my father had a cystoscopy as one of the procedures to diagnose Kidney cancer. Since then he is having pain in urinating and passing stools. he urinates but feels like he still needs to urinate but when applies presure , he feel tremendous pain. He also has not been having bowel movements and if tries to exert it causes pain in the urinating area. Can you tell what is going on and what can he do?
Hi and thanks for the query, This might require a keen clinical evaluation. A prostate hypertrophy must be carefully excluded. Enlargement of the prostate could explain very well his pain on urinating and feeling of incomplete emptying of his bladder. The relation between the prostate, bladder and prostate are very close. I suggest a possibility of prostate tumor spreading to the rectum be urgently excluded. A rectosigmoidoscopy, an examination to explore the nature of the rectum and sigmoid colon could be very beneficial. Your doctor after doing an anal examination, prostate ultrasound, prostate Specific antigen (PSA) measurement and a rectosigmoidoscopy should be in position to explain with high degree of certainty the symptoms and propose an appropriate management and follow-up plan. I suggest you consult a Urologist. Thanks and kind regards. Bain LE, MD.