What Can Be Expected After Treatment For A Cystocele
In mild cases, non-surgical treatments may be all that is needed to successfully deal with a cystocele.
When surgery is performed for more serious cases, some women will eventually need another surgery because the first surgery failed, the cystocele returned or another pelvic floor problem developed. Women who are older, who smoke, have diabetes, or who have had a hysterectomy, may be at higher risk for complications.
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
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 .
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Should I Go To The Er If I Cant 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.
Symptoms Of Urinary Retention
Acute urinary retention requires immediate medical attention. Symptoms include:
- A complete inability to pass urine
- A painful urge to urinate
- Pain or swelling in your lower abdomen
Chronic urinary retention symptoms include:
- Frequent urination
- Weak or intermittent urination stream
- A feeling of needing to urinate after finishing urination
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Treatments Of Urinary Retention In Pregnancy
When you are unable to pee, your doctor will need to perform a thorough examination to determine the exact cause of the urinary retention. If you are experiencing acute urinary retention, this is a medical emergency. You need to see a doctor right away. Here is an overview of some of the treatment options.
How Is Urinary Retention Treated
Treatment for urinary retention can depend on whether you have the acute form or the chronic form, as well as the cause of the condition. For the acute form, a catheter is put into the urethra to drain the bladder.
Treatment of the chronic form or the acute form that becomes chronicwill depend on the cause.
Medications for enlarged prostate: For men with an enlarged prostate, certain drugs may be used to try and open it up or shrink it. These include alpha-blockers and 5-alpha reductase inhibitors . Also, procedures or surgery to open up the prostate may be tried.
Procedures for enlarged prostate: Many procedures are available when this problem is due to an enlarged prostate. Office-based treatments can be done with just local anesthetic only. These include water vapor therapy and prostatic urethral lift .
There are also several surgeries done under general anesthesia which are available. These include shaving down the inside of the prostate and opening up the prostate with a laser . A laser can also be used to carve out the entire enlarged portion of the prostate through the urethra , or this part of the prostate can be removed through the belly . All of these procedures can be effective in opening up the blockage.
Treatment for nerve issues: If the retention is due to a nerve-related issue, you may need to use a catheter on yourself at home.
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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 Happens After A Post
After an ultrasound, you can wipe any remaining gel off your skin, get dressed and go home.
After bladder catheterization, your provider gently removes the catheter from your urethra. You can go home after the procedure. You may feel slight discomfort as the anesthesia wears off. Drinking lots of water, and urinating several times, can help. Your provider may prescribe an antibiotic to prevent urinary tract infection.
If you have signs of urinary retention meaning high residual urine volume your provider will discuss ways to address this. Options could include a catheter , medications and/or surgery.
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When Should I See A Health Care Professional
See a health care professional if you have symptoms of a bladder problem, such as trouble urinating, a loss of bladder control, waking to use the bathroom, pelvic pain, or leaking urine.
Bladder problems can affect your quality of life and cause other health problems. Your health care professional may be able to treat your UI by recommending lifestyle changes or a change in medicine.
What Is The Long
The degree of success after rectocele repair depends on a number of factors, including:
- Type of symptoms present.
- Length of time the symptoms have been present.
- Surgical method and approach taken.
Studies show about 75% to 90% of patients have significant improvement but this level of satisfaction decreases over time.
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What Are The Possible Complications Of Urinary Retention
The complications of urinary retention and its treatments may include:
UTIs: the normal flow of urine usually prevents germs from infecting the urine. With urinary retention, bacteria may be able to infect the urine because the urine cannot flow out of the bladder.
Bladder damage: if the bladder becomes stretched too far or for long periods, the muscles may become damaged and unable to work properly.
Chronic kidney disease: for some people, urinary retention causes urine to flow backwards into the kidneys. This backward flow is called reflux and it may damage or scar the kidneys.
Urinary incontinence: this may occur together with chronic urinary retention or after surgery .
