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Urology (Expert Forum)
Urinary retention after surgery
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 after surgery
by rrowland, Feb 16, 2006 12:00AM
I am one week post-op laser anterior and posterior vaginal repair, labial reduction and bladder lift. My catheter was removed 15hrs post-op. 5hrs later I was unable to urinate and had catheter reinserted. That night I had to walk down 19 flgihts of stairs due to hotel evacuation. Cathater was removed 3 days later, I was able to urinate but unable to empty bladder completely. At ER 1 liter was drained and catheter reinserted. Doctor recommends leaving it in for 5 days to let swelling subside. Is this normal following this type of procedure and what measures can be taken to ensure proper urinary function. Any suggestions regarding fluid intake or other information would be appreciated, thank you.
Doctor's Answer
by Kevin Pho, MD, Feb 17, 2006 12:00AM
, Feb 17, 2006 12:00AM
Any type of operative procedure that requires extended periods of catheterization can lead to this complication - possibly caused by a neurogenic bladder.
Ensure there is no infection by sending off the urine for urinalysis and culture.
The kidneys can also be evaluated for any dysfunction by measuring the blood for a creatinine level and imaging with a kidney ultrasound.
If the tests continue to be non-revealing, a referral to a urologist can be considered for a more comprehensive evaluation.
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.
kevinmd_b
Ensure there is no infection by sending off the urine for urinalysis and culture.
The kidneys can also be evaluated for any dysfunction by measuring the blood for a creatinine level and imaging with a kidney ultrasound.
If the tests continue to be non-revealing, a referral to a urologist can be considered for a more comprehensive evaluation.
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.
kevinmd_b
