 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / General / April 2006kegels can cure urinary retention?
Hi, I'm a male suffering from both stress incontinence and urinary retention. I've been doing kegels for over a month now with a dramatic improvement, but what I want to ask is: Does this help cure urinary retention? I haven't seen much of an improvement even for a month now. Also I've given urine, blood, urinalysis, and ultrasound tests -- all were normal. Does this have anything to do with constipation, which I have it for a long time? > Hi, > [quoted text clipped - 5 lines] > were normal. Does this have anything to do with constipation, which I > have it for a long time? There are several causes for uninary retention. For example, certain medications can cause it. Please list the medications that you are taking. In addition, some types of kidney disease can cause it so you might want to ask your doctor to do kidney function blood and urine tests. For example: Urine Creatinine For the constipation: visit a health food store and purchase "Whole Psyllium Husks"--a good source of dietary fiber. I doubt if constipattion is related to your urinary retention problem. I am not a doctor. Jason  SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. I'm not taking any kind of medicines. The doctor did give me Cardura and Detrusitol, but took one boxes each with no significant results; but that was a month ago. For constipation, I eat canned kidney beans everyday. Like I said, I've given blood and urine tests, but the doctor said they were normal. Maybe I have a weak bladder walls or something? Can anyone please clarify? > I'm not taking any kind of medicines. The doctor did give me Cardura > and Detrusitol, but took one boxes each with no significant results; [quoted text clipped - 7 lines] > > Can anyone please clarify? Detrusitol is an anticholinergic, and as such most definitely can cause urinary retention and constipation. If enlarged prostate is your problem, as is likely, then that's not going to help you. Please tell me that your doctor didn't just order detrusitol without considering overflow incontinence as your problem. Please tell me that he/she sent you to a urologist, that you've had a cystoscopy and urodynamic evaluation... Based on what you've said so far, your doctor seems pretty clueless. HMc Here's my story (in detail, hopefully): I'm a 19 year old male, and for four or five years (it may be more, but I don't really remember) I've had a problem that whenever I finished passing urine, some drops would be left only to come out later whenever I would bend, cough, laugh, etc.; but not everytime, only little urine would come, and that immediately after finishing passing urine, and then no more. Now, only a month ago, I went to a urologist, and told him the above. He said I had urinary retention and stress incontinence. He asked me questions like: 1. How many times you wake up during the night to pass urine? 2. Do you feel pain while passing urine? I answered no to all of them. He then asked me to give these tests: 1. Blood sample test; 2. Urine sample test; 3. Urinalysis (in which you pass urine in a box placed upon a machine); and 4. Ultrasound test. When he saw the results, he said everything was normal, much thanks to God. No enlarged prostratis, to stones in the bladder, normal sugar in blood, normal flow of urine, etc. etc. He kept saying, "Very good, very good," when he saw them. Anyway, he gave me two boxes of this Cardura 1mg, containing 20 tablets each, to be taken twice a day. Well, I took one box, and didn't feel any change. I went to him again. He told me to give another ultrasound scan, but this time without drinking anything and keeping the bladder empty. He suspected that I had a large bladder. He said the normal capacity of a human bladder is 300ml or something, but you has filled it to some 700ml! Anyways, I gave the test again. He saw the results and said that I had not retained even a single drop of urine! How could he tell that by looking at that stupid, black and white, pitch-darked picture of my bladder? I really don't understand. The test-taker had told me to go and empty the bladder again. Anyway, he gave me two boxed of Detrusitol 2mg, and another two boxes of Cardura (duh!). When I saw that he's giving a new medicine Detrusitol, I thought it would work, but he asked me again how many times I woke up at night to pass urine. Stupid. Well, I started taking these medicines, only to retain much more urine. That Detrusitol was for urge incontinence! And it only increased retention. I only took one box, that's it. To cover up my story, and not to abuse your patience, that just a month ago, I stopped taking these midicines and started kegel exercise, with much improvement, thank God. Its been a month now, and although it is somewhat curing the stress incontinece, I still retain some urine, especially when I also pass stool. And I also have constipation for a long enough time. Lastly, you guys said something about TURP and PVP, what are these and where can I get info about them from the web? No, I don't live in the U.S. And no, I haven't given cystoscopy and urodynamic evaluation, whatever these are. Oh and I forgot, you should also take these points: - I don't wake up at night to pass urine. - I don't have any pain while