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Re: bladder neck? From: james connerth (babydoc@apex.net) Thu Feb 3 08:10:55 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J Woolley: "Re: bladder neck?" Previous message: Larry Glazerman: "Re: Operative Hysteroscopy - any tips" Maybe in reply to: Robert J Woolley: "bladder neck?" Next in thread: Robert J Woolley: "Re: bladder neck?" Reply: Robert J Woolley: "Re: bladder neck?" Any prev. deliveries?Why the acute onset of bladder neck "weakness?"Tiny stone somewhere?Chlamydia? Robert J Woolley wrote: > I have a generally healthy (but highly anxious) young woman (age 24) with > urinary urgency and frequency for about 10 days, no dysuria, no hematuria, > no vaginal symptoms, not pregnant. Urinalysis completely normal, urine > culture negative. She saw one of my partners first and was treated with > Bactrim and Pyridium, in spite of the negative UA; no change in symptoms > with these two meds for 3 days, no change upon discontinuing them, > either. She can hold her urine as long as she needs to (no incontinence), > but it requires constant voluntary effort, starting roughly 10 minutes > after last urination. Urine volume is proportionate to the duration she > waits. No problem at night. > > The best that I could reason from this was that she was having weakness at > the bladder neck, akin to stress incontinence, but constant instead of > only with stress, but with sufficient reserve in the pelvic floor muscles > (she has never been pregnant) to prevent actual loss of urine. > > Does this sound plausible? If so, is there a name for it? > > I tried treating her with pseudoephedrine as an alph agonist, no > response. Today I told her to try phenylpropanolamine, for the same > reason. If this fails, what would you do next (besides send her to a > urologist)? Next message: Robert J Woolley: "Re: bladder neck?" Previous message: Larry Glazerman: "Re: Operative Hysteroscopy - any tips" Maybe in reply to: Robert J Woolley: "bladder neck?" Next in thread: Robert J Woolley: "Re: bladder neck?" Reply: Robert J Woolley: "Re: bladder neck?"

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