Medical

 Hello,

Your symptoms relate closely to a condition known as Obstructive uropathy. This is where the flow of urine is blocked. The kidneys produce urine in the normal manner but the urine does not drain properly because of the obstruction.

This condition would need to be ruled out as a possiblility and a proper medical diagnosis is reccommended to be sure this is your situation.

The following link will help you to better understand this condition. Please see:

http://www.shands.org/health/information/article/000485.htm

I hope this might help, and take care.

 

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I will do my best to assist your concerns, and if you have additional questions, just ask!

 Yes there is you cna have your urethra "streched".  It is an in-office proceedure and many urologists do it.  Your MD should rule out other causes of the problem of course.  Nurse Hope

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Help and Hope from advanced practice nurse and therapist, honest intelligent answers.

Thank you for your answer. From the website you forwarded me to, this looks like a condition that comes on suddenly and blocks the urine flow to the point of other complications. This is not my problem since this has been going on for many years, (perhaps since I had my children who are now in their 20's) and I've had no complications from it. Any other thoughts?

Interesting. How complicated is this "stretching" procedure, and how PAINFUL??? Is there somewhere that I can get more information on the procedure. Does it have a "medical" name? Thanks.

 Asise from my prior suggestion the only other thing I could suggest would be a procedure where they would actually measure your urine output to try to find a cause to the slow trickling output. Please see the following information and view the source link for additional info on this testing.

Postvoiding residual volume can be determined by catheterization or ultrasound. The postvoiding residual volume plus the voided volume provides an estimate of total bladder capacity and a crude assessment of bladder proprioception. Postvoiding residual volume > 50 to 100 mL suggests bladder weakness or outlet obstruction, but smaller amounts do not exclude either diagnosis, especially if the patient strained to void or double voided.

Source: http://www.merck.com/mrkshared/mmanual/section17/chapter215/215c.jsp

I wish I could be of more assistance to you, but I hope this information might assist in some way.

Take care and good luck...

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I will do my best to assist your concerns, and if you have additional questions, just ask!

Ok, thank you. I checked the web page you suggested again, and it is about incontinence, which is also not a problem I have ever had....
Also, no one can get a cathetor into my urethra, it has been tried before when I was in the emergency room at the hospital and the nurses gave up. I believe my problem therefore must be a clogged up or too thin urethra, since the catheter could not be installed. I need a solution or procedure to correct this problem, so urine will flow freely and quickly, but I don't know what that procedure would be. Thanks.

In one more attempt to help assist you with a possible cause, I have also located the following information that you might consider having ruled out as well. (Keep in mind that not ALL symptoms need to be present.) It is more common in males, but can also happen in the female, and the treatment options listed are for both alike.Please view the following link.

http://ivillage.medicdirect.co.uk/diseases.asp?step=4&pid=2297

If you need additional help, let me know. Thank you.

 

   

Edited by Nicki147 on January 28 2005 at 1:33pm

Thank you very much. This helped a lot plus explained the "stretching" procedure. I appreciate it!!

Having worked for urologists for many years, if you are producing urine,(bladder becomes full), this usually indicates good renal (kidney)function. Sounds like you have a urethral stricture or stenosis. If ER is unable to cath you, best suggestion is to visit a good Urologist, where upon examination they may try to perform urethral dilation. If unable to do in office may have to do an outpatient procedure, where under anesthesia they will examine and perhaps perform urethrotomy, making an opening in stenotic tissue. Hope this helps.
Phillis

You are very welcome, and I hope things are well for you soon.

Take good care, and thank you.