Bladder Surgery

Bladder Surgery for Urinary Retention

Bladder SurgeryBladder surgery for urinary retention varies based on the severity of the condition. Urinary retention is when you are not able to empty your bladder. It is sometimes a consequence of surgery for another bladder problem, such as urinary incontinence. This may include urge incontinence (overactive bladder) or stress incontinence (the inability to control the bladder). You may experience acute urinary retention as a side effect from anesthesia, in which case a urinary catheter would be inserted to empty the bladder until you can do it on your own.

Bladder surgery for urinary retention is sometimes necessary for conditions dealing with an enlarged prostate, also known as benign prostatic hyperplasia (BPH). Our doctors at Urology Specialists can perform prostate surgery such as a transurethral incision of the prostate (TUIP). This involves one or two small cuts in the prostate to improve urine flow, but is usually performed on slightly enlarged prostates. A transurethral resection of the prostate (TURP) is the most common procedure used to treat an enlarged prostate. During this procedure, our urologists will remove excess prostate tissue to ease pressure on the urethra. A similar procedure involves the use of a green light laser to vaporize the prostate tissue without having to cut tissue. This reduces the amount of bleeding and recovery time. The newest addition to urology’s “answers” for enlarged prostate surgery is called “the button”. This device is a round smooth plate that vaporizes and cauterizes excess prostate tissue that blocks the path of urine leaving the bladder.

Prostate enlargement can also be addressed using radio frequency therapy. Prostiva RF therapy is a 15-minute procedure that is performed in our office with minimal anesthesia. We use radio waves to remove prostate tissue from different areas of the urethra. This allows the urethra to expand and permit urine to flow. Another office procedure is transurethral microwave thermotherapy (TUMT). Urologix’s cooled thermotherapy for BPH involves microwave for an enlarged prostate. The microwave energy heats and destroys the enlarged prostate tissue while the cooling technology helps reduce your discomfort during the procedure.

Patients who have suffered an injury or a urinary bacterial condition, such as recurrent urinary tract infections, may experience a urethral stricture, or narrowing of the urethra, which can cause urinary retention. A urethral dilatation may be suggested to open up the urethra, allow urine to flow better, and to prevent frequent recurrence of infections.

Bladder surgery for urinary retention is helpful treatment method for many of our patients. With a chronic condition of urine retention, you may be able to urinate but not empty your bladder completely. Some of our patients feel the need to go right after urinating and thus have frequent urination. With acute urinary retention, you may have trouble starting a stream in the first place. Also you may feel discomfort or pain in the bladder because of bloating. In any case, the retention of urine can cause serious medical problems and should therefore be addressed as soon as possible.


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