Flaccid bladder's associated symptoms?

My 86 yr old father, with 10 yr hx of prostate hypertrophy under control with Urised and 2 TURP's,  developed "lazy bladder" per his Urologist and has been trans/abdominal catheterized for 3 months, and off Urised.  He became lethargic and lost virtually all appetite at this same time, and seems to be slowly worsening in these symptoms. Adrenal gland function is normal, and sodium runs 136. Labwork is normal, he is told.

For the last month, anxiety and early awakening have worsened, and now depression is a concern. His lethargy etc is worst in the mornings, and by evening he can eat a very small meal and feels a little better.

Is there any relationship btn this bladder condition and his malaise with loss of appetite? He enjoyed excellent health and general well being until this past July. Could his anxiety be the root cause, or should other testing be considered?  

[Kevin Pho, MD]

It sounds like a neurogenic bladder is present.  This can be caused by prolonged hospitalization, infection, medication side effects, or after a urological procedure.  

It is possible that malaise caused by infection or medications can also lead to the neurogenic bladder.  

Stopping any offending medication can be considered, and any urological infection treated.  

You can consider further urodynamic testing to evaluate a cause of the bladder dysfunction - or a neurology referral to evaluate for any nerve damage.  

These options can be discussed 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.
http://www.straightfromthedoc.com