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Urology (Expert Forum)
urinary retention
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
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 retention
by otter647, Jan 27, 2005 12:00AM
I am a 27-year-old female. I went to the doctor with abdominal discomfort, increased urinary frequency, and feelings of always having to urinate (starting 3-4 months ago). I also 'leak' a little after using the restroom and immediately feel like I need to go again. My urianalysis was clear and blood tests were done and they came back fine. An ultrasound showed my kidneys are clear but I am not voiding completely. The urologist put me on Detrol 2 weeks ago and the problems have gotten worse. I had a pelvic exam 3 months ago and everything appeared normal (including my Pap). I have never had children or suffered abdominal trauma. I was diagnosed with HPV 4 years ago and was treated for mild dysplasia in 2002, and have been screened for STDs and got negative results. Could the HPV be causing any of this? No one seems to know what is wrong with me and I am completely miserable. I am bloated and am always uncomfortable due to feeling like I need to go to bathroom all the time. What would cause this and what can I do to make it stop? Please help me.
Doctor's Answer
by Kevin Pho, MD, Jan 27, 2005 12:00AM
, Jan 27, 2005 12:00AM
Reasonable initial tests have already been done, including a urinalysis and a screen for STDs. I am not aware that HPV can cause your symptoms.
You may want to inquire about urodynamic testing which can be arranged via your urologist. They are a group of tests designed to evaluate lower urinary tract function. These tests may include the following:
* Cystometry (or cystometrogram) evaluates bladder function by measuring pressure and volume of fluid in the bladder during filling, storage, and voiding.
* Uroflowmetry measures the rate of urine flow.
* Urethral pressure profile tests urethral function.
* Leak point pressure determines the bladder or abdominal pressure when leakage occurs due to increased abdominal pressure (Valsalva or cough) to assess urethral resistance.
You may want to inquire about these tests with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
You may want to inquire about urodynamic testing which can be arranged via your urologist. They are a group of tests designed to evaluate lower urinary tract function. These tests may include the following:
* Cystometry (or cystometrogram) evaluates bladder function by measuring pressure and volume of fluid in the bladder during filling, storage, and voiding.
* Uroflowmetry measures the rate of urine flow.
* Urethral pressure profile tests urethral function.
* Leak point pressure determines the bladder or abdominal pressure when leakage occurs due to increased abdominal pressure (Valsalva or cough) to assess urethral resistance.
You may want to inquire about these tests with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
I had the same problem. My bladder was and is nerve damaged due to my spine.
Take care,
GrandAmGirl