urinating. - The color of the urine is not pale yellow. - It does not have a foul smell. So it means I may not have urinary tract infection, thanks again to God. I think this much information should suffice for you to please tell me what kind of problem I may be having, and will kegels would cure retention also? I'll be waiting for your replies. > Here's my story (in detail, hopefully): > [quoted text clipped - 72 lines] > > I'll be waiting for your replies. Enlarged prostate is unlikely then, given your age. It sounds like you've had a urodynamic study (urinating into the box), which OUGHT to rule out obstructive uropathy. I'm not a urologist - we've just hit the limit of my knowledge in this arena. Sorry I can't be of any help - maybe Jason will chime in...:) HMc >> Here's my story (in detail, hopefully): >> [quoted text clipped - 79 lines] > > HMc Howard...I think you may be a little confused here using the term "urodynamic study" as "urinating into the box". Perhaps you meant a simple uroflow test ? The following was written by the nice uro from Madrid I told you about :-) . [[A urodynamic study is performed introducing a pressure transducer inside the blader per urethram, as well as a filling catheter. Another pressure measuring devide is introduced in the rectum. Then the bladder is filled with water and the pressure readings are recorded. The rectal pressure rises when the abdominal pressure is risen by coughs or straining, and this also rises pressures inside the bladder. When bladder pressures rise without a rise in rectal pressure that reveals a bladder contraction. If the filling is made with radiographic contrast under an xray machine, then you also have the possibility of correlate pressure readings with radiographic images (video-urodynamic study). The whole thing takes 20-30 minutes. The risk is minimal, mainly to develop a urinary infection, and thus, antibiotics are usually prescribed before the procedure.]] Pete > [[A urodynamic study is performed introducing a pressure transducer > inside the blader per urethram, as well as a filling catheter. Another [quoted text clipped - 9 lines] > develop a urinary infection, and thus, antibiotics are usually > prescribed before the procedure.]] There are several different levels of urodynamic evaluation up to and beyond EMGs of the pelvic floor muscles. In this case, the urodyamic evaluation of flow, "urinating into the box", flowmetry is a basic first step in screeing for obstruction. If negative, further study such as you quote will have a relatively low yield. If positive, then one would be stuck deciding between poor bladder contraction vs obstruction and then it becomes time to move up the urodynamic scale. HMc >> [[A urodynamic study is performed introducing a pressure transducer >> inside the blader per urethram, as well as a filling catheter. [quoted text clipped - 19 lines] > > HMc Howard...As for simple uroflows, I can void into a container and use a watch, and get an average flow rate just as good, except I don't get the pretty little printout with the graph that costs a couple hundred dollars, and the insurance company may pay a quarter of that :-) . Pete > Howard...As for simple uroflows, I can void into a container and use a > watch, and get an average flow rate just as good, except I don't get the > pretty little printout with the graph that costs a couple hundred dollars, > and the insurance company may pay a quarter of that :-) . That machine will draw an accurate graph of flow vs time. The shape of that curve reflects bladder and detrusor function and that's what makes this most basic version of urodynamic evaluation more useful that just average flow rate. HMc >> Howard...As for simple uroflows, I can void into a container and use >> a watch, and get an average flow rate just as good, except I don't [quoted text clipped - 8 lines] > > HMc I know that Howard. That's why I said *average* . The average flow is a damn good indicator for any kind of blockage. >>> Howard...As for simple uroflows, I can void into a container and use >>> a watch, and get an average flow rate just as good, except I don't [quoted text clipped - 11 lines] > I know that Howard. That's why I said *average* . The average flow is a > damn good indicator for any kind of blockage. But it gives NO information about basic bladder function and therefore doesn't allow a clue about weak detrusor function vs urethral obstruction. My point is that that pretty little $200 printout provides much more useful information than you standing there with a stopwatch. HMc >>>> Howard...As for simple uroflows, I can void into a container and >>>> use a watch, and get an average flow rate just as good, except I [quoted text clipped - 18 lines] > stopwatch. > HMc I hear you Howard but I believe the average "joe blow" uro goes by the average flow in ml/sec, and compares it to the norm for your age. The peaks and valleys in the curve can be reflections of you straining, etc, and can be the result of a blockage, and the uro has no way of knowing if its the detrussor muscle versus a possible blockage (and it could be both) without doing a cystoscopy. And the detailed urodynamic studies I mentioned can be used for further analyses if the cysto didn't indicate any blockage. I have been to many uro's (don't like them either as you may guess) and