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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 33363
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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complelte bladder incontinence after operation for sciatica

Resolved Question:

complelte bladder incontinence after operation for sciatica for the removal of synovial cycst, two days later removal of a large heamatoma in the same region.exercise does not help at all.any suggestions?
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. Chip replied 4 years ago.
Hi--sorry to hear about your problem. Have you been evaluated by a neurologist for this and what did your latest MRI show?
Customer: replied 4 years ago.

A nerve is pressing or is compromised, against the disc; I am not very sure, as they have not explained it well to me.


At first they thought it was a slipped disc.


I have not seen the Consultant Neurologist yet. Seeing him end August.

Expert:  Dr. Chip replied 4 years ago.
OK Have you had any medications or treatments for this problem?
Customer: replied 4 years ago.

the only treatment so far is pain medications;

Gabapentin 300mg - 2 x 3day ie 600mg 3 times day.

Butran patches 20mcg & 10mcg per week

Paracetamol 500mg. - two 3/4 x day.

 

forgot to mention. Intermittent bowl leakage.

 

Can anything be done to improve my incontinence? Am I to be left like this for the rest of my life???

Expert:  Dr. Chip replied 4 years ago.
Just one more question--you said complete bladder incontinence and intermittent bowel incontinence--can you tell me more about those?
Customer: replied 4 years ago.

bladder incontinence ;


I cannot feel the urge or that my bladder is full.


When I stand up, my bladder opens up, and the urine just pours out, I cannot control it, I have no control over it at all !!


The only way to avoid accidents is by wearing double protection 24/7 ie. Tena Pant & TenaPad..x


 


Before the operation I had a weak bladder and was managing by wearing normal panties and a Tena pad and taking one Oxybutenin tablet twice a day ater the Op., cannot feel any sensation.


 


Fecal Incontinence happened last summer 2012. I was driving down from north london- Edgware, to south london. Lewisham. When


I got home, had to pass urine but to my horror I found I had not leaked but had Pooed .thats when I had My First of many MRIs.


Now everyday, I do feel when I want to empty my bowls. but once opened, I feel my bowls have not quite closed and it leaks rest of the day and I do not get any sensation or feeling until i go to change my pad or I get sore around the back passage.


 


 


 


 


.

Expert:  Dr. Chip replied 4 years ago.
OK--just one last question--have you seen a urologist and had tests done to see exactly what the problem is with your bladder?
Customer: replied 4 years ago.

sorry I was called away.


 


No, no urologist and no tests were done. But while in hospital, I was seen by a nurse from urology who showed me how to self-catheterise. I found it very painful and could not get used to.

Expert:  Dr. Chip replied 4 years ago.
OK and we can continue after this if you'd like. If this is because of a lower spine problem it would have to be more than just a disk pressing on a nerve root. It would take spinal stenosis with something called cauda equina syndrome and a pressing on the spinal cord itself to do that. That still is a possibility and I don't know if the MRI showed that or not. If that were the case, then you'd need spinal decompression surgery. Two other--not very likely at your age--possibilities would be multiple sclerosis or ALS (Lou Gehrig's disease). It will take the Neurology consultation to determine exactly what's going on here.
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