Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
Your father seems to suffer from -extensive backflow with infection accompanied with chronic BEP-may be with high blood urea.
IN such cases, to reduce the life risks-for temporary period-Intermittent self catheter technique-is proved to be superior-to normalize
kidney functions and blood urea/
creatinine levels.
So just follow it,as advised with
Urologist.
Or I would suggest
Second Opinion from Second Urologist to resolve this
anxiety.
Hope this would help you to plan further care of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS