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Doctor insights on: Bladder Exstrophy

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Whats the best medicine for overactive bladder?

Whats the best medicine for overactive bladder?

Depends: First option should be behavior modification. Cut out caffeine etc. All medications have there own set of side effects and warnings. There are no good head to head studies. Some of it is trial and error with your doctor. For more see http://peedoc.Com/female-urology or on twitter @thepeedoc. ...Read more

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Bladder (Definition)

The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more


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What can be done about bladder exstrophy?

What can be done about bladder exstrophy?

Corrected surgically: Depends upon age of patient. Best performed by an experienced pediatric urologist and as soon after birth as possible. Bladder is closed, penis is reconstructed, separated pubis is closed & abdominal wall repaired. Bladder can be enlarged later in life. Uncorrected exstrophy in adults is best corrected by removal of bladder + creation of a bowel/pouch bladder or urinary diversion into a bowel loop ...Read more

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Could you tell me what exactly is bladder exstrophy?

Could you tell me what exactly is bladder exstrophy?

Bladder lies open: Complex, non genetic, congenital, urogenital, abnormality with wide separation of pubic bones ; lower abdinal wall musculature ; bladder lying open in between. Usually associated with complete epispadias in which entire urethra is split open anteriorly. Girls have clitoris split into 2 hemclitorises. Cloacal exstrophy has prolapsed bowel between 2 hemi exstrophioc bladders.Both best corrected asap. ...Read more

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Can you tell me my chances of repairing my bladder exstrophy?

Can you tell me my chances of repairing my bladder exstrophy?

Pediatric Urologist: Need more information re: have u already had some ; reconstructive surgery as a child ; if so what kind. Ru incontinent of urine, sex ;/or having problems with small penis. Pediatric urologists have most experience with this problem. Stanford ; ucsf medical centers r both close 2u ; have both pediatric ; adult reconstructive urologists. I could provide better advice if u send email photos of abdo. ...Read more

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How can doctors repair my bladder exstrophy?

How can doctors repair my bladder exstrophy?

By closing bladder: Surprising 2B in USA & have an unrepaired bladder exstrophy at age 42 years. Options at your age are either bladder closure + intestinal bladder augmentation & bladder neck reconstruction & epispadias repair.followed by intermittent self catheterization for bladder emptying. Or undergo urinary diversion & removal of bladder. Suggest consult at CHOP, Children's Hospital of Philadelphia ...Read more

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Please help! I have bladder exstrophy, will my penis still grow?

Not at your age: All penises stop growing at end of puberty. Short size of penis is major problem associated with bladder exstrophy. Some lengthening can sometimes be achieved by surgically releasing dorsal (upward) curvature. Men with exstrophy can be fertile but inevitably require assistance from a urologic fertility expert. Good luck. ...Read more

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What to do if I have bladder exstrophy, will my penis still grow?

What to do if I have bladder exstrophy, will my penis still grow?

Not at your age: Short penis with upward curvature is problem associated with majority of boys & men with exstrophy. Some growth can be achieved by testosterone administration before puberty. Unfortunately , you are beyond that at age 39-years. It is a matter of having to adapt to the situation, hopefully aided by an understanding partner. ...Read more

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Can you tell me different corrective procedures fo exstrophy of the blatter?

Can you tell me different corrective procedures fo exstrophy of the blatter?

Complex answer: Repair asap after birth by experienced exstrophy pediatric urologist. Bladder should be closed primarily as part of one stage mitchell repair which includes epispadias repair ; bladder neck reconstruction.Either bilateral iliac osteotomies 2 facilitate approximating pubic bones ; bryant traction or my preferential 'ansell' hip wrap without need for osteomies. Abdominal wall repair ; faux umbilicus. ...Read more

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How to check bladder problem ?

How to check bladder  problem ?

Talk to your doc.: There are many tools for investigating bladder problems, but like anything in medicine you need to talk to the doctor so that they may be selected and applied in the right sequence to make you better. ...Read more

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Can you have your bladder removed?

Can you have your bladder removed?

Yes but . . .: Why? Talk to your doc about what's going on in your life that would make you ask this question. Yes, the bladder can be removed, but usually only when someone has extensive bladder cancer. Frequent urinary tract infections are not enough reason for surgery. Nor urinary incontinence (loss of bladder control). You mentioned constipation which can sometimes aggravate/cause incontinence. Fix that 1st. ...Read more