urine retention

[sue210]

I had a vaginal hysterectomy and a bladder lift 10 days ago.  I was kept overnight and the next morning had the cathether removed.  Could not go more than 200-250 cc's.  Had over 600 in my bladder, was sent home with cathether.  Went bact to doctor on day 6. After cathether was removed could only void 200 cc's.  Sent home and ask to try to void, measure how much and then cath myself.  Usually 300-400 cc's with cathing.  At day 10 I can now only void around 100 cc's.  I seem to be getting worse instead of better.  I am to continue this until day 13 and call the doctor.  Is this normal.  I do not always have a strong urgency to void either.  I just know that I have drank enough that I should go.  The doctor who performed the surgery was a Gyn.
Thank you for your response.

[Stephen Liroff, MD]

Inability to urinate following a bladder suspension is not that uncommon. Your large bladder residual volume does concern me and can relate to a change in your bladder sensation. I would suggest that you catheterize every 4 hours day and night and not push to drink large amounts of fluids. Your effort is to not allow your bladder to get more than 300 ml. (cc) full. If you continue to have problems beyond three weeks, definitely get back to your gynecologist and consider a referral to a urologist for a urodynamic evaluation
Also, if you are taking any decongestants or medicine for bladder spasms, discontinue them.
S.A.Liroff, M.D.
.

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