Bernard T. Haylen

Professor UNSW
MBBS (SYD) MD (L'POOL)
FRCOG FRANZCOG CU

 


Voiding Dysfunction

Treatment of the condition, whereby emptying of the bladder is either abnormally slow or incomplete, may require one of a range of initatives dependent on the cause.

Most will benefit by ensuring their bladder is kept free of inflammation or infection that might be part of the cause of the voiding difficulty or may follow the presence of voiding difficulty.

Often an initial treatment with antibiotics followed by the prolonged use (over 3-5 months) of urinary antiseptic tablets might see improvement in or resolution of the voiding difficulty.

Professor Haylen is a firm believer in the urinary antiseptic Hiprex (hexamine – 1 gm) taken with Vitamin C (500mg) twice daily. This medication can be used indefinitely (as it is by patients with spinal injuries). It has been categorised as safe to use in pregnancy.

Treatments according to cause:

1: Uterine or vaginal prolapse: This is the main cause of voiding difficulty. Repair of the prolapse generally improves the condition.

2: Recurrent urinary tract infections (especially with an abnormal residual urine volume): Long term prevention of the infections with antiseptics (or low dose antibiotics if a stronger prevention is required) generally helps.

3: Retaining Large Urine Volumes (Retention) after Surgery or Childbirth: Some form of catheterisation is generally required.

4: Urethral Stricture: A dilatation is often required.


© Copyright Bernard T. Haylen 2017 - www.bladder.com.au

Printed on: Sun 17 December 2017 at 1:14:41 PM AEDT