Hello and welcome to HCM, The symptoms of painful micturation, interrupted urine flow and residual urine of 140 ml suggests bladder outflow obstruction. Most common cause of bladder outflow obstraction is prostatic enlargement. A digital rectal examination, transrectal ultrasound and estimation of blood PSA levels need to be done. A combination of these investigations will help to know the status of prostate. You need to consult a surgeon for clinical examination and these investigations. Bilateral renal scarring is formation of depressed scars on the surface of the kidney. Bilateral renal scarring can be caused by a underlying chronic inflammation of the kidney, malignant hypertension to name a few causes. Cortical cyst is a benign lesion on the surface of the kidney. It may be filled with serous fluid. Cirtical cysts do not interfere with the function of the kidneys. Splenomagaly refers to enlargement of the spleen beyond the normal range. There are many causes of splenomegaly. Infections- leishmaniasis, malaria; extramedullary hematopeisis, hereditary spherocytosis, malignancies- CML, lymphoma, etc to mane afew. You need to consult your doctor for clinical examination and relevant investigations to know the cause of splenomegaly and thus plan management. Thanks and take care Dr Shailja P Wahal