have studied urological and prostate problems at length for many years, and that's the way I see it. My current uro and his partners (all six uro's where I live are in one giant office) don't even know what a PVP is, and that is very sad. So they spend all of five seconds looking at the uroflow printout, and its on to the next patient. And you wonder why I don't like doctors. I notice you have been recognizing some of the (apparent) bad sides of some doctors (based on ng input from patients) in the heartburn newsgroup as of lately. :-):-) ...Pete > I notice you have been recognizing some of the (apparent) bad sides of > some doctors (based on ng input from patients) in the heartburn newsgroup > as of lately. I have always "recognized" that there are bad sides to some doctors, Pete. Just as there are bad sides to some plumbers, grocery clerks, and engineers. HMc >> I notice you have been recognizing some of the (apparent) bad sides >> of some doctors (based on ng input from patients) in the heartburn [quoted text clipped - 4 lines] > and engineers. > HMc I resemble that :-):-) ...Pete > > Here's my story (in detail, hopefully): > > [quoted text clipped - 80 lines] > > HMc HMc, I'll chime in now. I done some research to try to find other causes of obstructive uropathy. Since the OP is only 19 years old it's unlikely that he has an enlarged prostate. These are the only two reports that I could find on the net. I advise the OP to download the reports and to show them to your doctor if they appear to apply to your case (eg symptoms): Dilutional hyponatremia (SIADH) www.healthcentral.com/ency/408/000394.html Acute bilateral obstructive uropathy www.drugs.com/enc/acute_bilateral_obstructive_uropathy.html I am not a doctor. Jason SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. > Dilutional hyponatremia (SIADH) > www.healthcentral.com/ency/408/000394.html [quoted text clipped - 4 lines] > I am not a doctor. > Jason Jason!! You did not disappoint. Thanks for posting the links, although neither has ANYTHING to do with the OP's problem. HMc > Here's my story (in detail, hopefully): > [quoted text clipped - 4 lines] > only little urine would come, and that immediately after finishing > passing urine, and then no more. Khan...You probably don't have BPH since you are much too young, and if you did have it you would probably be retaining, and you are not, per your uro's ultrasounds (even though he told you at first you may have retention - but that was before he did the ultrasounds). You don't indicate that you have any trouble voiding or that you have a constant urge feeling, which is another indication that you do not have a blockage and are not retaining. It does sound like you indeed have some kind of stress incontinence that is being caused by bending, coughing, laughing, etc. I have the same problem but I am 58 years old and most of my stress incontinence was caused by my past surgeries (IMO) - I also dribble in bed sometimes when turning over, etc. I am very careful when I cough or clear my throat :-) . The main shutoff valve for avoiding incontinence is the external sphincter, but there is some assistance from the internal sphincter at the bladder neck (but its main function is to prevent retrograde ejaculation, and it closes involuntarily during ejaculation to prevent backflow). Perhaps you have some nerve anomaly, or your external sphincter is not working properly for some reason that you may never be able to find out, or do anything about. The external sphincter is supposed to stay closed until you are ready to void and it opens by a voluntary signal when you are ready to go. However, even people with normal sphincters may "pee" themselves a little during extreme coughing or exertion, but it sounds like your dribbling is caused by minimal stress, and is not normal. You indicate you are still retaining some urine (even though the basic abdominal ultrasounds say not - but they are not totally accurate), but it may just be a very little amount that is causing the dribbling after you urinate and then cough, etc. You may want to try another uro, and you may want to ask for a cystoscopy, although it doesn't sound like you have BPH or some other kind of blockage, since your ultrasounds indicated no retention. The cystoscopy will let the uro take a look at your bladder as well as your prostatic urethra, so that could help to rule out some other disease process also. I hate to say it but this may be something you have to live, if it is not terribly bothersome. I understand where you are coming from, and you are only 19 years old, and you certainly do not want to wear diapers :-) . I would try another uro, and ask for a cystoscopy, and then go from there. HTH...Pete > Now, only a month ago, I went to a urologist, and told him the above. > He said I had urinary retention and stress incontinence. He asked me [quoted text clipped - 64 lines] > > I'll be waiting for your replies. The ultrasound tests did indicate that I retained much urine. You see, before the test, the doctor told me to completely fill my bladder with water before giving the tests. While waiting for the test, I was so full that if the test-taker had not summoned me for another five minutes, I would have soiled my clothes. Anyway, after scanning for the first time, the test-taker told me to go and empty