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Re: bladder neck?From: Karen Lee (fairdamsel_2000@yahoo.com)Thu Feb 3 17:37:15 2000
> At Thu, 3 Feb 2000, 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)? > > -- > "The things you learn after you know everything are > the important ones" > Talk to your friends online with Yahoo! Messenger.
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