Get E-Book on COVID-19

Q. A part of my bladder wall was removed. What is the further management?

Answered by
Dr. Samer S J Altawil
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Nov 13, 2020

Hi doctor,

I had an operation three years ago, and a part of my bladder wall was removed. I had surgery around three years ago, where a urologist removed a part of my bladder wall. It has never been repaired, and I need it to be repaired. I have had ongoing sepsis and infection with routine antibiotics. To live with it, I need a second opinion that confirms my diagnosis, so maybe a doctor can see that and fix my lack of bladder wall. I have red flags on cancer now beginning for bladder or kidney, and amylase is a red flag, low. The infection went to my bone marrow, and urine from the bladder flows freely into the kidney. I have been told to take antibiotics for life. I have hurt my kidney, so I am now on a kidney-friendly diet. I may have a new semi blockage and need a second opinion on that, and I can still void urine, but I need a second opinion on all this, then I can move forward to fix and repair. There are too many to list. I have never been allergic to medicines before. Still, now, because my kidney has trouble processing certain medicines, I have reactions to different medicines, and due to kidney issues, I develop anemia. Hence, I treat it with high levels of molasses because I have a problem with taking iron. Laboratories said that my blood pressure does run low on a normal day for years now. I live with it and have no symptoms from it. I believe it is because I live with fungal infections as well due to too many antibiotics. I am currently taking Amoxiclav 875 mg morning, Warfarin 2.5 mg at 5 PM, Azithromycin 250 mg once a day (at midnight), Glutathione plus vitamins, elderberry extract molasses, etc.

#

Hi,

Welcome back to icliniq.com.

Thanks for consulting with Icliniq

Overviewing your case, it seems to me that you got neurogenic bladder secondary to MS (multiple sclerosis). The neurogenic bladder will have high pressure and will lead to bilateral reflux over time, which will lead to urinary infection hence antibiotics for life. There was no cutting for your bladder from your report. It mentioned that the stent, which was placed before curling (not cutting) in your bladder. Any way stent was removed on the day of your discharge. What my advice is to continue with antibiotics. For more details about your urinary problem, you should go for a urodynamics study, which will show the amount of pressure in your bladder. We can give you proper treatment to control your urinary issues. Please follow-up after the urodynamic study with the report. If you any more queries, please do not hesitate to get back to me.

Kind regards.

Hi doctor,

Thank you for your reply.

The surgeon told me that he removed a part of my bladder wall. He said it needed to be fixed, but it was a complicated surgery, and he did not think he was the man for the job, then he retired.

#

Hi,

Welcome back to icliniq.com.

Removing part of the bladder wall even can be done with no issues. If the big part was removed, it might cause you to have a small capacity bladder, leading to increased urine frequency. Treatment can be medical by tablet Tolterodine 4 mg once daily. But as I prefer earlier is to have a urodynamic study done before using medications for diagnosis. Urodynamic can show bladder capacity, bladder pressure, and many other useful details to us. Also, if you get me, a bladder diary will be great. A bladder diary records when you go to pee, and the amount of urine passed each time. This recording must be done to continue 48 hours. Please follow-up and update me about urodynamics or bladder diary. If you have any more queries, please do not hesitate to ask.

Kind regards.


Was this answer helpful?

 | 


Related Questions:
Why am I having pain, numbness and bladder control issues?

.. and bladder control issues point towards spine pathology. If you have done some MRI, then please upload the images else I would recommend a dorsolumbar spine MRI. For more information consult a radiologist online --> .. ...   Read full

I have multiple sclerosis. Can I get artificial valve for urinary incontinence?

.. is a progressive disease. So with time, incontinence may change in either direction, positively or negatively. The best option is what you have been doing. It is called CIC (clean intermittent catheterization). It is adaptable to all stages of di...   Read full

I have multiple sclerosis and under treatment. Kindly advice on MRI and the reason for hearing loss.

.. read your question carefully, and I will try to answer in detail. I understand your concern. I would like to have additional information please, 1. Since when you have the diagnosis of MS and for how long are you on Tysabri (Natalizumab)? 2. Whe...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


COVID-19 Vaccines in India
Two vaccines, Covishield and Covaxin, have been granted emergency use authorization in India. Read about these vaccines'...  Read more»
Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.