Re: kegels can cure urinary retention?

Howard McCollister wrote:
<khan03@xxxxxxxxx> wrote in message
news:1145056928.740842.100050@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
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.


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

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



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