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Urinary problems Questions

My end stage kidney disease I am 67 YOA. I have end stage kidney disease (12% kidney function), but am not yet on dialysis. In 1989 I was diagnosed with IgA Nephropathy after a biopsy. From around 1981 to 1989 I had been prescribed daily doses of Naprosyn by my GP as a result of a sporting injury. During the 1981-1989 period I also engaged in endurance running (4 to eight miles daily). I had medical examinations in 1973, 1980 and 1982 for employment purposes, and none of these indicated protein or blood in urine. Is it likely or possible that the cause of my kidney problems was a result of the ingestion of NSAIDs over the period 1981 to 1989?

I disagree with my urologist's proposed treatment I have a 30 year history of urinary tract problems. Two years ago I began having recurrent bacterial cystitis; within two days of coming off the prescribed antibiotics the cystitis would flare up again so I went on continuous Cephalexin for eighteen months and was virtually symptom free.I was then given an appointment to see a urologist but only saw a junior member of his team for an extremely brief consultation and it was decided I should go on a rotation of three differerent antibiotics. I later discovered that one of the three was Trimethoprim. I have taken this medicine for cystitis on several occasions in the past and it has not cleared up the infection and an alternative antibiotic has been necessary each time. I conclude that my particular strain of E. coli is resistant to Trimethoprim. After explaining this to my specialist's secretary she put my point to him and I was told " Trimethoprim is a very good medicine and he wants you to try it". The whole point of the antibiotic rotation is to minimise the chance of antibiotic resistance so is appears perverse to put me on a medicine which is already suspect. Do I HAVE to take the trimethoprim and suffer another cystitis flare up before the urologist will prescibe an alternative ? Whilst I am only a lay person I have a science degree and am well read on urinary tract problems.I have not been involved at all with decisions about my treatment. I expect I should talk to my GP about my concerns but am unsure what his attitude wil be towards challenging the specialist. I should be greatful if you would advise me on the above since it would be good to have some ammunition to back up my case when I visit my own doctor. Many thanks in anticipation. **************

Nocturnal polyurea I spoke to a doctor at my local GP practice about six months ago about the fact that I was getting up several times during the night to pass large quantities of urine. Last night is a good example: Bed at 11:00. Bladder empty. 12:45 - Passed at least a litre of urine 02:45 - Ditto Woke at 07:50 My doctor arranged for a blood test for possible prostate cancer, based on the fact that I had a test in January 2004, which proved to be negative. I now wake up very tired, and often feel like going to sleep late morning. I something sleep for over two hours in the afternoon, with no negative impact on my sleeping at night. The feeling of exhaustion is now semi-permanent, and much worse after a bout of activity, such as mowing the lawn.

e.g. Why does it burn when I pass urine? When voiding with a reasonable flow for 30 seconds, suddenly pressure drops and the urine merely pours out for another 30 seconds or more, without any feeling in urethea. Unless I look down I think I had finished. In consequence I feel the need to wear diapersotherwise I'd wet my pants. I know I have weak bladder muscles. Would I be better served with a catheter, a further operation or continue to wear diapers and plastic pants.

Passing water at night I get up two or three times in the night and pass about a litre of urine each time. The first time is about 01:00, and then again two to three hours later; then again between 05:00 and 06:00. I am very tired during the day. I have had problems starting to urinate since I was 11/12, and this has caused problems socially throughout my life. However, once urination starts streaming is good. I consulted my doctor some weeks ago about the possibility that I had some sort of diabetes. However, because I had a cystoscopy in 2004 - results negative - and blood in my sperm in 2007, he is going down the prostate cancer route. As these problems have not recurred, I wonder if he is 'barking up the wrong tree'?

urine infection I have a permanent catheter, due to urine retention. I have been diagnosed with a urine infection and prescribed ciprofloxacin. questions: I have noticed a large increase in urine production. Is this due to the UTI and is it normal?? What are the symptoms of urine infecton ??

cloudy urine i am 74 yr male. I have had indwelling catheter for approx. 6 months due to fluid retention. it seems to work well, my urine is a clear yellow colour. However, today i notice the urine is a cloudy yellow colour. What would cause this? and what should i do about it? thanks **** ******

catheter i have an inbuilt catheter in place approx 6 months due to fluid retention. it seems to work ok. my question is re the night bag i use. there is a big variation in the amount passed during the night. from 400 to 1800. is this normal ? i drinkmuch the same amount each day.

Indwelling catheter for fluid retention I have benignBPH and have had an indwelling catheter in place due to fluid retention. I have had the catheter for 6 months with no problem. The last 2 nights I have been woken with discomfort. It is not exactly a pain rather a burning sensation, which then passes. my question is--- is it normal to feel discomfort with a catheter? my urine is a good colour.

