I just want to confirm what jimjames is saying here regarding urodynamics testing. I had exactly the same experience where they loaded me up to a litre and then I could just pee 100ml from all the pressure. The uro wanted to do a prostatectomy on me the next day but I knew from self-cathing that my real retention and volumes were much less. Personally I would stay away fom urodynamics testing. Neil
That little crazy. When I was in the hospital They gave me 2000cc of fuild and told me I should have a out put now. I told them that I did not need to go then. The doctor was mad had 2 nurses come in and try to cath me. Never told me what was going on abut they never got it in I pee on my own 4 hours later. some me can hold more then others. Ken
Neil,
A real cautionary tale! I wonder how many thousands of people didn't have your knowledge/wits (and guts) to say no the operation. So many just follow their "eminent" doctors blindly figuring that with their reputations they know what is best for you.
Jim
Kenneth,
What was the reason they wanted urine output from you?
Jim
Parece-me que os urologistas estão usando o exame de urodinâmica como uma forma de convencer os homens a fazer uma TURP ou remoção da próstata desnecessária, especialmente quando o médico tem um pagamento de barco para fazer. Eu me pergunto o que aconteceria se você pegasse um homem perfeitamente normal, o carregasse com um litro ou dois de água e então lhe desse o exame? Parece-me que ele iria falhar e seria informado de que precisa de uma TURP, AMANHÃ!
Neal
I had sepsis and they wanted to see if the infection was in the urine. At the time I did not need to go but they said that I should be going with 2000cc of fluid that they gave me. The doctor told me that I have something wrong with my bladder or kidney They try to catheter me 3 times. 2x in the ER never even asked and when I went to my room 3 nurses try to put one in. Even when I said no. The RN said they did not hear me. Now when I go I carry a file with me that has all my information. You don't have my permission to do anything unless you get my persmission After I got to my room I peed on my own a hour later Ken
It seams like this test sets a man up to fail ot men. Some men can hold more then others. They need to be more prepared and say no ken
Hi Kenneth,
Well, now it makes perfect sense. So the docs need a urine sample for some testing but at the time the nurses arrive the patient can't produce a sample. So they have a couple of options:
Option 1: Excuse themselves and tell the patient they will be back in 30 minutes so the patient can try again.
Option 2: Tell a patient with perhaps an already compromised bladder to force down a half gallon of fluid. When the patient still isn't able to urinate (because their bladder is now artificially pumped up like a balloon which would make urinating difficult for even a race horse) the doctor makes a spot diagnosis based on lack of knowledge of how a compromised bladder functions and they try and catherize patient TWO TIMES in the ER without asking and then ONCE AGAIN back in the room against the patient's wishes. (Maybe they should watch a YouTube video on how to insert a catheter or read some of the posts here?)
Option 2 is why unless it's absolutely necessary, try and avoid going to a hospital. But if you do have to go, try and have a knowlegeable advocate with you and/or take Ken's advice and make sure they know they don't have permission to do anything to you unless they have your permission. A good attorney on speed dial also isn't a bad idea.
Jim
Thanks Jim - my warning to all men is to resist tests recommended by the uros unless they are totally benign tests. They wanted to do another one to me that measured the detrussor muscle tension. It was totally medieval.
I just read some research papers by "eminent" uros that said atonic bladders cannot be reversed by self-cath because once the collagen forms in the smooth muscle walls it cannot be removed. They need to read this Forum!! Neil
Right on Ken my friend. After they loaded me up I asked them if I could run around the building outside for a few minutes. When I came back in I peed great but the nurse would not record it and just wrote I had 90% retention!
Jim It would have been one thing to come and tell me what they needed. never had a catheter before. I was scared had 103 fever The doctor just told me I could have died. They just came in and told son to leave That will never happen to me again Guys make sure they have your permission to anything Remember you have the right to say NO even to the doctor Ken
Thanks Neil That nurse was wrong to do that See how some are Ken
My "eminent" urologist told me the same thing. I no longer see him, but have been tempted to make an appointment, let him bladder scan me in his office, and then tell him what he told me a few years back, which was something like, "yes, when pigs fly you will be able to empty your bladder without an operation or a catheter".
BTW if you have a link to that research paper can you post it or send it to me via PM. Thanks.
Jim
Olá Randy,
Antibióticos de longo prazo podem causar efeitos colaterais. A ciprofloxacina e a lanolina são medicamentos de último recurso, embora os médicos os prescrevam sem procurar outras opções. Há um fórum separado sobre isso aqui.
Então, converse com um urologista. Antibióticos são bons para curar infecções urinárias, mas não tenho certeza se são eficazes para preveni-las.
Olá Jim, Neil, por favor, publiquem para todos nós.
Olá Ken,
Meu primeiro cateter ficou por 3 meses, pois eu tinha um bloqueio completo. O urologista o retirou para ver se eu conseguia urinar.
Em duas horas, fiquei inquieto, com vontade de urinar, mas nem uma gota saiu. Fui à emergência. Quando colocaram um novo cateter, já haviam se passado 5 horas. O volume de urina no saco foi de apenas 200ml, mas minha bexiga estava cheia e, na última hora, senti muita dor, só querendo que o cateter entrasse para drenar.
O que isso significa? Minha bexiga está fraca? Seu urologista pode esclarecer isso?
Hi Jim,
You can access the paper on PubMed - it is free to download.
The title is "Effect of partial bladder outlet obstruction and reversal on rabbit bladder physiology and biochemistry : duration of recovery period and severity of function", 2014 BJUI. Authors M. Jock, ....R.M. Levin.
By "reversal" they mean CIC. Please see last paragraph of summary at end on page 953 which states that jimjames must just be imagining the whole thing! Neil
Devo estar imaginando minhas melhorias também? {smile}
Minha compreensão de uma das principais razões para um exame de urodinâmica é verificar a capacidade da bexiga de expulsar a urina e a força com que ela pode fazê-lo. Meu urologista me encaminhou para o teste por esse motivo e não para verificar a retenção, que eu já sabia ser de 1000ml. Por essa razão, consideramos o exame muito útil, por isso discordo de muitas das postagens acima. A retenção pode ser medida por ultrassonografia.
Hi Neil,
For some reason, I'm not getting a "summary" on the full-text portion, do you mean "results"? If not, maybe you can just copy and paste the paragraph in question.
In any event, interesting but not convincing. Might have missed some stuff with a fast read but sounded like their final evaluation was only 12 weeks out. My signficant improvement was after 52 weeks, so perhaps more time may be needed to see a decrease in collegen levels. Also, it was probably too difficult to teach the rabbits how to self catherize, so we may be comparing apples to oranges or in this case rabbits to people
Jim