I lost the urge to pee ... ?!?

Body: 

Okay so right after I went to the gyno last week, and was told I had uterine prolapse, I lost the urge to pee.

It's weird b/c for several years I was incontinent - I guess my uterus was pressing on my bladder - and now that it moved a little since Friday - I'm no longer incontinent, and now I can't tell when I have to go pee.

I got so used to having what they call urge incontinence - and now it is gone - I guess on one hand I should be thankful - I can't tell when I have to pee now!

I wake up needing to "go" but the urge isn't there like it was before. I get up and go, and I am able to empty my bladder just fine.

Everything else feels fine - well as fine as it feels with prolapse - I can tell things dropped a bit after my pelvic exam, though.

Has anyone else had this happen?

Hi Robin

Sounds weird, doesn't it! Don't worry too much. Something has changed. I hope this is good. Sounds good to me!!!!!

As your pelvic organs, including your urethra, are now in a slightly different orientation relative to each other and to your pelvic bones, you might find that sensations re your bladder are different. All this means is that your brain has to relearn what the new sensations mean. This managing POP business is as much a brain and heart thing as a physical thing. Dr Christiane Northrup talks about the female person thinking with the whole body, not just the brain. It is all mixed up together for a woman, which makes so much sense to me. I know that my body complains when my heart is not going well. My brain doesn't work well when I have pain or worry, or my heart is not going well.

The other side of the coin is female sexual responsiveness. Our whole skin is a sexual organ, compared with men who tend to be very 'penis, testicles and nipples-oriented'. Our sexual joy is all over the place!! And so are our orgasms!!

You need to understand that your pelvic organs slosh around in your pelvic cavity like several bags of jello in a bucket. Tip the bucket of jello forwards at the top and the jello bags will tumble over each other, and end up in a different orientation to each other. Imagine that the one that is the bladder is tethered to the bottom of the bucket by a string (the urethra), and the string is bent. Now tip the bucket forward and the bladder jello bag will slop forwards, straightening the string. This is bound to effect the pressure within the urethra and the signals it gives you.

In normal posture, where POP's are evident, the bladder, uterus and rectum fall backwards and downwards. The urethra seems to join the bladder at the front, up high, with a kink where it joins the bladder. In WW posture the organs all flop forwards, to where they should have been all along. They rest on the pubic bone and are held forward by the gentle pressure of the lumbar curve with a little help from the pelvic floor, which has suddenly changed from being horizontal to being diagonal and sloping forwards. Ya can't push jello up hill, so it stays forwards! ;-) The urethra now joins the bladder at the bottom, and the kink disappears. It is literally a plughole. You guessed it! There is probably less pressure in your full bladder now, so you may get less sensation of the need to pee. Also, the kink that previously held the urethra closed is now straighter, so it cannot let the pressure build up to urge incontinence level. All you need to do is shift in your chair with the bladder flopped back, and the kink straightens out and turns the tap on full. No kink means no urge incontinence.

Well, that is my theory anyway.

Pelvic examinations are done on your back with the lumbar curve straightened out and the pelvic floor relaxed (read the book to understand why). They ask you to bear down. This will show the practitioner the full extent of your POP's. After that, you get up again and rearrange your jello. It sometimes takes a couple of days to move back up again after being stirred up like that. A speculum is exactly the opposite of a penis. A penis will push your organs right up and back into position. A speculum will stretch your vagina wide open in a most unsatisfying way, then click a couple of times, get jiggled and shoved around a bit before clicking again and leaving, with you dribbling obstetric lubricant all over the auction.

All I can suggest is that you listen very carefully to what your body is telling you, get to know your pelvic organs and what they do, very well. Listen to the sensations. Pee on all fours with a relaxed belly, under the shower or into a basin once a day, This will tip your bladder right forward so it can empty completely with a straight pipe. This lessens UTI's from stale urine. Sometimes you won't understand what your body is telling you, but be patient and it will teach you, just like a new language. You'll get the hang of it.

Cheers

Louise

I had the exact same thing happen to me, although I didn't realize it at the time. For about a year before my uterus prolapsed, I had 'urge incontinence' all the time. I went to the doctor constantly for possible bladder infections, and every urine test came back negative. I would pee before leaving the house, travel 10 minutes to get to the store, and be so miserable walking around with the constant feeling of having to go - a pressure feeling, no burning or anything like that.

Since my prolapse and since finding this forum, I have been practicing the WW posture for over a year now. I can't really tell you when it happened, but the pressure and the urge to go went away. I went to the store this weekend, was gone for 2 hours grocery shopping, came home, put everything away and never thought about going to pee. I believe that, as Louise said, my bladder is now positioned properly -resting on my pubic bone where it belongs. I think my prolapse happened very slowly over a long peiod of time, and during that time was when I experienced the urge incontinence. Sitting and standing in posture has made all the difference for me!

Read as much as you can here about the WW posture. It makes all the difference. I really believe that Louise's theory is right!

Goldfinch

'Life is not holding a good hand; Life is playing a poor hand well'