It’s A Medication Side Effect
Certain drugs can cause urinary retention. If you noticed that the problem began after starting a new prescription or over-the-counter medication, it could be to blame.
These types of meds all have the potential to affect bladder function, according to the Cleveland Clinic:
- Hormonal agents
- Muscle relaxants
Position For Optimal Bladder Emptying
- Sit on the toilet seat dont hover over the seat
- Support your trunk by placing your hands on your knees or thighs
- Spread your knees and hips wide
- Position your feet flat with each resting on a telephone book or wrapped toilet rolls*
- Lean forwards from your hips
- Maintain the normal inward curve in your lower back
*This is optional for getting the knees higher than the hips. Some women find this raised knee position helpful, others dont.
What Is Oab And Who Gets It Your Browser Does Not Support Html5 Audio Playback You May Download The Audio File Directly Here
Overactive bladder is the name for a group of bladder symptoms. There are three main symptoms:
- A feeling that you have to go to the bathroom, urgently.
- Sometimes incontinence, which means that you leak urine with the “gotta go” feeling.
- Usually the need to go to the bathroom often , day and night.
With OAB, you feel that you need to empty your bladder even when it’s not full. This leads to the feeling that you need a bathroom quickly, right now. You can’t control or ignore this feeling. If you “gotta go” eight or more times each day and night, or fear that urine will leak out before youre ready, you may have OAB.
OAB affects about 33 million Americans. It’s not a normal part of aging. It’s a health problem that can last for a long time if it’s not treated. Many older men and women struggle with OAB symptoms. Often people don’t know about treatments that can help, or they don’t ask for help.
Stress urinary incontinence or SUI is a different bladder problem. People with SUI leak urine while sneezing, laughing or being active. It is not the same as that sudden “gotta go” feeling from OAB. To learn more about SUI, go to .
In this guide you will find clear information about how to manage OAB. Please ask for help, even if you feel embarrassed. Don’t wait, because there are several treatments that work well for OAB. Your health care provider should be trained to talk with you and help you manage your symptoms without embarrassment.
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What Is A Post
The amount of urine that remains in your bladder after you urinate is called post-void residual . A post-void residual urine test measures the amount of urine left in your bladder.
Ideally, when you go to the bathroom, your bladder should empty completely. But sometimes, urine stays in the bladder even after you think youve emptied it. The PVR test can tell your healthcare provider if youve completely emptied your bladder. A small amount of residual urine is generally ok, but large amounts can be concerning for urinary retention.
What Is A Rectocele
A rectocele is a bulging of the front wall of the rectum into the back of the vagina. The bulge occurs as a result of thinning and weakening of the band of tissue that separates the vagina from the rectum. This thinning has a number of causes, including:
- Advanced age.
- Multiple vaginal childbirths or trauma during childbirth .
- Repeated surgeries in the area of the pelvic floor or rectum.
- Chronic straining during bowel movements due to long-term constipation.
Normal anatomy of rectum
Rectum with rectocele
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How Is A Cystocele Diagnosed
A Grade 2 or Grade 3 cystocele can be diagnosed from a description of symptoms and from an examination of the vagina.
The doctor may also perform certain tests, including the following:
- Urodynamics: Measures the bladders ability to hold and release urine.
- Cystoscopy : A long tube-like instrument is passed through the urethra to examine the bladder and urinary tract for malformations, blockages, tumors, or stones.
Causes Of Incomplete Bladder Emptying
Urinary retention and incomplete emptying can result from a number of causes . In some cases, the flow of urine is blocked, for example, in men with benign prostatic hyperplasia. This causes obstruction. Another form of impaired emptying is nonobstructive, that is, there is no problem with the urethra but the bladder muscle is less able to adequately contract. When the bladder cannot contract properly, some or all of the urine remains in the bladder. If left untreated, this condition can lead to urinary tract infection and damage to the kidneys.
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Should I Go To The Er If I Can’t Pee
See your doctor right away or go to the emergency department if you cannot urinate at all or you are in pain in your lower tummy or urinary tract area. There are many different causes of urinary retention, but some of the most common are: recent surgery in the genital, prostate, rectal, pelvic or lower abdominal area.
How Is Chronic Urinary Retention Diagnosed
History and physical exam: During the diagnosis process, your healthcare provider will ask about your signs and symptoms and how long you have had them. He or she will also ask about your medical history and your drug use. A physical exam of the lower abdomen may show the cause or give your provider additional clues. After this, certain tests may be needed. Men may have a rectal exam to check the size of their prostate.
Your urine may be saved and checked to look for infection.
Ultrasound of the bladder: The amount of urine that stays in your bladder after urinating may be measured by doing an ultrasound test of the bladder. This test is called a postvoid residual or bladder scan.
