Voiding history: two or more pads per day |
Affirmed |
Problems with diarrhea and rectal discomfort. |
Affirmed |
He does have some leakage late in the afternoon, which is particularly, worse, after drinking coffee or alcohol. |
We talked about eating tactics to help with loose stools including eating smaller, frequent meals instead of large meals. |
He has excellent urinary control and has been pad free. |
Negated |
He did have loose stool for 1 day on Thursday that has resolved. |
Negated |
Says that his urinary control is better, and that he no longer requires a pad in the evening. |
He has not had any hematuria or rectal bleeding since treatment. |
We did inform him that while surgery carries with it an approximately, 5–10%, risk of urinary incontinence |
Discussed risk |
Acute and long-term potential side effects from radiation therapy were discussed with the patient and his wife, including but not limited to: skin change, rectal bleeding, bowel and bladder toxicity. |
Discussed risk |
With surgery, the problem tends to be urinary leakage or incontinence; and with radiation therapy, it tends to be urinary urgency. |
Effects were discussed including low blood counts, fever, diarrhea, and fatigue. |