Urology Community
problem urinating
About This Community:

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.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

problem urinating

My 61 year old father recently had surgery to remove a metal plate and screws from his ankle. Instead of being put to sleep, he received a shot at the base of his back on the right side and his entire right leg was numbed. The numbness wore off about ten hours later, but he still could not go to the bathroom. He has had normal bowel movements but can not urinate. He saw a urologist and everything looked fine. He ran dye through to make sure there was not a blockage and that test came out good, as well. He has the urge to urinate he just can't. What could be wrong and what could be done to help him urinate on his own?
Related Discussions
Avatar_dr_f_tn
Hi,

Urinary retention after spinal anesthesia or specifically after sympathetic nerve anesthesia can be due to impaired motor function in the regions supplied by the nerve. The bladder is more sensitive to complications, such as retention following anesthesia with narcotics.

As your father is able to feel the nerve sensations that indicate bladder filling, his sensory nerve supply seems normal. The problem, then, may lie at the sphincter or detrusor level. The detrusor muscle of the bladder is part of the process of urination and if motor nerve supply to this muscle or the sphincter is impaired there would be no or inadequate contraction (detrusor) and relaxation (sphincter) required to empty the bladder. This can occur as detrusor areflexia or detrusor sphincter dyssynergia.

You can ask your doctors to prescribe some medicines, such as bethanechol (cholinergic agonists), which have been known to help relieve urinary retention caused by detrusor areflexia.

Additional measures include increasing ambulation by the patient, external pressure on the bladder by pressing hands over the lower abdomen (done by the patient himself) on feeling the sensation of bladder fullness, pinching (lightly) the dermatomes of the lower back as these stimulate the detrusor. Improving his intake of vitamin B complex and other micronutrients will also aid faster return of function.

Do keep us posted on any additional doubts.
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Urology Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
Top Urology Answerers
Avatar_m_tn
Blank
junebug68
Winter Haven, FL
168348_tn?1379360675
Blank
ChitChatNine