Doctor insights on:
Prolapse: The problem that causes urinary bladder prolapse is a weakness of the musculature of the pelvic floor usually caused by trauma from vaginal deliveries and in the worst case the bladder protrudes outside of the vagina. Technically the vaginal walls aren't the main problem in bladder prolapse. Urologists and gynecologists can better advise you. ...Read moreSee 1 more doctor answer
Vaginal vs. Anal: A rectocele is bulging of the rectum towards the vagina (thus creating a "bulge" in the vagina, and possibly difficulties having a bowel movement). It is due to a weakening of the connective tissue between the rectum and vagina. Rectal prolapse is a condition in which the rectum loses its normal attachments inside the body, allowing it to telescope out through the anus, thereby turning it “inside out”. ...Read moreSee 2 more doctor answers
Bladder prolapse: Although Estrace cream can assist in keeping the epithelium of the vagina distensible, post menopausal bladder prolapse is more function of the lack of bladder ligament support or prior vaginal childbirth trauma. Patient's who have had multiple vaginal deliveries are more likely to see a more rapid bladder prolapse then not. ...Read more
It varies.: The most common symptoms are a mass bulging into the vaginal opening, pelvic pressure or discomfort, and difficulty with bowel or bladder function. Many women can feel something bulging through the vaginal opening. To check, place fingers at the vaginal opening while seated on a toilet and bear down as if you are trying to have a bowel movement. ...Read moreSee 1 more doctor answer
Patient specific: The best surgical treatment is one that is tailored to your specific findings and complaints. One surgery does not fit all patients. There is controversy about newer mesh surgery versus older methods. There is more and more robotic prolapse surgery. The best surgery is one done to your specific needs by a surgeon who does these surgeries often and has experience. ...Read moreSee 1 more doctor answer
Yes: Pessaries can help but most women won't use them long term. Mesh seems to be the only permanent solution since you treat the vaginal prolapse as the hernia that it is. The colporrhaphy operations are over 100 years old and treat a lateral defect with a central repair & usually don't hold. Despite the lawyer's commercials, most mesh repairs do very well. ...Read moreSee 2 more doctor answers
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
Is oxybutynin the best choice for neurologic bladder and occasional bladder leakage? or detrol? or vesicare (solifenacin)?
It's the cheapest: oxybutynin happens to be the original (and che"anticholinergic" on the market, originally developed in the 1970's. It is effective but has side effects (dry mouth, eyes, and constipation). The newer drugs have slightly better side effect profiles. Check out the new beta agonist myrbetriq too. See a specialist in neurogenic bladder, urologists often have additional training in this area. ...Read more
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
Is pelvic floor rehabilitation therapy effective for interstitial cystitis (aka: painful bladder syndrome)?
See below: A bladder sling is used to treat stress urinary incontinence in women and is usually made of a strip of surgical mesh, or less often autologous fascia, usually inserted through one vaginal incision and two small abdominal incisions. Bladder suspension refers to surgery that helps place a sagging bladder back into its normal position using adjacent autologous fascia, or less often transvaginal mesh ...Read moreSee 1 more doctor answer
I need to have robotic surgery for prolapse - (urinary, bowel, vaginal ) what is the success rate?
Could grade 2 cystocele and rectocele grade 1-2 uterine prolapse cause frequency, slight leakage?
Very: Surgery for pelvic prolapse done by a well trained specialist has a high degree of success and a somewhat predictable rate of long term failure or recurrence. The key is good training and ongoing volume and surgery chosen that is applicable to the patient's specific prolapse problem(s). ...Read moreSee 1 more doctor answer