Urine Retention-

[lealea2006]

I had a rectocyle, cystocyle & ureter suspsension 6 weeks ago.  I am not yet voiding totally.  I self catheritize 3 times a day, at the doctor's recommendation/instructions, now for 2 weeks so far.  With the self catheterization, the amount of urine eliminated is between 175 ml & 275 ml.  Is anyone familiar with this?  will this heal any further?
Will I need another surgery?  Should I demand another surgery?  I am 61 years old.  Had a hysteroctomey at 29.
Please give me any info that you may have.  I am discouraged and frightened.  Thank you,

[sherrieP]

lealea is absolutely right on the money, there is a huge difference between a PT who is certified in pelvic floor and one who is not. MRSA is such a scary scenario and there is no doubt is impacting your heal curve. Dosing with so many antibiotics to get it under control can be so invasive to your normal bodily function. Please make sure to either take probiotics or eat yogurt to balance the flora in your stomach (antibiotics kill off good bacteria which enables the yeast to grow, the probiotics and yogurt replace the good bacteria for balance). If you have infection, you may have internal inflammation which is impacting everything down there function wise. I encourage you to allow as much air as possible to get to the area, if you can sleep with no undies on, it will help-that area of our  bodies retains moisture which encourages bacterial growth.

Urine retention is a classic sign of more progressive POP prior to surgery but should not be there after you have completed heal curve post surgery if there are no complications. I am hopeful a urogyn can guide you with this to get the heal process complete; most good urogyns work with and can recommend a good pelvic floor PT. If not let me know, I have a source for finding both urogyns and PTs certified in pelvic floor I can refer you to. For now it is vital to get the MRSA healed up; it will be difficult to get to balance while that is going on.

Please keep us in the loop as things progress.
Sher

[jazzcat77]

let us know how it goes!

[lealea2006]

Thank you, I hae added that to my list of questions for the Dr. On Tuesday.  It was pointed out to me, when I called to a urogynocologist, that I am under post op, and can not get a 2nd opinion until after 90 days from date of surgery.  So, I am still keeping my options open.

[jazzcat77]

Hi! I had urine retention and hesitancy before my prolapse repair (similar surgery to yours) and had thought it would go away after. But no, it still occurred. I started working with a certified pelvic physical therapist who has been able to make a huge difference in the problem. There is a lot going on with tension in the pelvic muscles, trigger points, pressure, bloating, intestines, etc and so on that can all effect (crap or is is affect?) the ability to urinate. I highly recommend you find someone certified in this. Not just anyone that does pelvic PT but someone actually specifically certified in it. She has been able to do FAR more to help me than even the urogyn has.

[lealea2006]

I did not do any lifting.  My Gyno, nurse Practioner, suggested the Urologist.  He is not a gyno urologist.  I am going to look into that today.
Hysotrectomy at 29 years old.  Now 61 years old.  No Diabetes.  I have since had a MRSA, in the fold between vagina and rectum, due to ingrown hair from the shave of surgery.
I have taken 4 different antibiotics to date.
Originally, keflex at time of surgery, then Microbid for UTI, then sulfameth/trimethoprim 800 for the MRSA.  Then, Dr. office called and urine infection required Ciprofloxacin 500mg.
I am retaining between 175ml and 325 ml, each time I self Cathe.  I do so 3 x a day.  I see the Dr. on Tuesday.  But I am going to check my resources for a urogyno today as well.
Thank you and please anyone that may have had this experience please ge back to me.
Thank you,
Lea Lea

[sherrieP]

I'm so sorry to hear about the ongoing voiding issues. :Please try not to be discouraged or frightened, let's see what info we can give you to fill in the blanks a bit. What kind of physician did the procedure (gynecologist, urologist, urogyn)? In this time frame if the surgery went well you should be beyond self-cathing unless there are other health issues that are impacting repair like diabetes (if you have diabetic neuropathy, improperly firing nerve impulses may be impacting the contraction of spinchter and voiding process). Have you discussed this with the physician who did the surgery? In general heal curve can run between 6-12 weeks depending on what repairs are done and what degree of POP existed but by week 6 you should be well on your way to healed.

I'm hoping you did not do any heavy lifting or vacuuming post surgery, sometimes that can create problems post surgery. Even lifting grandbabies is a no-no.

If the physician who did the surgery was not a urogynecologist, you might want to consider a 2nd opinion on what is going on. Please send more details on backdrop and I'll see what other insights I can give you. Hang in there hon!

Sher