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leesteuk leesteuk

Acute Urinary Retention

Hello,

I had an accident where I fell backwards from a height of 6 feet, I landed on my right side/bottom/right wrist,

I was taken to hospital with a broken wrist, lower back pain, neck pain,

Mri showed nothing wrong with my spine, I had acute urinary retention and was catheterized,

No one seems to know what caused my AUR and I want to know if the trauma of a heavy fall from 6 feet could cause AUR even though the MRI didn't detect spinal damage.

Thanks smile

 

10 Replies

  • Buggsy1978 Buggsy1978 leesteuk

    Hi Lee, 

    Firstly I’m really sorry to hear of your problems and the fall.

    I can only let you know what happened to myself but I would say it could fit your AUR problem.

    I had an injury to the lower spine about 5 years ago, I was 34 pretty healthy, but i ended up needing a spinal fusion of L3/4/5 and S1, sadly while I had the operation they damaged my secral nerve that controls the nerves to the bladder and ever since I have been unable to pass urine, and had to self catheterise 4-7 times a day, ( heat dependent).  I’m now 39 and live with a supra pubic catherter. They did try these fancy electro nerve stimulators to try and make the bladder work but these failed.

    You mentioned you injured your back, but if you had any form of swelling that put pressure on the secral nerve it could be this that cause AUR, I think I’m right in saying they told me nerve damage wouldn’t show on the scan.

    Not sure if that helps but it would be my guess.

    I hope things are getting better for you and you have a good recovery.

    Regards

    George  

    • leesteuk leesteuk Buggsy1978

      Thanks for your reply George, Much appreciated ! I to have to self cath 4 times a day now as I developed Chronic Urinary retention,

      But initially I had a heavy fall so do you think the force of a fall backwards from 6 feet OR the sudden very bad pain of my fall could have caused me Acute Urinary retention ?

      During the  AUR I had a fowleys cath which I ended up with a UTI which spread to my testicles causing Orchitis and epididymitis   (excuse spellings)

      This was the most pain I have ever known and has now lead onto Chronic Orchalgia  neutral

      Also George would swelling to my painfull back show up on mri scan ? It was about a week later when I had the mri scan I was in hospital 2 weeks.

      Hope your feeling better too George !

    • Buggsy1978 Buggsy1978 leesteuk

      Hi Lee,

      I am sure that swelling / bruising can’t be seen on a MRI of spine, some inflammation can be detected via a contrast to a specific area but I think the spine isn’t one of them, and if you went in to AUR a week after the fall then to me this again fits with natural bruising of the body. 

      I am not surprised to hear that you too had a UTI and epididymitis and orchitus, I have had plenty of UTI and am always told it’s to do with passing the catheter and it being a foreign body. I’ve had Epi and orchitus a few times needing between 5-10 days in Hospital and IV meds, and I agree the pain is immense and some of the worst I have felt.

      One of the reasons I opted for a supra pubic catheter was due to the amount of infections I have been getting. I was using a vapro pocket which is in a small bag, you open it and it’s in a protective sleeve so you don’t touch it so it’s meant to be one of the best. But I also have a narrowing of the ureathra and it caused lots of bleeding and to reduce trauma the supra was suggested via the surgeon, so far in 6 weeks I have had no infection , so fingers crossed. But any form of catheter I personally think comes at a risk.

      How long ago was your fall Lee??, 

      Regards 

      George 

    • leesteuk leesteuk Buggsy1978

      Hi George,

      My accident was in January 2016 and it wasn't a week until I went into AUR it was the same day as my accident when I was in hospital,

      I had 4 TWOCS Whilst in hospital ( for 2 weeks) all failed and I was discharged with a catheter in situ,

      Then a few weeks after I got the infection and orchitis/epp and was in again for 6 days on antibiotic drip,

      I self cath now 3/4 times a day, I don't like it one bit !

      I am having an op to remove my left testicle in December as it was badly damaged with the orchitis and went up into my groin area where its been for over a year, attempts by the consultant to message it back down have all failed,

      Were your symptoms caused by an accident ?

      thanks

      lee

    • Buggsy1978 Buggsy1978 leesteuk

      Hi Lee

      Sorry it was early hours when I replied to you, I have lots of pain so get lack of sleep.

      My injury caused originally Claudia equina, so prolapsed discs compressing the spinal cord, at that stage I couldn’t pee, so they inserted a indwelling catheter. My first operation was decompression of the discs, but after a few days the discs went again so needed the fusion, it was during the surgery they damaged the nerve for the bladder. 

      Did your MRI show any damage to the spine.?? 

      I am so sorry to hear that you need to have a testicle removed, that’s really sad news.

      Regards

      George  

    • leesteuk leesteuk Buggsy1978

      Hi George

      Was that negligence by the hospital or is it a risk of the surgery you had ? (your nerve damage)

      Not good having ops on your back they are sometimes worse then before BUT sometimes its very much needed as in your case !

      My MRI didn't show any damage to my spine so unless it was the impact of the fall that made me go into AUR im at a loss to explain it.

      I have chronic orchalgia since having orchitis/epp so having my testicle removed may stop that but the specialist said its 50/50 as to if it will stop the testicle pain or not.

      My main issue is what caused my AUR

      Thanks

      Lee

    • Buggsy1978 Buggsy1978 leesteuk

      Hi Lee,

      Unfortunately nerve damage was one of the risks of surgery that I had. At the time the surgeon said he felt the operation for a fusion was the best option and he felt it would reduce my pain 70-80 %. So for me it was a no brainier. But sadly the fusion didn’t take as well as he had hoped and I am now in considerable pain everyday. But again I kinda knew there was a risk it wouldn’t take but I had to try.

      I know the scan showed nothing, but falling from any height you are sure to bruise, and I can only see that this is related. It must be trauma related.

      I can only imagine the pain and thoughts going through your mind especially with only a 50/50 chance of the pain being reduced.

      I hope for you that it does give you the reduction in pain as I know it’s a very painful and hope I never get it again.

      Regards

      George 

    • leesteuk leesteuk Buggsy1978

      Hi George

      Yes I know what you mean when you say you "had to try" an op,

      Its the same for me I spose !

      We never know whats round the corner do we !

      I can only think that the force or hitting the ground from 6 feet disrupted my nervous system and caused AUR that's all I can think of

      I hope you don't get orchitis again ! and me either as its the most pain I personally have experienced ever !

      Thanks

      lee

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