{"text":"Department of iJrology \nConsvltants . Stobhill Hospital \nMr J E Crooks . Balormock Road \nMr M Fraser \u00a7 Glasgow \nMrAS James \u2018 G21 3uw \n. \u2019 Direct Line 0141 201 3829 \nFax Number 0141 201 3779 \nClinical Co-ordinator 0141 201 3514\/3382\/3960 \nMB\/RLM ' \nCLINIC & \nDICTATED: 210704 \nTYPED: 26 07 04 \nDr F McGhie . cc' Urology Nurse Specialist \nKilsyth Health Centre : Ward 2B \nBurngreen Park : . - Stobhill Hospital \nKilsyth G65 OHY \nDear Dr McGhle \nAGNES CLELLAND (DOB 08 09 55) \u2014 UNIT NO 10338654X CHI NO 5328 \n39 RENNIE ROAD, KILSYTH G65 9PQ \nThank you for referring this 48 year old lady who has a number of problems. Firstly she has persistent steril\u00e9_\ufb01 \npyuria with some associated frequency and nocturia. She also complains of stress incontinence especially \non coughing and sneezing and is wearing pads. Oddly, she describes some renal angle pain.. 1believe a \nKUB carried out by yourself revealed some calcification in relation to the renal tract. She describes a good \nablation and her periods are now regular. She had four children, the first was a forceps delivery. Her \nbowels are regular. She has previously had psittacosis, erythema multiforme clinic fatigue and arthritis. \nShe has no history of diabetes or asthma. She occasionally takes Celebrex and is allergic to Brufen. \nAbdominal examination revealed her to be overweight. -Her abdomen was soft and non-tender. Perineal \nexamination revealed some slight anterior descent and leakage of urine on coughing. A \nIn the first instance I am going to arrange for her to have. three early morning urines checked. I have also \narranged an IVU and flexible cystoscopy. In view of her frequency and urgency I would be grateful if you \nwould try her on Detrusitol XL 4mgs once per day and with regards to her stress incontinence I am arranging \nfor her to have some ur\u00e9dynamics. I shall keep you informed of her progress. \nWith kind regards, \nYours sincerely, \nMISS M BROWN \nSPR TO MR MICHAEL FRASER. \nPS Dear Carol, I would be grateful if ydu would s\u00e9e this lady with a view to urodynamics. Thank you. \n@ \nflow with no incomplete voiding and has a very small caffeine intake. She has previously had 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