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What Causes Foul Smelling Urine In An Elderly Man?

Posted on Thu, 4 Aug 2016

Question: HI THERE. I HAVE SMELLY URINE, IN GREAT HEALTH, AGE 71, NO KNOWN INFECTIONS, THE SMELL LASTS 2-4 DAYS IN MY PARTNER WHO IS 45 AND IN GOOD HEALTH. MIGHT IT BE DIET, ALLERGY, PROSTATE ISSUE WITH IT ALLOWING URINE TO PASS THRU, ANY IDEAS OTHER THAN TO SEE MY GROUP HEALTH DR?

REPLY?

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Mostly due to Enlarged Prostate Needs to rule out.

Detailed Answer:
Hello
Thanks for query .
The strong smell to urine is mostly due to stagnated urine resulting out bladder outlet obstruction due to Enlarged Prostate .

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 with specific mention of Post Void Residual urine (PVR)
3) Serum PSA.

Further treatment will depend upon result of these tests and final diagnosis.

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.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (25 minutes later)

Thanks Dr. XXXXXXX I'm seeing a urologist today.

Question: I'm 71 and in great health, used to take proscar which I understand keeps the prostrate small, but stopped talking it a few years ago but my last PSA test about year ago was very good. Is what's happening to me normal for my age, or could it indicate a bigger problem, in your opinion?

I'll measure it today, but my PSA 4 months ago was 0.41 NG/ML. The range is 0.0-4.0. fyi.

Answered by Dr. Dr. P. T. Patil (18 minutes later)

Brief Answer:
Enlarged Prostate is a normal aging process .

Detailed Answer:
hello
Thanks for follow up .
Enlarged Prostate is a normal ageing process that affects 70-80 of males after the age of 60 years .

PSA is screening tets for Cancer of the prostate
Since your PSA id normal you should not think about any major problem .like Cancer of Prostate .

Do not worry This can be controlled and resolved with medications .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (31 minutes later)

Whew, thanks!!!!

Sorry, meant to ask: I'll confirm with my doctor, but should I go back on proscar to shrink it? The downside is lower libido, yes? Whatever shrinks the prostate lowers libido generally?

Thanks!

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Proscar has side effects of decrease libido .

Detailed Answer:
hello
Thanks for follow up .

Proscar (Fenasteride ) has side effect of decreased libido .

Drugs that reduce the size of the Prostate belong to group of drug called 5 alpfa reductase inhibitors .This drug reduce the production of Dihydrotestosterone and Testosterone .Testosterone is the main hormone that maintains libido .

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