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Urology (Expert Forum)
Incotineince/Spasms/no urge
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.
Incotineince/Spasms/no urge
by mack 88, Jul 07, 2005 12:00AM
Hi I am a 38 YO male with a history of Prostatitus, Without any problems for several years now. I was in an auto accident back about a year ago and have several herniated disks at various levels C7-T3-L3-L4-L5-S1 I had corrective surgery done Laminectomy on L-S1 in 1994 which restored my abillity to walk and most of my sensation in my right leg. This last accident has made things go somewhat south for me though, I have at times frequent urgency to go, And then I have no urge to go when it is really full, Then there are times when I go without nowing till I am soaked. Sometimes I wet at nigth and others are normal sometimes I wake and have to go to find I really did not. Some times in the day when I am active I bend or turn and losse control, Given the irratic symptoms of my situation is there any help for me. My doctor has sugested intermittent caths as the answer. But I believe that will only compound the problem. What test should be done and who should I see a Urologist or a Nurologist. or both. Why do I have pain and spasms when there is no apparent reason, Very frustrated in colorado Please help and refer me thank you
Doctor's Answer
by Kevin Pho, MD, Jul 07, 2005 12:00AM
, Jul 07, 2005 12:00AM
Seeing both a urologist and neurologist can be helpful. With the history of herniated disks, that would increase the risk for neurogenic bladder.
Interittent catheterization can help. If this becomes a problem, you can consider use of a more permanent catheter - like a suprapubic catheter.
A UTI needs to be ruled out. Presence of infection can lead to incontinence and difficulty in controlling urine.
Discussion of these options should be made in conjunction with a urologist.
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
Interittent catheterization can help. If this becomes a problem, you can consider use of a more permanent catheter - like a suprapubic catheter.
A UTI needs to be ruled out. Presence of infection can lead to incontinence and difficulty in controlling urine.
Discussion of these options should be made in conjunction with a urologist.
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
