Urinary difficulty and retention are common symptoms of bladder dysfunction in the PPOD syndrome patient. The severity of these symptoms however, is quite variable from patient to patient. In some individuals for example there may be sluggish urination with a reduction in the force and caliber of the urinary stream, yet, with a little patience and persistence, the patient may still be able to completely empty the bladder. In other cases, bladder emptying can only be achieved by the combination of deep pelvic (bladder) massage and forceful straining.
In others still, there may be a complete loss of bladder function with total urinary retention that either, requires periodic catheterization (the insertion of a tube into the bladder through the urethra) in order to empty the bladder, or, is accompanied by overflow incontinence (incontinence that occurs because the bladder has filled beyond it‘s capacity).
In the early developing stages, when the symptoms of difficulty and retention are relatively mild, there is often accompanying symptoms of urinary frequency and/or urgency. However, when the symptoms of difficulty and retention become more severe the patient will usually find that rather than having to empty their bladder more frequently, they’re actually having to void less often and may even go the entire day without feeling any significant urge to empty their bladder. Sometimes this will be accompanied by suprapubic distension that gives the impression that the female PPOD syndrome patient may be in the early stages of pregnancy. Refer to cases 4, 10, 15 and 16 for the response of urinary retention to PPOD syndrome treatment.