Got the results from the urodynamic testing I had done last week, they concluded the bladder is shot and I will need to self catheterize for the rest of my life.....
This is the report.
RETENTION:
Pre- CMG PVR 11 mL post self catheteriation, no record of pre-cath residual.
Post-CMG PVR 767 mL residual
SENSATION/CAPACITY:
*First sensation: 164 mL
*First desire 203 mL
*Strong desire 497 mL
Actual bladder capacity 767 mL PVR
URINE LEAKAGE:
No stress urinary incontinence:
No leakage with cough or Valsalva at 497 mL fill volume
No uninhibited contractions or urge incontinence.
PRESSURE flow studies:
At 497 mL fill volume, no void,
Max pDet 10 cm water pressure,
Max pPAbd 1 cm water pressure--no abdominal straining.
No classic obstruction and no void with elevated residual
ASSESSMENT/CMG findings:
No classic obstruction, no void, positive sensation, large bladder capacity,
Elevated post void residual and large bladder capacity with need for bladder
decompression with catheter.
PLAN:
Instructed him that he is to do regular CIC every 6 hours to keep the urine
residual volume down to 300 mL or below and give him an explanation what today's findings were that his bladder does not work and he retains urine he needs to self catheterize indefinitely.
Was a bit disappointed, have been doing self catherization for a year and was thinking things were getting better. Since the testing I started keeping track of the PVR's again and they were running 500+ ..funny didn't feel that full. I guess I have a nuerogenic bladder...as suspected