Get your Health question answered in 3 easy steps

180 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Had endoscopy for removing urethra valve. Diagnosed with extended bladder. Using catheter, severe fatigue. Related?

Answered by
Dr. P. T. Patil


Practicing since :1971

Answered : 9746 Questions

Posted on Mon, 20 May 2013 in Urinary and Bladder Problems
Question: Hi, My father had endoscopy done two weeks ago to remove a urethral valve and was also diagnosed with an over extended bladder. He is now home with a catheter to ensure that his bladder rests and hopefully recovers so that he can empty his bladder again. But he is complaining of severe fatigue since the surgery and the urologist has been dismissing it as mental anxiety. What could be the cause of his extreme fatigue? This morning he almost blacked out and fell down.
Answered by Dr. P. T. Patil 56 minutes later
Thanks for your query.Based on the facts that you have posted it appears that your father has undergone endoscopic surgery .I assume that he has undergone Trans Urethral Surgery for enlarged Prostate(TURP), which is common at this age.(You have mentioned valves in your query but valves are common in childhood) .I shall be happy you clarify this statement.

Normally the tone of the bladder musculature is reduced if patient has long standing outflow obstruction due to enlarged prostate.He has indwelling catheter kept to drain his bladder and to give rest to bladder so that bladder tone will regain in few weeks time and he will be able to pass urine freely.

His fatigue and weakness could be due to his diabetes and hypertension which fluctuates after any major surgery..Please get his blood sugar level test done to confirm whether it is well controlled or not and consult qualified General Physician for assessment and further treatment.. He should be fine with vitamin supplements in 2-3 weeks.

Hope I have answered your query.
Please feel free to ask if you have any more questions I shall be happy to help you.
Thanks with Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. P. T. Patil 11 minutes later
Thanks Dr. XXXXXXX

Yes, he went through TURP to make an incision on the prostate and the urologist also removed a valve that he mentioned could have been in the urethra since childhood. He also found a diverticulum and made an incision on the mouth of the diverticulum to make it larger so that there is no residual urine in the diverticulum.

He prescribed Urotone (twice a day) and has an indwelling catheter for about 4 more weeks to give rest to the bladder. His urine retention was around 1000 cc before surgery and also immediately after surgery. The urologist is now suggesting self catherization as the only option if the bladder does not recover. Are there any other options we can consider?

Also could his fatigue/weakness be due to UTI that he may be developing because of the bladder? He has started complaining about some pain in his lower back.


Answered by Dr. P. T. Patil 40 minutes later
Thanks for follow up.
He had chronic retention of urine due to long standing outflow obstruction due to enlarged Prostate.
He has to be on catheterisation for a long time .Sometime it takes more than 6-8 months for bladder to regain its tone.
It is cumbersome to keep catheter through urethra for such a long time .Hence I would suggest to discuss with your Urologist for feasibility to put catheter through supra pubic route.(S.P.C).If I would have been his treating doctor I would have put him on S.P.C

This will avoid UTI and he will have free movements and normal routine activities.
Thanks And Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Lab Tests
Medical Topics

Recent questions on  Urinary retention

doctor1 MD

I had bladder cancer and underwent a surgery to remove the bladder. A neao bladder was created that allowed me to urinate normally. Some prostate was also removed. Since surgery I have lost erection which is causing depression. What can be done to regain erection. Viagra did not work. Thanks a million.

doctor1 MD

My father had prostate and it is diagnosed that it is cancers and was operated 10 years ago the doctor told that he has removed the cancer but could not operate the prostate because of come complication .After the operation the doctor under gone Cystoscopy test every year for 5 years after the operation and found no sign of cancer reformation after 10 year he has urinary infection with temperature he took antibiotics and also ultrasound was conducted and found that a little enlargement in prostate is there doctor advised to take medicine as there is not significant enlargement of prostate .After taking medicine he was cured and urine test it is found the inflection is gone and now after 20 day he has again have urinary infection can u please give me the reason ?

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...Every time I pass urine there is a strong smell of rubber or burning smell! I also am suffering from lower back pain and pain around my hips and am feeling extremely tired. I am 42 years old

doctor1 MD

Until recently (age 45) I witnessed precum only if exceptionally aroused during long intercourse or masturbation. Since some months precum is always present with simple excitation. Further, sometimes this comes with a feeling of rectal (prostate?) stiffness. Latest PSA figures were normal. Could this indicate a pathological problem or it can have to do with aging?

doctor1 MD

im on 20 mg of viibryd . 100mg seroquel . 80mg nexium 10mg baclofen hard to start peeing. no blood no pain. ?

doctor1 MD

Can Hemorroids cause me to urunate much more often? I am drinking lots of water to loosen stool? Thanks

doctor1 MD

Hi. I am 27 years old. Female. Semi-alcoholic, taking 3mg xanax/day and around 30mg dalmane/day. Those have not been addiction related. I'd say maybe two drinks every few nights long term, some xanax every few days (1-3mg) and same with the...