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What Causes Burning Feeling And Pain While Urinating?

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Posted on Wed, 10 Dec 2014
Question: had external radiation for prostate 2 years ago. been having pain and burning when urinating most of the time. And a weaker stream. Last week had had trouble urinating so I went to my Urologist. He scanned by bladder and said I was retain to much urine. I had a catheter for 5 days and took cipro and doubled up on flomax. . after 5 days when the catheter cameI had been suffering for monthe=s out all the pain and burning was gone and urine flow was again normal. The urine coulture showed no infection. He said to go back to 1 flomax daily .I had been suffering for months and informed him and he said it was from the radiation and nothing could be none unless i was bleeding or could not urinate. I asked for the scope test but he said I did not need it., I feel when I take two flomax daily it helps.. I am so relived that the pain and burning is gone. . I am thinking that the cathiter steched out my ureatha and made it esier for me to urinate. my concern is that it will come back again. Any sujestions as to what can be done to prevent it from happening again/
doctor
Answered by Dr. Amarnath (1 hour later)
Brief Answer:
catheter opened up the passage now but can recurr

Detailed Answer:
You are right. The catheter which has been inserted during the recent period has definitely has opened up the passage for passing urine now. That is the reason you are now free of your symptoms now. But it has the tendency to recur - depends upon person to person the duration of recurrence differ.

Many a times the recurrence of such episodes cannot be prevented; but it is advised to void urine every 2-3 hours.

Before answering in detail I would like to know
- Have you undergone any surgery for benign prostatic hypertrophy? if so when?

The treatment for benign prostatic hypertrophy is different from prostatc cancer. In early stages the best treatment for prostatic cancer and benign prostatic hypertrophy is trans urethral resection of prostate. In later stage of prostatic cancer, the treatment is radiation followed by chemotherapy.
The aim of all these treatment is to make the residual urine to minimum and free passage of urine.

Urinary catheter is introduced to void the urine and dilate the urinary passage so that you will get relieved from your symptoms. In all these situations you will be constantly treated for underlying urinary tract infection as it will worsen the condition.

Hope this explains
followup queries and suggestions are invited
if you have further queries feel free to contact me at
http://doctor.healthcaremagic.com/doctors/dr-amarnath/68732

with regards
Dr.Amarnath
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Amarnath (1 hour later)
No surgeries ! Had 27 rounds of External radiation. My PSA i now 0.1 My Dr says i have a very small Prostate and the radiation probably made it smaller .He did mention that if things did get worse their was a small surgery he would perform.
doctor
Answered by Dr. Amarnath (58 minutes later)
Brief Answer:
nothing to worry if prostate size is small

Detailed Answer:
If the prostate size is small and your PSA is 0.1 you may not need further radiation and hope fully you are alright after the urinary catheter withdrawal.

You can continue flomax or tamsulosin which is a alpha 1 adrenergic blocker which acts on the prostate to reduce its size.
If I were your treating physician i will definitely reduce your tablet flomax dosage now ,as you are improving. Any way consult with your urologist for a second opinion.

Hope this explains
followup queries and suggestions are invited
if you have further queries feel free to contact me at
http://doctor.healthcaremagic.com/doctors/dr-amarnath/68732
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. Prasad
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Answered by
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Dr. Amarnath

General & Family Physician

Practicing since :2002

Answered : 463 Questions

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What Causes Burning Feeling And Pain While Urinating?

Brief Answer: catheter opened up the passage now but can recurr Detailed Answer: You are right. The catheter which has been inserted during the recent period has definitely has opened up the passage for passing urine now. That is the reason you are now free of your symptoms now. But it has the tendency to recur - depends upon person to person the duration of recurrence differ. Many a times the recurrence of such episodes cannot be prevented; but it is advised to void urine every 2-3 hours. Before answering in detail I would like to know - Have you undergone any surgery for benign prostatic hypertrophy? if so when? The treatment for benign prostatic hypertrophy is different from prostatc cancer. In early stages the best treatment for prostatic cancer and benign prostatic hypertrophy is trans urethral resection of prostate. In later stage of prostatic cancer, the treatment is radiation followed by chemotherapy. The aim of all these treatment is to make the residual urine to minimum and free passage of urine. Urinary catheter is introduced to void the urine and dilate the urinary passage so that you will get relieved from your symptoms. In all these situations you will be constantly treated for underlying urinary tract infection as it will worsen the condition. Hope this explains followup queries and suggestions are invited if you have further queries feel free to contact me at http://doctor.healthcaremagic.com/doctors/dr-amarnath/68732 with regards Dr.Amarnath