When his family doctor suggested surgery, Thomas sought a second opinion at a medical center. A urologist was able to use video urodynamics to determine exactly what was going on with Thomas' bladder. The urologist then inserted a small catheter, about the size of a small spaghetti, into the bladder and measured pressure inside the bladder.
The doctors were able to visually determine if there were any blockages in the bladder; there weren't any. The problem however was common with patients who have undergone prostate cancer treatment; a constant urge to go, despite not needing to. Thomas has since undergone a bladder training program to not respond to the urge.
Thomas was also put on medications to improve bladder capacity, such as the ones being advertised on television. The diagnosis meant Thomas was able to avoid a second surgery, and can now get back to the things he and his wife enjoy.