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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why having pain in rectum and urge to urinate after laproscopic assisted vaginal hysterectomy?

I had several surgeries performed: laprascopic assisted vaginal hysterectomy, bilateral salpingectomies , removal of ovaries, fascism suburethral sling, anterior and posterior repairs, vaginal colpopexy, insertion of supra pubic catheter, cystourethroscopy. I had to work at retraining my bladder. The catheter came out after twelve weeks, only because I can urinate with a weak stream with having my rectum supported on the toilet seat. I have pain in my rectum (pelvic floor??). When I urinate and sit in the position of being supported, a slow weak stream comes out. Then I have to keep returning to the bathroom to go over and over again. The surgeon said everything is where it should be. Am I being impatient with the pain and the many urges to urinate? Should I fill my bladder? Should I just drink regularly and not try to drink a lot all at once? Could there be nerve damage? Could this all just be taking a long time to heal? I am beside myself now with worry. If there is nerve damage, can this repair itself? Could it be pelvic floor spasms? i know these are a lot of questions, but I had this surgery to feel better, not worse. Thank you. Kate
Fri, 4 Oct 2019
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General Surgeon 's  Response
Hello,

Urgent urination describes an overwhelming need to get to a restroom immediately. It may be accompanied by pain or discomfort in the bladder or urinary tract. Urinary tract infections are the most common cause of frequent or urgent urination.

Other causes include: drinking too much liquid, drinking caffeinated or alcoholic beverages, diabetes, pregnancy, especially in the third trimester, when there is pressure on the bladder medications, vaginal infections or prostate enlargement.

It’s possible that frequent or urgent urination could be normal for you if you don’t have other symptoms.

The treatment plan for frequent or urgent urination is largely dependent on the cause. Antibiotics can help treat infections. Lifestyle changes such as monitoring liquid consumption and urine output or adjusting medications can help some people.

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

Take care

Regards,
Dr Iven Romic Rommstein, General Surgeon
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