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Urology (Expert Forum)
Transurethral Microwave Heat Procedure.
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.
Transurethral Microwave Heat Procedure.
by chet6001, Sep 13, 2004 12:00AM
I had the above procedure, (TUMT), on July 30, 2004. Today is 9/13/04. I have been wearing a catherter ever since. At first I tried to remove catherter each week. I started to urinate 4 or5 times then I would shut down with spasms,& have to be catherized again for another week. I have now left the catherter in for 3 straight weeks. I plan to remove again on Tuesday Sept. 21, 2004. It will be 4 weeks without removal on that date. Hopefully I will be able to urinate.
Blood in my urine has stopped, but I'm still having slight bladder spasms. I'm taking Oxybutynin 5mg for these spasms. I realize that I will have to stop these pills aprox. 3 days prior to removing the catherter. I am also taking Flomax 0.4mg two a day, also Saw Palmetto extract 160mg two per day, also Zinc.
Do you have any advice for me regarding my treatment, and my problem with removing the catherter?
Blood in my urine has stopped, but I'm still having slight bladder spasms. I'm taking Oxybutynin 5mg for these spasms. I realize that I will have to stop these pills aprox. 3 days prior to removing the catherter. I am also taking Flomax 0.4mg two a day, also Saw Palmetto extract 160mg two per day, also Zinc.
Do you have any advice for me regarding my treatment, and my problem with removing the catherter?
Doctor's Answer
by Kevin Pho, MD, Sep 16, 2004 12:00AM
, Sep 16, 2004 12:00AM
One of the side effects from chronic catheter use may be neurogenic bladder leading to the symptoms you described.
You may want to ensure that there are no further stimuli to the bladder causing spasms. The Oxybutynin is a good medication to reduce this, also checking the urine to evaluate for infection would be another consideration.
Also, if the bladder is continuously distended, it may lose the function to spontaneously empty. This can be done with intermittent catheterization. Only time will tell if completely spontaneous urination would return. In the meantime, intermittent catheterization to prevent chronic distension should be discussed.
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.
Medical Weblog:
kevinmd_b
You may want to ensure that there are no further stimuli to the bladder causing spasms. The Oxybutynin is a good medication to reduce this, also checking the urine to evaluate for infection would be another consideration.
Also, if the bladder is continuously distended, it may lose the function to spontaneously empty. This can be done with intermittent catheterization. Only time will tell if completely spontaneous urination would return. In the meantime, intermittent catheterization to prevent chronic distension should be discussed.
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.
Medical Weblog:
kevinmd_b
