Questions and Answers 1

Question

What should I do if, as I get older, I’m suffering from a frequency problem i.e. I’m having to urinate more and more often?

Answer

There are two totally different explanations for this problem i.e. for having to urinate every time you can produce about, say, 200 mls of urine.

EITHER, for whatever reasons, your bladder has become reduced in capacity, so that, when it has 200 mls of urine in it, it’s full, OR, your bladder still has a more normal capacity of say 330-400 mls, but again, for whatever reasons, your bladder has become weak so it can’t properly squeeze the urine out of the bladder, so that after you’ve urinated there’s still a lot of urine left in it, so that when another 200 mls of urine goes into it, it’s full.

For these two very different explanations there are two very different solutions.

If your bladder is reduced in capacity, it is said that a TURP operation will work.

A TURP operation was recommended to one of our readers by a Dr Andrew Brooks, Urologist. It involved him in an operation under a full anaesthetic, two uncomfortable days in hospital with tubes running in an out of him everywhere, $5-6,000 in expense, including Dr Brooks $3,200 fee for less than an hours’ work, and the loss of his ability to ejaculate in sex for the rest of his life. And it didn’t help with the frequency problem – probably because there was ample external evidence that Dr Brooks’ explanation was the wrong diagnosis and that the TURP operation was the wrong solution.

In our reader’s subsequent experience, lot of other urologists have advised him that there is not much that can be done if the problem is bladder weakness although there are lots of other things that can be tried short of surgery. Perhaps such urologists should be consulted before seeing the Dr Andrew Brooks of this world.

This information article has been prepared by a writer with no medical qualifications, and who is therefore unable to who takes any responsibility for it’s content.

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