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Ask Dr. David Your Own Question
Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45934
Experience:  Board Certified Physician
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Hello Doctor I need some advice regarding my husbands condition.

Resolved Question:

Hello Doctor
I need some advice regarding my husbands condition. He was admitted to hospital on July 28th this year for an operation to remove a tumour from his neck. When he came around from the anaisthetic, he had a catheter inserted.This was there for 3 days and nights. Since he came home he is unable to hold his urine and has had many accidents resulting in him standing in puddles. When he needs to go he cant hold any of it and it comes on suddenly and frequently. We made an appointment with his G.P. a week ago and he gave him strong antibiotics to take ( 9 of them over 3 days ) hoping this was an infection. However, this hasn't made any difference whatsoever and although he will make another appointment to go back to the G.P. I was hoping you might be able to offer some advice as to what you think could be causing this. My husband is not getting any pain or soreness around his penis or when passing water, but he has had a couple of accidents from the back passage along with the urine. These have been small. He has also seen a very small amount of blood on the nappy pants he is wearing.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

he needs an ultrasound of his bladder.

Dr. David :

if his bladder is very enlarged, he could be having a neurogenic bladder with loss of innervation to his bladder.

Dr. David :

he could have tumor spread to his spinal cord which can cause spinal cord compression and loss of urinary control as well.

Dr. David :

he might need a spine MRI scan to look for cancer in the spine.

Dr. David :

what type of tumor does he have in his neck?

Dr. David :

hello?

Customer:

Hello Dr David

Dr. David :

hello.

Customer:

Sorry for the delay. His tumour in the neck is called a submandibular tumour and he also had a neck dissection to remove the lymph nodes etc. However, I cant help thinking his problems with urinary incontinece only came about after the catheter was inserted and nothing to do with his neck. What do you think?

Dr. David :

he could have had urethral trauma or trauma to his bladder from the catheter

Dr. David :

he should let his GP doctor know.

Dr. David :

he might have to see a urologist and get more bladder testing.

Dr. David :

like a bladder ultrasound

Dr. David :

and a cystoscopy to look inside of the bladder and urethra.

Dr. David :

urologist so this sort of work.

Customer:

Thank you. I think this is more then just an infection do you agree?

Dr. David :

yes, more than an infection.

Dr. David :

he is on antibiotics already and things are not getting better.

Customer:

Thank you for your advice and we will make an appointment first thing on Monday morning. Goodbye for now.

Dr. David :

you are welcome

Dr. David :

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Dr. David :

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Dr. David :

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Dr. David :

best of luck to you and your husband.

Dr. David :

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Dr. David :

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Customer:

Yes and I will leave positive feedback thanks.

Dr. David :

thank you .

Dr. David :

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