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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Acute Bladder Dysfunction Requiring Catheter To Empty Bladder?

Hi,

One year ago I developed acute bladder dysfunction literally overnight. Had to void every 15 minutes and self catheterise to empty the 200-300mls I was retaining. I was commenced on Oxybutin and told to try and void every 90 minutes which was almost impossible. Within 3 weeks I started to leak urine. Urodynamics showed no sign of OAB and cystoscopy was negative. At present 1 year on, I void up to 25 times a day. Only pass a maximum of 150mls with complete bladder emptying and can go every 30-60 minutes most days.

I am presently on the trial for Sacral Nerve Stimulation and have had the stimulator in place for 1 week with no change to symptoms whatsoever.

Looking for a possible diagnosis so that I can hopefully receive the correct treatment as I cannot continue to live this way. I would be grateful for any advice.

Julie Nelson
Fri, 27 Apr 2018
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General Surgeon 's  Response
Hello,

The possible issue here is neurological bladder with multiple factors like nerve compression at the spinal level, autoimmune-mediated mechanics, and others.

I would recommend consulting with reports of cystoscopy and urodynamics for further guidance here.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel
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What Causes Acute Bladder Dysfunction Requiring Catheter To Empty Bladder?

Hello, The possible issue here is neurological bladder with multiple factors like nerve compression at the spinal level, autoimmune-mediated mechanics, and others. I would recommend consulting with reports of cystoscopy and urodynamics for further guidance here. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel