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What Causes Acute Urinary Retention And Dark Urine After Laser Surgery?

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Posted on Wed, 25 Nov 2015
Question: I have prostate cancer discovered. When I had laser surgery for enlarged prostate. I have had a cute urine retention w dark urine for almost a month.What causes this? What does it mean? My cancer is XXXXXXX 7stage 4 which my doctor says can be controlled with hormone shots.

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Answered by Dr. Matthew J. Mangat (46 minutes later)
Brief Answer:
Hormone shots are not curative treatment.

Detailed Answer:
Hello XXXX and welcome to HCM.
As an Urologist, i advise you a trial without catheter(TWOC), on Flowmax 1 daily.
You can consider one of two options.
1. Take hormone shots as advised by your Urologist.
2. Have an orchidectomy surgery.(removal of both testis).
1. and 2. have the same action of removing male hormones(androgens).
Then take a drug called Bicalutamide daily.
The reason for dark colored urine is, bleeding from the surgery site.(prostate).
Blood clots may also come off and on, in the catheter, or urine from the bladder.
Your biopsy shows an advanced stage of prostate gland cancer(gleason 7,stage 4).
It needs adjuvant treatment, in the form of androgen blockade.
So, understand the hormone shots are not curative treatment, but for control of spread of secondaries, from the prostate gland (primary).
You should have your Hb, creatinine, LFT, and PSA level checked.
Also, get your bone scan done.
Hope your doubts are cleared.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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What Causes Acute Urinary Retention And Dark Urine After Laser Surgery?

Brief Answer: Hormone shots are not curative treatment. Detailed Answer: Hello XXXX and welcome to HCM. As an Urologist, i advise you a trial without catheter(TWOC), on Flowmax 1 daily. You can consider one of two options. 1. Take hormone shots as advised by your Urologist. 2. Have an orchidectomy surgery.(removal of both testis). 1. and 2. have the same action of removing male hormones(androgens). Then take a drug called Bicalutamide daily. The reason for dark colored urine is, bleeding from the surgery site.(prostate). Blood clots may also come off and on, in the catheter, or urine from the bladder. Your biopsy shows an advanced stage of prostate gland cancer(gleason 7,stage 4). It needs adjuvant treatment, in the form of androgen blockade. So, understand the hormone shots are not curative treatment, but for control of spread of secondaries, from the prostate gland (primary). You should have your Hb, creatinine, LFT, and PSA level checked. Also, get your bone scan done. Hope your doubts are cleared.