Doctor insights on:
Male Incontinence Surgery
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
Yes: Inxontinence can be treated effectively in many cases. ...Read more
Seeking clients: Lawyers are constantly trolling the public for clients to add to lawsuits to increase the pool of money from which they can tap. There is a mesh implant which has had some complications and a few attorneys think they can sue the manufacturer for these. The more clients they have, the richer the rewards. This is not about sympathy - these are lawyers and money is kiing. ...Read moreSee 1 more doctor answer
Surgery ineffective: The truth about this difficult problem is that surgeries to try to restore or "strengthen" the anal sphincter are difficult and not predictably effective. An exciting option recently approved is sacral neuromodulation (interstim). This is a minimally invasive procedure that 'resets' dysfunctional nerve signals to the rectal muscles by stimulating the sacral nerves. Outpatient, easy recovery. ...Read moreSee 1 more doctor answer
Urge treatment : Urge incontinence is usually treated with pelvic floor muscle exercises, behavioral techniques, physical therapy, or medications. In some cases that have been resistant to these concervative means certain procedures can be performed such as Botox injections into the bladderuscle or implantation of a bladder pacemaker known as interstim. ...Read moreSee 1 more doctor answer
Yes: Incontinence regardless of surgery should be evaluated by your doc. Some surgical procedures carry risk for incontinence. However, if you develop incontinence related to a surgical procedure, it can still be improved/managed. Okay to get evaluated. Take a friend with you, to help ask questions and record the advice from your doc. Good luck. ...Read moreSee 1 more doctor answer
Depends: It depends on if the surgery is done only to correct incontinence, or if you have repair of prolapse (dropping). Also, it depends on what type of activities you want to do. In general the healing to return to most daily activities is 2-6 weeks. Heavy lifting or strenuous exercise may have to be delayed for several months because it takes the body this long to form scar tissue. ...Read more
Following resection of the prostate surgery, is it normal to have temporary incontinence, what to do?
Should be very temp.: Continence should return soon. Suggest you see another urologist if incontinence continues. 44-years-of-age is very young to need a resection of prostate if you are the patient. Persistent incontinence could signify damage to your urethral sphincter. There are medical therapies which might help also surgical procedures including artificial urinary sphincter implantation if incontinence permanent. ...Read more
Can surgery fix my urine incontinence? I have had no luck fixing my urine problems. Is there a surgery that will cure me of my incontinence?
No: But u can have that surgery done at the same time, if gyn is doing the incontinence surg then the gyn can do the other but the incon. Will be covered by insurance the other one may not be, so u would have to check that out before surgery, if a urologist is doing the incon. Surgery, then u would need a gyn also. ...Read moreSee 1 more doctor answer
It depends.: Stress incontinence is caused by changes in a woman's pelvic floor, often after childbirth, but women who have never been pregnancy also suffer from stress incontinence. Talk to your physician about exercises and timed voiding before moving on to procedures. There is a new, noninvasive procedure called renessa you will want to look up. Medication will not help stress incontinence but will urge. ...Read more
Several: see below.: Risks of rectal prolapse surgery depend on approach: surgery through the perineum, or bottom, has few risks, but a higher recurrence rate. Abdominal approach has risks common to abdominal surgery (bleeding, infection, wound problems, adhesions etc) but a lower ecurrence rate. Most people note worsened continence after prolapse repair: most improve, but the degree of improvement varies. ...Read moreSee 1 more doctor answer
Is surgery for incontinence safe? A coworker says her friend had the surgery but now has almost constant pain. Is this common, or did she just have a bad surgeon?
Surgery : Surgery for female urinary incontinence is a safe procedure. There are a number of different types of surgery for incontinence. Most physicians are using bladder slings for incontinence. This is a surgery for stress incontinence only. There are other types of incontinence and they will not be helped from this type of surgery. The surgery requires making a small incision inside the vagina. The incision is about 2 cm long on the upper wall of the vagina. There will also be 2 needle exit marks adjacent to the public bone. The procedure will place a sling underneath the urethra. These procedures are about 90% effective at curing stress incontinence. The sling will act as a hammock to support the urethra when a stress event happens. A stress event is one that causes increases in intra-abdominal pressureâ€“like a laugh, cough or a sneeze. Most slings are made of a permanent surgical mesh. The mesh remains in place underneath the vaginal skin. Most surgeons will also perform a cystoscopy at the time of sling placement as a safety step to be sure the bladder is not damaged at the time of the surgery. This is an outpatient procedure and some patients may go home with a catheter in their bladder for a short period of time after the surgery. Complications of these types of procedures are extremely rare. Most people do not have any complications but with all surgery there are associated risks. The risks of the surgery are: bleeding, infection, damage to bladder, bowel, organs of reproduction, nerves, mesh erosion or exposure, post operative pain, pain with intercourse, urinary retention and anesthesia. ...Read moreSee 2 more doctor answers
A few ways...: Quantifying leakage is valuable to the urologist seeking to manage incontinence, but it is difficult to do. Some provide the doctor with a 'pad count', or simply the number of pads used per day. A more accurate way is by pad weight. To do this, place used pads in a plastic bag (i.e. Ziploc) & weigh it. Then subtract the weight of the bag and the same number of dry pads. Add up the weights daily. ...Read more
I have fecal/mucus incontinence after injury, yet doctors dont want to perform surgery or do manometry testing.. why not?
What is the normal recovery period after surgery to insert the sling for bladder incontinence? I'm 68 years old and in fairly good health.
My father Inlaw recently had a surgery for an enlarged prostate and has been experiencing incontinence ever since,what can be done to correct this?
First inform surgeon: The problem may be transitory. In any event the surgeon needs to know so he can address the problem. ...Read more
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