[RJP]

Another wife speaking re husband who has PD and a neurogenic bladder. His prostate is slightly enlarged but mostly hard. The bladder muscle itself (not so much the sphincters) has very little to no tone so he can only urinate independently (without catheter) if it is very full but it empties incompletely. His urologist (in a prestigious position at Stanford University) told him to never let anyone recommend prostatectomy as it would remove one of the barriers to the urine just flooding out of the bladder. With self-catheterization 2-3 times a day he does fine and has been doing it now for about 5 years. Only one infection early on. At least it is more predictable though he sometimes has to get up in the night too. as he feels sensations of urgency.