my bladder, but I couldn't. He then told me again to do it, but I couldn't this time either. Anyway, I remember that after that I had to go to the bathroom some four times, after every 20 mins, to pass urine. This thing happened again I gave the test for the second time. Maybe I didn't mention this to my uro. My stress incontinence is not severe, thank God. Some drops come out ONLY after I would have recently passed urine, but then no more come out until I urinate another time (except ofcourse, I leak some drops at a random time because of retention). I dread crystoscopy because it hurts alot. I've read somewhere that they insert something into the rectum, that's definetly going to hurt. I'd like to ask that whether kegel exercise would help solve retention in future time, or should I also start some other exercise. I think that there's something "weak" there, and needs to be exercised. Thank you all of you for all your posts so far. By the way, you (Pete) said: > I understand where you are coming from, and you are only 19 years old, What do you mean by that, I would like to ask. > and you certainly do not want to wear diapers :-) But I do put an adhesive PVC tape to prevent soil my clothes. > The ultrasound tests did indicate that I retained much urine. You see, > before the test, the doctor told me to completely fill my bladder with [quoted text clipped - 31 lines] > > But I do put an adhesive PVC tape to prevent soil my clothes. Hello again, I suggest that you do a google search for "peripheral edema". Also, visit this site: www.jaapa.com Do a search for "peripheral edema" at that site. They had a great article in the November 2005 issue that was written by Beth E. Schroth. I hope this helps, Jason SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. > The ultrasound tests did indicate that I retained much urine. You see, > before the test, the doctor told me to completely fill my bladder with [quoted text clipped - 7 lines] > thing happened again I gave the test for the second time. Maybe I > didn't mention this to my uro. Sorry Khan, but you are losing me here. The fact that you could not urinate (ie difficulty in getting started) because you drank too much, and you may have overfilled your bladder, is another syndrome (ie you were having trouble getting started because you drank too much and held it too long, etc - and that's not the way the test should have been done IMO- ie not to the point of being uncomfortable). You said that in another ultrasound you had later without the drinking, that the tech picked up no retention after you voided, so I assumed you were not retaining. And you just said you didn't even mention to the uro the problem you had getting started when you drank the water - which was relevant, and I don't understand why you didn't tell him. So what does the damn uro say - does he think you are retaining or not. > My stress incontinence is not severe, thank God. Some drops come out > ONLY after I would have recently passed urine, but then no more come [quoted text clipped - 16 lines] > > What do you mean by that, I would like to ask. I meant absolutely nothing by that, and was merely trying to say that you are young to be having any kind of urinary problems that all of us "old farts" have, and I was sure you didn't want to wear diapers. I meant no harm and am sorry if you took it wrong. I spent a lot of time answering your post and I was trying to help if at all possible...Pete >> and you certainly do not want to wear diapers :-) > > But I do put an adhesive PVC tape to prevent soil my clothes. No, I didn't say that. I said for another ultrasound (without the drinking) the tech did tell me to go and empty my bladder for the second time, which means that I had retained. After THAT test, the uro said that I had not retained. I was trying to tell him, but I don't think he was listening to me. He then asked me how many times I wake up during the night to pass urine. See? He was thinking something else. He thought about frequency incontinence, or whatever that's called. After that he prescribed Detrusitol, for frequency. After the first ultrasound, when I said I had to go to the bathroom four or five times after drinking that much water, the uro told me that's because I had over-filled my bladder, and you say that's another syndrome -- maybe it is. As you may know, the doctors won't listen to the patients carefully. They just listen to the symptoms and then process in their own minds what kind of problem they may be having, and give a medicine accordingly. In my case, he maybe thought I had any of the common problems one might have regarding the urine. They just HAVE to give a medicine. He also never mentioned kegels. > I meant absolutely nothing by that, and was merely trying to say that you > are young to be having any kind of urinary problems that all of us "old > farts" have, and I was sure you didn't want to wear diapers. I meant no > harm and am sorry if you took it wrong. I spent a lot of time answering > your post and I was trying to help if at all possible...Pete Oh no, you've got me wrong. I didn't take it wrong and I know you meant no harm. I was just curious what you meant by "where I was coming from," and you didn't mean it literally, I now understand. You meant, "The PROBLEM you're coming from," right? Probably because of