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Long story short..I had turp and it didnt cure my chronic retention but did improve flow and lowered actual post void measures.
I now self cath (at moment) between one and three times every 24 hours, to make sure my bladder doesnt overfill.
What is overfill, I ask myself. When my bladder is holding (usually) more than 300 mls I can p**s easier and I believe it is the pressure build up that helps me void. I my have to accept that my bladder muscles are compromised and not working properly & I understand that.
So I believe it is partly bladder contraction and partly just physics ...in that gravity and sheer pressure within the bladder helps me void...
Over and over I hear the magic figure of 400 mls as being the maximum amount of urine that our bladders should hold ...where does this figure come from.
If anyone can point to a study or empirical evidence for this figure being the maximum healthy amount a mans bladder should hold comfortably, I would be grateful, rather than find out it turns out to be a another meme, with no real evidence to back this figure up as being realistic and true.
A Uro surgeon mentioned to me one time that the bladder has urine in it 99% of the time and we do not walk around with an empty bladder. So ergo it makes sense that we walk around with the bladder holding urine if not all the time, then most of the time without any health problems.
So this brings me back to what volume can we walk around with (maybe) over 400mls for an hour or so without any health problems.?
I know that backing urine up the kidneys is bad but it can literally take litres in our bladder and UUT to compromise our kidneys in the first place.
Im just throwing this out to see if anyone has opinions on what our bladder can actually cope with for years without real health problems....in the real world..:)
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