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It seems thtat I forgot to include my posting.

This seems to be a frequent complaint of the members of this group.   The
causes are many.  My first choice would be infection -  bladder or prostate.
Usually responds to treatment.

Obstruction:  Bladder outlet or prostate which causes poor emptying and thus
more frequent filling with a more frequent urge to void.  Voided volumn may
be small.  The end result is that the bladder doesn't empty well.  This is
usually initially treated with a slective alpha blocker (Hytrin, Cardura,
Flomax)  Proscar can be used in addition if the prostate is very large.  If
medical management doesn't help then some type of operative proceedure may
be needed. (TURP or other endoscopic methods which treat the prostate with
heat energy, microwaves etc.

Medicatiions may cause the bladder to work less effectively. Behaves much
like obstruction with poor emptying and thus frequency.  Any medication with
anticholinergic actions may cause this.  But these medications are used to
treat the next catagory - neurogenic causes. Medications often used to treat
PD are in this catagory.  Don't forget that many antihypertensive have a
diuretic component.

Neurogenic instability can lead to poor bladder emptying and or urinary
frequency (frequency with or without poor emptying.  Detrol, Ditropan, or
ProBanthine are often used for this problem. (see medications above).
Voiding is a very complex and coordinated function.  Muscles must contract
while others must relax.  Anything which upsets this delicate balance causes
problems voiding.  This may also be a natural function of PD.  We slow down
and it is more difficult to get to the bathroom, manage our clothes etc.

There are some causes of urinary frequency which we often forget about.  As
we age we lose our diurnal urinary variation. i.e. we do more in the day
than at night.  Our night time volumn wil increase causing frequency at
night.  During the daytime when we are up and about we tend to pool fluid in
our lower extremities.  It may or may not be visable as edema but this fluid
is mobilized at night and our kidney's say 'where did all this come from'
and make an increased volumn at night.

The basic outcome is that we have a number of reasons to have urinary
frequency, urgency, and/or incontinence.  They range from a normal
physiologic response to aging,  diseases of the urinary system, neurologic
causees and/or medications.  There isn't an easy way to sort it out.  Start
with your primary care physician and work toward a Urologist.

Hope my ramblings are helpful.

My best,

Ira
Retired with PD
+++++++++++++++++++++++++++++++++++++++

----- Original Message -----
From: "Julian Hansen" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, July 07, 2001 6:59 PM
Subject: Frequent Urination


> I am a 61 year old male, and was diagnosed with PD 4 years ago.
>
> During the last year or so I have experienced increased urination
(now --about  every 1-1/2 to 2 hours, mostly at night).  I do not have
diabetes.
>
> Does any one know if there exists a possible cause and effect relationship
between PD and frequent urination?
>
> Thanks,
> Julian Hansen   61/ dx PD 57
>
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