and rating. It helps to assist other patients too.

Best regards!
Your Physician
Dr. Hanif

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