Doctor insights on:
Handling Cystocele Condition
25 y/o history of 2 pregnancies with chronic urinary incontinence.Done kegals and bladder training.Any other suggestions? Its embarassing&smelly.
See your doctor!: Lots of new and exciting treatments now are available for different types of incontinence -- outpatient, one-stitch sling procedures to cure stress (cough, sneeze) incontinence; new, effective medications with fewer side effects to treat oab (over-active bladder); and newer, more accurate, in-office testing to confirm the diagnosis and the right treatments. ...Read moreSee 2 more doctor answers
Pelvic muscles: Although prolapse might not be reduced by increasing vaginal/pelvic muscle strength, you may be able to limit its progression. The most important time to "squeeze" is before you cough or sneeze as the force will be distributed across the muscles and not directly to your weak spots where things are prolapsing. ...Read moreSee 1 more doctor answer
Grade 2 cystocele and rectocele grade 1-2 uterine prolapse. No sensation of heaviness etc would you repair while doing sling for stress incontenence?
Probable not: If you are currently asymptomatic, i would probably not recommend repairing the cystocele or rectocele providing they are not causing any issues. That said, a number of factors go into determining whether to have surgery or not. I would suggest you discuss your options with your physician and follow their recommendation. ...Read moreSee 5 more doctor answers
Is artificial sphincters surgery good for patient with neurogenic blader caused by cuada equina due to herniated disk? Do you recommend?
NEUROGENIC BLADDER: Whatever the neurologist recommend for the neurogenic bladder. He has experience on that condition. ...Read more
What is the current surgical method of choice for repairing a cystocele resulting from childbirth trauma? Cystocele has resulted in stress incontinence and physical therapy with pelvic health specialist is not enough. Condition is still present 2 years a
Colporrhaphy: The bladder can be elevated back into the normal anatomic position via surgery. Often, the uterus and rectum are falling as well. If the only repair is o the bladder, the failure rate can be quite high. After completion of childbearing, complete vaginal repairs in conjunction with a hysterectomy is generally the most effective treatment. ...Read moreSee 2 more doctor answers
My colonoscopy identified a "prominent IC Valve" with underlying lipomatous tissue. What is an IC Valve?
My wife is 29 & is diagnosed with koch's spine with (lt) psoas abscess, paraplegia/bladder affection.She's under treatment.Will she be cured?
Koch's disease: This is tuberculosis affecting the spinal column. It can obvious extend to areas adjacent to the spinal segment(s) involved such as the psoas muscle, and can also cause interruption of nervous pathways resulting in paralysis. She will probably be cured of tuberculosis, but to what degree her neurologic impairment will reverse is very problematic and will require much time and patience. ...Read more
Conjecture: Mitral valve prolapse w. Autonomic nervous system driven functions, e.g., shortness breath ; tachycardia. Young girls more commonly afflicted. Imo, these floppy valve persons often have joint hypermobility syndrome w. Inherited connective tissue laxity. Contiguous loose joints (pelvic sij ; sternoclavicular) impinge presacral ; stellate ganglia causing autonomic dysregulation; fibromyalgia also. ...Read more
How old is the youngest patient you have seen with proven diabetic neurogenic bladder dysfunction? Was that patient's bladder hypo or non retractile?
NEUROGENIC BLADDER: I had a type 24 y/o female with 500cc residuals and hypotonicity with little or no sensation and q max of 10. Timed voiding and cic helped but eventually needed cic alone with a 700 cc cap. ...Read more
1) can parkinsonism cause bladder dysfunction& symptoms that mimic urinary infection? 2) how to diagnosing neurogenic bladder? 3) whom to consult?
What's the care plan for patient with nephrotic syndrome and diagnosed with ineffective tissue perfusion , renal?
Depends: It depends on if it is steroid responsive or not. Treatment can vary - it needs to be individualized. ...Read more
Manage symptoms: Intensivists work with the obstetricians in a multidisciplinary, multispecialty collaborative practice team. Major treatment is to treat symptoms and manage preeclampsia. Specific treatment may include control of blood pressure, drugs for seizures. The only real treatment is delivery of the baby; the ICU team helps control the symptoms until the OB believes risk/benefit is in favor of delivery. ...Read moreSee 1 more doctor answer
Can sexual activities like ejaculation and orgasm cause worsening symptoms in patients with Spinal stenosis , Herniated disc , Bulging disc ?
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