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Doctor insights on: What Are The Alternatives To Bladder Prolapse Surgery

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What are the alternatives to bladder prolapse surgery?

What are the alternatives to bladder prolapse surgery?

Pessary, exercise: Options for women with cystocele are limited. Cystocele or dropped bladder is a form of pelvic organ prolapse (pop). Think of this as a type of hernia involving weakness of supportive layers surrounding the vagina. Options are: live with it, wear a vaginal pessary to "prop it back it" to provide comfort, perform pelvic muscle exercise (pme) or undergo surgical correction. ...Read more

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Bladder (Definition)

The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more


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What are the treatment options for bladder prolapse?

What are the treatment options for bladder prolapse?

Several: There are both non-surgical and surgical options. Bladder prolapse can occur by itself or be associated with urinary incontinence, rectal prolapse, uterine prolapse, or in the absence of a uterus, prolapse of the top of the vagina. Non-surgical options include use of a pessary or pelvic floor exercises. Surgical options include use of mesh or graft material to correct the specific anatomic defects. This can be approached laparoscopically, vaginally or a combined approach. ...Read more

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What are the risks involved with surgery for rectal prolapse? Incontinence?

What are the risks involved with surgery for rectal prolapse? Incontinence?

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 more

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What are the surgical options to treat zenker's diverticulum?

What are the surgical options to treat zenker's diverticulum?

Zenker's: Surgery can be done by open repair or through an endoscope and includes stapling or hand sewing closed the diverticulum and the overlying muscle. Full details are at: pharyngoesophageal diverticulum: technique of repair. Chest surg clin n am. 1995; 5(3):449-58 (issn: 1052-3359) allen ms section of general thoracic surgery, mayo clinic, rochester, minnesota, usa -obtainable per medical library. ...Read more

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What are the risks of surgery to remove hemorrhoids?

What are the risks of surgery to remove hemorrhoids?

Several: Pain for a week or two after surgery. Bleeding after surgery. Stenosis (narrowing) from scarring. Infection (rarely). Recurrence of hemorrhoids in the future. ...Read more

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What are the treatment options for gall bladder rupture?

Surgery: A ruptured gallbladder is a surgical emergency and requires urgent surgical management in the operating room. ...Read more

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Are there alternatives to the j-pouch procedure?

Are there alternatives to the j-pouch procedure?

It depends.....: If you need your colon and rectum removed you can either have an ileostomy or pelvic pouch. Depending on the reason for surgery there may be alternatives but for the restoration of bowel function - no bag - but nothing as effective as a pelvic pouch! ...Read more

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What medical procedure or surgery may i need to help control my ulcerative colitis? What are the procedures names and how are the done?

What medical procedure or surgery may i need to help control my ulcerative colitis?
What are the procedures names and how are the done?

UC operations: Depending upon the extent of disease, age of patient, biopsies, and patient desires, patients with uc often undergo either a complete proctocolectomy (removal of rectum and colon), total colectomy with preservation of some or all of rectum. Occasionally we recommend a diverting ileostomy (small bowel ostomy) either permanent or temporary. This is complex. Detailed discussion is needed. ...Read more

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What are the non-surgical alternatives to an open-heart bypass?

What are the non-surgical alternatives to an open-heart bypass?

Stenting: Coronary stent and/or angioplasty, if possible. Medical management, including beta-blockers and nitrates and/or ace inhibitors. There are also off-pump CABG for appropriate candidates as well as "minimally invasive" robot-assisted. ...Read more

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Is it necessary to have bowel prolapse surgery? what are the side effects?

Is it necessary to have bowel prolapse surgery? what are the side effects?

Not always : if the symptoms of prolapse are manageable then surgery is not necessary. The decision to operate depends on many factors and therefore a consultation with general or colorectal surgeon will be required to make that decision. ...Read more

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What are the alternatives to osteotomy? I'm afraid of having surgery. Are there non-surgical alternatives to osteotomy? .

What are the alternatives to osteotomy? I'm afraid of having surgery. Are there non-surgical alternatives to osteotomy?

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It depends.: This is a very broad question, and there is not enough information to answer it well. Where and what type of ostetomy are you concerned about? ...Read more

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What are the risks of rectal prolapse surgery?

Infection,Recurrence: There are many different types of operations to treat rectal prolapse, most of which involve removing the redundant segment of intestine; there is a risk of infection associated with any bowel resection. These operations have varying rates of prolapse recurrence, depending on the technique. ...Read more

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What are the alternatives to foot surgery?

What are the alternatives to foot surgery?

Live with it!: Most foot surgery is elective, you can elect to have it done, or you can elect not to. You can try pads, shoe stretching, medications, more supportive and cushioned insoles. But in the end, your problem is still there... You are treating without cure. ...Read more

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What are their any alternatives to surgery for omphalocele?

What are their any alternatives to surgery for omphalocele?

Depends: a lot depends on the size of the omphalocele. the larger it is(the defect) the more organs it will contain. small ones can be closed easily like a hernia. larger ones may need to be closed gardually via several operations spanning many months. the most significant issue is if there are there any associated birth defects. these defect ocurr about 30% of the time and can affect the heart, brain, etc ...Read more

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What are the alternatives to surgery in the case of painful gallstones? When can I choose these alternatives, if they exist?

What are the alternatives to surgery in the case of painful gallstones? When can I choose these alternatives, if they exist?

No good ones!: Once gallstones become symptomatic, meaning they cause pain, nausea and bloating, the only effective treatment is removal of the gallbladder. This will also eliminate the possibility of developing more serious complications such as infection of the gallbladder (cholecystitis), infection of the bile ducts (cholangitis), and gallstone pancreatitis. Surgery is usually a laparoscopic outpatient case. ...Read more

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Is there an alternative to surgery for severe bladder prolapse?

Is there an alternative to surgery for severe bladder prolapse?

Pessary: A device can be fitted in the vagina to hold things in place. It's called a pessary and there are many different types and sizes. See a specialist for a evaluation. ...Read more

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What are the treatment methods for uterine prolapse?

What are the  treatment methods for uterine prolapse?

Prolapse: Prolapse is generally managed surgically. This may be approached vaginally with repairs or abdominally with sacral colpopexy for apical support. In patients who are medically fragile and poor surgical candidates, can be managed with a variety of pessaries. ...Read more

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What are the dangers of treating bladder incontinence with botox injections?

What are the dangers of treating bladder incontinence with botox injections?

Retention, UTI: Botox is used to treat severe urge incontinence (overactive bladder). It is injected thru a cystoscope (thin telescope) into the detrusor (bladder) muscle. Botox partially paralyzes spastic bladder muscle, there can be a period of temporary urinary retention or trouble emptying the bladder requiring catheterization, typically for a week. Utis may occur during this period. ...Read more

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