How do you treat the patient

The patient is advised to urinate at certain time intervals (every 3-4 hours) with application of pressure on the hypogastric area, so that residual urine volume is decreased. Parasympatheticomimetic medicines, like betanechol, have not proven effective. In advanced cases, intermittent self-catheterization of the bladder is recommended. Transurethral prostatectomy and removal of the bladder neck have also been used with varied results. Decrease of bladder capacity with plastic surgery has only transient results since the bladder resumes its initial size in around one year.

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