How can I improve my ED and urination discomfort caused by Guillain-Barre?

Question:

Hi doctor, about 5 months ago I was diagnosed with Guillain-Barre syndrome in a not very severe form. Admitted to a hospital, after a week of immunoglobulins, I was taken to a rehabilitation center where I returned to an acceptable state of health in a month. The improvements continued, more and more tired than usual, but now I’m back to optimal physical condition. However, I still have a urinary problem to solve. From the first symptoms, a difficulty appeared in the emptying of the bladder and in the sexual activity. After a urological examination, I was prescribed Omnic which partly improves my urination even though it does not bring it to a normal level. But it’s been almost six months, every time you try to quit with Omnic the situation worsens dramatically. What should I do? Since it is not a muscle for which rehabilitation can be done, what is the recovery time of a bladder in a similar case? My fear is that of not being able to recover my urinary and sexual capacity to 100%. I would very much like your opinion. Thanks for your attention. Sincerely yours.

Answer:

Dear user, if Omnic makes you urinate well, it could also be that you will have to continue to take it always. Omnic, from a sexual point of view, only involves retrograde ejaculation, while not affecting an erection. To improve sexual activity, an andrological examination is recommended to evaluate the possibility of associating a 5-phosphodiesterase inhibitor with Omnic (Viagra, Levitra, Cialis, Spedra). Otherwise, to fully understand the problem of your altered voiding dynamics, you should perform a complete urodynamic examination (study P / F) to assess whether there is a deficit of detrusor contraction or a cervico-prostatic obstruction.