Urinary Issues: Tests and Treatments Explained - Urology

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Understanding urinary issues can be quite complex, as they often involve various symptoms and underlying conditions. Based on your previous inquiries and the information provided, it seems you are experiencing a range of urinary symptoms, including difficulty fully emptying your bladder, post-void dribbling, and occasional leakage of clear mucus. Let's break down your concerns and the tests and treatments that have been suggested.


Urinary Symptoms and Their Implications
1. Post-Void Dribbling: This is a common issue where a small amount of urine leaks out after you believe you have finished urinating. It can be due to several factors, including weak pelvic floor muscles, bladder dysfunction, or prostate issues in men.
2. Residual Urine: The presence of residual urine (in your case, 90 mL) indicates that your bladder is not emptying completely. This can lead to urinary tract infections (UTIs) and other complications if not addressed.
3. Clear Mucus: The appearance of clear mucus after urination can be normal, but if it is persistent or accompanied by other symptoms, it may warrant further investigation.


Recommended Tests
1. Urinary Culture: Although you mentioned that a culture was previously done and returned normal, this test is essential for identifying any bacterial infections that may not have been detected through standard urinalysis. It helps in tailoring antibiotic treatment if an infection is present.

2. Cystoscopy (Bladder Scope): This procedure allows the doctor to visually inspect the inside of your bladder and urethra. It can help identify any abnormalities such as inflammation, tumors, or stones that could be contributing to your symptoms.

3. Prostate Ultrasound: If you are male, this test can help assess the size and condition of the prostate gland. An enlarged prostate can obstruct urine flow and lead to symptoms like those you are experiencing.

4. Urodynamics: This test evaluates how well the bladder and urethra are storing and releasing urine. It can provide insights into bladder function and help diagnose conditions like overactive bladder or bladder outlet obstruction.


Treatment Options
1. Medications: The "若通膠囊" (likely referring to a medication for urinary symptoms) may help improve bladder function or reduce symptoms. It's essential to follow your doctor's instructions regarding medication use.

2. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises (like Kegel exercises) can help improve bladder control and reduce symptoms of dribbling.

3. Behavioral Modifications: Adjusting fluid intake, scheduling bathroom visits, and practicing double voiding (urinating, then waiting a few moments and trying again) can help manage symptoms.


Health Insurance Coverage
Regarding health insurance coverage, it varies by provider and plan. Generally, diagnostic tests like urinalysis, cultures, ultrasounds, and cystoscopy are often covered, but it's essential to check with your insurance provider for specifics regarding your plan and any potential out-of-pocket costs.


Conclusion
It's encouraging to hear that your urgency symptoms have improved, but the presence of residual urine and post-void dribbling suggests that further evaluation is necessary. The tests your doctor has recommended are standard procedures to rule out any serious underlying conditions and to tailor an effective treatment plan for you.
If you have any concerns about the tests or treatments, or if your symptoms persist or worsen, don't hesitate to reach out to your healthcare provider for further clarification and support. Remember, urinary health is crucial, and addressing these issues early can lead to better outcomes.