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Suggest Treatment For Paralyzed Bladder And Leakage In A Spina Bifida Patient
Question: I'm a spina bifida patient 40yrs old who self catherizes myself because I have a slightly paralyzed bladder and leak. over the last week or so my catheter has been difficult going into my bladder at times and sometimes doesn't. can this be caused by cancerous tumors, prostate or bladder cancer or something as simple as a uti?
Brief Answer:
Most probably scar tissue and UTI of urethra.
Detailed Answer:
Hello and thanks for using HCM.
I have read your query and understand your concerns.
Most probably, in your case, difficulty of passing urinary catheter is caused by urethral stenosis or scar tissue due to repeated trauma and possible UTI.
Possibilities that difficulty passing catheter due to prostate problems are very low, but still exist, so, in my opinion, an urinary tract ultrasound and urinalysis are needed to evaluate these conditions.
Hope this helps.
Take care.
Most probably scar tissue and UTI of urethra.
Detailed Answer:
Hello and thanks for using HCM.
I have read your query and understand your concerns.
Most probably, in your case, difficulty of passing urinary catheter is caused by urethral stenosis or scar tissue due to repeated trauma and possible UTI.
Possibilities that difficulty passing catheter due to prostate problems are very low, but still exist, so, in my opinion, an urinary tract ultrasound and urinalysis are needed to evaluate these conditions.
Hope this helps.
Take care.
Above answer was peer-reviewed by :
Dr. Yogesh D
could this be caused by cancerous tumors. I have no pain or blood
Brief Answer:
In rare cases yes, could be tumors.
Detailed Answer:
Welcome back.
As I said before, more simple and reasonable causes need to be evaluated first.
Urinary tract tumors in rare cases may cause your problems.
Hope this helps. Best regards.
In rare cases yes, could be tumors.
Detailed Answer:
Welcome back.
As I said before, more simple and reasonable causes need to be evaluated first.
Urinary tract tumors in rare cases may cause your problems.
Hope this helps. Best regards.
Above answer was peer-reviewed by :
Dr. Yogesh D
it seems to go all the way in just doesn't go into my bladder
Brief Answer:
You need an ultrasound evaluation.
Detailed Answer:
Hi again.
This is a reason plus that your concerns need to be evaluated further.
It may be urethra rupture by scar tissue formation.
Take care.
You need an ultrasound evaluation.
Detailed Answer:
Hi again.
This is a reason plus that your concerns need to be evaluated further.
It may be urethra rupture by scar tissue formation.
Take care.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
I have an appointment scheduled but not for a few days. if it is scar tissue what are the procedures to fix the situation
Brief Answer:
Treatment depends on diagnosis.
Detailed Answer:
Hello again.
If scar tissue or rupture of urethra, first step of treatment consists on the use of catheter for three weeks and correct treatment of any urinary tract infections.
Anyway the treatment modalities are discussed after a correct diagnosis with ultrasound, urinalysis and maybe cystourethroscopy.
Hope I helped you. Wishing you good health.
Treatment depends on diagnosis.
Detailed Answer:
Hello again.
If scar tissue or rupture of urethra, first step of treatment consists on the use of catheter for three weeks and correct treatment of any urinary tract infections.
Anyway the treatment modalities are discussed after a correct diagnosis with ultrasound, urinalysis and maybe cystourethroscopy.
Hope I helped you. Wishing you good health.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
what is cystourethroscopy
Brief Answer:
Cystourethroscopy is an invasive medical procedure.
Detailed Answer:
Cystourethroscopy is an invasive procedure done to diagnose and, if there is need for, to treat lesions of urethra and urinary bladder such strictures, polips etc.
It is done the same way as the catheter insertion, by inserting an uretheroscope (a special tool used for this purpose).
Hope this helps. Take care.
Cystourethroscopy is an invasive medical procedure.
Detailed Answer:
Cystourethroscopy is an invasive procedure done to diagnose and, if there is need for, to treat lesions of urethra and urinary bladder such strictures, polips etc.
It is done the same way as the catheter insertion, by inserting an uretheroscope (a special tool used for this purpose).
Hope this helps. Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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