Search found 57 matches

Search found 57 matches
by Mr Chris Harding
Wed Jun 03, 2020 9:28 am
Forum: catheters
Topic: Catheter Encrustation
Replies: 2
Views: 413

Re: Catheter Encrustation

There are several types of bladder instillation on the market - I often recommend a citric acid solution twice a week. I also find an "open-tipped" catheter can be useful in this situation. I do have a handful of patients that need SPC changes every 4-6 weeks despite these measures.
by Mr Chris Harding
Wed Jun 03, 2020 9:25 am
Forum: catheters
Topic: Intermittent Self Catheterisation
Replies: 3
Views: 462

Re: Intermittent Self Catheterisation

The use of daily low dose antibiotics will reduce the risk of UTI associated with self-catheterisation by about 50% - data from the ANTIC trial. Non-antibiotic preventative strategies would include Methenamine Hippurate, D-mannose, Cranberry supplements and intravesical treatments - however these ha...
by Mr Chris Harding
Wed Jun 03, 2020 9:21 am
Forum: urinary incontinence (urge and stress)
Topic: Bulkamid
Replies: 4
Views: 547

Re: Bulkamid

The best data on bulkamid comes from this study
https://pubmed.ncbi.nlm.nih.gov/31479396/
It shows that bulkamid has a high satisfaction and cure rate but not as high as other more invasive options.
by Mr Chris Harding
Tue Jun 02, 2020 12:58 pm
Forum: cystitis & UTI's
Topic: Intestistinal cystitis
Replies: 3
Views: 443

Re: Intestistinal cystitis

There are a range of treatments available for your condition. Perhaps you need an appointment with a urologist with an interest in this condition to allow you to decide which treatment you might like to try.
by Mr Chris Harding
Tue Jun 02, 2020 12:56 pm
Forum: overactive bladder syndrome
Topic: Oxybutynin
Replies: 1
Views: 342

Re: Oxybutynin

There are lots of other tablet treatments available as well as some transdermal (skin patch) preparations. You can discuss alternatives with your GP. There is a tablet called Mirabegron which doesn't associate with poor bladder emptying and this may suit you.
by Mr Chris Harding
Tue Jun 02, 2020 12:53 pm
Forum: overactive bladder syndrome
Topic: Bladder Removal
Replies: 4
Views: 624

Re: Bladder Removal

Sounds like you need a consultation with a functional urologist and stoma specialist before you make a decision regarding bladder removal. You are correct to assert that bladder removal is usually a last resort treatment and you need to discuss all options first.
by Mr Chris Harding
Tue Jun 02, 2020 12:51 pm
Forum: overactive bladder syndrome
Topic: Should we try botox injections again?
Replies: 1
Views: 336

Re: Should we try botox injections again?

In a word "yes". Botox is an excellent treatment for overactive bladder symptoms secondary to neurological disease like a stroke - it may be that the original dose could be increased?
by Mr Chris Harding
Tue Jun 02, 2020 12:50 pm
Forum: overactive bladder syndrome
Topic: overactive bladder
Replies: 1
Views: 356

Re: overactive bladder

If you have had bladder outlet obstruction diagnosed (presuming this because you are on Tamsulosin) then this can be a cause of the symptoms you describe. Saw palmetto is a natural product that may shrink the prostate and reduce your symptoms but the evidence to support its use is patchy. In about 2...
by Mr Chris Harding
Tue Jun 02, 2020 12:46 pm
Forum: overactive bladder syndrome
Topic: have to pee urgently and frequently
Replies: 1
Views: 344

Re: have to pee urgently and frequently

Perhaps you should talk to a urologist about sacral neuromodulation if you are not keen on Botox. Just to clarify Botox is not associated with impotence.
by Mr Chris Harding
Tue Jun 02, 2020 12:44 pm
Forum: urinary incontinence (urge and stress)
Topic: Incontinence
Replies: 2
Views: 623

Re: Incontinence

Sometimes urge incontinence can develop after prolapse surgery and your history is suggestive. A continence advisor would be the logical first step for you and can be accessed via your GP.
Search found 57 matches