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.
Why Do I Need Surgery That Uses Part Of My Intestine
Sometimes, your injury or other health issues may limit your ability to use traditional bladder management methods, or the traditional methods are not working as well as they should. The goal of surgery, like other bladder management strategies, is to enable you to remove urine from your body and keep your kidneys healthy and maintain a life style that is best for you. Some of the reasons you might need surgery are:
- You would like to perform intermittent catheterization but this is not practical because you have a very small overactive bladder despite medications.
- Your bladder has lost its ability to stretch and therefore develops a high pressure when it fills up with urine, causing back pressure and damage to your kidneys despite medications.
- You have a problem that cannot be treated with medications, such as an over-stretched or damaged urethra, which is causing constant urinary leakage.
What Happens When The Gallbladder Stops Working
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Neurogenic Bladder Treatment And Home Remedies
Your care will depend on whatâs causing your symptoms and how serious they are. Thereâs no cure for neurogenic bladder, but you can manage your symptoms and get control.
If you have OAB, you may need to:
- Train your bladder. You can do this by squeezing your pelvic floor muscles during the day or when you need to pee .
- Hold it, if you can. Delayed voiding is when you wait a few minutes to urinate after you feel the urge. The goal is to extend this time to a few hours.
- Pee on a schedule. You might avoid accidents if you urinate at certain times of the day.
- Take medicine. Some medications can relax bladder muscles and stop spasms.
- Keep a healthy weight. Extra body mass can add pressure to your bladder.
- Change your diet. Things like caffeine, alcohol, spicy foods, dairy, artificial sweeteners, chocolate, and citrus fruit can irritate your system.
- Use electrical stimulation. A device under your skin sends electricity to the nerve that controls your bladder. These painless pulses help stop overactive signals that tell your brain to pee.
- Get Botox. Your doctor can inject this neurotoxin into your bladder to temporarily stop it from contracting too much. If you have problems emptying your bladder or have urinary tract infections often, this treatment isn’t an option.
If you have UAB, you may need to:
Causes Of Urinary Retention
Urinary retention has several potential causes, listed below.
- An obstruction of the urethra, the tube that carries urine from the bladder and expels it from the body. This obstruction can be caused by benign prostatic hyperplasia , urethral stricture , urinary tract stones, pelvic organ prolapse , constipation, and some cancers and other tumors. A urinary tract infection or a sexually transmitted infection can cause swelling that blocks the urethra.
- Infection or inflammation, which can be caused by conditions such as herpes simplex virus or Guillain-Barre syndrome.
- Weakened bladder muscles.
- Medications that change the way the bladder works. These may include cold medicines and antihistamines, some antidepressants and antispasmodics.
- Nerve problems. Sometimes these are caused by chronic medical conditions such as multiple sclerosis, spinal cord injury, stroke and diabetes. Occasionally they are due to damage from vaginal childbirth.
- Post-operative problems. The pelvic organs sometimes are damaged during surgery. Other problems can result from surgery to the pelvic region or medicines given before or during surgery.
- Damage due to catheterization.
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What Are The Complications Of Urinary Retention And Its Treatments
Some complications of urinary retention and its treatments may include:
- Urinary Tract Infections Because urine is normally sterile and the normal flow of urine usually prevents bacteria from infecting the urinary tract, developing urinary retention means an abnormal urine flow gives bacteria at the opening of the urethra a chance to infect the urinary tract.
- Bladder damage If your bladder is stretched too far or for extended periods, the muscles may become permanently damaged and lose their ability to properly contract.
- Kidney damage Sometime urinary retention can cause urine to flow back into the kidneys. This is called reflux and can damage or scar the kidneys.
- Urinary incontinence Transurethral surgery to treat an enlarged prostate can result in urinary incontinence in some men. Its often temporary with most men gaining bladder control in a few weeks or months after surgery. The removal of tumours or cancerous tissue in the bladder, prostate, or urethra may also result in urinary incontinence.
What You Need To Know
- Issues with urinating or passing stools are referred to as bladder and bowel dysfunction.
- Bladder and bowel problems often originate with nerve or muscle dysfunction, as these systems control the flow of urine and the release of stool.
