How to Begin Urinating Again After Cathater.removal

How do health care professionals treat urinary retention?

Health care professionals treat urinary retention based on the type of urinary retention—acute or chronic—and the cause of the urinary retention.

Draining the float

With acute urinary retention, a health care professional person will immediately bleed the urine from your bladder using a catheter. Removing the urine from the bladder eases your hurting and helps prevent your bladder and kidneys from being damaged.

If you accept chronic urinary retention, your health intendance professional volition offset try to diagnose and treat the cause of your memory. However, your health intendance professional may need to use a catheter to drain the urine from your bladder if the retention continues or becomes severe.

In some cases, people with urinary retention need to go along using a catheter to drain urine from the bladder until their urinary retention tin be fixed. The catheter can exist indwelling—left in your bladder for a brusque or long time, or intermittent—inserted to bleed the bladder when needed and then removed. If you have to employ an intermittent catheter, a wellness care professional person can teach you lot how to use the catheter.

A bladder filled with urine, and a catheter inserted through the urethra and into the bladder, with arrows showing the flow of urine out of the bladder through the catheter.
If your bladder becomes too full, a health intendance professional person may use a catheter to drain the urine from your float.

Medicines

Your wellness care professional may suggest that you take medicine to help treat the medical status causing your urinary retention

  • 5-alpha reductase inhibitors assist to stop the growth of or shrink the prostate, which can ameliorate the flow of urine. Examples include dutasteride and finasteride.
  • Blastoff-blockers treat the symptoms of prostate enlargement (benign prostatic hyperplasia) by relaxing muscles in the bladder neck and prostate, which makes information technology easier to urinate. Examples include alfuzosin, doxazosin, prazosin, silodosin, tadalafil, tamsulosin, and terazosin.
  • A combination of a five-alpha-reductase inhibitor and an alpha-blocker, such as finasteride and doxazosin or dutasteride and tamsulosin, may work better than an individual medicine alone.
  • Antibiotics care for infections that may cause urinary retention, such equally urinary tract infections and prostatitis.

In some people, certain medicines may cause urinary retentiveness. If your health care professional person thinks that a medicine is causing your urinary retention, you may exist asked to lower the dose or terminate using the medicine.

All medicines, even over-the-counter medicines, have side furnishings. Always consult a health care professional before using any medicine for more than than a few days.

Medical procedures and devices

Your health care professional may recommend a medical procedure or device to treat your urinary retention, depending on the crusade of the memory. Examples of these procedures and devices include

  • cystoscopy—using a cystoscope to look inside the urethra and bladder to find and remove blockages such as urinary tract stones
  • laser therapy—therapy that uses a strong axle of light to treat an expanse of enlarged prostate tissue by breaking upwardly the blockage and reducing the obstruction
  • prostatic urethral elevator, or UroLift—using tiny implants to lift and hold the prostate away from the urethra and so urine can flow more freely
  • transurethral electrovaporization—a procedure that uses heat to vaporize an area of enlarged prostate tissue
  • transurethral water vapor therapy, or Rezum—therapy that uses water vapor, or steam, to shrink an enlarged prostate
  • urethral dilation—gradually increasing the size of the urethral opening by stretching the scar tissue, to assistance care for urethral stricture
  • vaginal pessary—a strong ring that is inserted into the vagina to help terminate urine leakage, such as with cases of a cystocele (prolapsed bladder) or rectocele

Surgery

Your health intendance professional may consider surgery to help treat the cause of your urinary retention if other less invasive treatments don't work. Some of these treatments may include

  • removing office of the prostate
  • repairing urethral strictures or bladder cervix scar tissue
  • repairing pelvic organ prolapse
  • removing a tumor, aberrant uterus, or damaged portion of a herniated disc
  • repairing an abnormal bladder
  • performing a urinary diversion procedure to reroute the normal menstruation of urine out of your body

How can I treat my urinary retention?

Your health care professional may recommend you try cocky-intendance treatments—either alone or in addition to other treatments—to manage your urinary retentivity.

Practice physical therapy

Your health care professional may suggest that y'all piece of work with a concrete therapist who specializes in pelvic floor issues. The physical therapist will work to stretch tight pelvic floor muscles and assist you go along them relaxed. Pelvic floor muscle exercises, too called Kegel exercises, help the nerves and muscles that you use to empty your bladder work better.

An older woman stretching while a physical therapist guides her.
Physical therapy tin help you gain control over your urinary retention symptoms.

Train your bladder

Your health care professional person may suggest timed voiding—urinating at set times—to help prevent your bladder from becoming too total. Another bladder preparation technique that your health care professional may recommend is double voiding—waiting a short time after you urinate to try and go again—to help make sure your bladder is completely empty after you urinate.

Have extra time in the bathroom to relax and empty the float completely. Women should try to relax the muscles around their bladder when they urinate to brand information technology easier to go. It'southward best to sit on the toilet seat or in a full crouching squat. Hovering over a toilet seat to avoid touching it does not allow muscles to fully relax and may result in urine being left in the bladder.

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Source: https://www.niddk.nih.gov/health-information/urologic-diseases/urinary-retention/treatment

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