my poor English. I guess I should have affixed a ":-)" when asking that. Thanks anyway for your help. > No, I didn't say that. I said for another ultrasound (without the > drinking) the tech did tell me to go and empty my bladder for the [quoted text clipped - 11 lines] > > As you may know, the doctors won't listen to the patients carefully. I know this very well, and I don't like being shunned, and that is just one more thing I don't like about doctors. Like I said you may want to try another uro. I wrote something else on your adjacent post also...Pete > They just listen to the symptoms and then process in their own minds > what kind of problem they may be having, and give a medicine [quoted text clipped - 17 lines] > > Thanks anyway for your help. > The fact that you could not urinate > (ie difficulty in getting started) because you drank too much, and you may > have overfilled your bladder, is another syndrome (ie you were having > trouble getting started because you drank too much and held it too long, > etc - and that's not the way the test should have been done IMO- ie not to > the point of being uncomfortable). I didn't say I had trouble getting started. I said I couldn't empty my bladder just once. I had to go to the bathroom again after some 20-30 mins, and that three or four times, until the feeling that you want to pee did not come again. >> The fact that you could not urinate >> (ie difficulty in getting started) because you drank too much, and [quoted text clipped - 7 lines] > mins, and that three or four times, until the feeling that you want to > pee did not come again. I see Khan. That does sound like a form of retention, but still of a different scenario from the normal retention being caused by a urethral blockage such as caused by BPH or a stricture. You said you tried to explain it to the uro and he wasn't listening, and that is a shame. If you don't feel comfortable with him try another uro. Like I said you probably don't have BPH because of your age, but when there is a blockage from BPH, or a stricture (eg scar tissue from previous surgery), or something else, you end up with retention even when you don't drink a lot (ie you can never completely empty your bladder - which is bad because the urine can stagnate in the bladder so to speak, and cause bacteria and infection). I'm not sure what is going on in your case and I am not a doctor. But the drinking too much and overfilling your bladder is another scenario (or syndrome) - that could relate to the muscle function of your bladder. It may even be a normal reaction in some people - I believe your uro kind of said that, or implied that. It sounds like you can empty your bladder completely (at least after several tries), since you described the zero retention noted in the second ultrasound you had without drinking. Do you remember this. After you had the second ultrasound when you weren't drinking, and the tech said you had no retention, did you still have the dribble problem (ie the stress incontinence you are describing when you cough or laugh, etc). right after you had the ultrasound. If you did, it may have something to do with your external sphincter (which I described earlier in this thread). In other words you could still be leaking a little even though you are not retaining, or are retaining very little. I don't know what else to tell you right now, other than try another uro if you have access to one. Good luck :-) ...Pete > >> The fact that you could not urinate > >> (ie difficulty in getting started) because you drank too much, and [quoted text clipped - 39 lines] > I don't know what else to tell you right now, other than try another uro if > you have access to one. Good luck :-) ...Pete Pete, This is what you stated your post: >>...it may have something to do with your external sphincter I agree that this the khan's main problem. That means kegels should help him solve this problem--do you agree? I should note that the "water excess" problems might be related to kidney problems. The best book that I have found on this subject is: "Coping With Kidney Problems" by Mackenzie Walser, M.D. (kidney specialist) Jason SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. >>>> The fact that you could not urinate >>>> (ie difficulty in getting started) because you drank too much, and [quoted text clipped - 49 lines] > help > him solve this problem--do you agree? Don't know Jason, I would have to research kegels. But I guess it makes sense, if he has a weak sphincter :-) ...Pete > I should note that the "water excess" problems might be related to > kidney problems. > The best book that I have found on this subject is: > "Coping With Kidney Problems" > by Mackenzie Walser, M.D. (kidney specialist) > Jason There is ALWAYS the dribble problem. I know this because whenever I finish urinating, I put a piece of an electric PVC tape to the opening, to prevent soil my clothes. I don't care what skin problems it can create (if it does), but its thousand times better than washing my clothes. Anyway, when I come out of the bathroom, and if I change from standing to sitting position, or bring my knees closer to my chest, some drops come out (not just by coughing and laughing), and I can feel that. That's it. No more drops come out after that. But I still wait atleast for an hour to make sure everything