But I Don't Have to Go
Marja Sprock, M.D.
leak urine continually the entire day, but never get an
urge to go." Another version is to never get an urge to
go and then the bladder just starts emptying. Or "I
never get an urge to go, but my lower abdomen causes me
sit in the chair, watching television or working on the
computer, never feel an urge, till I stand up and there
we go, I need an ambulatory toilet". Maybe you recognize
your own problem in any of the presented ones or you may
be thinking: "but they never got an urge" If I would get
a dollar for every time I hear; "but I do not get an
urge, I would get a nice tip every day."
often explain: just because you decide to drive a car
without putting on your glasses and ignore another car
causing an accident, does not mean the car was not
there, just because your eyes did not register it. You
wear glasses; the same goes for diminished hearing, your
wear hearing aids. So you are still convinced a bladder
always works properly and will tell you in time? You are
thinking yes, because it is a bladder and not an eye or
an ear: they are all organs and can fail or get
bladders, or more likely the nerve connection gets older
or gets influenced by diseases like diabetes.
Lorraine age 74 came to the clinic. She had been a
teacher for years. Lorraine used to be able to go
hours on end without emptying or leaking. To her dismay
in the middle of Home Depot-yes some women shop there
too-her bladder emptied. She had not felt an urge at
all. She had not emptied for 5 hours on end and had been
drinking water from her water bottle. When I explained
to her that after years of ignoring her bladder, it was
now ignoring her and she had to start using her watch to
void, I got the reply .... you guessed right ... "but I
did not get an urge."
the way Lorraine does wear glasses.
Elizabeth, age 67 would communicate with her friends and
family on the computer for hours on end. When sitting
your pelvic and abdominal muscles pull the urethra more
closed and she could sit there dry, hours on end-without
an urge to go. However as soon as she got up, there was
no time to get to the bathroom. Elizabeth became very
frustrated and angry, since she got no urge from her
bladder and had no time to make it. When it was
explained to Elizabeth, that if she had been sitting at
her computer desk for 2 1/2 hours, it may have been a
good idea to empty. She replied "I do not get an
problem of leaking continually is often a little
different and the bladder may not completely empty when
prompted to void on the toilet and voiding by using your
watch will not help much.
Besides nurses and teachers…. doctors too who tend to
hold their bladder volume for a long time, there are
non-profession related ways to ignore your bladder.
There is no scientific evidence
of a health benefit to large
volumes of water. Your bladder
definitely does not enjoy it !
recommendation to drink 8 glasses of water is
interpreted by many as "the more the better." A normal
bladder can usually maximally hold up to 16 oz. while
not under anesthesia. A lot of us will empty at about
8-10 oz. since the entire abdomen will not feel
uncomfortable. However if you drink bottles of 16 oz.
every hour and do not feel like going to the
bathroom-"again and again"- you will start ignoring the
bladder’s signals to go empty. Once you start ignoring
the bladder-eventually it will start ignoring you. A
bladder ignoring you can lead to unexpected emptying in
department stores, the car or in the office.
vase is used to hold flowers -
not drinking water.
you drink 8 oz. of water , it will usually be in your
bladder within 20 minutes, so maybe a good idea to plan
your void, if your bladder does not warn you. Also there
is no health benefit to large volumes of water. If you
drink from anything larger than 12 ounces-it is called a
vase and is used to put flowers in. On the 24 hour urine
diary I have seen a lot of urine outputs over 3 quarts,
which is excessive and can lead to all kinds of
problems. Exercise every day is healthy; drinking water
in excessive amounts is not. "I never heard that
drinking a lot of water is not healthy for me". Well
this may be the first time, it may be good to give it a
try and see if it has anything to do with your leakage
the way Kathy 54, for years had some very short black
outs and nobody could figure out what was causing it.
After she gave me her 24 hour urine diary and I
witnessed her total output, it was clear her intake of
fluid was excessive. Kathy was putting out 4 quarts a
day. She thought she needed a sling for leakage; however
I convinced her to cut down on her input and think. 10
oz. in, bathroom within 30 minutes.
who had been very reluctant with the recommendation came
back so pleased. She had not had any more leakage and
black-outs since she had cut down on her fluid intake.
"Doctor I thought you were crazy, however you have made
me very happy, I am dry without any surgery."
Sometimes simple adjustments in our activities and
habits of daily living can make a big difference. If you
are bothered by incontinence, your cure or improvement
may be easily achieved or be more involved. If you drink
normal amounts of fluids and go to the bathroom on a
regular basis and still leak, do not hesitate and come
to Central Florida UroGynecology in Rockledge. We can
treat from simple to complicated; even if you…did not
get an urge.
Central Florida UroGynecology in Rockledge. Call 321-806-3929 and schedule
a consultation or
leave a note here.