This patient support community is for discussions relating to urology issues, benign prostate disease, penis curvature, cystisis, pediatric urology, prostate, sexual dysfunction and urological cancers.
In Feb 08 I had a pelvic exenteration, with partial vaginal reconstruction, rectum reconstruction and descending loop colostomy (due to cancer). Since then I have been unable to urinate on my own. I was on Foley catheter for a month, then started self catheterizing but am now back on Foley as I had problems during self cath.
My question is what options do I have? My surgeon has told me to wait a few months to see if my bladder would begin to fubction on its own. It's now 3 months and I've tried several times to urinate but it just doesn't happen. The only way I know I have to urinate is when I feel the pain of a full bladder.
Will I need to have my bladder removed and a bag installed? If so, how is this surgery done and how long for recovery?
I will be ssing a urologist in a few weeks but want to know what to espect.
You are a very brave woman, having undergone a radical surgery. Yet you are approaching your current problem in a scientific way, trying to seek information, different opinions, and trying to help yourself. This is highly commendable, and I salute your spirit. I pray you get well soon.
Radical surgery very often results in damage to the lumbo-sacral plexys of nerves, and also the pelvic nerves. This disturbes the normal nerve supply to the bladder, which results in difficulty in passing urine.
You do not need to have the bladder removed because of difficulty in urinating. A long term catheter is usually advised. Many women have used it for years, without much problem.
I understand this may not be easy for you. The foley catheter should remain at this point since the primary indication for an indwelling catheter is your inability to void normally. Your physician may test the voiding functions from time to time by removing the foley cath and observe you. If this does not seem satisfactory, the foley cath should be back in place.
I know this is uncomfortable. You may ask you doctor if physical therapy may help facilitate recovery.
Bladder removal is not indicated here. Just be patient and let us wait for the urologic consult for an assessment on the extent of the condition .This will help in planning the next step of managing your case.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.