that has to come out has come out, then I remove the tape and wash the place. After drying it with a tissue, I again put another piece of the tape. Now even after waiting for however long time, if I check the tape, there will be nothing there. BUT, there can be only a few drops, but those sometimes leak at random time because of retention, and I don't feel them leaking. All this is what I'm doing right now, and I've been doing this for atleast two years now. > Do you remember this. After you had the second > ultrasound when you weren't [quoted text clipped - 4 lines] > cough or laugh, etc). right after you had > the ultrasound. Yes, I had that problem, because I saw the tape. The doctor said that I had not retained "not even a single drop", which was far-fetched. How could he tell by looking at that black and white, pitch-darked scan of my bladder that I had not retained "not even a single drop"? You can't tell that even by cut opening the bladder. It may be that I had retained only a little. But there are times when I completely empty it, and there is no residue left on the PVC tape, but this happens VERY RARELY, maybe once in a month, or two, even three. > If you did, it > may have something to do with your external [quoted text clipped - 3 lines] > even though you are not retaining, or are > retaining very little. It is true that I retain a little, but I DO retain nevertheless. Sometimes I retain much, having to go to the bathroom two or three times after that. The things I said above that there is always the stress problem, now its reducing, thanks to God. The reason is kegel exercises, which I've been doing for over a month now. Now when I check the PVC tape after I urinate and wait for an hour, there is a LOT LESS residual urine from before. And also, now a days, when I want to just urinate, without defecating, I feel that I've retained much less urine, and a lot of it has passed. The reason is that while only peeing, I also put some force to make the urine come out even more, but when I defecate also, not much urine passes out, because the force is also used to expel the stool. That's why I said in the very beginning if my problem had anything to do with constipation, which I have it for a long time. You say I should see another uro? The answer is simply no, because if I go to another one, he will ask me to give those tests AGAIN. And I fear same things will happen. And going to another uro means I'll have to go to another hospital, because the one I usually go to has only one uro, the same I checked with. Going to another hospital is not a problem but, I just don't want to go for above-mentioned reason. As you may know, the hospital just tries its utmost to extract whatever money they can from insurance companies. Even if you need to be hospitalized for two days, they'll write three days, to get as much for your insurance company. Really. It happens all the time. Finally, I put all my trust in God (or atleast try to put), and keep doing the kegels. I hope they help with this problem, Godwilling. If you need even more info, I'm ready to give that. Thanks. > There is ALWAYS the dribble problem. I know this because whenever I > finish urinating, I put a piece of an electric PVC tape to the opening, [quoted text clipped - 73 lines] > > If you need even more info, I'm ready to give that. Thanks. klan, I suggest that you visit this site: http://www.prostatecare.com/resources/bph_symptom_assesment.html The survey may indicate that your uretha is obstructed. Since you are only 19, it's unlikely that you have BPH. However, there are other reasons or causes for your uretha to become obstructed. If you want to know those reasons, please let us know and we can provide a list of the other causes. Jason SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. Jason, I just visited it; but when I click the Calculate button, the error 404 error came in. Anyway, I'll post my answers here: 1. Over the past month, how many times have you had a sensation of not emptying your bladder completely after you finished urinating? Almost always Over the past month, how many times have you had to urinate again less than 2 hours after you finished urinating? Less than 1 time in 5 Over the past month, how often have you found you stopped and started again several times when you urinate? Almost always (but I don't really know what the question means. When I feel I've stopped urinating, I put some force to pass some more urine, but not a long flow. And this always happens). Over the past month, how many times have you found it difficult to postpone urination? Not at all Over the past month, how many times have you had a weak urinary stream? Less than 1 time in 5 Over the past month, how many times have you had to push or strain to begin urination? Not at all Over the past month, how many times did you most typically get up to urinate from the time you went to bed at night until the time you got up in the morning? Not at all That's it. Hope this helps too. > Jason, I just visited it; but when I click the Calculate button, the > error 404 error came in. Anyway, I'll post my answers here: [quoted text clipped - 38 lines] > > That's it. Hope this helps too. Khan, I hope that someone else will post their opinions related to your answers. If your urethra is obstructed--it does not appear