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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Had Major Spinal Operation. Failing To Urinate. On Vesicore. Do I Have Cordia Equinas Syndrome?

Hi , I m a 63 year old female. In May 2010 I had a further major spinal operation, and unfortunately straight after I realised I could not pass urine at all. I had the feeling to go and got more and more uncomfortable going into retention every time I tried. This continued, and I was told when I asked it was prob a urinary infect, or just taking the bladder a bit longer to recover, (up to 6 weeks I was told). I was discharged after being instructed on SC, and I focused on being well after this initial 6 week had elapsed?? A very good friend (Pharmicists Wife) brought me an article all about Cordia equinas Syndrome (CES) and I virtually diagnosed myself!! I took this article to my Surgeon to see if he knew of this CES, and he said to me, well that s what youve got !! NOBODY to this point had told me an actual diagnosis or reason for my retention. I am on Vesicore 10mgs, but recently from the internet read a story from another lady who was taking Flomax, and due to that she was no longer having to self catheterise, and urinated normally!!! Do I go to my GP and request to try this medication , would it benefit me. Although I am 63, I am very active, motivated, enjoy life, walking, dancing and due to now having a Spinal Transmitter in place, have a new lease of life !!!! So My only problem now is the water works. I can easily get caught short and need to go immediatlely to the loo!!! I carry a card which enables me to access any toilet facilities wherever I may be, but that in itself is embarressing to ask to use??? I would even offer to be a guinea pig for any research that would benefit me or many others in my situation, to give me a better more Feminine way of life!!! I would appreciate your valued comments Many Thanks Ursula McCready ( YYYY@YYYY )
Mon, 5 Aug 2013
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Urologist 's  Response
Hello
Thanks for your query.Based on the facts that you have posted it appears that you have undergone major spinal surgery .You have not mentioned the reason or disease for which you have undergone this surgery.
In majority of cases bladder problem developing after spinal surgery are due to damage to the nerve supplying bladder muscles.called as (Neurogenic Bladder)

It takes long time for bladder to regain tone and strength to pump the urine to initiate urination.

The role of medicine that you have mentioned is very limited in your case..

You have to continue with clean self intermittent catheterization (CSIC) till your bladder regains its tone.

Please take care to avoid getting UTI.
Dr.Patil.



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Had Major Spinal Operation. Failing To Urinate. On Vesicore. Do I Have Cordia Equinas Syndrome?

Hello Thanks for your query.Based on the facts that you have posted it appears that you have undergone major spinal surgery .You have not mentioned the reason or disease for which you have undergone this surgery. In majority of cases bladder problem developing after spinal surgery are due to damage to the nerve supplying bladder muscles.called as (Neurogenic Bladder) It takes long time for bladder to regain tone and strength to pump the urine to initiate urination. The role of medicine that you have mentioned is very limited in your case.. You have to continue with clean self intermittent catheterization (CSIC) till your bladder regains its tone. Please take care to avoid getting UTI. Dr.Patil.