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I Am A 79 Year Old Male. Uninary Retention Began
Question: I am a 79 year old male. Uninary retention began following neck problem, worsened for three years then ability to urinate stopped 25 months ago and use catheter three time per day. I asked my doctor if I should continue my Tamulosin and was told "sure, why not". A neurologist I saw recently questioned that response. I need an opinion on whether .4 mg dosage of Tamsulosin is recommended for intermediate catheter users or not. Does the dose ease passing the catheter into the bladder?
I am a 79 year old male. Uninary retention began following neck problem, worsened for three years then ability to urinate stopped 25 months ago and use catheter three time per day. I asked my doctor if I should continue my Tamulosin and was told "sure, why not". A neurologist I saw recently questioned that response. I need an opinion on whether .4 mg dosage of Tamsulosin is recommended for intermediate catheter users or not. Does the dose ease passing the catheter into the bladder?
Brief Answer:
Tomsulosin does not help to ease passing catheter .
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted you had a retention of urine and has to catheterize 3 times daily to empty the bladder .
I shall be happy if you can post me more details to help me in making precise comments
1) Have you done ultrasound scanning of abdomen and confirmed the diagnosis of Enlarged Prostate causing retention of urine .
2) Does the cause of your retention of urine and inability to urinate naturally been diagnosed due to spinal cord issue (Neurogenic Bladder ).
Tomsulosin is alpha adrenergic receptor blocker located in bladder neck and prostate and leads to relaxation of smooth muscles in bladder neck and prostate and improves urine flow however it does not dilate the urethra hence may not help to ease passing catheter .
You have been doing catheterization three times daily which if done over a long period of time may lead to formation of a stricture of urethra (Narrowing of urethra) due to repeated trauma to urethral mucosa and a stage will come that you will not be able to pass even a small sizes catheter .
If your retention of urine is due to Neurogenic bladder I would suggest you to consult your Urologist and explore putting a Supra Pubic Catheter in to bladder so that bladder can be drained out continuously and you will not need to pass a catheter three times daily .
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.
Tomsulosin does not help to ease passing catheter .
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted you had a retention of urine and has to catheterize 3 times daily to empty the bladder .
I shall be happy if you can post me more details to help me in making precise comments
1) Have you done ultrasound scanning of abdomen and confirmed the diagnosis of Enlarged Prostate causing retention of urine .
2) Does the cause of your retention of urine and inability to urinate naturally been diagnosed due to spinal cord issue (Neurogenic Bladder ).
Tomsulosin is alpha adrenergic receptor blocker located in bladder neck and prostate and leads to relaxation of smooth muscles in bladder neck and prostate and improves urine flow however it does not dilate the urethra hence may not help to ease passing catheter .
You have been doing catheterization three times daily which if done over a long period of time may lead to formation of a stricture of urethra (Narrowing of urethra) due to repeated trauma to urethral mucosa and a stage will come that you will not be able to pass even a small sizes catheter .
If your retention of urine is due to Neurogenic bladder I would suggest you to consult your Urologist and explore putting a Supra Pubic Catheter in to bladder so that bladder can be drained out continuously and you will not need to pass a catheter three times daily .
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.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Tomsulosin does not help to ease passing catheter .
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted you had a retention of urine and has to catheterize 3 times daily to empty the bladder .
I shall be happy if you can post me more details to help me in making precise comments
1) Have you done ultrasound scanning of abdomen and confirmed the diagnosis of Enlarged Prostate causing retention of urine .
2) Does the cause of your retention of urine and inability to urinate naturally been diagnosed due to spinal cord issue (Neurogenic Bladder ).
Tomsulosin is alpha adrenergic receptor blocker located in bladder neck and prostate and leads to relaxation of smooth muscles in bladder neck and prostate and improves urine flow however it does not dilate the urethra hence may not help to ease passing catheter .
You have been doing catheterization three times daily which if done over a long period of time may lead to formation of a stricture of urethra (Narrowing of urethra) due to repeated trauma to urethral mucosa and a stage will come that you will not be able to pass even a small sizes catheter .
If your retention of urine is due to Neurogenic bladder I would suggest you to consult your Urologist and explore putting a Supra Pubic Catheter in to bladder so that bladder can be drained out continuously and you will not need to pass a catheter three times daily .
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.
Tomsulosin does not help to ease passing catheter .
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted you had a retention of urine and has to catheterize 3 times daily to empty the bladder .
I shall be happy if you can post me more details to help me in making precise comments
1) Have you done ultrasound scanning of abdomen and confirmed the diagnosis of Enlarged Prostate causing retention of urine .
2) Does the cause of your retention of urine and inability to urinate naturally been diagnosed due to spinal cord issue (Neurogenic Bladder ).
Tomsulosin is alpha adrenergic receptor blocker located in bladder neck and prostate and leads to relaxation of smooth muscles in bladder neck and prostate and improves urine flow however it does not dilate the urethra hence may not help to ease passing catheter .
You have been doing catheterization three times daily which if done over a long period of time may lead to formation of a stricture of urethra (Narrowing of urethra) due to repeated trauma to urethral mucosa and a stage will come that you will not be able to pass even a small sizes catheter .
If your retention of urine is due to Neurogenic bladder I would suggest you to consult your Urologist and explore putting a Supra Pubic Catheter in to bladder so that bladder can be drained out continuously and you will not need to pass a catheter three times daily .
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.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My diagnosis was neurogenic bladder and have never been diagnosed with enlarged prostrate. I will cease my tamsulosin dose. Thanks you very much. I will continue to use catheters until I encounter difficulties.
My diagnosis was neurogenic bladder and have never been diagnosed with enlarged prostrate. I will cease my tamsulosin dose. Thanks you very much. I will continue to use catheters until I encounter difficulties.
Brief Answer:
O.K Bye and have a Good health
Detailed Answer:
Hello
Thanks for follow up .
Continue catheterization without using Tomsulosin .
Thanks and Regards.
Dr Patil.
O.K Bye and have a Good health
Detailed Answer:
Hello
Thanks for follow up .
Continue catheterization without using Tomsulosin .
Thanks and Regards.
Dr Patil.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
O.K Bye and have a Good health
Detailed Answer:
Hello
Thanks for follow up .
Continue catheterization without using Tomsulosin .
Thanks and Regards.
Dr Patil.
O.K Bye and have a Good health
Detailed Answer:
Hello
Thanks for follow up .
Continue catheterization without using Tomsulosin .
Thanks and Regards.
Dr Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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