Posted by ch665296f @ch665296f, Jan 5, 2016

I am a 68 yr. old male with bladder retention and a large diverticulum. I had green light prostate surgery 7 yrs. ago. I continue to have large post void retention as well as a fairly large bladder diverticulum. I am seeing a different urologist, and he has had me through a number of tests…uroflow, urodynamic, and next Mon. a cystocopy. My results from the uroflow and urodynamic indicated a lot of retention…over 450ml. and lots of pressure from the urodynamic test. I do have urge incontinence as a result. I have tried numerous meds, but don’t like the side effects. Since I have mitro valve prolapes, and glaucoma, I’m afraid meds may make things worse. I have worn diapers for some time to manage my situation, and they don’t bother me. I’m also afraid of catheters. How do I convince my urologist that I’m fine with things as they are? If surgery is necessary to protect my kidneys, I’m fine with that. So, that’s my history somewhat abbreviated. Any advice would be appreciated. Thanks for your attention.

Hi @ch665296f, welcome to Mayo Clinic Connect. I’m one of the community managers here. It sounds like you need to have a conversation with your urologist – have you tried telling him that you’re comfortable with things the way they are?

Not directly, but he knows I wear them. I’m just afraid of side effects from meds, and catheter use and the chance of infections. I did try the catheter route after my green light surgery. It was a complete disaster. I don’t like the idea of sticking something in your body where the sun doesn’t shine. I have read about sphincterotomys. Is that a viable form of management, and ease kidney pressure.? I guess I will know more after my cystocopy next Mon.

Hi @ch665296f. I’m not familiar with sphincterotomy as a treatment method for post void retention, but I did find some information about other management options you could ask your doctor about. Check out the link below and let me know if it’s helpful.

Have you tried any of the behavioral techniques, like double voiding or diet management?

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