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Suggest Treatment For Weak Bladder Muscles

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Posted on Thu, 21 Jan 2016
Question: Hello sir ...I have problem of weak flow rate of urine ...I don't hve any prostate problem I don't have any cystitis ...doctor says bladder muscle has got weak...nd they say that they dnt knw the reason... I am suffering this since 1 year...he recommended me to take 1 tab of Alfoo 10 mg daily ...
My all test reports r normal except dis weak flow rate of urine ...nd I hve to do urine vid applying little force ..
Frequent utination is dere
Please advice me wat to do as I feel really discomfort of dis problem
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
need to evaluate further .

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that your urine flow is weak and have to appy force to pas urine .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Have you done radiological test of Retrograde Cystourethrogram to rule out Stricture of urethra?
2-) Have you done Uroflowmetry and what is the average urine flow per second?
3) Did you have any pus discharge from penis in recent past ?
4) Did you have unprotected sex with uknwon woman ?
5) Have you consulted Urologist and have undergone endoscopic examination of Bladder and urethral passage (Cystoscopy)?

Please do write and upload reports of all the test done so far so as to help me in making precise comments on your problem .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (23 minutes later)
No sex in past , no pus, have not done cystoscopy nd radiological test
I have consulted urologist nd have done uroflowmetry test nd urodynamic study also
In uroflowmetry test urine flow is very weak nd graph made by that was not curve ...it's like up and down .. Constant motion was not dere nd tuine stream was weak
Den they did urodynamic study ..their. They saw flow rate is weak ...and saw that capacity of bladder is less...
Nd muscles are weak
I am in merchant navy sir ... I dnt hav reports now ..reports are at home ..
I would be very thankful if u suggest me something to do ....
I will come to XXXXXXX in April ...still 4 months to go ...but vid dis problem m feeling uncomfrtble
Frequent urination ..not able to sleep properly ...alwyz feel discomfort in lower abdomen
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
Need to get Retrograde Cystourothrogram done to rule out Stricture urethra.

Detailed Answer:
Hello
Thanks for feedback and follow up .

Based on the report of small capacity bladder , urodyanemic evaluation and uroflowmetry you need to do further tests like Retrograde Cysto Urothrogram to rule out narrowing of urinary passage (Stricture Urethra) which is possible only when you will be back in XXXXXXX .

Till then you can take Cholenergic drug like Urivoid twice daily and Tomsulosin once daily .This will help to increase magnitude of contractions of bladder muscles and improve urine flow .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (16 hours later)
Ok sir noted ur prescription
So my problem is frequent urination 15 times a day
Hesitancy in starting
Have to apply force to start urine
Alwyz feel discomfort in lower abdomen nd down dere

Please confirm sir does this problem increases with masturbation ,
Does this affect sex life ,
Also confirm sir is this te very serious problem
Will this problem get cured or it will stay for life long
Will this problem affect in erection or weaken the muscle ??
Please answer these question sir .. Would b highly thankful to you
doctor
Answered by Dr. Dr. P. T. Patil (28 minutes later)
Brief Answer:
Read detailsanswer below

Detailed Answer:
hello
Thanks for follow up .
Here are answers to your queries
1) Masturbation may not enhance this problem but there will be a pain while ejaculating .
2) It will not affect sexual life
3)This is not a serious problem and can be cured with appropriate treatment
4) This will not affect erection.

Thanks and Regards.
Dr.Patil.
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. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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Suggest Treatment For Weak Bladder Muscles

Brief Answer: need to evaluate further . Detailed Answer: Hello Thanks for your query ,based on the facts that you have posted it appears that your urine flow is weak and have to appy force to pas urine . I shall be happy if you can post me few more details to help me in making comments on your problem. 1) Have you done radiological test of Retrograde Cystourethrogram to rule out Stricture of urethra? 2-) Have you done Uroflowmetry and what is the average urine flow per second? 3) Did you have any pus discharge from penis in recent past ? 4) Did you have unprotected sex with uknwon woman ? 5) Have you consulted Urologist and have undergone endoscopic examination of Bladder and urethral passage (Cystoscopy)? Please do write and upload reports of all the test done so far so as to help me in making precise comments on your problem . Thanks and Regards. Dr.Patil.