Prostate gland surgery may cause urinary incontinence in some men. This problem is often temporary and gets better quite quickly. Most men recover their bladder control in a few weeks or months after surgery.
What Causes Urinary Retention
- Structural problems with the urethra, such as narrowing or blockage
- Structural problems with the bladder neck, sometimes following treatment for a congenital condition, such as posterior urethral valves or bladder exstrophy
- Weak bladder and pelvic floor muscles
- Problems with nerve messages travelling between the bladder and brain
- Side effects of some medications, including anaesthesia
- Surgery to the urinary system
- Constipation when the bowel is full of poo and presses on the bladder and urethra
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Who Is More Likely To Develop Urinary Retention
Urinary retention affects both men and women, but it occurs more often in men, especially as they get older. Men who have benign prostatic hyperplasia a condition in which the prostate gland is enlargedare more likely to develop urinary retention. As the prostate enlarges, it pushes against the urethra, blocking the flow of urine out of the bladder. BPH is a common prostate problem for men older than age 50.
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Causes Of Bladder Problems In Men
Bladder problems are common in men. Most involve urinationsuch as having trouble urinating or going too often. But you dont have to live with bladder problems. In most cases, they can be treated. The first step is to find out whats causing the problem. Here are eight common causes of bladder problems in men.
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When To See Your Gp
You should see your GP if you or your child have symptoms of cystitis for the first time.
Cystitis isnt usually a cause for serious concern, but the symptoms can be similar to several other conditions, so its important to get a proper diagnosis.
If youre a woman who has had cystitis before, you dont necessarily need to see your GP again. Cystitis is very common in women and mild cases often get better on their own. Speak to a pharmacist if you need any advice about treating cystitis.
However, you should see your GP if your symptoms are severe or dont start to get better in a few days, you get cystitis frequently, or youre pregnant.
Children and men should always be seen by a GP if they have symptoms of cystitis, as the condition is less common and could be more serious in these groups.
Lower Urinary Tract Symptoms
The lower urinary tract includes the bladder and the tube that urine passes through as it leaves the body .
Lower urinary tract symptoms are common as people get older.
They can include:
- problems with storing urine, such as an urgent or frequent need to pass urine or feeling like you need to go again straight after you’ve just been
- problems with passing urine, such as a slow stream of urine, straining to pass urine, or stopping and starting as you pass urine
- problems after you’ve passed urine, such as feeling that you’ve not completely emptied your bladder or passing a few drops of urine after you think you’ve finished
Experiencing LUTS can make urinary incontinence more likely.
Page last reviewed: 07 November 2019 Next review due: 07 November 2022
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History Of Complaints And Physical Examination
A physician will suspect urinary retention by your symptoms and will attempt to confirm the diagnosis with a physical examination of the lower abdomen. The physician may be able to feel the distended bladder by lightly tapping on your lower belly. Tapping or striking for diagnostic purposes is called percussing.
Take Medication As Prescribed
An enlarged prostate is a common cause of urinary retention. If youre currently taking prostate medication, it is important to take this medication regularly as prescribed by your doctor to prevent urinary retention. Additionally, we recommend avoiding certain medications that can lead to urinary retention, such as decongestants and anti-inflammatory drugs.
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What Are The Symptoms Of Bladder Control Problems
Signs and symptoms of urinary incontinence can include
- leaking urine during everyday activities, such as lifting, bending, coughing, or exercising
- being unable to hold in urine after feeling a sudden, strong urge to urinate
- leaking urine without any warning or urge
- being unable to reach a toilet in time
- wetting your bed during sleep
- leaking during sexual activity
Drinking Water & Other Home Remedies For Urinary Retention
Urinary retention is often treated by addressing the underlying condition. For example, prostate medication can help to shrink an enlarged prostate so its no longer pressing on the urethra, which can improve urine flow. Pelvic floor physical therapy may be helpful for women with cystoceles to strengthen the pelvic floor muscles and reduce urinary retention symptoms.
