Doctor insights on:
Cunningham Clamp Incontinence
Incontinence denotes involuntary leaks of body wastes from urethra or anus; that from urethra is urinary incontinence, which may be classified as stress, urge, mixed (stress + urge), total, & overflow urinary incontinence, signifying its timing & specifics; that from anus is fecal incontinence, which may be urge, stress, total, etc. reflecting the ...Read more
A urethral sling: is a thin strip of mesh that is used to support only the urethra. This particular use of mesh has been very thoroughly studied and has a low (NOT zero) risk of serious complications and a high (85-90% in most cases) success rate. If your surgeon is experienced with these devices and you have been properly evaluated, it is a reasonable recommendation. I hope this helps ...Read moreSee 6 more doctor answers
My grany wit BPH grade 2n urinary incontin wit chronic foleys cath.Fa past 2 tyms urine s leakn 4m penis rather via tube whch happens 3days aftr cathn?
Well I think you: Are saying your gradad has BPH and uses foleys to empty his bladder but he is still peeing thru his penis. Well using foleys does not mean you cannot pee thru your penis. But if there is leakage and incontinence this means that you might have to leave the foley in for longer. I would consult the urologist taking care of your grandad. ...Read more
Yes: But a rigid cystoscope is just as effective for women. ...Read more
Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl
Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more
Told bladder tac is pushing into vagina. Pain,bloody urine,loss of bladder control. Best advice/procedure to fix?
Specialist: I recommend that both a gynecological surgeon and a urologist who specializes in urinary incontinence and bladder disorders examine,evaluate and advise you on the structural diagnoses causing your symptoms and on what the various treatment options you have. The occurrence of bloody urine makes thorough urologic evaluation mandatory as it isn't necessarily explained by pelvic floor insufficiency. ...Read more
My son needs paternity test 4 yrs 5mos postunmatched donor cord blood transplant? Thoughts? Buccal swab causing problems pediatric hemoc question
Non blood tissue: The unrelated donor stem cell transplant prevents the use of blood cells for paternity testing of the child. Next step is usually buccal swab, but you indicate there are problems with this. Final step is a skin biopsy, but this is invasive. I would question why a buccal smear could not be done, and would repeat buccal swab before moving on to skin biopsy. ...Read moreSee 1 more doctor answer
SURGEONS: If a patient who had a Subtotal Colectomy w/Ileostomy placement 13yrs ago, resulting in short bowel syndrome & frequent loose bowels, but was wanting an Ileostomy Reversal, what would do & Y?
Difficult question: to answer without knowing much more details. Why was that surgery done? What is the remaining anatomy? Remaining colon or rectum in place? Reconnecting an ileostomy after 13 years might not be well tolerated with resulting frequent diarrhea, poor anal muscle control, anal irritation & the surgery would not correct a short bowel condition. Need many more details to try to answer this question. ...Read more
What to do if I have hypertrophy, urine blockage in 83yo dm, late pd, supra-pubic cath vs ureteral stent?
Here are some...: I would still recommend a 83-year man to undergo PVP procedure with Greenlight laser if his overall medical condition is reasonable and still able to urinate to a degree despite some residual urine. Suprapubic cystostomy or tube is reserved for men with a fully dysfunctional bladder, i.e., a " complete" bladder atony. ...Read more
Meatal stenosis urologic surgery : Is in-patient surgery (stitches) to be preferred over out-patient surgery? How do we qualify a urologic surgeon?
Meatal stenosis: The surgery to correct mental stenosis, a meatotomy, is usually an outpatient procedure. It is a fairly minor procedure. I assume the surgeon you or your lived one has been evaluated by was recommended by another physician. If you trust that physicians judgement that no further prequalification is warranted. If not, go online, check reviews and malpractice history. ...Read moreSee 1 more doctor answer
Many possibilities: Many things can cause a leak--poor blood supply, too much tension on the anastomosis, poor nutrition, use of immunosuppresants such as steroids, infection, distal obstruction, etc. A recent large study from Germany showed a leak occurs in around 10% of cases. Sometimes it's treated with bowel rest and drainage of the fluid, sometimes it requires another operation. ...Read more
I need to have robotic surgery for prolapse - (urinary, bowel, vaginal ) what is the success rate?
Bladder neck suspension for SUI surgery 9/9. 9/11 placed foley at ER. 9/
14 blood in urine. Should I be concerned if my urine is red? Urology on 18th.
Pelvic Floor Rehab: A specialized physical therapy rehab program usually performed by female physical therapists for female patients. The therapists have specialized training to identify insufficient muscle strength or muscle coordination. The use of deep heat modalities may help if increased tone of muscles that are not coordinated. Biofeedback allow you to understand which exercises fire which muscles. ...Read moreSee 2 more doctor answers