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Sugegst Treatment For Chronic Bladder Neck Sphincter Spasm

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Posted on Tue, 3 Jun 2014
Question: How to correct a chronic bladder neck sphincter spasm that's causing near constant unemptying sensation and hoping to heal the pain and tightness that has developed over 6+ years in the pelvis and legs. He is a 33 year old male, 6'3", 210 lbs., diagnosed with chronic pelvic pain syndrome and pelvic floor muscle spasm. Thank you.
doctor
Answered by Dr. dr. Jawahar Ticku (6 hours later)
Brief Answer:
pelvic spasm

Detailed Answer:
Dear XXXX
It is important to rule out if there is bladder neck obstruction which gives unemptying sensation. Bladder neck obstruction needs correction by dilatation of the passage or surgical measures to relieve the constriction. If the pathological condition is ruled out and there is only pelvic muscle spasm one needs reassurance, adequate mental and physical rest complete stress free atmosphere, adequate fluid intake, less of high calorie and fatty diets, yogic exercises and may be some muscle relaxant drugs. Also weight reduction measures are also required.
As the pelvic muscle spasm is a chronic process and thus will go gradually if the above measures are adhered to.
Truly,
Dr. J. Ticku
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. dr. Jawahar Ticku (7 hours later)
Surgery was done to open the bladderneck obstruction, but the sphincter spasm continues. Stress free living is very hard to obtain. Would psychiatric treatments along with hypnotic measures to help relax, could that be a way to try while working on diet and healthy lifestyle?
doctor
Answered by Dr. dr. Jawahar Ticku (2 hours later)
Brief Answer:
Bladder neck spasm.

Detailed Answer:
Dear XXXX
Thanks for reverting. I think after surgery it needed dilatation. yes hypnotic measures, psychological counselling and yogic exercises could be tried to achieve relaxation along with working on your diet schedule.
Truly,
Dr. Ticku
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. dr. Jawahar Ticku (7 hours later)
May I ask your opinion on botox injections or does that cause even more problems?
doctor
Answered by Dr. dr. Jawahar Ticku (8 hours later)
Brief Answer:
bladder neck obstruction

Detailed Answer:
Dear XXXX
Botox is actually used to tighten the muscles which are loose. You are already having spasm and this will aggravate your problem.
You need physical and mental relaxation. You can also try to immerse your bottom in tolerable hot water tub.
truly,
Dr. Ticku
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. dr. Jawahar Ticku

Oncologist

Practicing since :1979

Answered : 489 Questions

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Sugegst Treatment For Chronic Bladder Neck Sphincter Spasm

Brief Answer: pelvic spasm Detailed Answer: Dear XXXX It is important to rule out if there is bladder neck obstruction which gives unemptying sensation. Bladder neck obstruction needs correction by dilatation of the passage or surgical measures to relieve the constriction. If the pathological condition is ruled out and there is only pelvic muscle spasm one needs reassurance, adequate mental and physical rest complete stress free atmosphere, adequate fluid intake, less of high calorie and fatty diets, yogic exercises and may be some muscle relaxant drugs. Also weight reduction measures are also required. As the pelvic muscle spasm is a chronic process and thus will go gradually if the above measures are adhered to. Truly, Dr. J. Ticku