Bladder issues after tummy tuck

Dear michelewood76,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for your question regarding what to do with an overactive bladder after your tummy tuck. I'm sorry you are having these issues. These issues are exceedingly rare and are probably unrelated to your tummy tuck. I would highly suggest you consult with a urologist regarding these conditions. Unfortunately, this has developed, but I think it is unrelated to your tummy tuck or abdominoplasty.
If you have any more questions regarding reconstructive surgery after massive weight loss, please contact my office. Reconstructive surgeries after massive weight loss include an abdominoplasty, tummy tuck, thigh lift, breast lift, mastopexy, arm lift, brachioplasty, torsoplasty, back lift, buttock augmentation, and buttock lift. Since these reconstructive surgeries after massive weight loss, are big procedures, please seek an experienced, board certified plastic surgeon with significant experience performing these types of lifts. Do your research. Make sure they have performed at least 100 of each procedure you are considering for reconstructive surgery after massive weight loss. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.

Hello @michelewood76, thank you for your question. Is important that you consult with an urologist because many things could hav happen at the systemic level. Best wishes! Alan Gonzalez MD, FACS. Best wishes! Alan Gonzalez, MD FACS.

Thank you for your question about recovery from a tummy tuck.

To start with, I am sorry to hear that you are experiencing this issue after having surgery.

For specific questions like this and about your recovery in general, it is best to speak directly with your doctor or doctor’s representative – such as his or her nurse, or the physician on call for the practice.
You will likely get many differing opinions from members of the RealSelf Community, but they have not personally seen or examined you. Nobody should know you or your unique set of circumstances better than your doctor.

If you feel you are not being listened to or you are doubting your doctor’s recommendations, then it is certainly within your rights to seek a second opinion and get the advice from another board certified physician. This should be done through an in-person consultation with a thorough evaluation, including a review of your history, review of all prior treatment and with a physical examination.

Obviously, if you think that you are having a medical emergency or other serious problem, you should call 911 and/or go to your nearest emergency room.

Best Wishes.

Bladder issues after a tummy tuck are uncommon, but they can occur. It's essential to communicate any concerns or symptoms with your plastic surgeon promptly to ensure appropriate evaluation and management. Some potential bladder-related issues that may arise after a tummy tuck include:1. Urinary Retention: This is a temporary condition where a person has difficulty emptying their bladder fully. It can occur due to the effects of anesthesia, muscle relaxation during surgery, or pain medication. In most cases, urinary retention resolves on its own, but your surgeon may provide guidance or interventions to help manage the issue.2. Difficulty with Urination: Swelling, pain, or discomfort in the abdominal area after a tummy tuck may lead to difficulties with urination. This is often temporary and improves as the healing process progresses.3. Bladder Infection (Cystitis): In rare cases, a bladder infection may occur post-surgery. Symptoms include pain during urination, frequent urination, and a sense of urgency. If you suspect a bladder infection, it's crucial to seek medical attention for appropriate diagnosis and treatment.4. Changes in Bladder Sensation: The surgical process, including muscle tightening and alterations in the abdominal region, may temporarily impact bladder sensation. This can lead to changes in the perception of urgency or fullness.To address and manage bladder issues after a tummy tuck:• Communicate with your surgeon: Inform your plastic surgeon about any urinary symptoms or concerns you may be experiencing. They can provide guidance based on your specific situation.• Follow postoperative care instructions: Adhere to your plastic surgeon's recommendations for postoperative care, including medication management and activity restrictions. This helps optimize the healing process.• Stay hydrated: Proper hydration is essential for overall recovery. However, excessive fluid intake, especially close to bedtime, may contribute to increased nighttime urination.If you experience persistent or severe bladder issues, seek prompt medical attention. It's essential to rule out any complications and ensure your well-being during the recovery period. Always consult with your healthcare provider for recommendations and guidance based on your individual circumstances.

I would suggest seeing a urologist and being scoped to actually check your bladder. the tummy tuck should not have come close to your bladder unless you have had previous surgery, like a C section, in the area.

I'm sorry to hear of the issues you have been experiencing. They are not typical after a tummy tuck. The procedure does not involve your bladder at all and should not impact your regular urinary habits. I encourage you to seek evaluation from your surgeon and potentially a urologist.

You present an unusual challenge after this commonly performed procedure.
A full tummy tuck can definitely increase intra-abdominal pressure. Individuals who have excess visceral fat at higher risk for having increased intra-abdominal pressure from the procedure.
You didn’t include if you’ve been seen by a urologist but if not that is definitely in order. Incontinence is treated by both OB/GYN and urology. Both specialties offer their own skill and expertise to the field of incontinence which is a fairly common disorder. there are also female (gender of patient not physician) urologist which is a specialty fellowship after urology. You may want to try to find one of those in your area.
Best,
Mats Hagstrom MD