Doctor insights on:
Bladder Exstrophy Repair
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
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
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
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
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
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
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
Rulr out infection: Could be a UTI or a respiratory infection. Check with your dr. ...Read more
Hmm...: Please visit your gyn surgeon to be sure.. ...Read more
54yrs-cyctocele and rectocele repair 3 years ago and lost 80 lbs - cyctocele is back how do I know if recto else is back. Bladder gets dry & painful?
I just had anterior and posterior repairs done at 3:00pm eastern time My bladder was emptied then. I still haven't urinated. When should I call the Dr?
Now: Urinary retention is common problem some times after a procedure , mostly due to medication effect , bladder function will come back . If it is 8 hrs or so go to ER will catheterize you and send you back home , effects of medication will wear off soon. In men prostatic obstruction is a different problem. ...Read more
totally depends: On your symptoms and what condition everything is in, your doc should be giving you strong guidance for that please call the gyn , or gen surgeon or whomever suggested the surgery. ...Read more
Bladder mesh problem: The incidence of bladder mesh complications (infection/pain/erosion/retention/....) is actually very "low" if properly applied/implanted. One should be careful and ascertain the physician's expertise in these specific surgical procedures: obviously, i would trust a reputable individual that is experienced and can demonstrate his/her expertise...... ...Read moreSee 3 more doctor answers
In general which has a longer recovery time a robotic hysterectomy or a bladder sling WITH a recocele repair with out mesh for the recocele?
Pain: Generally, slings and minimally invasive hysterectomies, such as robotic, result in very little pain post-operatively. Rectocele repairs are variable from person to person but this usually results in more pain than either of the 2 above. Usually, after a couple of weeks, this pain will resolve also but initially, rectocele repair is usually more painful than robotic hysterectomy. ...Read moreSee 1 more doctor answer
I have had 3 bladder repairs n a band put around uretha n still suffer from stress incontience what other procedure is availble this is s serious prob
Stress Incontinuance: Is sometimes extremely difficult problem. Did you have cystoscope and computerized urodinamic studies? See urogynecologist ...Read more
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