 |
 |
<<<Can anyone of ya come up with reasons why I should go to the neurourologist BEFORE being checked by the urologist?>>>>> Barb: I know you've received umpteen messages already (I'm late on the bandwagon as I receive my posts via digest form) however, I would like to offer my opinion. As most of us know, there can be urinary problems associated with Parkinson's, including urinary frequency, urgency, incomplete voiding and subsequent dribbling. The same difficulties can be present in other ailments, or even due to the aging process itself. In Parkinson's, the muscles of the bladder become rigid and bradykinetic making the bladder more difficult to empty. In neurological illnesses or injuries there can be something called a "neurogenic bladder" in which the bladder does not properly empty and this leads to infections, frequency, urgency incomplete voiding and subsequent dribbling (as above). The urologist may or may not be aware of all the nuances associated with Parkinson's that is probably why your PCP offered the option of seeking care from a neuro-urologist. Just as in some cases, an internal medicine doctor might be up on the latest in PD and effectievly treat it, it is more likely that the neurologist, or better yet, a movement disorders specialist will be. You are correct, other things factor into this decision, such as distance, transportation, etc. Hopefully, which ever doctor you choose, will be able help you. Good luck! Bonnie Cunningham, R.N. Patient Services Director NPF