to me to be a major obstruction which is good news. If you had a major obstuction, you would not have answered "Not at all" to any of the above questions. I encourage you to continue the kegels since it's obvious that you have a weak muscles related to the control of your urine flow. Were you ever involved in an accident or had a head injury? The reason that I ask this question is because I know of one patient that developed problems with the muscles that controlled urine flow as a result of getting hit in the head while he was in a fist fight. It also caused him to become impotent. Jason SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. >> Jason, I just visited it; but when I click the Calculate button, the >> error 404 error came in. Anyway, I'll post my answers here: [quoted text clipped - 53 lines] > fist fight. It also caused him to become impotent. > Jason Jason...those questionnaires (I didn't have to look at them) are boiler plate bullshit, and I wouldn't waste my time with them although you have to fill them out when you go to a uro, as well as other disciplines that have their own questionnaires. I consider them an insult to my intelligence, although I understand the logic. The real questionnaire should be the doctor talking to you and listening to your specific and individual problems and complaints. When you fill questionnaires out like that, most doctors don't even look at them anyway, just as they don't look at the stupid a.s questions in the pages of your history, diseases, past operations, da da da da. I know Howard will disagree with me on this, but I have been to 75 doctors in my life and he has not, so he doesn't know. I would like to have a dollar for every time a doctor asked me something, and I told him I put it on the form I filled out, and he comes back with a half a.s statement like "what difference does it make". Boy that pisses me off. The forms you fill out when you go to a new doctor are mostly bullshit, and the only thing they really care about is your insurance card number. I have seen this over and over in my many visits to different doctors in my life. I went to a nice general surgeon once and I couldn't believe that his girl up front didn't give me any forms to fill out, and I told the lady wow!! She said their practice was to let the doctor get your information in person by talking to you, and I said to myself - wow, a real doctor for a change, and not a friggen robot who doesn't even know your name or who he is talking to. I understand that forms can be useful (eg your past history, allergies, and family incidences of certain conditions, etc), but *only* if the doctor reads the forms you fill out. I believe less than half do. They might glance at them, but they certainly don't take a lot of time to read them. And I believe most of them don't even read the package inserts for the sample drugs the marketers drop off in their office all the time. The key is direct doctor/patient communication and a friendly doctor who indicates he cares about you, and doesn't get pissed because you do research on your disease/condition. I notice the OP (Khan) doesn't have a lot of respect for doctors either, and I can appreciate his concerns he mentioned. I believe our Howard is a good doctor and I have praised him for his contributions to this group and to the heartburn group, and he told me my praises are irrelevant to him - so be it. But I sincerely believe that most doctors are not good doctors (based on my vast experience), and that is my opinion. Pete > There is ALWAYS the dribble problem. I know this because whenever I > finish urinating, I put a piece of an electric PVC tape to the [quoted text clipped - 73 lines] > > If you need even more info, I'm ready to give that. Thanks. Khan...I wish you the best of luck. I don't quite understand what you mean by the tape stuff. I thought you had some kind of absorbent soft gauze type pad you were taping to your shorts (like the mini pads with adhesive on one side). If you are taping real electrical type tape to your penis, that is a very strange thing to do, and I would not recommend it, and I don't see how that would be "water tight" any way unless you are wrapping it around like you were putting it on a radiator hose (just for an example). I think you should stop putting the tape directly on your penis (however you are doing it). Why not try putting a mini pad (with self stick-um on one side) in your shorts. Just a suggestion. If you continue with the tape like you are using it, you may end up with more problems (infection, rash, etc). If you think the kegel exercises are helping keep doing them. Good luck again...Pete > Were you ever involved in an > accident or had a head injury? The reason [quoted text clipped - 5 lines] > was in a fist fight. It also caused > him to become impotent. I wasn't involved in ANY accident or head injury, thanks to God. The reason I may be having weak muscles might have something to do with me sitting at home and not doing anything else. I don't take exercises or do sports (except the kegel exercise, ofcourse). Mr. Pete is right about the survey, I shouldn't have answered those questions in the first place. Where I wanted to say, "Maybe once in a month," I had to select "About 1 in 5"; and where I wanted to say ALWAYS, I had to select "Almost always." I