Cystoscopy: Cystoscopy is a test in which a thin tube with a tiny camera on one end is put into your urethra. This lets the doctor look at pictures of the lining of your urethra and bladder. This test may show a stricture of the urethra, blockage caused by a stone, an enlarged prostate or a tumor. It can also be used to remove stones, if found. A computed tomography scan may also help find stones or anything else blocking the flow of urine.
Urodynamic testing: Tests that use a catheter to record pressure within the bladder may be done to tell how well the bladder empties. The rate at which urine flows can also be measured by such tests. This is called urodynamic testing.
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What Are The Complications Of Treatments For Urinary Retention
UTI from Catheter Use
Placement of a urinary catheter provides an opportunity for bacteria to enter the urinary tract. Bacteria may come from the patients anus and perineum or from the health workers hands. Health workers must take great care, using sterile technique, when placing a catheter. If you are performing clean intermittent catheterization, you must follow the same sterile procedures every time you handle the catheter.
Incontinence and Erectile Dysfunction After Prostate Surgery
Transurethral surgery to treat an enlarged prostate may result in loss of bladder control or erection problems in some men. These problems are usually temporary. Most men recover their bladder control in a few weeks or months, and most recover their sexual function within 1 year after the operation.
Hope through Research
The National Institute of Diabetes and Digestive and Kidney Diseases has many research programs aimed at finding and improving treatments for urinary disorders. Researchers supported by the NIDDK are working to develop methods for preventing UTIs in patients who must use urinary catheters. One team of researchers is developing a catheter that gradually releases an antiseptic agent while it stays in the urinary tract. Another team is studying the use of benign bacteria on a catheter to inhibit the growth of disease-causing bacteria.
When Should I See A Health Care Professional
See a health care professional right away if you are unable to urinate or have severe pain in your abdomen. Acute urinary retention can be life threatening.
If you have any of the other symptoms of urinary retention, such as trouble urinating, frequent urination, or leaking urine, talk with your health care professional about your symptoms and possible treatments. Chronic urinary retention can cause serious health problems.
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Residual Urinethe Insidious Danger
If the bladder cannot be completely emptied, so-called residual urine remains. Since the rinsing of the bladder is impaired, germs can easily settle on the inner wall of the bladder and cause infections. This encourages as well the formation of urinary stones. If urinary retention remains untreated for a longer time, the infection may continue through the ureters into the kidneys. The result is chronic kidney damage, which can lead to kidney failure. Complete urinary retention is very painful and occurs when no more urine can be released and there is significant over-expansion of the bladder. Please contact your doctor immediately.
How The Urinary Tract Works And What Happens With Oab Your Browser Does Not Support Html5 Audio Playback You May Download The Audio File Directly Here
The urinary tract is the important system that removes liquid waste from our bodies:
- kidneys: two bean-shaped organs that clean waste from the blood and make urine
- ureters: two thin tubes that take urine from the kidney to the bladder
- bladder: a balloon-like sac that holds urine until it’s time to go to the bathroom
- urethra: the tube that carries urine from the bladder out of the body. The urethra has muscles called sphincters that lock in urine. The sphincters open to release urine when the bladder contracts.
When your bladder is full, your brain signals the bladder. The bladder muscles then squeeze. This forces the urine out through the urethra. The sphincters in the urethra open and urine flows out. When your bladder is not full, the bladder is relaxed.
With a healthy bladder, signals in your brain let you know that your bladder is getting full or is full, but you can wait to go to the bathroom. With OAB, you can’t wait. You feel a sudden, urgent need to go. This can happen even if your bladder isn’t full.
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Not Sure What To Do Next
If you are still concerned about your urinary retention, why not use healthdirects online Symptom Checker to get advice on when to seek medical attention.
The Symptom Checker guides you to the next appropriate healthcare steps, whether its self care, talking to a health professional, going to a hospital or calling triple zero .
Ways To Relieve Painful Or Burning Sensations
Any of the above remedies usually needs a companion remedy in order to help relieve any abdominal pain, burning, and discomfort. None will work alone to totally get rid of your symptoms.
To help with the burning, you can also use any over-the-counter products However, many doctors will prescribe Pyridium along with antibiotics. If your doctor does not order it, you may want to ask for a prescription for it, especially if your health insurance covers it. Always ask for free samples of any medications your doctor orders for you.
Then, for your next UTI, ask your doctor for a three day supply of Pyridium and take as prescribedusually, one every 6 hours, just for the first two days.
Important Note About Medication
Tips and Suggestions
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What Happens During And After Surgery For A Cystocele
A moderate or severe cystocele may require reconstructive surgery to move the bladder into a normal position. There are a number of ways to perform this surgery, including an anterior repair. In an anterior repair, an incision is made in the wall of the vagina and the tissue that separates the bladder from the vagina is tightened. Another option, for more severe prolapse, is to place a synthetic material with a robotic or laparoscopic approach through the abdomen. This method may give more support to the tissue and help prevent the condition from happening again.
