Brief Answer:
It may be Postmenopausal Bladder Neck Stenosis.
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have painful urination ,
urge incontinence.
This is may be mainly doe to repeated episodes of UTI secondary to what is called as Post Menopausal Bladder Neck Stenosis.
In females after
menopause there is atrophy of genital and urinary organs resulting in to narrowing of urinary passage (Urethra) causing incomplete emptying of bladder thereby resulting into stagnation of urine in bladder.
This stagnated urine is the reason for getting repeated episodes of UTI.
Please consult qualified
Urologist for clinical evaluation and get following basic tests to come to conclusion.
1) Urine routine and urine culture.
2) Endoscopic examination of bladder (
Cystoscopy) .
3)
Ultrasound scanning of abdomen to detect post void urine volume
In the mean while take Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like
Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.
Use of anti muscuranic drugs like
Solifenacin orDarifenacin will help to control your urge incontinence.
You may need to get endoscopic procedure of Urethral Calibration to widen the bladder
neck and will be decided by Urologist .
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
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