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Cant Pass Urine - Know Why ? RETENTION or BLOCKAGE OF URINE - Dr. Girish Nelivigi |Doctors' Circle
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- Опубликовано: 11 май 2022
- Dr. Girish Nelivigi | Appointment booking no :70222 09038 / 08048668768
Consultant Urologist and Andrologist|Nelivigi Multispeciality Hospital, Bengaluru
Today I will be talking on a very common condition that affects both the males and the females but mostly males . It is retention of urine or blockage to the passage of urine. As I told this almost always occurs in the males but rarely in the females also. So what happens if there is a blockage to the flow of urine? The patient tries to pass urine but cannot pass urine the bladder is full of urine and when he cannot pass urine this causes a lot of discomfort and later on severe pain in the lower part of the abdomen. What are the causes for blockage of urine? The commonest cause of blockage of urine is enlargement of the prostate. This occurs in elderly males usually above the age of 60 or more and the patient may have some history of overflow of urine or some urinary symptoms, which one day progresses to blockage your urine. So the patient is brought to the emergency room where the doctor finds that there is a swelling of the urinary bladder because of urine. The other causes for blockage of urine are narrowing of the urethral cord or stricture of the urethra or other blockages because of stone in urethra. Another less common cause for blockage of urethra or blockage of urine is due to a problem in the bladder called a hypotonic bladder or a neurogenic bladder. There are various terminologies this occurs when the bladder is unable to contract to expel the urine . However many of these conditions like neurogenic bladder result in painless blockage of urine. Even in diabetes sometimes there could be painless blockage of urine the treatment for blockage of urine is the same irrespective of the causes catheter is inserted in the urinary bladder and the urine is removed this gives immediate and dramatic response to the patient and the pain is relieved and the doctor keeps the catheter in the bladder and depending on the condition he prescribes some medicine, keeps a catheter for a few days and may remove the catheter and see what happens. The next course of action after removal of the catheter depends on the cause of the retention of urine . If it is prostate it is treated if it is because of stricture, that has to be treated, if it is because of any problem in the bladder that has to be separately addressed. So retention of urine is an emergency. The patient frequently comes to the emergency room of the hospital and it has to be diagnosed and treated.
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Impression:
A. Underactive detrusor (DCI 80) with component of PBNO (equivocal; BOO124)
B. Given the low PVR and normal capacity some part of the storage problems might be independent. Hence, guarded prognostication for resolution.
C Reasonable to attempt conservative care with
a. Bowel care
b. Alpha blocker
c. Avoiding overhydration-overdistension
d. Mirabegron
Mental health treatment and counseling is likely to help
D. If persistent voiding difficulty, consider an Ejaculation Sparing BNI (hasn't completed family)
E. If persistent despite the BNI, consider Sacral Neuromodulation
bladder is full of urine but skin blockage upto 2 cm
Same
If I have testicular torsion, so, what I should to do?how to treat these? Make a video on this topic.
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@@doctors-circle these channel has been already subscribe , do you know? By the way, thanks for your help, I never be forget.
Very helpful video thanks 🙏
How can I set up an appointment for you to review my records and give a medical opinion?
Hi Docter I have been self cathing for 14 years the past 4 months I been having problems cathing I go get a catheter wait 2-4 weeks and it helped me at first but now my catheter came out abd the doc did scope he says my bladder needs to be enlarged it’s too small is that possible? I don’t think he knows what’s going on but urine does not come out what do you think Docter you are very smart . ? Thank u❤
Im 15 years old and last night i drank a liter of soda before sleeping. When i woke up i couldn’t pee at all. When i try to, it hurts a lot and i cant get a bit of pee out. Not a single drop. What do i do? What is the problem
Thanks for watching the video. We can connect you to Dr. Girish Nelivigi. Please write to us at care@doctorscircle.in. For more details on your Doctor , kindly contact us on our Customer Care Number +91 9900019700. Please Subscribe to Doctors' Circle Know Your Doctor Channel to meet all our expert panel of Doctors. www.youtube.com/@Doctorscircle-knowyourdoctor
sticher urethra...how to cure
Now u recover
Dr prescribed amitriptyline hcl for stress now after two days i can't pass urine completely very weak and slow stream of urine. I don't feel any pain in lower abdomen but there is little pressure.
Sir I am Bangladeshi I have problem in urination after car accident what to do now
Have you been treated?
sir I have got operated because of a contractile of bladder , catheter is inserted but every month removing catheter I have a huge pain is any solution you have to pass normal urine sir kindly tell thank you
Sir my father didn't get urine and while getting urine he feel pain
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I’m 15 weeks pregnant and this happened to me I can’t pee had to go to the emergency room to get a catheter in and they took it out I peed normal threw out the day and again had to go to the emergency room to get a catheter i don’t know what’s happening
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Are you ok now ?
Same here am 15 weeks pregnant and facing the same... please tell me why is this problem?
Neurogenic bladder is curable completely or not..
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Dr.Nelivigi what is urine cause of infections?
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Hi am 27 years men i cant pee and its very paining the doctor said i have stones what should i do
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I have a constipation and i really want to urinate but I just can feel my butt, what to do
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Are you Ok now????
Hello dr. Rohan here im a 23 years male and i do have anxiety i think acutally i don't get what it is i feel like to unrinate but my bladded gets full and sometime because of discomfort i can't able to pee and specially in the public place i feel fear and doesn't come out anything what's this could you please assist🥺 because of this im not able to concentrate on my study
Your blood pressure up get it down I got same thing going on
How are you now ?
@manifest9726 feeling good now but still have a problem about over active urination i go to pee many time and when i have some romance with my gf that time also i often go for pee🥺what should i do?
@@Tomatodelivers You didn't consult urologist ?
@@manifest9726 not yet
Can't urine after I eat lamb the night before. Not constant but at least once a month
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I have blockage of urine and pain in the front part of penis. I have consulted urologist. He has tested CPE. The report is normal. He has prescribed Alfusin medicine to take. But the problem is not decreased. There is pain in lower abdomen. So tell me what to do.
Nxt what did you do
Reply me
Mai 9 months se urine problem face kr raha tha kariban shahar ke sare urologist doctor ko dikhaliya tha but koi doctor koi medicine effects nahi kr rahi thi 1 hours me 5 se 6 baar washroom jaana padta tha jane ke bad khul ke peshab nahi hota tha aur mai student hu to thik se study bhi nahi kr pa raha tha fir is problem ke liye maine utracon syrup aur utracon capsule liya karib 3 se 4 mahine liya hoga maine ise aur mai puri tarah se thik ho gaya
@@shohebshekh2262 promotion to ni krrha na bc genuine batta muje bhi dikkt h thodi
I think you have paruresis
Urin block
My urine stop after 7 days why please explain I'm very in pain 😢😢
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You ok now ?
What about female ?
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Apko koi ilaz mela female ke lyi
M
Sir your hospital address givme
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Im female but i have same prob plz guve me solution😢
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Ab kaise hai aap