Challenges of Urination for Individuals with Disabilities: Seeking Solutions

Can only sit while using the toilet?

Hello, Doctor.
My name is Shu-Wei, and I am a person with disabilities.
Recently, in April, I was unable to stand to urinate.
Later, my mother taught me to drink 350cc of water in one go.
I used this method while working at my company, but I ended up being sent to the emergency room at Shulin Renai Hospital.
The doctor prescribed me medication to help me urinate more effectively.
The next day, my mother accompanied me to the hospital for a follow-up appointment, where the doctor mentioned that my bladder contractions were not functioning well.
During the two months of taking the medication, I was sometimes able to stand to urinate, but I couldn't fully empty my bladder; I could only do so while sitting.
After stopping the medication in mid-June, I initially found it easy to urinate while sitting, but now I have to exert pressure with my abdomen to urinate, and I still feel like I am not completely emptying my bladder.
After urination, I have the sensation that I haven't fully finished, as I underwent a uroflowmetry test and two urine tests at Renai Hospital.
I would like to ask the doctor what I should do.
I was prescribed UroLift and Lyrica for relief, and this issue has been troubling me for the past few days.

Shu Wei, 20~29 year old female. Ask Date: 2023/07/09

Dr. Cai Zhuorong reply Urology

The initial examination and treatment you received at the hospital are appropriate.
If your response is unsatisfactory, you may discuss with your physician the possibility of proceeding to the next stage of more invasive examinations and treatments.

Reply Date: 2023/07/09

More Info

Hello Shuwei,
Thank you for sharing your experience regarding the challenges you are facing with urination. It’s understandable that dealing with such issues can be frustrating and concerning, especially when compounded by your disability. Let's delve into your situation and explore some potential solutions.

From what you've described, it seems that you are experiencing difficulties with bladder contraction, which is a common issue for individuals with certain disabilities. The medications prescribed to you, such as Urief (which contains solifenacin), are typically used to help manage urinary incontinence and improve bladder function. However, it appears that after stopping the medication, you have encountered new challenges, such as the feeling of incomplete bladder emptying.

Here are some steps you might consider taking:
1. Follow-Up with Your Healthcare Provider: It’s crucial to maintain open communication with your doctor regarding your symptoms. Since you’ve noticed changes after stopping the medication, it would be beneficial to discuss these changes with your healthcare provider. They may need to adjust your treatment plan or explore alternative medications that could better suit your needs.

2. Pelvic Floor Exercises: Engaging in pelvic floor exercises, often referred to as Kegel exercises, can help strengthen the muscles involved in urination. These exercises can improve bladder control and may help you feel more confident in your ability to urinate effectively. A physical therapist specializing in pelvic health can guide you through these exercises.

3. Bladder Training: This involves gradually increasing the time between urination to help train your bladder to hold more urine. It can be beneficial to keep a diary of your urination patterns, which can help you and your healthcare provider identify any patterns or triggers.

4. Hydration Management: While it’s important to stay hydrated, drinking large amounts of water in a short time can lead to discomfort and may not be the best approach for your situation. Instead, try to drink smaller amounts of water throughout the day. This can help manage your bladder's workload and may reduce the urgency and frequency of urination.

5. Consider Assistive Devices: Depending on your mobility and the severity of your condition, there are various assistive devices designed to help individuals with disabilities manage urination more effectively. For example, urinals designed for sitting or standing use can provide convenience and comfort.

6. Seek Specialist Care: If your symptoms persist, consider consulting a urologist, a specialist in urinary tract and bladder issues. They can provide a more in-depth evaluation and may suggest additional diagnostic tests or treatments tailored to your specific condition.

7. Mental Health Support: Dealing with chronic health issues can take a toll on your mental well-being. It might be helpful to speak with a mental health professional who can provide support and coping strategies as you navigate these challenges.

In conclusion, while the challenges you face with urination can be daunting, there are various strategies and treatments available that can help improve your situation. It’s essential to work closely with your healthcare team to find the best approach for you. Remember, you are not alone in this journey, and there are resources and support systems available to assist you.

Wishing you the best in your health journey, and I hope you find relief soon.

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