Can I insist that I do not want a catheter? I have a long standing chronic urinal problem.The main problem is the Urethra and a nervous bladder.I have had cyststocopys and urethal dilations in the past and other forms of treatment.The bladder never empties properly as I have had ultasound and I also have to wear Mobi nappies because of leakage.The urethra is restricted.I have tried different medication in the past including Indoramin which is not effective.Tamsulosin gives me migraines and I had one other tablet which had very bad side effects.My sleeping pattern is terrible.I have a wife who is 12 years younger than myself and my GP has stated quite catagorically,not to be cut.I have had conflicting views on this problem over the years by different consultants.I have to pass urine on average every 80mls as I am so desperate.I have just seen a Polish urologist and he stated that an average male bladder holds 125 ml before you pass urine.My GP and other consultants have told me that the figure is roughly 300 to 350 mls.Can you give me your opinion on the matter as far as what the capacity holdage is.Also he wants me to have a catheter fitted which I and my wife donot want fitted.One reason is the infection problems which I know are common with catheters as my dad has had serious infections.I also donot want tubes inserted up me.I would rather wear my nappies.He seems insistent that I should have a catheter.I am not happy.Can I insist that I donot want a catheter?Also this urinal problem sometimes effects my bowel and I poo my self sometimes when I want to urinate badly when I cannot get to the toilet.I was referred to this consultant by my GP in case there might be some new technology avilable,though he was sceptical.Is there any laser treatment available that you know of.I have faith in my GP but not in this consultant.Could you please comment on what I have emailed to you and confirm that I cannot be forced in to having a catheter fitted.I am 54. Yours faithfully,Mr *********

How often should you change an indwelling urinary catheter? I have had an indwelling catheter in place for 3 months.It works well. can I leave it in place indefinitlyor does it have to be changed? If so how often should it be changed ? thanks

I've had a bladder neck stenosis op but flow continues to reduce. Will it stop altogether? I am male 69 this month. Had a suprapubic prostatectomy Feb/Mar '09 followed by a forced catheterisation in May '09 due to debris I believe. This year I had a 'tiny' amount of blood in urine and a cystoscopy couldn't be done due to due to narrow bladder neck although the flow-rate was not a problem. 6 weeks ago (24 May) I had a procedure to remove the stenosis, inspect the bladder and take 4 biopsies from what remains of the prostate- bladder fine and biopsies negative. On 4 Jun due to significant urinating pain a urine test was taken (free of infection as it turned out) and I took a 7 day course of an antibiotic. The pain gradually went and I have been pain free for about 10 days. However, a day or so after the post op catheterisation (for 24 hours) the flow was no better than before and has reduced progressively since. I was given an appointment with a urologist on 22nd June to discuss this and provide a urine sample which was cloudy (unusually) but apparently clear. He said the flow would improve as the tissue at the op site became less swolen. Over the last week I have measured urinating volume against time from start to finish. This has reduced from typically over 4 ml/sec to less than 4ml/sec. In the last couple of nights the flow during my once-nightly visit has been particularly slow. I visit the toilet 8 to 10 times a day and have slight urgency. This morning (5 Jul) I asked for another appointment to discuss the flow and been given one with the same urologist for 13 Jul. This would be fine except my wife and I are booked to fly to another part of UK the very next day (one week on Wed) for a 13 day holiday. We've also booked accommodation and made visiting arrangements with 15 friends and members of family. We will be staying in a rural location 25 miles from a huge hospital with a presumably very busy A & E. If I have a total stoppage again I would probably not be offered a suprapubic catheter and hence would suffer a repeat of the bladder neck damage. The appointment on 13 Jul will be to TALK about the issue again, so I am at a loss to know what plan B can be put in place to avoid a total stoppage until such times as I can get an actual examination and treatment after the holiday. Obviously time is not on my side with this issue. Best regards.

Leaking after TVT operation for stress incontinence I had a TVT operation five years ago for stress incontinence but I still have to wear protection because of leakage. I had several problems after the operation but in the last year I have had a number of urine infections. I have had tests whiich have shown that I am not always emptying my bladder properly and also that the skin is thin in the urethra. It is suggested that I have hormone cream I am not happy about this because I feel that this symptom is a normal one with age and also to have long term antibiotics. Also about six weeks ago I woke in the early morning with a racing heart beat and sweat pouring off me feeling sick and dizzy and it was decided that this must be another infection. This all seems strange to me and feel unhappy about the whole situation. Can someone please try to explain to me.

kidney infection I had my urine tested 18/6/10 .my Dr said there was blood in my urine, sample being sent for more test, dr also said there was afew things going on,what would she mean ,im alittle concerned as ive never had a kidney infection,im 71 years old .i would appreciate your comments. thank you. ******

Urinary Tract infection Dear Doctor, I am a 63 year old male and have been suffering from burning pain when I pass urine. I have been to my GP and she told me it is probably a urinary track infection. She has booked me in for a lot of tests, but I am not sure what she is trying to discover. I assumed I would need some anti-bitotics and that would be it - is there anything else I need to be worried about? What is she testing for?