- Other health issues may cause bladder and/or bowel dysfunction, including medicinal side effects, stress, neurologic diseases, diabetes, hemorrhoids and pelvic floor disorders.
- Therapy and management for these conditions can range from dietary changes and exercise to electrical stimulation and surgery depending on individual diagnosis.
Bladder or bowel incontinence means a problem holding in urine or stool. You may have unwanted passage of urine or stool that you cant control. These conditions can be stressful to deal with. But dont feel embarrassed about talking to your healthcare provider. They are used to dealing with these issues, and can help you manage the problem.
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Diagnosis Of Overactive Bladder
To thoroughly diagnose overactive bladders, tests should be conducted by highly expert urologists. Diagnostic tests include medical history, physical exam, which may include a rectal exam and a pelvic exam in women, urine sample to test for infection or other abnormalities and focused neurological exam that may identify sensory problems or abnormal reflexes. Overactive bladder assessments include:
- Frequency and quantity of urination in each day starting from morning time after waking up and before going to sleep at night
- Frequency and quantity of urination during nighttime starting from sleep at time to morning time.
- Number of urination with inability to hold the urine
- Number of urination with a sudden urge to urinate and that is difficult to control
In addition, tests might also involve measuring urine left in the bladder, measuring urine flow rate and testing bladder pressure. Individual patients might need different tests and procedures depending on their medical conditions and personal factors.
Restoring Bladder Function After Surgery
Hello everyone Our family has welcomed a new addition. Last week my oldest daughter had a baby girl. The baby is fabulous, healthy, and cute as hell . My daughter, however, had various complications, one of which I would like to discuss here. After having an epidural, and extra epidural medication for repair work after delivery, she was unable to urinate.
This problem first came to my attention about 4 years ago. I had a client whose elderly father had fallen and broken his nose. He needed surgery. After the surgery, he was unable to urinate. The next time I heard of this was from one of my graduates whose husband had had shoulder surgery and was unable to urinate after coming out of the anesthetic. Then it happened to my father after shoulder surgery, my husband after a colonoscopy, and three more clients had relatives with this problem.
I, of course, was curious about the causes of this. Western medicine does not seem sure what causes this particular phenomenon. It is more common in middle age or elderly men, but it does happen to women as well. They believe it is a side effect of the anesthetic, but why is a question no one can answer.
Hopefully this is helpful and you will be able to use this information to help someone get off a catheter or out of the hospital. Let us know how you do on facebook or at our contact email firstname.lastname@example.org
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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.
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.
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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.
Treatment Of Overactive Bladder
Overactive bladder is a chronic medical condition that requires continuous treatments. There are several treatment options to treat overactive bladder. Nonetheless, the selected treatment option is primarily determined by patients symptoms, disease severity and complications as well as underlying conditions. Treatments include:
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What Causes Bladder Or Bowel Incontinence
Many conditions may affect the nerves and muscles that control the bladder and bowel.
Bladder incontinence can be caused by things such as:
Damage to nerves in sphincter muscles
Holding urine in too long , which can damage the bladder
Having to urinate many times during day and night, often urgently
Bowel incontinence can be caused by things such as:
Damage to the nervous system from disease or injury
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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How Is Neurogenic Bladder Diagnosed
If your healthcare provider thinks you may have neurogenic bladder, he or she will want to check youre your brain, spinal cord, and bladder. He or she will review your health history and do a physical exam. Other tests may include:
- X-rays of the skull and spine. This imaging test uses invisible energy beams to make images of tissues, bones, and organs.
- Imaging tests of the bladder and ureters
- Ultrasound . This imaging test uses high-frequency sound waves to create images of the organs on a computer screen.
- Cystoscopy. Your healthcare provider puts a thin, flexible tube and viewing device in through the urethra to examine the urinary tract. It checks for structure changes or blockages, such as tumors or stones.
- Tests that involve filling the bladder, such as urodynamics. These tests show how much the bladder can hold and check to see if it fully empties.
