Symptoms come and go

[eclass]

I am just 84 and have had nocturia for several years. About 10 years ago I had a prostate biopsy as a result of high PSA and no cancer found-but BPH diagnosed. I no longer have PSA levels taken.
Recently I had much worse frequency symtoms ( including lower abdominal pain)-during the day and at night-this lasted for about 2 weeks. Tests have shown no evidence of a UTI. Now over the last few days my frequency symtoms have disappeared altogether!

I have read somwhere that BPH is often associated with stones in the bladder. Can they move and if so is this a likely explanation for the change in my symptoms. My wife says that I should ask to see a consultant but now that I have less problem than I have had for many years I am reluctant.

[Dr Jon Rees]

Hi

Interesting question! I think a bladder stone is unlikely as you would usually see some sign of irritation from this on urine testing, eg red or white blood cells, and I am presuming this would have been mentioned to you if it was the case.

The fact that your symptoms have settled is clearly reassuring. The history is highly suggestive of a urine infection or an element of prostatitis - the lab test is not always correct. However provided things have settled I would not be concerned but if it recurs then you may well benefit from an ultrasound scan and probably also a look in your bladder under local anaesthetic.