BLADDER EMPTYING DISORDERS
What is bladder emptying disorder?
It is a medical condition when the bladder doesn’t empty completely, due to which the patient feels persisting need to urinate.
The following factors can lead to bladder emptying disorder:
- Weak bladder muscle, which makes the contraction of the bladder muscle, necessary for emptying of the bladder, difficult.
- Scarred or weak bladder neck, which is not able to relax properly so as to force urine past it
- Nerve damage
- Fibroids - Small outgrowths inside the bladder.
- Prolapse - Bladder descending into the vagina and protruding out.
- Medications such as antidepressants
When to approach the doctor?
When the patient starts showing the following symptoms its advisable to see a doctor:
- Urgency of urination
- Frequent urination
- Nocturia - Frequent urination at night
- Overflow incontinence
- Bladder pain
- Physical exam - To check for any physical and/or physiological deformities
- Urine test - To check for any abnormal components and/or infection
- CT scans
- Use of bethanechol, which increases the force of bladder contractions
- By removing any obstruction in the urethra
- Use of catheters (thin, flexible hollow tubes to facilitate passage of urine from the bladder)
Treatment may vary from person to person, depending upon the nature of the problem, age of the patient and overall health.
- After surgery, the patient will be asked to urinate to test the response of the bladder and urethra to the surgery.
- An overnight stay is rarely needed in case of a laparoscopic surgery. However, in case of a major open surgery, the recovery period is considerably longer.
- There might be mild pain in the abdomen after the surgery, which is normal
- The doctor should be reported to periodically after the surgery, to check for proper functioning of the bladder
- Any bleeding or abnormal discharge should be immediately reported to the doctor