My mom has OAB, incontinence, 3 UTI's in 12 months. The urologist prescribed Vesicare 10mg three months ago and there has been no relief for her. A second cystoscopy revealed a very damaged bladder and no change in a 3 month period. The doctor gave her two week sample of myrbetriq 50mg to ADD to her treatment. I am just curious why we wouldn't stop one medicine and try another with a "clean" start. I am seeking a professional opinion, although I appreciate "patient testimonial", I have the "patient" already. The current urologist told us to seek a second opinion without our even asking or questioning his findings... I like this doctor and respect his honesty, but is there a point where there just is no solution? Mom is not a surgical candidate due to COPD and Pulmonary fibrosis. I appreciate your time. Thank you.
I really get irked when people want a professional opinion. There certainly is a point where nothing can be done, unfortunately. I am wondering if he thought about the fact that she was on the vesicare. The 2 together can cause her to not be able to urinate at all. They do act a little differently and he may be thinking going at it from different angles might help. The only one who can tell you why he did that is him.
You have already asked a professional. You have consulted a urologist who has done appropriate testing and ordered drugs within the usual standard of care. If you decide to follow his/her advice, great, but if you choose not, then you need to find another doctor of your choosing. Urologists that I know, would likely have followed much the same recommendations. I am assuming that you believe your personal medical knowledge gained by perhaps googling the drugs trumps medical school, residency, and boards, but not necessarily so. Many physicians have had good luck with Myrbetriq, although some patients respond differently. You do mention that your mom has two (at least) severe background life threatening conditions- COPD and Pulmonary Fibrosis.
She should not be only under care of a urologist- but needs a primary care provider, who is the appropriate person to contact although you will need your mom's written permission to discuss her case. Please note that cystitis can be very chronic and frustrating to treat so "better" is probably what you should expect, not a solution.
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