Surgery can happen anytime in your life. It can be any incident, disease, or a type of physical deformity. However, the body has so many sensitive places, and when an operation is done there, certain issues start to show up.
For example, if the surgery has taken place in your pubic area, you may face with urination problems. Moreover, some people do not even need an operation for this issue to show, up to but they naturally feel the obstruction while they have to go pee. In case of surgery, this very situation is known as, urinary retention, and this is surely an emergency, when you are no longer admitted to the hospital, and is unable to produce urine. In this case, one should seek immediate medical attention, because if the bladder doesn’t become empty, severe health problems can onset which can be in the kidneys. In this article, you will get to know everything about removing the obstruction to peeing.
There are various reasons attached why someone is unable to urinate after surgery and they are:-
- A full bladder which may be visible as abdominal swelling is mostly thin people
- The feeling of discomfort or pain of a full bladder
- If you can’t help yourself and have no idea how to make yourself pee, but you’re feeling the urge
- Pain in the lower abdomen, particularly below the belly button
- A full bladder can be quite painful, but most people aren’t familiar with what kind pain feels like when it starts in the bladder and they may not be able to identify the cause of the pain,
- Other than the pain, when the bladder can’t hold the urine, the fluid backs up into the kidneys, this situation can cause damage if the pressure is not relieved immediately.
- In the case of extreme scenarios, the bladder can rupture when it can hold no more urine.
If you face something similar when you are unable to urinate or start to feel the pain because you are unable to urinate enough to empty your bladder and urine is building up inside of you, consider this is the time to look for help. Only a doctor will help you understand how to make yourself pee after surgery.
Causes of inability to pee
This inability to pee after surgery is caused by a thing known as, neurogenic bladder. This is a type of bladder dysfunction which interferes with the nerve impulses starting from the brain to the bladder. Here this organ does not get the signal to empty and will continue to fill despite any pain or trauma that may onset.
The patients who have no difficulty urinating before surgery, the same is often attached to a combination of risk factors and this consists of abdominal surgery, pain medications, general anesthesia, and fluids given by IV at the time of the operation.
There are some rare incidents where surgeons have severed a tube which transports urine, but it can also happen if the surgeon is not careful enough. However, the complication from this is very rare, and if it ever happens it’s treated before the patient is discharged from the clinic or hospital.
The Less Common Causes
There are other less common causes of not being able to urinate, and for this, doctors or healthcare advisors often teaches the technique of, how to make yourself pee in 30 seconds.
- Prostate enlargement can happen because of chronic urinary retention. Here the enlarged prostate interferes with the movement of urine from the bladder to the outside of the body.
- The bladder is droopy and it happens when the bladder slips lower into the abdomen and this is seen mostly in children. This creates problems with the movement of urine from the bladder to the outer part of the body.
- Medications for Antihistamine
- Defects and injuries in the spinal cord
- Medications for anti-anxiety
- Nerve damage to the bladder due to surgery, trauma, childbirth
- Antidepressant medicines
- Anticholinergic medicines
- Also blockage of the urethra, where the tube which removes urine from the bladder gets blocked.
The treatment of this issue is to attach a catheter. Here, a sterile tube which is inserted through the urethra into the bladder just to drain the urine out of the bladder. The issue can be critical, and short-term but serious complication can show up, or it may become chronic. If there is an ongoing problem it can persist for weeks, months or longer period.
There are patients who experience urinary retention may have been instructed in the methods so they can self-catheterize by medical staff. By this way, the bladder can be drained as required.
After you are done with the surgery, your problem will pass after two weeks usually. If it goes on, then your surgeon or doctor will go for other tests to find out the cause of it and give you the best treatment.
Difficulty in emptying the bladder
There is a less serious form of urinary retention which can happen after surgery and it can cause a delay in urination, or you can feel as if the bladder is still full after a successful trip to the bathroom. However, this is not an emergency, but it should be discussed with your surgeon, particularly, when it’s happening continuously.
There are some patients who can urinate after surgery, but they feel that their bladder isn’t emptying. This can be a cause of urinary tract infections and should be reported to the surgeon. The doctor will change the medications and the problem can be solved.
Other ways to pe
There are also other ways of urinating when you are unable too, and you have no surgical issues anymore. Such as,
- Rinse your perineum: This is the area of flesh between the genitals and the anus. You need to sit on the toilet and try to relax. You can also use a squirt bottle to rinse your perineum with warm water. Make sure that the water is not too warm.
- Run water: For this, you need to turn on the faucet in your sink. Then, sit on the toilet. Allow yourself to relax, close your eyes, and entirely focus on the sound of the water. Kids are made to pee this way.
- Your hands in warm or cold water: You have to fill a bowl with warm or cold water and dip your fingertips into it. You need to hold them there until you get the urge to pee, and then try to do the same into the toilet.
- Go for a walk: Any kind of small physical activity can sometimes stimulate the bladder. Here you can try walking around a room or a hallway until you feel you need to pee.
- Sniff peppermint oil: If you have peppermint oil at home then try sniffing it on your palm. The smell of it may give you the urge to pee. You have to put a few drops on a cotton ball and bring it with you to the toilet. Then sit on the toilet, relax your body, and sniff the cotton ball. You can also put the oil into the toilet.
- Drink while trying to urinate: If you drink water while trying to urinate, this will help you too. This will work as a trigger. You may need to drink several sips before trying to pee to get this technique to work. However, drinking caffeinated beverages or alcohol is not advised, because they are capable of making a person more dehydrated, and you need to bring the waterfall, not desert.
- Bending forward: For this, you have to sit on the toilet and relax your body and mind. The moment you’re ready to pee, bend forward. This will help in the stimulation of the bladder.
- The Valsalva maneuver: You need to sit on the toilet and bend down, and this should be in a way as if you were having a bowel movement. You have to use your forearm to press gently on your lower abdomen. Here, you need to take care so that you do not press directly on your bladder area. Urine which moves back up into the kidneys can always cause infection or damage.
- The suprapubic tap: You have to relax and sit on the toilet. Then use your fingertips to rapidly tap the place between your navel and pubic bone. Then tap once a second for up to 30 seconds.
- The relaxation techniques: For this, you have to allow yourself to relax while you go to sit on the toilet. To have this further, you need to close your eyes and start breathing deeply. Here make an effort to relax all of the muscles in your body, and it should be from head to toe.
- Touching your thigh: Relax and sit on the toilet seat. Now stroke your inner thigh with your fingertips. This may stimulate urination in a better way.
Reasons to induce urination
Any type of medical procedure can always be a reason for a person to induce urination. Also, a person’s nervous system is normally responsible which signals when the bladder is full and should be emptied on time. The sensation comes with fullness and then pressure.
In so many cases, a person can rely on these natural signals to know when urination must happen. However, at certain times when urination needs to happen on demand, and this also happens for medical procedures.
List of Need to pee on demand for medical tests:
- Cystoscopy, where a thin tube with a camera tests the bladder and urethra
- For urodynamic studies, it assesses how well the body stores and releases urine
- A kind of drug testing
- Various examinations on radiologic or ultrasonic
- For urinalysis, urine culture, and studies on bloo
If you have had surgery, you can have a health condition called the neurogenic bladder. This happens when the nerves no longer tell the brain when it is time to urinate. So, this is a problem.
Neurogenic bladder issue can cause a person to either hold urine for too long or face higher difficulty urinating because they are not able to feel when their bladder is full. If this ever happens with you after your surgery, you need to consult the surgeon or the physician. They will be able to help you.