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Doctor insights on: Urogyn

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Didnt leak any but I only urinated twice today. Is my urogyn too strict?

Didnt leak any but I only urinated twice today. Is my urogyn too strict?

Not sure: I'm not sure what you mean by too strict. Are you referring to how often you urinate, or how often you have leakage episodes? ...Read more

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My urine PVR is usually 30-40ml. My urogyn says under 100ml is acceptable, so I'm ok. But why do some women retain some urine? I wish I had 0ml PVR.

My urine PVR is usually 30-40ml. My urogyn says under 100ml is acceptable, so I'm ok. But why do some women retain some urine? I wish I had 0ml PVR.

There are several: causes of post-void residual urine in women. There can causes of increased post-void urinary retention in women: obstruction typically caused by organ (uterus/bladder/rectum) prolapse (weakening of support from stretching/injury often related to childbirth), pelvic mass (fibroids, other growths/tumors); hormonal (estrogen deficiency);medication; nerve function. Some are treatable...work with Doc! ...Read more

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How can I figure out my bladder capacity without going to a urogyn?

How can I figure out my bladder capacity without going to a urogyn?

Measure voids : A rough estimate would be to wait until your bladder feels comfortably full , then measure how much you void. This assumed you empty your bladder completely. ( which most women do ). To measure residual urine, you need to either use an ultrasound (bladder scan) or catheterize the bladder, both of which require a doctor or nurse to perform. ...Read more

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Scheduled to see a urogyn. in a month about possible mild cystocele (just looks odd with a mirror), would horseback riding be ok in the mean time?

Scheduled to see a urogyn. in a month about possible mild cystocele (just looks odd with a mirror), would horseback riding be ok in the mean time?

Here are some ...: Horseback riding will not affect what does already exist; so enjoy horseback riding. But, what you saw in the introitus as described could have no clinical significance. To make the upcoming urogyn visit more sense, collect the info on the onset, degree, duration, Hx of pregnancy & childbirth if any, current voiding, etc. over time, and bring those to her/him for analysis + physical exam + tests? ...Read more

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Have cystorectocele. Urogyn recommends surgery; recovery was @12 weeks. Planning trip to Israel 7/2/15.If repair done 4/6/15,is it too early to travel?

Have cystorectocele. Urogyn recommends surgery; recovery was @12 weeks. Planning trip to Israel 7/2/15.If repair done 4/6/15,is it too early to travel?

No: Having done thousands of vaginal repairs and reviewing the literature on postop restrictions, there is little basis for limiting activities for any significant time. I perform all of these surgeries on an outpatient basis with return to work or normal activities whenever a patient feels up to it and that's usually within a week or so. Be sure to see an experienced surgeon for any vaginal repairs. ...Read more

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Why do I leak urine? When I went for urogyn evaluation I almost overflowed the container I had so much in bladder.

Why do I leak urine? When I went for urogyn evaluation I almost overflowed the container I had so much in bladder.

See below: Are u drinking too much water. Diabetes can cause hi urine output. Cystocele bladder wall weakness can cause this. If have several children can have some weakness bladder urethra. ...Read more

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Went to a urogyn mentioned low ANA nucleolar pattern he said bladder issues can be only presenting symptom is that true?

Went to a urogyn mentioned low ANA nucleolar pattern he said bladder issues can be only presenting symptom is that true?

Possible: It depends on your history and symptons...But there are some bladder conditions that are associated with inflammatory or autoimmune disorders. ...Read more

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Have an appointment early tomorrow for a urogyn consult for pelvic pain. Have also been having irregular bleeding. This afternoon I started having?

Have an appointment early tomorrow for a urogyn consult for pelvic pain. Have also been having irregular bleeding. This afternoon I started having?

OB/GYN consult: Please know your full medical history, and your last menstrual period. If you have fever/chills, frequency/painful urination, worsening or severe abdominal/pelvic pain then go to the ER to be evaluated. It is important to rule out ectopic pregnancy and pregnancy in general #1. With regard to your symptoms urinalysis, pelvic exam/ultrasound hysteroscopy can help diagnose &treat ...Read more

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Age 53 with stage 2 cystocele. Why would my Urogyn offer only PT and estrace cream as a solution?

Age 53 with stage 2 cystocele. Why would my Urogyn offer only PT and estrace cream as a solution?

Cystocele: These are the best methods of treatment at this stage. I think you have a very conservative OBGyn as most of them would probably suggest surgery instead of giving you a chance with conservative therapy ...Read more

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My doctors are blaming each other & passing me back & forth so that no one is helping me. Atm, 5 drs are playing this "game". "Its not my job, thats uro/ neph/ rheum/ urogyn/ pcp" no one disputes my illness, only who should treat me. What can i do?

My doctors are blaming each other & passing me back & forth so that no one is helping me. Atm, 5 drs are playing this "game". "Its not my job, thats uro/ neph/ rheum/ urogyn/ pcp" no one disputes my illness, only who should treat me. What can i do?

Primary care : You need a good primary care doc that can coordinate your care and talk to the key physicians. You have not mentioned what conditions you have. Further more get copies of your records when you make an appt with your PCP or have them get it and seek his or her input. A large teaching hospital based clinic is an option. Best of luck. Fragmentation of care is a issue with modern medicine. ...Read more

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Hi I am 29 yrs old male weighing 87 kg. My moustache and beard is not growing. Pls advise urgenly. Thnx for all your help?

Hi I am 29 yrs old male weighing 87 kg. My moustache and beard is not growing. Pls advise urgenly. Thnx for all your help?

See your Dr: May be an endocrinological issue and requires exam and tests to confirm. See your dr or an endocrinologist for evaluation. ...Read more

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Hi i went to urgen care on thursday because i was having chest pain. They did a EKG and it came back abnormal the said I have lbbb, how do you treat ?

Hi i went to urgen care on thursday because i was having chest pain. They did a EKG and it came back abnormal the said I have lbbb, how do you treat ?

Go to heart dr.: You go to cardiologist. Most of the time you don't need to treat lbbb, but you deffinately need to get your heart checked. ...Read more

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My boyfriend has been overwhelmed with discomfort in the lower abdomen area above his penis. He frequently has to urinate and when he does it is urgen?

My boyfriend has been overwhelmed with discomfort in the lower abdomen area above his penis. He frequently has to urinate and when he does it is urgen?

Bladder infection: Sounds like your boyfriend may have a bladder infection. Please have him be checked by a physician because he may need an antibiotic. ...Read more