Prostate Restored
Prostate Restored
Photo: Jean-Daniel Francoeur
In general, you should not go for longer than 6 to 7 hours without urinating. If you are unable to urinate, a physical exam may reveal a distended bladder. Sometimes, the care team may use ultrasound to view the bladder.
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Read More »Difficulty urinating after surgery is a condition called postoperative urinary retention (POUR). POUR is the inability to voluntarily urinate after surgery despite the bladder being full. It occurs when surgery interferes with normal bladder function. Bladder control involves both the voluntary and involuntary nervous systems. There are also two phases of bladder control—filling and voiding. When the bladder is filling, smooth muscles stay relaxed. The strong sphincter muscles contract during filling to keep urine in the bladder. When nerve signals tell the brain the bladder is full, you become aware of the need to urinate. Voiding—or releasing urine from the bladder—is the part you can control voluntarily. You decide when you will urinate. Once you are ready, the smooth muscles around the bladder contract to squeeze it and you relax the sphincter muscles to let urine flow. Surgery can interfere with the smooth muscle function, the nerve signals, or your ability to voluntarily relax the sphincter muscle. Difficult urination after surgery is very common. Up to 70% of people having surgery will experience it to some degree. The risk is higher in men, people older than 50 years, and people with certain medical conditions, such as diabetes. It is also more common with certain types of surgery, such as pelvic surgery, and with anesthesia medicines. The amount of time under anesthesia can also contribute to postoperative urinary retention. Your postoperative care team will monitor your ability to urinate after surgery. It’s important to tell your team if you are having problems urinating. They will need to evaluate your bladder and may need to empty your bladder with a catheter. After some surgeries, you will already have a urinary catheter in place when you wake up. If you go home after surgery, your team will give you instructions about when to call for a problem with urination. In general, you should call your doctor or seek prompt medical care for the following urinary symptoms:
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