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Urology (Expert Forum)
urinary incontinence in young adult...please help
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
urinary incontinence in young adult...please help
by DeeDee1, Aug 22, 1999 12:00AM
Hi..I am a 29 year old female. About a year ago, I was diagnosed with a neurogenic bladder aftr having a UTI that wouldn't respond to 4 rounds of antibiotics. Fianlly after 2 different rounds of IV antibiotics, we got rid of the infection. The Urologist had found that I was retaining urine. Went on self cath 3xdaily. Had chronic UTIs on and off that were very hard to make respond to antibiotics. Bladder got worse quickly to the point that I had no feeling of fullness or urgency, and was unable to void on my own at all. I was self cathing about 8xdaily, but still having infections. Had a supra pubic catheter for about 5 months, but still had infections, and they remved it at my request. Had all the mri's, evoked potentials, etc., and MS was ruled out. Tests showed I had a hypo bladder, and had no fe
Doctor's Answer
by hfhs M.D.-AK, Sep 02, 1999 12:00AM
Dear Sabrina,
It sounds like you have a atonic bladder that doesn’t contract sufficiently to empty the urine in the bladder completely. You keep getting infections do to the fact the there is urinary stasis. Literally, the bacteria in the urine are being given time to grow and multiply. This is why your doctor has you perform clean intermittent catheterization(CIC) emptying the urine completely from time to time. Unfortunatly, intermittent catheterization is the best treatment of choice for your bladder problems at this time. To keep yourself from getting infections and incontinence, a frequent regimen of CIC should be performed. If you are leaking, this may mean your bladder is too full and needs to be emptied.
It was important for your doctors to study your bladder to eliminate MS and outlet obstruction from the list of possibilities. Now that this testing has been done, if your bladder doesn’t contract and there is no identifiable cause, (pelvic surgery, herniated disk of the spine, STD, outlet obstruction or congenital problem, CIC is the treatment.
Don’t lose all hope, occassionaly from time to time, the bladder responds better after a long period of decompression with CIC. Continue to follow with your urologist to figure out why this has happended.
As an aside, it is important for you to keep the bladder from high filling pressures. These high pressures may lead to renal damage if sustained over a long period of time. CIC will prevent this problems.
The information provided in this forum is presented for general educational purposes only. Specific questions you have pertaining to your health should always be directed to your personal physician.
Posted By: Sabrina on Sunday, August 22, 1999
Sincerely,
HFHS M.D.-AK
*keyword:Incontinence
It sounds like you have a atonic bladder that doesn’t contract sufficiently to empty the urine in the bladder completely. You keep getting infections do to the fact the there is urinary stasis. Literally, the bacteria in the urine are being given time to grow and multiply. This is why your doctor has you perform clean intermittent catheterization(CIC) emptying the urine completely from time to time. Unfortunatly, intermittent catheterization is the best treatment of choice for your bladder problems at this time. To keep yourself from getting infections and incontinence, a frequent regimen of CIC should be performed. If you are leaking, this may mean your bladder is too full and needs to be emptied.
It was important for your doctors to study your bladder to eliminate MS and outlet obstruction from the list of possibilities. Now that this testing has been done, if your bladder doesn’t contract and there is no identifiable cause, (pelvic surgery, herniated disk of the spine, STD, outlet obstruction or congenital problem, CIC is the treatment.
Don’t lose all hope, occassionaly from time to time, the bladder responds better after a long period of decompression with CIC. Continue to follow with your urologist to figure out why this has happended.
As an aside, it is important for you to keep the bladder from high filling pressures. These high pressures may lead to renal damage if sustained over a long period of time. CIC will prevent this problems.
The information provided in this forum is presented for general educational purposes only. Specific questions you have pertaining to your health should always be directed to your personal physician.
Posted By: Sabrina on Sunday, August 22, 1999
Sincerely,
HFHS M.D.-AK
*keyword:Incontinence
Member Comments (40)
by Sabrina 2nd part of question..(got cu, Aug 22, 1999 12:00AM
To: Incontinence
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by Sabrina questions ..keep getting cut of, Aug 22, 1999 12:00AM
To: Incontinence
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by sue, Aug 27, 1999 12:00AM
To: Incontinence
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by Lucia, Sep 30, 1999 12:00AM
To: Incontinence
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by Jennifer Battle, Oct 11, 1999 12:00AM
To: Incontinence
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by Claire, Oct 13, 1999 12:00AM
To: Incontinence
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by sarah, Oct 25, 1999 12:00AM
To: Incontinence
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by marge, Oct 28, 1999 12:00AM
To: Incontinence
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by Missy, Oct 31, 1999 12:00AM
To: Incontinence
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by Ruthi, Nov 09, 1999 12:00AM
To: Incontinence
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by shashikala, Nov 10, 1999 12:00AM
To: Incontinence
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by Wayne, Nov 10, 1999 12:00AM
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by brian, Nov 11, 1999 12:00AM
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by Wayne, Nov 11, 1999 12:00AM
To: Incontinence
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by Ken, Nov 12, 1999 12:00AM
To: Incontinence
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by Mishy-V, Nov 22, 1999 12:00AM
To: Incontinence
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by Michael, Dec 11, 1999 12:00AM
To: Incontinence
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by Carmel Ripple, Feb 19, 2000 12:00AM
To: Incontinence
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by trisha, Mar 05, 2000 12:00AM
To: Incontinence
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