Urinary catheter required for urination after spinal meningioma surgery

Patient: Description of the condition (time of onset, main symptoms, hospital visited, etc.): Patient female , 79 years old, used to be in good health. Six months ago, she had a burning, numb sensation on the outside of her left leg. Gradually both legs had this symptom. She was unable to walk independently for 2 months before the operation, and her bowels and urine were not clear for half a month before the operation. On October 21, he was found to have a thoracic 3 chordoma at Dalian Medical University First Hospital and underwent surgery. After the surgery, other diseases are slowly improving, but he could not pass stool by himself. The bowel movements were all manual at first, but now they are semi-manual. That is, the first half of the person defecates and the second half of the patient defecates by himself. The urinary catheter has been used for urination. The catheter is stuck for 4 hours, and the patient has no sense of urination. 1. Is there nerve damage during surgery. 2. Is there any medicine that can relieve and treat it? Doctor: You can do a urodynamic test to see the degree of nerve damage because there was a urinary disorder before the surgery, so the recovery is slow. You can exercise urinary function with intermittent catheterization. Patient: Hello Professor Wang Thank you for your reply Now my mother is slowly recovering, but there is no significant improvement in urination and defecation. In the last half month, her appetite is not good and her abdomen is swollen. She feels the skin of her abdomen is very tight when she presses it with her hand, but there is no edema or pain. Please tell me if there will be any complications after the surgery. Doctor: MRI can be reviewed, but our experience over the years, six months after surgery, is the patient’s recovery period, physical therapy and active self-exercise is very important, as long as the symptoms do not worsen, will continue to recover. And most of them show numbness and problems with urination and defecation, and usually there is some improvement in three months, as long as there is not complete nerve damage. Patient: Thank you, Professor Wang.