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Will dilation help me empty my urinary bladder?

Q: I am a 58 years old female and have a urinary problem. My urinary bladder does not empty and nearly 50% of the urine remains every time. I met a gynaecologist and tests like Pap smear were done which are all normal and she said there is no gynaecological problem. Sonography was done and the report was - Full bladder: 224 cc, P.V.R.: 108 cc, Mucosa thickness: 8 mm. I was referred to a urosurgeon. The Urosurgeon did cystoscopy and dilatation. The cystoscopy investigation report was as follows. Urethra - moderate stenosis, Bladder - T RUO, LUO - Mucosa no lesion, Trabeculae - 1+. After the cystoscopy and dilatation more than one month is over. I am still not able evacuate the bladder completely. What more is to be done?. Is dilatation a cure for this problem? Will internal urethrotomy give a cure for this problem? Our surgeon said internal urethrotomy is done only on men. Kindly advise.

A:Dilatation is a very convenient and simple treatment and may have to be done several times and is a very good option. I suggest you get it done as advised by your urologist. It does not require anaesthesia every time. Repeat Ultrasound for residual urine after dilation to find out how effective it is in your case. Otherwise, you may need to add some medicine to increase bladder power also.


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