Topic Explanation:
The discussion revolves around a common issue faced by individuals post-surgery, specifically after a sub-total colectomy. The person initiating the topic is experiencing Post-Micturition Dribble, a condition where a small amount of urine leaks out after urination. This issue is attributed to a weakened pelvic floor, a common consequence of bowel surgery. The individual is seeking advice and personal experiences from others who might have faced similar post-operative complications, particularly in managing this condition as they transition back to normal activities and attire.
Advice and Insights from Replies:
1. Medication Options:
- Some individuals have found relief using medications like Flomax (Tamsulosin), which helps with urinary issues by facilitating easier urination. This medication is noted to be cost-effective.
2. Pelvic Floor Exercises:
- Engaging in pelvic floor exercises is recommended to strengthen the muscles and potentially alleviate symptoms of Post-Micturition Dribble. These exercises were also suggested to help prevent other complications such as parastomal hernias.
3. Physical Activity:
- Regular physical activities, such as walking, are suggested to help strengthen the pelvic floor and improve overall urinary control.
4. Patience and Time for Healing:
- Several responses highlight the importance of giving the body more time to heal. Nerve and muscle recovery post-surgery can take several months, and gradual improvement is common.
5. Practical Tips for Management:
- Allowing more time during bathroom visits to ensure complete bladder emptying can help manage dribbling issues.
- Using absorbent pads or protective garments temporarily can prevent accidents and provide peace of mind during recovery.
6. Consultation with Healthcare Providers:
- It is advised to discuss ongoing symptoms with a surgeon or GP. Some individuals also benefit from seeing a specialist, such as a urologist, to address specific urinary issues.
7. Monitoring and Adjustment:
- Continuously monitor the situation and adjust coping strategies as needed. If symptoms persist or worsen, further medical evaluation may be necessary.
8. Community Support and Shared Experiences:
- Engaging with others who have similar experiences can provide emotional support and practical advice, helping individuals cope with post-surgical adjustments.
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