Symptoms Of Urinary Retention
The symptoms of urinary retention are not always obvious but may include
- Hesitancy really having to strain to pass urine
- Strong feelings of urgency and frequency and when passing urine only a small amount comes out
- A urinary stream that is very weak and intermittent
Whilst your bladder is not emptying properly there is a risk that the residual urine in the bladder will become infected. This could cause further complications and problems if it isnt removed regularly. It is important to seek help if you experience any of the above symptoms.
It is a good idea to keep a record of your bladder activity in a bladder diary for a few days before your appointment with your doctor or nurse.
Your Doctor or Healthcare Professional may recommend the following tests:
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What Are The Symptoms Of Urinary Retention
The signs can vary. Some people with the chronic form have a hard time starting the flow of urine. Some have a weak flow once they start. Others may feel the need to go but cant start. Others have to go a lot, while others still feel the need to go right after going. You may leak urine when you arent going because the bladder is full.
With the acute form, youre all of a sudden not able to go at all, or only able to go very small amounts. This occurs even though you have a full bladder. See a healthcare provider right away if this happens to you.
Questions To Ask Your Health Care Provider
- What causes neurogenic bladder?
- Can neurogenic bladder be prevented?
- Can you help me or do I need to see a specialist in neurourology? If so, how can I find the right one for me?
- Will I need to have tests to find out what is causing my neurogenic bladder?
- Would you explain each test and why you are recommending them?
- What types of treatment are available for neurogenic bladder?
- Are there side effects of treatment?
- What are the pros and cons of each type of treatment?
- What treatment do you recommend for me and why?
- What happens if the first treatment doesn’t help?
- Are there any lifestyle changes I can make that could help my symptoms?
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Can You Fix A Bladder That Isnt Working Properly
If you have bladder control issues, there are various options for treatment depending on the cause or level of nerve damage.
The most common forms of treatment are bladder training, medication, electrical stimulation, and finally, surgery.
If your case is mild, then you will most likely start with bladder training or medication.
It is only serious cases that require surgery however, you might be offered electrical stimulation of the bladder.
What Else Causes Bladder Control Problems In Women
- pregnancy and childbirth
Weak pelvic floor muscles can make it hard for your bladder to hold urine in during stress incontinence. Stress incontinence occurs when an actioncoughing, sneezing, laughing, or physical activityputs pressure on your bladder and causes urine to leak. A weak pelvic floor can also cause fecal incontinence, or bowel control problems.
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What Should You Do If You Are Having Symptoms
It is important to talk with your health care provider and find out what is causing your symptoms. The symptoms of neurogenic bladder may seem like the symptoms of other illnesses and medical problems. Your health care provider can help rule out other issues.
Sometimes neurogenic bladder symptoms can lead to more serious bladder problems. But there are a number of treatments available. You and your health care provider can decide which treatment is best for you.
Nerve Disease Or Spinal Cord Injury
Many events or conditions can damage nerves and nerve pathways. Some of the most common causes are
- vaginal childbirth
- infections of the brain or spinal cord
- accidents that injure the brain or spinal cord
- multiple sclerosis
- heavy metal poisoning
- pelvic injury or trauma
In addition, some children are born with nerve problems that can keep the bladder from releasing urine.
Urinary Retention: 5 Reasons You May Have Trouble Peeing
Did you know that we spend roughly 2,208 hours on the toilet in our lifetime? Thats a lot of time on the potty! And, if youre having trouble going No. 1, it could be costing you even more time than you like. Time spent anywhere else but a bathroom stall.
If you cant get the flow going when you feel you need to, and your bladder is full, you may have urinary retention. Urinary retention is the inability to pass urine in your bladder, and it can be acutea sudden inability to urinateor chronica gradual or slow inability to empty the bladder.
The difference can be from the cause and sometimes the symptoms, said James Wolach, MD, a urologist at Banner Health Clinic in Colorado. Acute is usually painful and they have the sensation to void but cant, whereas many people with chronic retention dont have any feeling they are not able to empty their bladders. While chronic may not seem as serious, it can lead to serious problems, so its important that both receive attention from your doctor.
There are many different causes for urinary retention, and much of your treatment will depend on the underlying cause. Here are five reasons you may be stuck and ways to improve your flow.