also appreciate his comments on doctors. I didn't know doctors were like that even in America. I guess it means they're like that everywhere in the world. The thing is experience. Doctors don't experience what we, the patients, go through. They know what they read in the universities, and their stupid degrees make them to be called "doctors". > Khan...I wish you the best of luck. I don't quite understand what you mean > by the tape stuff. I thought you had some kind of absorbent soft gauze type [quoted text clipped - 9 lines] > think the kegel exercises are helping keep doing them. Good luck > again...Pete In my opinion, PVC tape is the best thing for my problem. Yes, I cut a small strip and put it directly onto the penis, where is opening slit is. That's it. I don't have to wrap it around. I did that before, but now because lot more less urine leak, one strip can do the job. Buying and keeping pads in a hidden place is a difficult job. There haven't been skin rashes or anything, and sometimes when I pull out the tape little amount of blood come out, but for a small time only. I've got used to this, and its lot better than cleaning my clothes all the time. Well, I'll keep on doing the kegels, and not leave them. It's been only a month, and a lot of improvement. What it will be like after an year. Maybe it will be cured entirely? Insha'allah, Godwilling. Thank you all for your posts. > > Were you ever involved in an > > accident or had a head injury? The reason [quoted text clipped - 51 lines] > > Thank you all for your posts. Khan, I advise you to see your uro. on a regular basis. Ask him to conduct tests to check for Uriniary Tract Infections. I am not a doctor but it's my opinion that you have Stress Incontinence. You may want to do a google search on Stress Incontinence to determine whether or not you agree with me. I realize that elderly people are usually the people that develop this disorder. I don't know the reason why it appears that you developed this disorder at the age of 19. I also encourage you to continue the kegel exercises. If possible, post your blood creatinine and urine creatinine levels. You mentioned in one of your posts that you had fluid retention problems and as you may know--people that have some types of kidney disorders have fluid retention problems so you should encourage your doctor to conduct kidney function blood and urine tests at least once per year. I wish you well. Jason SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. > Hi, > [quoted text clipped - 5 lines] > were normal. Does this have anything to do with constipation, which I > have it for a long time? Stress incontinence AND urinary retention? In a male? And Kegel excercises help? Sounds to me like your problem is obstructive uropathy due to prostate enlargement, leading to overflow incontinence. If that's the case, the key to addressing both your urinary incontinence and your urinary retention is prostate resection (TURP), not Kegels. No, Kegels would not be at all likely to cure your urinary retention. The mechanism of Kegel excercises is to try to help restore the urethrovesical angle in women, where that is the primary mechanism of contininence. Not true in men. In men, Kegel excercises to strengthen the pubococcygeus muscle MIGHT be useful in cases of overflow incontinence due to prostatic obstruction, but not the urinary retention. Just more evidence that your prostate is the culprit, and should be readily addressable. Have you seen a urologist? HMc > Hi, > [quoted text clipped - 5 lines] > were normal. Does this have anything to do with constipation, which I > have it for a long time? Khan...You should go to a urologist and rule out BPH (try the BPH newsgroup also, and go back a couple or three months, and look for some of Dr. Sancha's posts). How old are you. The TURP that Howard mentioned (which is the old gold standard) is being rapidly overcome by PVP, which is less invasive and has less recovery time. If you live in a metro area in the U.S. then PVP should be available. I have had both TUIP and TURP, and I have many uro problems including chronic non bacterial prostatitis, and I can't get into it. Good luck with your uro (you may want to go to a uro that does PVP, and has done more than a hundred if possible - I would check first). If you have BPH, and surgery is indicated, I would recommend the PVP, if your insurance covers it. There is oodles of information about PVP's in the BPH newsgroup. Pete >> Hi, >> [quoted text clipped - 20 lines] > covers it. There is oodles of information about PVP's in the BPH > newsgroup. Pete is correct - "TURP" is a less correct generic term and the state of the art is PVP (green light laser vaporization). I don't know much about it except that our urolgists are doing a bunch of 'em and the results appear quite good. Classic TURP was kind of a problematic operation that was less satisfactory. Then there was balloon compression, microwave ablation, RF ablation. I seem to recall they were using YAG lasers there for awhile too. PVP seems to have addressed (so far) all of the problem with those other procedures. HMc >>> Hi, >>> [quoted text clipped - 31 lines] > > HMc Howard...Urology and BPH and prostatitis/urethritis/cystitis and CPPS are at the top of my studies :-) |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.