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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 moreSee 1 more doctor answer
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
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
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
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
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
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
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
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
I just found out my boyfriend had bladder issues. What exactly is that like? What happens exactly?
Best to ask him: Bladder issues could include infections, interstitial cystitis, wetiing problems by night &/or day, congenital problems like bladder reflux, bladder diverticulum, bladder exstrophy, urethral valves or urethral stricture, bladder tumor, neurogenic bladder, retrograde ejaculation, he can tell you what happens to him, i.E infections , wetting etc. ...Read more
I have bladder extrophy. I've had 30 surgery. I now have a stoma which leaks alot. Can a stoma be reversed?
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