Pelvic Lymphedema treatments for excess urination problem

Posted by hanksgt @hanksgt, Mar 2, 2025

Pelvic Lymphedema treatments for excess urination problem

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@hanksgt, do you have pelvic/genital lymphedema? Is this causing excess urination issues?

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My new Primary physician she suggested to try PT for pelvic lymphedema to strengthening and retraining pelvic floor muscles, improving bladder control, and potentially reducing urinary frequency. I do the suggested muscle exercises and I use a Nerve Tens unit 3 or 4 times a week. I still take my meds Finasteride and Tamsulosin for prostate and it helps a little. I have seen 4 urologist and they just don’t listen they just prescribe nonsense because they don’t listen. I have done the scope test taken oxybutynin which was BS. Taken zolpidem for sleep as was suggested by a urologist so I don’t wake up at night to go pee. Urologist said I had sleep apnea and I asked what about during the day when I am not sleeping is It still sleep apnea. My PC doctor took me off Metformin HCL since my A1c has been 5.8 and glucose 101 to 108
I know Metformin makes you urinate more so that did help with my frequent urination problem and pelvic lymphedema therapy is helping. I hope this answers your question thank you.

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I had a serious fall about four months ago and wound up with a large hematoma on my right buttock. I was in rehab facilities for 2 1/2 months and was Foley catheter the entire time now that I’m out I can only urinate a little and I have to get the rest out with self Catheter.Is it possible to use a tinns unit to trigger the muscle or how can you trigger the nerve?Allen

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Profile picture for alleng @alleng

I had a serious fall about four months ago and wound up with a large hematoma on my right buttock. I was in rehab facilities for 2 1/2 months and was Foley catheter the entire time now that I’m out I can only urinate a little and I have to get the rest out with self Catheter.Is it possible to use a tinns unit to trigger the muscle or how can you trigger the nerve?Allen

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@alleng,

I moved your discussion and combined it with a discussion titled:

"Pelvic Lymphedema treatments for excess urination problem"
- https://connect.mayoclinic.org/discussion/pelvic-lymphedema-treatments-for-excess-urination-problem/

While it is noted that you have the opposite issue of title of this discussion, members here talked about PT and other rehab techniques for retraining their pelvic floor muscles to help with urinary symptoms and issues.

@hanksgt posted in great detail about trying PT as well as a nerve stimulator tens unit and I'd like to invite him back to share any updates with what he experienced and has learned sine first posting.

@alleng, have you had a conversation with your provider about a tens unit to trigger the nerve? Was a timeline given for if and when your muscles/nerves would recover and regain function?

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Tried the pelvic floor exercises with the tens unit for 6 sessions out of 12 and it didn’t work. The issue was it created weak and sore leg muscles from the tens unit stimulus. I called the provider and never received a response on the this issue, so I stopped doing the pelvic floor exercises. The urologist the VA recommended was not in my opinion not good in what they do by recommending the pelvic floor exercise and medications. I can go on with my experience with all the urologist I have seen but I will not post. I will go to the scoliosis discussion on your site to research if my scoliosis is putting pressure on my bladder causing frequent urination because it was brought up by a provider to have a MRI on my spine to see if my scoliosis is putting pressure on my bladder.

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