Suggest Treatment For Discomfort Feeling While Urinating

Posted on Tue, 13 Jan 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 13 Jan 2015 Answered on

Tue, 10 Feb 2015 Last reviewed on

Question : I have seen an urologist for nearly two years and just had laser surgery on my enlarged prostate which was successfully done six months ago. I just had a CT abdomen and everything was unremarkable which my urologist saw last week. Now I am on toviaz 4 mg which I believe was given so it would reduce my prickly feeling after I urinate. Sometimes the discomfort will last for hours. He tried 8 mg using the toviaz but it was too strong for me. I completely empty out and my urine tests always come out negative. What else can be done to get rid of my discomfort (prickly feeling after I urinate)? It is so frustrating!!!

Answered by Dr. Noble Zachariah (4 hours later)

Brief Answer:
It may be from mild prostatitis

Detailed Answer:
Hello,
Welcome to HCM and thanks for your query.
I understand your frustration.
Toviaz is a medicine meant for hyperactive bladder which occurs when you have a prostatic obstruction. Now that you've had prostatectomy, it is not required unless you have urgency . You could try stopping it and see if it improves the symptom. If it doesn't, you could have a uroflowmetry study or a therapeutic trial with an alfa blocker.
Best wishes,
Dr Noble Zachariah

Note: For further follow up on related General & Family Physician Click here.

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