Post-Surgery Urinary Changes After Minimally Invasive Hemorrhoid Surgery

Postoperative care after minimally invasive hemorrhoid surgery?

It has been one week post-surgery, and I am unsure why my urination is not as good as it was before the procedure.
It feels as though the urge to urinate has been diminished, almost as if I no longer have a bladder.
However, I am still able to urinate, but I go to the bathroom about 6 to 7 times a day, and approximately 3 to 4 times I need to listen to the sound of running water in order to urinate properly.
After urination, I do not feel the usual sensation of bladder contraction; sometimes I experience one or two contractions during urination.
Is this considered normal? (In the morning, I have no urge to urinate; I have to go to the restroom and try to urinate to see if there is any output.)

Feng, 30~39 year old female. Ask Date: 2021/09/03

Dr. Ke Fangxu reply Surgery

Minimally invasive surgery involves various instruments and techniques, and without specific details, it is difficult to determine their relation to the surgical procedure.
Additionally, there are different types of anesthesia, including local, regional, and general anesthesia, each of which can impact urination.
Due to the limited information you provided, it may be challenging to ascertain the exact cause of the urinary abnormalities.

Reply Date: 2021/09/03

More Info

After minimally invasive hemorrhoid surgery, it is not uncommon for patients to experience changes in urinary function. The symptoms you are describing, such as a decreased sensation of needing to urinate, increased frequency of urination, and the need to hear running water to initiate urination, can be concerning but may also be part of the normal recovery process.

Firstly, it is important to understand that the pelvic region is interconnected. Surgical procedures in this area, even those that seem unrelated, can affect the bladder and urinary function due to the proximity of the nerves and structures involved. The sensation of needing to urinate is primarily controlled by the bladder's ability to stretch and signal to the brain when it is full. After surgery, especially if there was manipulation of the surrounding tissues, it is possible that the bladder's normal function and the neural pathways involved in urination may be temporarily altered.

1. Postoperative Changes: It is not unusual for patients to experience changes in urinary habits following surgery. This can include increased frequency of urination, urgency, or changes in the sensation of bladder fullness. These changes may be due to inflammation, swelling, or even anxiety related to the surgery. In many cases, these symptoms improve as the body heals.

2. Nerve Irritation or Damage: During surgery, there is a risk of irritation or damage to the nerves that control bladder function. This can lead to symptoms such as difficulty initiating urination or a lack of the typical sensation of bladder fullness. If these symptoms persist beyond a few weeks, it may warrant further evaluation.

3. Hydration and Bladder Health: Ensuring adequate hydration is crucial for bladder health. Sometimes, inadequate fluid intake can lead to concentrated urine, which may irritate the bladder and exacerbate symptoms. Aim to drink enough fluids throughout the day, which can help improve urinary function and reduce discomfort.

4. Follow-Up Care: It is essential to maintain communication with your healthcare provider regarding these symptoms. If you notice that your urinary symptoms are worsening or not improving over time, it is advisable to schedule a follow-up appointment. Your doctor may perform tests to assess bladder function, such as a urinalysis or bladder scan, to rule out any complications.

5. Pelvic Floor Exercises: Engaging in pelvic floor exercises (Kegel exercises) may help improve bladder control and urinary function. These exercises strengthen the pelvic floor muscles, which can support bladder function and improve the sensation of needing to urinate.

6. Psychological Factors: Sometimes, anxiety or stress related to surgery can also impact urinary function. If you find that anxiety is affecting your ability to urinate, discussing this with a healthcare professional may be beneficial.

In summary, while the urinary changes you are experiencing after hemorrhoid surgery can be concerning, they may be part of the normal healing process. However, if symptoms persist or worsen, it is crucial to seek further evaluation to rule out any underlying issues. Your healthcare provider can offer guidance tailored to your specific situation and help ensure a smooth recovery.

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