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[THR] Can't Urinate

Anne27

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Hello. My husband, age 70, healthy, had hip replacement surgery on April 8th, 2019. All went well EXCEPT he has not been able to urinate since that date. It will soon be five months. In between urologist performed a TURP (prostate) procedure. Lots of bleeding complications that required another hospitalization and anesthesia. My husband is now self-catheterizing and has finally started PT. No hip pain...that surgery was successful.

His orthopedic surgeon says he rarely encounters a patient with post-op urine retention that lasts this long. His urologist says my husband will urinate, but he can't say when or why it has taken so long. To us, it sounds like both are saying there is nothing else they can do for him.

Has anyone encountered a similar problem with post-op urine retention?
 
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Jamie

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I can see why you are concerned. That's a long time to have this problem and you're not getting very reassuring information from the urologist. Has the doctor confirmed that there is no scarring or swelling now as a result of all the trauma he's been through? Is he on any medication to try and help the problem?

It can be difficult to get things going after so much time of not urinating. We have had a couple of male members who experienced problems, but not on the scale that your husband is having. So I hesitate to try and make any kind of comparison. Obviously your urologist is the expert here. If you haven't seen him in a while, you might set up another consultation where you take a list of your questions and concerns to discuss. Or, you could seek a second opinion from an additional urologist. At a minimum, I would think a specialist in this area should be able to explain what is preventing progress at this point. At least then you would understand the "why" even if you don't know when things might start to improve.
 
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Anne27

Anne27

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I can see why you are concerned. That's a long time to have this problem and you're not getting very reassuring information from the urologist. Has the doctor confirmed that there is no scarring or swelling now as a result of all the trauma he's been through? Is he on any medication to try and help the problem?

It can be difficult to get things going after so much time of not urinating. We have had a couple of male members who experienced problems, but not on the scale that your husband is having. So I hesitate to try and make any kind of comparison. Obviously your urologist is the expert here. If you haven't seen him in a while, you might set up another consultation where you take a list of your questions and concerns to discuss. Or, you could seek a second opinion from an additional urologist. At a minimum, I would think a specialist in this area should be able to explain what is preventing progress at this point. At least then you would understand the "why" even if you don't know when things might start to improve.
Thanks so much for your reply. No, after removing clots from the TURP procedure (June 2019) the urologist has not checked for swelling, inflammation, etc. However, two weeks ago it was a podiatrist, during the course of a visit, who suggested just that and said that a TURPS surgery was very "rough" and he's sure there is a lot of swelling and inflammation. He advised that we wait until mid-September to seek other opinions. I do have some urologists "waiting in the wings" should consults become necessary. I'm starting to realize that "urine retention" is not a condition that urologists are very interested in, especially after my husband has had all the standard tests and surgical procedures.
 

Jamie

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Goodness, that would be news to me about their disinterest in this problem. It certainly seems like an area of concern for this medical specialty. If not a urologist, then who???

June is fairly recent for that aggressive procedure to such a sensitive area. I misunderstood your initial post and thought his procedures were done back in April. That's quite a podiatrist who would tackle urinary issues.....sounds like a "keeper" of a doctor.

As a side story, years ago it was a fabulous podiatrist we had who diagnosed some issues with my husband that none of his team of doctors had caught. She literally saved his life because she took the time to learn about his entire health picture and not just focus on the toe wound that wouldn't heal that we were seeing her for. I tell you, when you find great doctors like this, you want to just hug them!

It sounds like you have a good plan going forward. Please let us know how things go.
 

Pumpkln

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Anne27,
Your husband may benefit from being seen by a PT or OT specializing in pelvic health. Ask your urologist or primary physician for a referral.
 
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Anne27

Anne27

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Anne27,
Your husband may benefit from being seen by a PT or OT specializing in pelvic health. Ask your urologist or primary physician for a referral.
I had never heard of pelvic rehab but since reading your post I have looked it up and learned that it is an OT specialty. I have just contacted a friend who is an OT to ask her for advice and recommendations. This is exactly why I posted on BoneSmart...I was hoping that someone would have options for us because the doctors seem to be out of them. Thanks so much!!
 

Going4fun

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Pelvic rehab isn't just OT. My PT had a specialty in this ... Most of her patients for pelvic work were women, but she also has male patients as well.

Just to back up ... It's really hard to keep a hopeful outlook when we have an ongoing, baffling condition. But I really would not assume all urologists are uninterested in your husband's issues. Remember: you only need one who is interested. Don't be afraid to schedule appointments with many urologists for this. And see if you can find someone who specializes in complex frustrating cases. Those folks are out there, though they can be difficult to find if you're not yourself a doctor.

Has your husband's primary doctor made a recommendation? Sometimes primary care folks can get on the phone with colleagues and find a top practitioner. Nurses and other doctors will speak more freely to a primary care doctor about who's an excellent specialist than they will to a random patient.

Good luck. Sounds like you are on the case!!!!! Hubby is fortunate to have you.
 

Pumpkln

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Happy to hear you have a friend who can help you locate a practitioner, be sure they specialize in mens pelvic health. When you have a recommendation, call the therapist and ask them about urologists who refer to them for pelvic health.
 

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