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Doctor insights on: Bladder Replacement Options

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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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Will treatment with BCG for bladder cancer cause possible complications to a recent aortic tissue valve replacement?

Will treatment with BCG for bladder cancer cause possible complications to a recent aortic tissue valve replacement?

Not likely: This is a reasonable concern, but this would be an unusual complication. A 2010 study in journal of urology found that this complication is no more likely in patients with valves and other prostheses than in the general population, and that having a valve should not prevent you from receiving this treatment. ...Read more

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What are my options for getting a tooth replacement?

What are my options for getting a tooth replacement?

3: Removable partial denture, fixed bridge, implant with crown. If possible with remaining bone, implant is almost always the best. See Prosthodontist for exam and options. Good Luck. ...Read more

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Is spine fusing a better option than disc replacement?

Is spine fusing a better option than disc replacement?

Depends: It depends on the age of the patient, how many levels are involved, if instability is present, and how much degeneration is present in the spine. It would be best to have a spine surgeon fully evaluate you with imaging studies and a physical exam. There are people that would not qualify for disc replacements and a fusion would be a better option. ...Read more

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Am I option less if I want a disc replacement to return to sport but no dr will approve it due to my age (23)?

Am I option less if I want a disc replacement to return to sport but no dr will approve it due to my age (23)?

No but cOnsider this: Get new doctors you might ask yourself why trained professionals don't think you are a good candidate for this controversial surgery this no, may be in your best interest. Risks may outwiegh benefits chance of sucess may be deemed low in your case for a variety of reasons risks of anterior approach to spine include retrograde ejaculation leaves you sterile a problem at your age friendly warning. ...Read more

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What hip replacement materials exist? What are the different material options for hip replacement and their pros and cons?

What hip replacement materials exist? What are the different material options for hip replacement and their pros and cons?

Hip Materials: Engineers are always trying new materials in hope of making hips last longer. Sadly most of the new materials have not worked as well for the majority of patients. Ceramics break and squeak, metal on metal has caused some problems for patients with metal reactions, leaving metal on plastic (the old fashioned way) as the best answer for most patients. The plastics are newer and may last longer. ...Read more

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Hi, I am looking for a replacement drug for exforge and that is covered under classic saver option. Would I need to visit my GP to have the change done?

Hi, I am looking for a replacement drug for exforge and that is covered under classic saver option. Would I need to visit my GP to have the change done?

Yes: This is specific to your insurance plan and the formulary included, other brand names / generic alternatives may be available, your primary doctor / GP is best suited to honor your request, best wishes ...Read more

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Told I need a knee replacement. What are my options?

Told I need a knee replacement. What are my options?

Many: Understand your problem and get a second opinion. Discuss options such as injections (steroid vs non-steroid), arthroscopy, osteotomy, and partial knee replacement vs total knee replacement. Other less likely option may include cartilage transplantation. ...Read more

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What are the best options for types of hip replacement. Metal on metal, metalon plastic, porcelan cap, etc. Which one last the longest. I?

What are the best options for types of hip replacement. Metal on metal, metalon plastic, porcelan cap, etc. Which one last the longest. I?

Many options: There are many choices when it comes to the materials used for hip replacement surgery. The most thorough study of implants materials to date comes from the Australian Joint Replacement Registry- an extremely large collection of data from thousands of surgeries. The best material at this time seems to be Oxidized Zirconium (known as Oxinium) with highly cross-linked polyethylene. ...Read more

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Is hip resurfacing better than hip replacement? I am looking into my options when it comes to hip replacement. Is hip resurfacing better? .

Is hip resurfacing better than hip replacement? I am looking into my options when it comes to hip replacement. Is hip resurfacing better? .

No: In general, hip resurfacing in women has a higher failure rate than total hip replacement. It is more dependent on the size of the components, but most data shows women with higher failure rates after hip resurfacing. Hip resurfacing is metal-on-metal and generates metal ions whihc can be toxic in high doses. Most surgeons have abandoned hip resurfacing bc of the complications. ...Read more

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Which is a better option: knee replacement or prolotherapy?

Which is a better option: knee replacement or prolotherapy?

Simple stuff first: There are very few downsides to trying prolotherapy. You can try prolotherapy and if it does not work then consider other options for arthritis such as knee replacement. Knee replacement is the last option and should be considered after several other arthritis treatment options have been exhausted. There is no going back to prolotherapy after tkr. ...Read more

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Are there any options down the pike for significant mitral valve leak instead of replacement. She had rheumatic fev & te test:valve can't be fixed?

Are there any options down the pike for significant mitral valve leak instead of replacement. She had rheumatic fev & te test:valve can't be fixed?

Repair (Sometimes): In some cases the valve can be repaired by a surgeon, and these repairs tend to last a while. However, the surgeon might not know for sure until the patient is in the operating room and they actually see the condition of the valve. The echocardiogram gives the docs a good idea of what the valve looks like, but understand that it is not a perfect test. Be sure to see a cardiologist regularly. ...Read more

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Need to have upper left first molar extracted, what are my replacement options? I know that one of them is an implant, but I don't think I would be able to afford that. Another option I was looking into was a bridge. I know there are 2 types of bridges. O

Need to have upper left first molar extracted, what are my replacement options? I know that one of them is an implant, but I don't think I would be able to afford that. Another option I was looking into was a bridge. I know there are 2 types of bridges. O

Affordable Dentistry: Implant dentistry has the best results when done properly, for a single tooth replacement. Major studiesof bridges versus implants showed that after 17 years of use 35% of bridges had failed. 3-5% of implants. You are lucky to live in hartford as there is the uconn health ctr in farmington where you can get discounted care from post-doc dental residents. ...Read more

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What are injection options for knees that won't further deteriorate the joint? Trying to prolong total knee replacement but am in immense pain

What are injection options for knees that won't further deteriorate the joint? Trying to prolong total knee replacement but am in immense pain

Viscosupplementation: If it is from an early degenerative phenomena, then viscosupplementation can be used in which the injected material is somewhat similar to normal synovial fluid is another option beyond steroid injections. ...Read more

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Before joint replacement do you explore other options?

Before joint replacement do you explore other options?

Yes: Joint replacement surgery is not an easy affair. Talking to an orthopedic surgeon about strategies to avoid it is a smart option. Surgery is the last place to start. ...Read more

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Husband had knee replacement it went bad. What are our options now?

Husband had knee replacement it went bad. What are our options now?

Depends?: If your husband has developed an infection then the best option is to be evaluated by an orthopaedic surgeon who is specially trained in joint replacement surgery to give you options. ...Read more

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What options exist for rehabilitation after shoulder replacement surgery?

What options exist for rehabilitation after shoulder replacement surgery?

Ask the surgeon: After just about any orthopedic surgery, the exact rehab protocol is directed by the surgeon. There are many factors that influence what should be done and when as well as what should not be done. The best person who can consider all those factors is the surgeon. This could be not more applicable to shoulder replacements. ...Read more

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Am I at the mercy of my doctor when it comes to brand and type of pacemaker replacement I get? Do I have any input? How can I research my options?

Am I at the mercy of my doctor when it comes to brand and type of pacemaker replacement I get? Do I have any input? How can I research my options?

Speak with him: Speaking with your MD regarding this concern is key. He is performing a procedure on you so it is important your are comfortable with what is going on. From experience, no significant difference comes from different brands. This is your body and having your questions answered before proceeding is completely valid. ...Read more