Conversation: The conversation between human and AI assistant.
[|Human|] my prostate is normal.But PSA rate was very highi.e 19. Thereafter prostatomagaly was done.BIOPSY report was negative. Yet after the operation normalcy of uro flow was not restored.After two months of the operation the PSA came down to 16  and  every after two months the PSA rate was 13 & 10.5  respectively.But suddenly the PSA rate was increased to 16 from 10.5.I was taking urotone 25mg thrice a day veltam .04.Again  I  had to undergo for cysto/BNI OPERATION on 04.10 2012 .Yet the flow is not normal. My main problem is delay in urinating at the starting point and after there is pause and then it continues but normal flow  is not there. I was operated by Dr. Shivaji Basu..Please advice
[|AI|]  Hello and. As a Urologist, I must convey, clearly you've urinary obstruction symptoms. After the first surgery for prostate gland obstruction, you developed similar symptoms, when the Urologist did a BNI in October 2012. BNI is a bladder neck incision, done to relieve obstruction at the bladder neck. This can recur. That's most likely the cause for your present symptoms. To get relief, you'll need to repeat the blood routine, sugar, creatinine, urine culture, PSA, flow rate, ultrasound scan of abdomen, and consider repeat BNI. The reports can be sent to me, for an expert opinion. Chat Doctor.  Manga.