What to do when you can’t go

Q: What does a man do if he is unable to urinate?

A: Some individuals may find temporary relief by sitting in a tub of warm water or by simply turning on a water faucet in a sink that can often stimulate a urinary flow. Other than that, there is little that can be accomplished at home since a true inability to urinate requires prompt medical attention.

The most common cause for urinary retention is because of a narrowing or stricture within the urethra, the small tubular structure that drains urine from the bladder. The bladder is an organ similar to a balloon in the pelvis that stores urine. When the condition occurs in men, it is often because of an enlarged prostate – also a common condition. This is because as a man ages, the prostate that partially surrounds the urethra causes pressure and blockage. There are also several other medical issues that can result in urinary retention. The first is an after effect of surgery that may be related to the type of operation performed, scar tissue, or even resulting from the anesthetic used. [Read more...]

Daily Column

DEAR DR. GOTT:
I am a 72-year-old female. As I have gotten older I have noticed that my urine has become really strong and smelly and irritates my skin. I shower daily and use a moisturizing soap and use baby lotion when I have a rash. I have also tried special wipes and other creams but nothing seems to work. Do you have any suggestions?

DEAR READER:
I urge you to see your primary care physician to rule out a urinary tract infection (UTI). If left untreated, it can also lead to kidney infection. UTIs often cause odor, burning, itching, and pain.

A test called a culture and sensitivity (C & S) is simple, painless and usually takes only 24-48 hours to complete. If infection is present, the laboratory technicians will test the bacterial sensitivity to a variety of antibiotics to determine which is most effective. UTIs are usually simple to treat using antibiotics. [Read more...]

Daily Column

DEAR DR. GOTT:
Let me start by saying I am a registered nurse.

I just read the letter from the insane woman who wants to murder her husband because he urinates and ejaculates in the shower, plus he doesn’t use a washcloth — horror of horrors. You showed considerable restraint in not sending the nice white padded wagon over to this woman’s house and having her hauled off to the happy farm.

This woman and all of the other women who write to you and are so disgusted about this behavior in the shower must not know that urine and semen are sterile substances when they leave the body. Unless this guy is leaving a pile of defecation in the shower, then it’s really not a big deal. In fact, I would venture to guess that ALL men and some women urinate and masturbate in the shower at one time or another.

As for using a washcloth versus ones hands –the washcloth is must nastier. The sweat and bacteria on the skin are much more disgusting than sterile body fluids and don’t rinse out of the washcloth unless it is laundered daily. Soap and running water will clean the hands that have scrubbed body crevices. There is also hand sanitizer for the overly obsessed. Heck, my husband uses the shower to wash out his sinuses! Now that is gross, but I have no homicidal tendencies toward him.

Lighten up ladies. Your problems run much deeper than a mate urinating and ejaculating in the shower! See a shrink already.

DEAR READER:
Thank you! I have received several letters similar to yours from other health professional. Many were written by women. Yours put a humorous spin on whole situation as well as pointing out what I was hesitating to say.