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What Causes Urinary Incontinence After Cervical Spine Surgery?

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Posted on Mon, 29 May 2017
Question: I have had bladder surgery (3 yrs ago) and cervical disc surg (1.5 yrs ago). Lately, I have experienced the inability to 'hold it' long enough to get to a rest room. what do you think is causing this:
failed bladder surgery (used mesh)?
with arthritis in my back/spine, one chiropractor suggested perhaps there was another bulging disc resting on a nerve that controls my bladder?
I've been aware of these symptoms a couple of weeks now (they've kind of always been there, but lately they're more obvious). My urine stream has been very weak - hardly makes a sound! And there are times when I think I have to go but nothing comes out! This last symptom is the one that makes me think it's a spinal issue rather than a bladder alone issue.
My urogynecologist has retired! He was VERY confident in using that mesh in my surgery. Said there was nothing wrong with it, that you just had to know what you were doing.
What do you think? I have no blood in my urine or pain urinating.
One other thing - unrelated: When blood was drawn from my inner elbow (?) sometime within the last year, it felt like the needle had been left in there!! I asked my doc about it and he said if that were the case, I'd be in so much pain that they'd have to operate. I had a sonogram when I first went in with this symptom, which is pain and swelling in the bend of my arm as well as pain when I move my arm in certain directions (never predictable). My doc thinks it's likely a hematoma. I said, Well, let's evacuate it! He said no, that it had by now become entwined with the artery/vessel (?) and would be impossible to isolate it to remove it or evacuate it. I have pain with this every day, tho never constant.
doctor
Answered by Dr. Grzegorz Stanko (40 minutes later)
Brief Answer:
Consult urologist first.

Detailed Answer:
Hello!

Thank you for the query.

It is hard to determine either it is a mesh or a spine. Mesh leads to scar formation. It can cause bladder to become much smaller in case of too intense reaction to the mesh. If so, you should be able to feel urgency to urinate much earlier than before.
From the other hand, spine issues can also cause such symptom, however it is usually associated with some other neurological issue (stool incontinence, leg pain, back pain).

I suggest you to consult urologist first. Simple urography should help to rule out this possibility. If bladder issue will be ruled out, spine MRI is the next step.

Your arm problem can be easily solved. If its a hematoma, has to be visible in soft tissues ultrasound. If its a needle, simple x-ray will reveal it.

Hope this helps.
Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5796 Questions

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What Causes Urinary Incontinence After Cervical Spine Surgery?

Brief Answer: Consult urologist first. Detailed Answer: Hello! Thank you for the query. It is hard to determine either it is a mesh or a spine. Mesh leads to scar formation. It can cause bladder to become much smaller in case of too intense reaction to the mesh. If so, you should be able to feel urgency to urinate much earlier than before. From the other hand, spine issues can also cause such symptom, however it is usually associated with some other neurological issue (stool incontinence, leg pain, back pain). I suggest you to consult urologist first. Simple urography should help to rule out this possibility. If bladder issue will be ruled out, spine MRI is the next step. Your arm problem can be easily solved. If its a hematoma, has to be visible in soft tissues ultrasound. If its a needle, simple x-ray will reveal it. Hope this helps. Regards.