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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Urinary Incontinence And Erectile Dysfunction

hello sir am 28 yrs male. and am suffering from tb meningitis in recently (10 months ago) and am take to medicene properly.starting am affected urine incontinue , the urologist doctor checking him, and he asked him ur urine bladder nerve weakness so dont compress the urinary bladder and few month later step by step this problem solving but urine passing force level is low and am affected from erectile dyfunction. so what can i do and solution for ed trouple.
Mon, 2 May 2016
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General & Family Physician,  's  Response
Hello dear
understand your concern
You have problem of urinary incontinence and erectile dysfunction due to prostatic enlargement
Consult the urologist for better diagnosis and treatment

Advice and causes of urinary incontinence:
Excessive Alcohol and caffeine use, Artificial sweeteners and corn syrup, Blood pressor medication, Large dose of vitamin B and C, Intake of food high in sugars, Urinary tract infection, Constipation, Obstruction of the urinary tract by stone and tumor and Neurological disorder: parkinsons disease, multiple sclerosis and brain tumor, steroid intake
Risk factor are obesity , diabetes melitus, neurological disorder.

Consult the urologist and do the following test:
1. Urine analysis
2. Blood sugars
3. Blood urea, creatinine
4. Clinical examination and measurement of blood pressor and heart rate
5. Cystoscopy
6. Cystogram
7. Pelvic examination
6. CBC, ESR, PSA

Following are the advice:
1. Bladder training exercise
2. Double voiding technique
3. Scheduled toilet every 3-4 hours
4. Reduce fluid intake and take more solid fluid
5. Avoid alcohol and caffeine
6. Pelvic floor exercis
B. drugs
1. Anticholinergic- Oxybutynin and tamsulosin
2. Mirabegran
C. Medical device
You can put urethral insert if not response to drugs and behavior technique.
D. Last option is surgery is problem is severe
1. Bladder neck obstruction and resection of prostate
2. Artificial urinary sphincter


Advice and causes of erectile dysfunction
Following are the causes of erectile dysfunction:
fatigue, stress, relationship issues, performance anxiety, alcohol consumption, diabetes, obesity, tobacco use, enlarged prostate gland.
So please do health check up to exclude above causes..
Take following advice
1. Start exercising, losing weight, stopping smoking and alcohol if you are taking
2. Tablet viagra 50 mg taken about one hour before sexual activity. Do not use more than one time daily
3. Testosterone Replacement Therapy after seminal fluid analysis
4. Alprostadil urethral suppository
5. Talk with your doctor
6. Do discussion with your partner that help in gaining psychological trust

Hope this may help you.
Take care


Best regards
Dr. sagar
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Suggest Remedy For Urinary Incontinence And Erectile Dysfunction

Hello dear understand your concern You have problem of urinary incontinence and erectile dysfunction due to prostatic enlargement Consult the urologist for better diagnosis and treatment Advice and causes of urinary incontinence: Excessive Alcohol and caffeine use, Artificial sweeteners and corn syrup, Blood pressor medication, Large dose of vitamin B and C, Intake of food high in sugars, Urinary tract infection, Constipation, Obstruction of the urinary tract by stone and tumor and Neurological disorder: parkinsons disease, multiple sclerosis and brain tumor, steroid intake Risk factor are obesity , diabetes melitus, neurological disorder. Consult the urologist and do the following test: 1. Urine analysis 2. Blood sugars 3. Blood urea, creatinine 4. Clinical examination and measurement of blood pressor and heart rate 5. Cystoscopy 6. Cystogram 7. Pelvic examination 6. CBC, ESR, PSA Following are the advice: 1. Bladder training exercise 2. Double voiding technique 3. Scheduled toilet every 3-4 hours 4. Reduce fluid intake and take more solid fluid 5. Avoid alcohol and caffeine 6. Pelvic floor exercis B. drugs 1. Anticholinergic- Oxybutynin and tamsulosin 2. Mirabegran C. Medical device You can put urethral insert if not response to drugs and behavior technique. D. Last option is surgery is problem is severe 1. Bladder neck obstruction and resection of prostate 2. Artificial urinary sphincter Advice and causes of erectile dysfunction Following are the causes of erectile dysfunction: fatigue, stress, relationship issues, performance anxiety, alcohol consumption, diabetes, obesity, tobacco use, enlarged prostate gland. So please do health check up to exclude above causes.. Take following advice 1. Start exercising, losing weight, stopping smoking and alcohol if you are taking 2. Tablet viagra 50 mg taken about one hour before sexual activity. Do not use more than one time daily 3. Testosterone Replacement Therapy after seminal fluid analysis 4. Alprostadil urethral suppository 5. Talk with your doctor 6. Do discussion with your partner that help in gaining psychological trust Hope this may help you. Take care Best regards Dr. sagar