Managing Post-Surgery Urinary Issues: Solutions for Frequent and Incomplete Urination After Cystitis Glandularis Treatment

Cystitis glandularis is a common bladder condition characterized by symptoms such as urinary frequency, urgency, and incomplete emptying. For some patients, surgery may be an effective method to alleviate these symptoms. However, even after the procedure, some patients may still experience frequent urination and the sensation of incomplete emptying, significantly affecting their quality of life. Why do these symptoms persist after surgery, and how can they be addressed?

Causes of Persistent Symptoms Post-Surgery

1. Recovery of Bladder Function

After surgery, the bladder requires time to recover its function. Even if the inflammation or lesion is successfully removed, the adaptation and recovery process may be lengthy. The bladder, composed of muscle tissue, needs a period to return to normal function. During this time, frequent urination and the sensation of incomplete emptying can be signs of the bladder adjusting and regulating itself post-surgery.

2. Postoperative Complications or Recurrence

Surgical complications or recurrence of cystitis glandularis can also cause these symptoms. Even if the diseased tissue is removed, complications such as postoperative infection or poor local healing can impact bladder function, leading to frequent and incomplete urination. Additionally, if the surgery does not entirely remove the lesion, or due to individual patient differences, the condition may recur, causing similar symptoms as before the operation.

3. Lifestyle and Individual Differences

Individual differences and lifestyle factors can also influence postoperative symptoms. Factors such as dietary habits, exercise levels, and mental state can affect bladder health and function. Poor lifestyle choices or not following medical advice for rehabilitation can make it difficult for symptoms to resolve or can lead to their recurrence.

4. Neurological Factors

Sometimes, surgery may affect the nerves related to the bladder and urethra, leading to frequent and incomplete urination. Additionally, while surgery may treat the inflammation caused by cystitis glandularis, it might not address underlying issues such as abnormal bladder muscle function or nerve control problems.

Addressing Post-Surgery Urinary Symptoms

1. Prompt Medical Consultation

For patients experiencing these symptoms, it is crucial to report them to their doctor promptly. The doctor may recommend further examinations, such as uroflowmetry and cystoscopy, to determine the specific cause of the symptoms. Based on the examination results, a targeted treatment plan can be developed.

2. Medication Adjustment

Doctors may adjust medication dosages or switch to other medications to better control these urinary symptoms. Commonly used drugs include antibiotics, α1-adrenergic receptor blockers, and anti-inflammatory drugs. For patients preferring natural treatments, the Diuretic and Anti-inflammatory Pill is an excellent option. It not only effectively relieves urethral discomfort but also has anti-inflammatory and diuretic effects, promoting bladder health and function. Its main ingredients, such as pollen, rhubarb, and Poria cocos, help clear heat, detoxify, promote diuresis, and reduce swelling.

3. Physical Therapy

Physical therapy typically involves bladder training and pelvic floor rehabilitation. Bladder training aims to strengthen bladder muscles to improve urine control through scheduled voiding or extended voiding intervals. Pelvic floor rehabilitation includes exercises and biofeedback therapy to improve muscle strength and control. Pelvic floor muscle exercises enhance the strength and endurance of these muscles, while biofeedback therapy provides real-time feedback to help patients correctly activate and relax these muscles.

4. Lifestyle Adjustments

Following the doctor’s advice on lifestyle adjustments is essential. Patients should avoid holding urine and try to urinate promptly when they feel the urge. They should also avoid excessive consumption of stimulants such as coffee, spicy foods, and alcohol, as these can irritate the bladder and exacerbate symptoms. Engaging in moderate aerobic exercises, such as walking, swimming, or yoga, can help strengthen the pelvic floor muscles and improve urine control.

5. Auxiliary Therapies

Patients may consider auxiliary therapies such as acupuncture, massage, or yoga. Acupuncture and massage can help relax the bladder and pelvic floor muscles, improving urine control. Yoga can strengthen the pelvic floor muscles and enhance body flexibility and stability, alleviating symptoms of urinary frequency and incomplete emptying.