Hello doctor, I am a 59 years old male. I am suffering from urinary bladder distension with a bladder wall thickening of about 6 mm. My doctor advised me to take Levofloxacin. I would like to know whether it is the correct medicine to cure my problem. Further, I am having cryptorchidism (both undescended testes). My ignorant parents did not correct it during my childhood, and I would like to know its present risk. Also, I have hypertension associated with hypercholesterolemia and hypertriglyceridemia. I am taking Cilnidipine 10 mg, Rosuvastatin 10 mg, Fenofibrate 150 mg and Clopidogrel 75 mg. I have hepatomegaly also. Please suggest me better alternatives.
Hello. Do you have any urinary problems like straining, poor flow, etc.? First, about your bladder distension with bladder wall thickening. This might indicate an infection in your bladder called Cystitis. If you do not have any symptoms or problem, then it is better to get 1) urine routine and 2) Urine cultural and sensitivity test. If the infection is present on the above reports, then only you require antibiotics (Levofloxacin), otherwise no need. Regarding your undescended testes, it is of bit concern. Where is it? Is it palpable just above your scrotum or not palpable at all? But undescended testes does carry a risk of malignancy or torsion. Doing surgery to keep the testes in the scrotum will not reduce the chances of complications like malignancy, but it will help to monitor your testes. So incase if any of the complication arises it will be identified early and treated accordingly. If the size of your testes is small, then it is better to remove it, as small testes means it is atrophic and not working with no hormone secretion. You should also do serum testosterone at 8 am. This is to check whether your testes is functioning or not. I hope this helps.