UROLOGY

[Avadhhot]

Is there any cure for distended bladder?
Or the only solution is catheterisation.

I am 66 years 8 months old . Underwent Total knee transplant ( Both knees) on 18th June, 2015. Sent for Sonography on 25th June, 2015. Diagnosed as "Both kdneys swollen showing nephrosis and overdistended bladder". Catheterized immediately . Urine test showed baterial infection. Put on heavy antibiotics  Costilin 1gm administered every 8 hours till 2nd July. Catheter removed on 2nd July, 2015 but after 8 hours Scan showed about 400 ml urine accumulation in bladder. REcatheterized. Discharged from hospital on 4th of July with Catheter in position. Called to hospital on 23rd July. Catheter removed and scan machine showed after 6 hours accumulation of 240 ml of urine. Recatheterized and discharged.
Sonography also showed Prostate gland normal in size,

Meanwhile, undergoing daily physio sessions for recovery of knee joint and calf and thigh muscles.

Question is : Is there any cure for overdistended bladder and the subsequent urine retention in bladder inspite of being able to pass urine naturally?

Knees are expected to get back to normal in another two weeks. Catheter is a nuisance expecially during physio sessions.

Urologist has not been communicative as to what he has in mind for me but just says we have to wait for another month  

[ipurr2]

although our stories are quite different...I had my bladder distended for IC and do truly regret that...I struggle with spasms in all the muscles of my pelvic floor which make it sometimes really hard to do normal bodily functions...unfortunately sometimes the Dr.'s do not understand how this affects our quality of life!

I did finally have the interstim device put in which is what I believe Tmdcedar is speaking about...I am glad I did it in that I did not realize just how painful my bladder was until it was gone thanks to that little device....although now I am 6 months out from having it put in and the something is wrong with it and it caused excruciating pain down my legs to the point I could hardly walk...but with setting adjustments I am doing better was sent for x-ray and will see the Dr. in a week to figure out the next step...I hope to keep the device in because it has been helpful in calming my bladder down but it does come with risks that they do not tell you about such as my above experience mentioned...so it's a really tough call! Other things I do for the pelvic floor dysfunctions (spasms) is rectal valium but it does make me sleepy, elevating my knees above my hips while laying around because this forces everything in the pelvis to relax and heated rice packs will sometimes allow things to relax enough for me to be able to do what I need to do....When I first come out of the many surgeries I have endured and they take the cath out it's really hard to pee and I find the warmer I am the better it goes as well as running water while trying to pee...Because you did just have surgery hopefully things will improve and maybe one of the above things will help you figure things out...although I know our situations are quite different but just want to share this info with you...also...if you feel your urologist is not hearing you and helping you...seek another opinion for another urologist! I have seen more dr.'s then most can even begin to imagine because so many just dismissed my issues and allowed my body to break down and now I pay for it...not that life is bad...it's not, but it would have been easier had I known then what I know now in being in the "medical system" good luck!

[tmdcedar]

I have same problem with my bladder.  As a result of enlarged prostate many years ago, I damaged the muscles in my bladder and for 10 years i used Urecholine which helped until that stopped working.  For the past 10 years I have been self catheterizing using a coloplast intermittent catheter every 4 hours.  No need for indwelling catheter.  I learned that an implant in your body similar to a defibrilator can stimulate the bladder muscle and force the water out like normal.  I chose not to do this.  Some tests have been going on to do bladder transplant but very invasive, and at my age, I choose to use the catheters..I am used to doing it and it's really nothing.  I hope you can find an answer that works for you.