Urinary retention in PD

[MerckK]

I m 57 years of age with PD for last three years. I take rasalect 1 mg and Pramirol SR 0.52 mg ( 6 tabs) a day with one hour daily exercise in the morning.

I was ok but now i have started feeling difficulty in urinating. I keep feeling that my bladder has not emptied and had to wait for few minutes to empty the bladder slowly with few drops falling in three to four instalments.

May be this due to prostrate enlargement or PD effect.

Is anyone experiencing the same situation? If yes pl let me know what you did to resolve this. My neurologist has suggested for ultrasound of lower abdomen with liver and kidney

[GymBag]

My experience , it is the prostrate. Possible that the next stage is a catheter. Then an operation to scrape a hole in prostrate to take the pressure off the urinary tube and ditch the catheter. Now that sounds bad but when the time comes you will be happy to have the catheter inserted and happy to have the operation. I had to wait almost a year for the operation and still needed catheter and finally a second attempt that I could finally loose it. You will get used to the catheter and wearing the bag and just make the best of it. In ancient times they used a wheat straw or exploded, so do what the doctors say.

Welcome to the world of old men, your life is about to change and there are millions in the same boat. Buck up, it could be worse. It has been about 5 years and I think the whole thing is starting over again. Nuts

[MerckK in reply to GymBag]

You have painted a very negative picture that too highly enlarged.

The urinary problems in Parkinson's are different from the normal ones as the brain is not able to coordinate with the body hence such issues.

I went for an ultrasound. My brain told me that the bladder is full while it was empty and the radiologist asked me to come again with full bladder next day.

I empathize your sufferings but it may not happen with all. May God bless all of us.

[GymBag in reply to MerckK]

No actually I kept it up beat and never mentioned the problems and do not intend to. I also had an ultra sound and the radioligist also said that the bladder was empty , problem was I was dripping in sweat in much discomfort and as soon as they put the catheter in I filled a huge bag. Ultra sound, I am afraid not much trust here. Yes there is a disconnect between brain and urinary system as there is in all muscles external / Internal , voluntary or involuntary but I will stick with my prediction that the prostrate is involved based on numbers of frequency and probabiility. You will know soon enough, Good luck.

[pvw2]

Sounds like you need Terazosin. It helps PD as well as prostrate enlargement.

[MerckK in reply to pvw2]

Thanks. Pl tell me the doses also

[pvw2 in reply to MerckK]

Your doctor will determine dose, ususally 1 or 2 mg. Show your doctor the article referenced here: healthunlocked.com/parkinso...

[OLS3010 in reply to pvw2]

The other drug that is sometimes given is Finasteride. Also urologist will encourage training the bladder— go to bathroom every 60 or 90 minutes. Train it to empty. Also can do kegel exercises

[MerckK in reply to OLS3010]

Thanks.

[20fatcats in reply to OLS3010]

There are some times serious side effects from Finasteride so just check first and look out for these . Ultra sound is very useful in finding out what is causing bladder problems. All the best

[OLS3010 in reply to 20fatcats]

It can have side effects in a small percent of people often as almost all to pharmaceutical drugs have. It’s a fairly common drug widely used for treating hair loss aa well as reducing prorate size/improving voiding. If see any side effects, when should immediately talk to Dr. about discontinuing use

[ppvanruit]

Hi

I am 66 years old and was diagnosed 4 years ago. At first I suffered a lot from urgency and incontinence. I am doing much better now. Why I am not sure. It might be that I went down to one cup of coffee a day. Or it is due to training the muscles around the bladder. Google Kepler muscle. You also might need a little more C/L.

Kindly

[Janeyjane28]

I've had Parkinson's 12 years, I'm 66. I am a woman, therefore I do not have a Prostrate. So the urinary retention AND the inability to actually urinatecannot be a prostrate problem! The problem is mostly in the middle of the night, when my bladder is at least half full. It is because my dose of Madopar CR has run out. After about 20 minutes of taking the next cpsule, and lying on my left side, I get up out of bed again (always difficult to get out of bed) and then I can actually urinate - theory is, because meds are working again. Nothing to do with Prostrate - Women definitely do not have a prostrate.

[20fatcats]

Had same issue. Going to urologist today. Had ultra sound 2 weeks ago and prostrate is fine but after passing urine they could see that my bladder was still quite full. They said my bladder was enlarged . Parkinsons nurse said self catherization would be helpful each nighy. She said it isnt as bad as you imagine. Will see what specialist thinks. I dont think this has anything to do with Parkinsons as I have extremmly poor flow and suspect I have put up with that for far too long and now bladder is stretched.

[willowone123]

I have similar problem . trickle, etc. my GP started me on Tamsulosin a month ago -mild dosage MUCH better now. I have not yet experienced and negative effects. Good luck

[MerckK]

Thanks. I got my KUB ultrasound today. Only problem seen was mild enlargement of prostrate which can be resolved by drinking lots of water.

Thanks to all for their suggestions