Failed the uroflow test bladder retained 300 ml

[Leslieann0605]

I had my appointment yesterday and the vesicare is not really working as well as the doc hoped I am still peeing 20+ times a day. I failed the uroflow test, I peed 350 ml into the machine and still had 300 ml in my bladder when they checked with the ultrasound. Now the doc is saying I have OAb and neurogenic bladder. He wants me to go on Cardura as well. He was going to do a in office cystoscopy as well but they didn't. I am not sure why. I am waiting for them to call back with an answer. For the neurogenic issue he said I could cath to empty the extra urine, or go the medicine. He didn't want to go the cath route yet.

I am wondering if neurogenic bladder ever gets better will I have to be on medicine for the forever? Will the medicine make it better?

I was hoping he would be setting the cystoscopy and hydrodistension to check for ic but he didn't. Now I feel like we are wasting time. He set my next appt for two months out.

[Mothergoose]

I have IC and neurogenic bladder, and for quite a while I had trouble getting uros to believe I had both, although lots of people with IC have a hard time peeing they don't actually have a neurogenic bladder, lose of bladder function.

It took 4 uros before I found one who did a cysto under anastetic and distended my bladder to the point my bladder needed to be streached, because with IC people bladder ussally shrink, so the uros figure if your bladder can hold over x amount of urine then you don't have IC.

My bladder is streached very big, so it had to be really streached for the IC to show up but once he did it he said you could plainly see I have IC too.

I know how you feel, it is a tread mill for diagnoses, did he mention getting you assesses for neurological reason for your neurogenic bladder? I would think that woud be your next step.

Good Luck MG

[eyeliner128]

Reply:

I don't know much about neurogenic bladders, but I suppose that means the problem is neurologic in origin and caused by a problem in the brain. Since the brain tells the bladder muscles when to empty and when to stay "shut" I wonder if neuropathic drugs would help.

If your doctor has never done a Cysto-Hydro, I would greatly recommend it. That way he can actually see into your bladder and see what's wrong and possibly diagnose IC so you can start the healing path. And many people feel relief from the procedure itself - I did.

Good luck, I hope you feel better as soon as possible.


Molly

[Leslieann0605]

I had a stroke ten years ago and I have also had three pelvic surgeries, a c section and two surgeries to remove tumors from both ovaries. Last time I had surgery it was really involved, I had a a lot of adhesions and also had my appendix removed.

From what I have been reading the pelvic surgeries alone can cause the nuerogenic bladder.