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41,427 members
Mar 09, 2011

Bladder Going Bad

This topic is about a person who had an emergency colostomy surgery and is now dealing with unexpected bladder leakage. After the surgery, they found out they had diverticulitis, diverticulosis, and a cancerous growth, but these details were not explained to them before the operation. Since the surgery, they have been experiencing involuntary urine leakage without much sensation or urge, which has been quite embarrassing. They are unsure if their bladder was injured during the procedure and have not received clear information from the hospital staff.

Here are some helpful insights and advice:

1. Bladder dysfunction after a colostomy is something others have experienced. It might be due to nerve damage, the surgery being close to the bladder, or pressure from a post-surgical hernia. Seeing a urologist for an assessment could be beneficial.

2. It might be worth asking if imaging or a cystoscopic evaluation is needed to check for any nerve injury, issues with ureter re-implantation, or mechanical pressure on the bladder.

3. A urologist can discuss possible corrective options, such as a bladder "sling" procedure, which helps support the bladder neck.

4. Doing pelvic-floor exercises, like Kegels, can help strengthen the muscles that control continence. Combining these exercises with lifestyle changes, such as losing excess weight, sitting less, and taking vitamin C at night, might reduce the risk of infections.

5. Recurrent urinary tract infections can make incontinence worse. Sometimes, prolonged antibiotic therapy is necessary until the infections clear up.

6. Incontinence products, like Poise pads, can help manage leakage and protect clothing while seeking treatment.

7. Other people with ostomies have experienced yeast infections and persistent leakage, indicating that this issue is not uncommon. Seeking peer support and continuing medical follow-up is advised.
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