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Urology (Expert Forum)
Do I need to resort to regular catheritization?
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.
Do I need to resort to regular catheritization?
by torst, Aug 27, 2005 12:00AM
I am 52 year old male who has diabetes insipidus due to a brain tumor I had on my pituitary gland at the age of 14. I feel I drink much more than most people and therefore urinate more often. I have always gotten up several times at night to relieve myself. Recently, I saw a urologist who says that I am retaining fair amounts of urine after urinating. He says that my bladder is not voiding because it has been stretched and has lost its elasticity due to my holding my urine for long periods. He did a procedure on me to vaporize my prostate gland thinking that was a cause. (Did he vaporize all or part of it?) Now due to the fact I am still not voiding completely, he says I must catheterize myself several times daily to cut the risk of infection due to urine left in my bladder.
Can this be true or is their some medicine I can take to help my bladder void itself? Are there any suggestions you have to help me with this problem?
I have read about a electronic stimulator (Medtronic) that helps persons with urinary retention void their bladders. Do you think this is worth looking into?
Any help for this problem would be appreciated.
Also, whether or not it helps, I have Parkinson's Disease which was finally diagnosed in April after many years of seeing doctors due to a foot drop symptom.
Can this be true or is their some medicine I can take to help my bladder void itself? Are there any suggestions you have to help me with this problem?
I have read about a electronic stimulator (Medtronic) that helps persons with urinary retention void their bladders. Do you think this is worth looking into?
Any help for this problem would be appreciated.
Also, whether or not it helps, I have Parkinson's Disease which was finally diagnosed in April after many years of seeing doctors due to a foot drop symptom.
Doctor's Answer
by Kevin Pho, MD, Aug 28, 2005 12:00AM
, Aug 28, 2005 12:00AM
This sounds like a case of neurogenic bladder. Unless the cause is found, it is unlikely that medication can be helpful. Any infection should be evaluated for, and treated if found. Prophylactic medications can be considered if chronic infection is found.
I am not familiar with the data with the electronic stimulator for treatment of neurogenic bladder.
Intermittent catherization can be an option. Another consideration would be placement of a permanent suprapubic catheter.
These options can be discussed with your personal physician or 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.
http://www.straightfromthedoc.com
I am not familiar with the data with the electronic stimulator for treatment of neurogenic bladder.
Intermittent catherization can be an option. Another consideration would be placement of a permanent suprapubic catheter.
These options can be discussed with your personal physician or 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.
http://www.straightfromthedoc.com
Member Comments (2)
by Strawman, Aug 28, 2005 12:00AM
To: Urology - General
0
by hamer, Nov 17, 2005 12:00AM
To: Urology - General
0