The patient usually goes home the day of the surgery. Complete recovery typically takes four to six weeks.
For women who never plan on having sexual intercourse again, surgeries that sew the vagina shut and shorten it so it no longer bulges are nearly 100 percent effective.
Common Bladder Problems And When To Seek Help
Bladder problems can disrupt day-to-day life. When people have bladder problems, they may avoid social settings and have a harder time getting tasks done at home or at work. Common bladder problems include urinary tract infections, urinary incontinence, and urinary retention.
Some signs of a bladder problem may include:
- Inability to hold urine or leaking urine
- Needing to urinate more frequently or urgently
- Cloudy urine
- Pain or burning before, during, or after urinating
- Trouble starting or having a weak stream while urinating
- Trouble emptying the bladder
If you experience any of these symptoms, talk to your health care provider.
Treatment for bladder problems may include behavioral and lifestyle changes, exercises, medications, surgery, or a combination of these treatments and others. For more information on treatment and management of urinary incontinence, visit Urinary Incontinence in Older Adults.
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Uti After Prolapse Surgery
UTI is the most common post operative problem after prolapse surgery.1
Incomplete bladder emptying is one of the major risks for getting a UTI after prolapse surgery.2
Incomplete bladder emptying and UTI early following prolapse surgery can be caused by a range of factors including:
- Internal swelling
- Nerve damage
Some women need to use a catheter temporarily after prolapse surgery until sufficient postoperative healing allows them to empty their bladder without assistance.
What Can Cause Frequent Urination
Recurrent UTI’s are very annoying.
Frequently getting up during the night to urinate is annoying, too. Although this is usually caused by some type of infection, the good news is that your symptoms won’t always be due to a urinary tract infection .
Sometimes it’s just because of the bad habits we developholding urine in, not wanting to use a public bathroom , body positioning, frequently using over-the-counter sanitary wipes to cleanse, or maybe some unusual health habits .
Assuming your doctor has ruled out other causes for your frequent urination, such as kidney disease, dropped bladder, UTI, cystitis, kidney diseases, etc., I may have some useful suggestions for you.
Out of Desperation Came Relief
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What Causes Incomplete Emptying Of The Bladder
Incomplete bladder emptying occurs when the muscles of the bladder are not able to squeeze properly to empty the bladder. This can happen in cases where there may have been nerve or muscle damage, perhaps caused by injury, surgery, or disease such as Parkinsons disease, Multiple Sclerosis and Spina Bifida.
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Mistake : Not Emptying Fully
When youre in a rush, incomplete bladder emptying can cause issues far more problematic than taking the extra minute or so in the bathroom. Similar to urine-holding, incomplete bladder emptying allows a reservoir of urine to collect that can potentially cause urinary infections. It can also increase the odds of developing another painful problembladder stones, which are salt crystals that sometimes form when urinary concentration or stasis develops.
Incomplete emptying isnt something you are always aware you’re doing, but its a good idea to make an effort to ensure you are emptying your bladder, says Dr. Brito. He says this is a particular problem for older men with prostate issues. For them, incomplete bladder emptying can lead to a smaller functional bladder capacity and subsequent urinary frequency and urgency problems.
Often as men get older, they will not completely empty their bladder. The problem there is, if your bladder’s full and you empty it halfway and then drink fluids like you normally would, it fills up more quickly, says Dr. Brito.
Sometimes educating patients to take their time in the bathroom and ensure their bladder is as empty as possible can help, says Dr. Brito. Other times, patients may need medications or surgery to help the bladder empty better.
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Q: Why Is It Hard For Some Women To Empty Their Bladders
A: It can be a very uncomfortable and unsatisfying feeling to have the sensation of needing to pee, but not being able to completely relieve your full bladder. This is called incomplete bladder emptying or urinary retention and its very common in women. This occurs when the muscles of your bladder are not able to squeeze properly in order to empty your bladder.
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Two problems are usually responsible for a womans sensation that she cant empty her bladder, or void, completely. One is dysfunction of the bladder muscle and the other is a blockage/obstructive process .
You may find it helpful to reposition yourself or lean forward on the toilet to help relax and empty your pelvic floor muscles while urinating. Specialized pelvic floor physical therapists can teach women to train their pelvic floor muscles to relax more completely during voiding.
Alternatively, women who have pelvic organ prolapse can simply reduce the prolapse bulge with their fingers to more fully empty their bladder. We can also fit people with a pessary to help alleviate symptoms.
There are solutions to this frustrating problem. Consult with your doctor to find what approach is right for you.
Certified nurse practitioner in Urogynecology and Pelvic Floor Disorders Abigail Anderson, CNP.