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Can Urge Incontinence Be Completely Treated While On Medication For Type 2 Diabetes, Hypertension, And Glaucoma?

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Posted on Tue, 22 Nov 2022
Question: When my husband has to urinate it comes on quickly and he has to actually hold it or it will start to flow before he gets to the restroom. Once it starts flowing he can not stop it. Sometimes he can not stop it, also he sometimes cannot feel it when it starts until it reaches his leg. We have gone to the urologist regularly, done any test we could, taken 2, sometimes 3 meds at a time and nothing seems to work. He is really getting
frustrated about not able to get any answers. He is type 2 Diabetic, also has glaucoma, and high blood pressure. He has 2 injections of insulin daily and Trulicity 7.5 weekly injection.
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Answered by Dr. Anders Mark Christensen (19 minutes later)
Brief Answer:
It could be neurogenic bladder.

Detailed Answer:

Hi,

From what you describe, it could sound like diabetic neurogenic bladder syndrome. It is important to characterize the problem before medicine is initiated. If urgency and an overactive bladder is the problem, anticholinergics or botulinum toxin may be the way to go. Cholinergic drugs may be indicated if the problem is a flaccid bladder. Other options include catheterization or possible sacral nerve stimulation.

Regards
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
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Dr. Anders Mark Christensen

General Surgeon

Practicing since :2016

Answered : 1563 Questions

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Can Urge Incontinence Be Completely Treated While On Medication For Type 2 Diabetes, Hypertension, And Glaucoma?

Brief Answer: It could be neurogenic bladder. Detailed Answer: Hi, From what you describe, it could sound like diabetic neurogenic bladder syndrome. It is important to characterize the problem before medicine is initiated. If urgency and an overactive bladder is the problem, anticholinergics or botulinum toxin may be the way to go. Cholinergic drugs may be indicated if the problem is a flaccid bladder. Other options include catheterization or possible sacral nerve stimulation. Regards