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Giz asksIn this series of Gizmodo, we ask questions about everything, from space to bad, and get answers from many experts. Unless there are really radical advances in catheter technology, having to pee and not be able to remain a universal situation, even if it is more serious for some (Amazon warehouse workers, for example) than for d & rsquo; # 39; others. Of course, at the moment, it may sound like you are dealing with real and irreversible damage, but that feeling often fades as you arrive at the bathroom. But do not the effects of pissing extend beyond temporary discomfort? What do you really do for yourself, when you do not want to get away from the cluttered cinema, who displeases your sadistic leader or because of a health problem, you deprive yourself of what it takes make?
To find out, we contacted a handful of urologists this week. if the science of not peeing interests you, I suggest you continue reading (and also – if you feel the need and if you are physically able – to pee as soon as you can).
Jeffrey Loh-Doyle
Assistant Professor of Urology at the Keck School of Medicine at the University of Southern California
Holding your pee may seem harmless, but if you do, you may damage your urinary system. Everyone has done it and the reasons range from practical to impractical. Long trips on the road, truck drivers, drivers, public toilet showers … whatever the reason, doing it is rarely acceptable, but if you take the habit, you start to change the cell architecture of the bladder. The bladder has two roles: storing the urine and expelling it when the bladder is full. People who chronically cling to their urine cause a gradual lengthening of the bladder to accommodate greater capacity. Unfortunately, there is a critical volume in which the muscle loses its ability to effectively remove urine and, as a result, the bladder begins to retain urine. Why is it bad? Well, if you urinate but you do not get to empty your bladder, you stick to stagnant urine, which makes you vulnerable to urinary tract infections, bladder stones, Serious infections of the prostate and blood in the urine.
It does not stop there. The stretching of the bladder and the loss of muscle tone continue and, in some patients, the bladder loses all its muscular functions in a state called detrusor areflexia. At this point, the bladder is unable to contract with any force to expel the urine and the patients are then incontinent because they overflow with urine or are totally unable to pee and require placement. of a catheter. I see it in patients whose profession requires long hours with limited access to the toilet.
Other people have fewer choices and hang on to the urine because of their anatomy. Older men, in particular, are at risk if they develop an enlarged prostate. In some men, their prostate is so obstructive that it prevents the release of urine. In the absence of treatment, patients may progress to renal failure. Fortunately, medications and surgeries have been developed to treat an enlarged prostate before it degenerates into severe kidney dysfunction.
Another disadvantage: if you have a car accident and your bladder is very full, you are more prone to a rupture of the bladder that may require surgery. Finally, keeping your pee also makes men susceptible to a condition called prostatitis, an inflammation of the prostate, which is one of the most common and most troublesome conditions affecting men.
"Bladder stretching and loss of muscle tone continue and, in some patients, the bladder loses all muscle functions in a state called" detrusor-areflexia ".
J. Quentin Clemens
Professor and Associate Chair of Urology Research, Michigan Medicine
In descending order of gravity:
Your bladder could burst, causing penetrating urine in your abdomen, causing the death of peritonitis, forcing you to go to hell and be tortured forever by everlasting flames. I guess it would be the "worst thing" that could happen to you. Bladder rupture is very rare and usually occurs with trauma, but I saw it happen just by hitting a kitchen counter in a patient who had a chronically overdistilled bladder.
Some patients persistently retain their urine, which can worsen over time, so that the urine lodges in the kidneys and causes kidney damage. This is usually reversible once the bladder is drained, but not always. I have seen some patients require permanent dialysis caused by unrecognized serious urinary retention, but this is rare.
If the bladder is constantly overloaded, it can weaken over time and gradually retain more urine. Finally, the bladder may be stretched and weakened to the point of being unable to empty, which may require the use of a catheter to empty the bladder. This is usually accomplished by pbading a catheter through the urethra and into the bladder several times a day.
The emptying of the bladder is one of the main factors that can prevent bladder infections (urinary tract infections). It is common for some bacteria to enter the bladder and these are then washed when the bladder empties. Maintaining the urine for a long time can increase the risk of bladder infections. This seems particularly common in some professions (such as teachers) where there is little time for restroom breaks.
Holding the urine will eventually cause pain or urinary urgency and aggravate urinary incontinence. In patients with urinary incontinence, we often suggest that they urinate every 2 to 3 hours of the day to reduce this problem.
"Holding the urine for a long time can increase the risk of bladder infections."
Michael L. Eisenberg
Director of Human Reproductive Medicine and Surgery and Associate Professor of Urology at the Faculty of Medicine at Stanford University
There have certainly been reports of bladders that have broken down too long after being held in the urine. There will usually be a release well before that, but in rare circumstances this can happen. In addition, if you build up pressure in your bladder, this can affect kidney function and, in some cases, lead to some degree of kidney failure.
In occupations where men or women do not have easy access to a bathroom, or where there is a schedule that does not allow regular visits to the bathroom – a bus driver, for example – people end up keeping urine in the bladder. They usually cause their bladder to hold a lot, resulting in lack of movement and these patients can sometimes develop bladder stones or become infected.
Most people probably empty their bladder every four to six hours. So it's usually what we tell people to do: some more, others a little less.
"If you build up pressure in your bladder, it can affect kidney function and, in some cases, lead to some degree of kidney failure."
Armine Smith
Director of Urological Oncology at Sibley Memorial Hospital and Assistant Professor of Urology at Johns Hopkins University and George Washington University
It is not possible to keep the pee for too long, because the body will eventually carry it on your will and reflexes will force the wall of the bladder to contract forcefully, expelling the pee. Sometimes the bladder can not empty, such as anatomical structures blocking the exit of the bladder or nerve damage to the bladder or muscles regulating the exit of the bladder, or sometimes drugs interfering with the proper functioning of the bladder . the bladder. In these cases, if you hold your pee too long, some events may occur. The urine can go up in the kidneys, which will cause temporary or permanent lesions of the kidneys. Stagnant urine can develop an infection. You could form bladder stones. Bladder muscle may become hyperactive or soft, resulting in permanent damage to bladder function.
"If you are in a social situation where you can not cancel and you voluntarily withhold your urine for too long, you may overly distend the bladder and damage the wall."
Jeffrey A. Jones
Professor of Urology, Baylor College of Medicine
The first order of damage when you hold your urine – voluntarily or otherwise – is with the bladder, which can cause excessive distention and damage to the bladder wall. If this lasts long enough, the pressure inside the bladder can accumulate and this pressure is transmitted up to the upper lanes of the kidney, which are also damaged. If this lasts long enough, it will start to damage kidney function. So, if you are in a social situation where you can not cancel and you voluntarily hold your urine too long, you may overly distend the bladder and damage the wall; but if you can not pee because your prostate is swollen or because of another blockage in the system, you can cause second and third order lesions, depending on the duration. And if you dilate the bladder regularly, you may start to see blood in your urine.
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