ADVERTISEMENT

Q. I have continuous leakage of urine. Please tell me what is causing this.

Answered by
Dr. Shahil Khant
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 04, 2018

Hello doctor,

I have been taking Furosemide (Lasix) for swollen legs prescribed by PCP 20 milligrams daily as needed since last year. This was during a followup following a hospitalization for swollen legs due to feet infection. The hospital doctor said that the swelling would go down in time, but was not so. I saw the PCP. The medication has only helped a little. There was some improvement, but legs and feet are still swollen. A week ago, I started having problems that when I urinate and go to wipe, I cannot get dry. I have to keep on wiping going through 12 rolls of tissue and still am not dry. It stops on its own after I put depends on an hour or more later. It looks like urine on the tissue. So, I am assuming it is urine. I do not know what else it could be. It is taking me an hour or longer to wipe.

The PCP took a urine sample to test for UTI. He does not know what the problem is. He has not come across this problem ever before. He does not think the Lasix is causing this. I stopped the Lasix five days ago before seeing the PCP. But, the problem has continued. This is very distressing and interferes with getting my daily activities done. I was diagnosed with overactive bladder by a urologist four years ago. Due to a problem with colonic inertia, the doctor would only prescribe one medication Myrbetriq which did not work and the doctor had me stop it because it only raised my blood pressure. The medication was stopped four years ago. Please tell me what you think is causing the urination problem described above.

#

Hello,

Welcome to icliniq.com.

Relax and do not worry. I do not think the problem is due to Furosemide. You may be suffering from severe form of stress urinary incontinence which is very common at this age. The cause and severity of stress incontinence are to be found out.

I suggest you see a urologist as you require a physical examination and also a vaginal examination to rule out any prolapse. You require the below tests:

  1. Ultrasound abdomen and pelvis with pre and postvoid residual urine.
  2. Urodynamic study.

So, get yourself evaluated properly by a urologist.

For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist

Thank you doctor,

I have heard of stress incontinence that typically happens when a person sneezes, coughs, laughs, lifts heavy things, etc. My understanding is that this is usually a rather small amount of urine leakage that stops quickly. I see many small pads in the store for this. My leakage does not occur at those times. It occurs only when I urinate and go to wipe. It takes 12 rolls of tissue and at least two hours for the urine to stop leaking. It stops two hours or more after I give up and put a depends on.

Please respond: since it only occurs when I urinate and wipe, can you narrow down what the problem is? What is causing the problem? What is the "stress" since it only happens when I urinate and gently wipe? The time it takes to deal with this every time I urinate (reminder I have an overactive bladder) makes it extremely difficult to accomplish my necessary daily activities and worry about accidents. Looking forward to your response.

#

Hello,

Welcome back to icliniq.com.

It looked to me like stress incontinence. A severe form of stress incontinence also manifests this way. Although it is not classical. I do not think it is an overactive bladder. Overactive bladder does not manifest this way.

Another possibility I am thinking of is any fistula communicating with the bladder. A bladder fistula is also one of the possibilities. If there is any fistula which is communicating with the bladder, then it will lead to continuous leak of urine as in your case.

You need to get examined by a urologist so that he can diagnose if any fistula or any other abnormalities are present. He might suggest you CT urography to diagnose fistula.

For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist

Thank you doctor,

What is a fistula? What part of the body are you referring to, a fistula in the anal area or elsewhere?

#

Hello,

Welcome back to icliniq.com.

I am talking about fistula which may be connecting from urinary bladder or urethra to vagina. This may cause a continuous leak of urine as in your case.

For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Why do urinary incontinence more prevalent during pregnancy and menopause?

.. men, have short urethra and less effective urinary continence systems than men as a part of normal anatomy. Female normal continence is dependent on normal sphincter anatomy, normal vaginal anatomy, and pelvis muscle strength. Thus any factor caus...   Read full

Does using Noctiva nasal spray reduce the sodium levels in the body?

.. Noctiva nasal spray (Desmopressin acetate) can cause a decrease in sodium levels in the blood. The risk is small, and it usually happens within the first month. Then your body starts coping with it. Generally, we measure the sodium levels just bef...   Read full

I have continuous leakage of urine. Please tell me what is causing this.

.. do not worry. I do not think the problem is due to Furosemide. You may be suffering from severe form of stress urinary incontinence which is very common at this age. The cause and severity of stress incontinence are to be found out. I suggest you...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


The New COVID Variant From South Africa (Omicron)
The World Health Organisation has enlisted Omicron to be a variant of concern. Just scroll down the article to know abou...  Read more»
Managing Diabetes During Festive Season
All the festivals are indirectly a danger sign for diabetic patients. Read this article to know more about how to handle...  Read more»
What You Should Eat and Drink for A Healthy Life!!
Food is essential for our survival, and what we eat definitely impacts our health. We can easily reduce the risk of many...  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. Read our Editorial Process to know how we create content for health articles and queries.