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Urology (Expert Forum)
Distended/Flaccid Bladder Treatment
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
Distended/Flaccid Bladder Treatment
by Jacaroo, May 17, 2007 12:00AM
I’m fairly healthy male 62 years of age. I was diagnosed with BPH and required a TURP, like most men I waited too long, and during testing my Urologist also found that my bladder was very large and distended (well over 1200 ML). He stated because of my bladder condition that I may require self-catheterization post TURP. I had the TURP and after 4 days the catheter was removed. However, after several hours I was not emptying and had to have the catheter for another week as they thought possibly swelling from the TURP may be the cause for/causeof the retention. I’m concerned that because of my large distended bladder that the retention may be due to a flaccid bladder.
My question is; Has anyone heard or used a drug called Bethanechol? Supposedly it’s use is for Nonobstructive urinary retention and retention due to neurogenic bladder. Supposedly it will treat and prevent bladder dysfunction caused by phenothiazines; diagnosis of flaccid or atonic neurogenic bladder.
For those having to perform self catheterization, is there a recommended or better or less discomforting type of catheter to use?
Any input or comment would be appreciated.
My question is; Has anyone heard or used a drug called Bethanechol? Supposedly it’s use is for Nonobstructive urinary retention and retention due to neurogenic bladder. Supposedly it will treat and prevent bladder dysfunction caused by phenothiazines; diagnosis of flaccid or atonic neurogenic bladder.
For those having to perform self catheterization, is there a recommended or better or less discomforting type of catheter to use?
Any input or comment would be appreciated.
Doctor's Answer
by Kevin Pho, MD, May 18, 2007 12:00AM
, May 18, 2007 12:00AM
Bethanechol is a medication that is used to help urination and emptying of the bladder. It may help with selected cases of neurogenic bladder.
Obtaining a urine exam to rule out infection may also help with the symptoms.
If these options have already been investigated, normally catheterization would be the next step. Intermittent self-catheterization can be considered. However, if the symptoms continue, either an indwelling foley or suprapubic catheter can be considered on a more permanent basis.
These options can be discussed with your personal urologist, or in conjunction with another opinion.
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_
Obtaining a urine exam to rule out infection may also help with the symptoms.
If these options have already been investigated, normally catheterization would be the next step. Intermittent self-catheterization can be considered. However, if the symptoms continue, either an indwelling foley or suprapubic catheter can be considered on a more permanent basis.
These options can be discussed with your personal urologist, or in conjunction with another opinion.
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_
Member Comments
by richde, Jun 30, 2007 12:00AM
To: Urology - General
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