Urination problem

I am a 77 year old man. A few years ago I had prostate surgery (no cancer) for an enlarged prostate.

For the past year or so I have had problems urinating. Can't seem to go on my own. I am also on anti-depression meds.  

My urologist had me catherize myself a few times per day and now I am very dependent on it.  Besides the sporatic Urinary Tract Infections I also seem to be getting more and more dependent on it. I am tired all the time and lethargic which I attribute to this urination problem.

In consultation with the urologist he said I probably have a problem with the nerves leading to the bladder and nothing can be done about it. Are there any new proceedures or medicines that can help my condition?  Would some type of physical therapy help the bladder situation?

Thank you for this wonderful service.

Joe

[Kevin Pho, MD]

Neurogenic bladder would be one cause of the symptoms.  Medications like antidepressants and prior surgery can all lead to this.  

Appropriate treatment of urinary infections can be considered.  A cystoscopy to rule out any anatomical stricture or obstruction would also be reasonable.  

Treatment of this symptom would depend on what the underlying cause is.  I am not aware of specific physical therapy that is used to treat neurogenic bladder.

These considerations can be discussed with your urologist.

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.
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