Lump In Scrotum And Detrusitol SR 4mg

Detrusitol SR 4mg capsule and Detrusitol 2mg in their respective blister packs

The lump in the scrotum has been bothering me again of late. Prior to the discovery of the lump, I stopped driving for a while because my legs were spasmodic. When the spasms struck, my legs would get in the way of the hand controls and steering wheel. The spasms went away about one week after I finished the antibiotics.

Its size has not reduced much after the two-week course of antibiotics. The spasms have returned. I believe there is a relation between the spasms and the lump. I was at the UMMC Rehabilitation Medicine Clinic for my scheduled three-month check-up yesterday. The doctor examined the lump and advised me to get a biopsy done. I am going back to SJMC soon to have the lump checked again by the urologist.

When I went to collect my supply of medication, the pharmacist changed my dosage of Detrusitol from the 2mg twice a day to one 4mg once daily prolonged-release capsule. I told him that I have had problems with the 4mg capsule as it caused problems with urination. He told me that was the only dosage the pharmacy has now and if I prefer the 2mg tablet I have to get it elsewhere. I decided to give the 4mg capsules a try again.

I cannot understand why the pharmacy prefers to dispense the 4mg capsules instead of the 2mg tablets. A one-month supply of Detrusitol SR 4mg capsules costs RM249 while the Detrusitol 2mg tablets costs only RM170 when I last bought them myself. Anyway, the instruction was that I should take one capsule at night. Based on my previous experience with Detrusitol SR, I decided to take the capsule in the morning instead. I had my first dose this morning and will be monitoring my bladder’s reaction in the coming days.

Dietary Plan


My dietary plan.

Before meeting Jinny at the appointed time yesterday, I went to see the dietician again. Miss Saw, the dietician at the Lam Wah Ee Hospital, explained to me in detail what my 5 daily meals should be like. My ration of three exchanges of protein for the day could be something like one portion for breakfast, one for lunch and one for breakfast or one and one half for lunch and dinner respectively. Meat protein is preferred over soy-based products as it is easier for the body to absorb. It may be difficult initially but I think I can manage eventually. It is just a matter of getting used to and adapting my daily routine around it.

I also decided to collect the Detrusitol SR since I was at the hospital. Mr. Wong, the pharmacist, had already packed them for me and I need not wait in queue to pay. It was all a breeze. The extreme side effects that I experienced could be due to many other factors and that day could be an exception. I have not felt that lousy since. My medication is getting more expensive – RM249 per month. Hopefully, the condition of my kidneys will stabilise at the current levels. It is going to be a drain on my finances should I need even more expensive drugs.