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Urology (Expert Forum)
Neurogenic Bladder
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.
Neurogenic Bladder
by etak, Oct 29, 2005 12:00AM
I am a 74 year old male w/neurogenic bladder for 1 1/2 yrs. Have been to 2 urologists, Flomax doesn't help, kidneys & prostate checked out ok. I self-catherize during the day, get up 5 times at night & go on my own. Always 500 cc's left in bladder in the morning. Continue to get bladder infections while being extremely careful as I self-catherize. Do you have any solutions or are there any treatment facilities that specialize in my problem? What can you recommend I do to keep my catheter from being the source of my infections??
Doctor's Answer
by Kevin Pho, MD, Oct 30, 2005 12:00AM
, Oct 30, 2005 12:00AM
One consideration would be to take prophlyactic antibiotics to prevent future infections. Although this may breed resistance, this option can be considered if urinary tract infections occur frequently.
Another can be placing a suprapubic catheter or other permanent catheter. There are some small studies suggesting a lower infection rate compared to intermittent catheterization.
A major academic medical center can be consulted to evaluate your symptoms.
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
Another can be placing a suprapubic catheter or other permanent catheter. There are some small studies suggesting a lower infection rate compared to intermittent catheterization.
A major academic medical center can be consulted to evaluate your symptoms.
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