There are also a variety of natural remedies that can address slow urine flow, the most common one being hydration. It makes sense to think that drinking less water can ease symptoms , but thats actually not true. Water is essential to the function of the body and without it, blood vessels cant deliver important nutrients to the kidneys. In turn, the kidneys will only be able to make highly concentrated urine that irritates the bladder. Therefore, staying hydrated by drinking plenty of water throughout the day is one of the essential pieces of any treatment plan for urinary retention.
How much water you need per day depends on several factors, including where you live, your activity level, and your age. In general, the long-standing advice of drinking 8 cups of water per day is a good guideline to follow. And remember, liquids other than water can count towards that total, such as tea, coffee, sports drinks, and fruit juice. As long as you arent feeling thirsty on a regular basis and your urine is colorless or light yellow, youre likely drinking enough water for your needs.
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Dont Do Kegels While Urinating
At some point in the history of kegeling, word got out that a good time to do kegels is while urinating . The logic behind this theory is that you use your pelvic floor muscles to voluntarily stop the flow of urine, hence if you can stop the flow while urinating, you will know whether or not you can successfully contract and relax your pelvic floor muscles. Heres the deal: its okay to try a kegel or two while you urinate in order to check in to see if you are doing kegels correctly . But this is not something you should do on a regular basis.
Regularly doing kegels while urinating can lead to incomplete bladder evacuation, which can make your bladder feel like its always full.
You might think your bladder is the size of an acorn But really, its simply the fact that its never fully empty! To fully empty your bladder, practice your kegel exercises when you are OFF the toilet.
What Symptoms Would I Have With A Rectocele
Many women with a rectocele have no symptoms, and the condition is only seen in a pelvic examination. In general, if a rectocele isnt causing you symptoms or discomfort, it can be left alone.
When symptoms are present, you may have:
- Difficulty having bowel movements.
A rectocele should be treated only if your symptoms interfere with your quality of life.
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Your Urology Specialist Can Help
Having difficulty urinating is an uncomfortable and inconvenient experience. While urinary retention remedies are good practice in preventing future health concerns, not being able to urinate is a medical emergency that requires immediate attention.
Managing mild urinary retention symptoms is possible, but it is always best to see a urology specialist for a professional opinion to learn about traditional treatment options. Schedule an appointment with us, or visit your local emergency room, if you start showing symptoms of urinary retention.
This content was originally published in March 2019 and was refreshed in January 2021.
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 its 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 cant wait. You feel a sudden, urgent need to go. This can happen even if your bladder isnt full.
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Sitting On The Toilet Correctly
Some boys will prefer to pass urine whilst standing others prefer to sit. It is important that boys have a wee in the position in which they are most comfortable.
For girls, it is important to sit on the toilet in a position which will encourage complete emptying of the bladder. Girls should sit on the toilet with their legs wide apart.
When sitting on the toilet it is very important that both feet are flat on the floor. If your child cannot reach the floor, it is important that they use a footstool or step.
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Empty Your Bladder Before And After Sexual Intercourse
There is nothing worse than frequent urination to put a damper on your sex life.
Even worse is if you get a UTI shortly after having sexyou might blame it on your partner and think you picked up something from them.
That might not be so. It might just be a case of poor planning. Use the method in this article before having sex and you will be much more comfortable both right after sex and the morning after.
- Always empty your bladder before sex and, just as importantly, again after sex. Make this a habit! Once you do the method a few times, you will be able to do it in about two minutes total. The first few times, it will take you about 6 to 8 minutes until you get the hang of it.
- Urinating before and after sex helps to eliminate the re-occurrence of that Oh, I think Im getting a UTI feeling the morning after sex. Everyone has experienced this at least once.
- There is no sense in treating what you think is a UTI when, in fact, it is just an irritated bladder from sexual intercourse.
- Follow this method, as noted above, drink more water throughout the day after sex, and you should be fine.
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