Doctor insights on:
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 moreSee 1 more doctor answer
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
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
Diet and fluids: When talking of diverticulosis, eat a high fiber diet and drink a minimum of 80-100 ounces of noncaffeinated, non alcoholic fluid daily, more if you do strenous activity or fly in planes a lot. If you have divertiulitis, ie infected diverticulum low fiber diet and 2 weeks of antibiotics. Maintain low fiber for 4-6 weeks after resolution of symptoms the resume recommendations for diverticulosis. ...Read moreSee 1 more doctor answer
Surgery: Depending on the stage and type of bladder cancer, treatment will vary. This includes observation, instilling medicines into the bladder (bcg), radical surgery, chemotherapy, and radiation therapy. The appropriate treatment will be dependent on the stage, type of cancer, and patient preference. ...Read moreSee 1 more doctor answer
Pain or fertility ..: Options depend on if pelvic pain is an issue, and if trying to conceive now, want kids in the future , or done with childbearing. Medical treatment: Depo-Provera Lupron (leuprolide) shots work best, also Letrozole tablets or birth control pills. Surgical options: laparoscopy with excision or ablation vs. Removal of ovaries +/- hysterectomy. Fertility patients may need ivf after Depo-Provera Lupron (leuprolide) or medications and iui. ...Read moreSee 1 more doctor answer
Depends: If the person is sexually active it s usually hysterectomy with reconstruction of the pelvis by a uro/gyn specialist. If the person is not sexually active usually a simple procedure called colpocleisis. The uterus is retained and the vagina is closed this reducing the prolapse completely. ...Read moreSee 1 more doctor answer
Here are:: 1. understand why you have incontinence, at what degree, how it affects life + implementing feasible behavioral modification; 2. try drugs as needed and needed; 3. perform procedures to suit personal need after comprehensive evaluation/counseling for indication, detail, & reality. That is; for detail, to articles listed in http://www.formefirst.com/onDealSickness.html. ...Read more
Several: For 2nd and 3rd degree, rubber banding for internals is an option in select patients. For3rd and 4th degree internals, standard hemorrhoidectomy is in my opinion the best. There are some newer techniques such as stapling, laser, and u/s venous ligation, but the gold standard done in the right patients is the standard surgical hemorrhoidectomy using a scalpel in my opinion. ...Read moreSee 1 more doctor answer
A recurring prostate infection, also known as chronic bacterial prostatitis, is typically treated with antibiotics: This type of prostate infection is caused by bacteria in the prostate gland. A prostate infection might recur because antibiotics aren't able to get deep enough into the prostate tissue to destroy all of the bacteria or because the antibiotic isn't effective against the type of bacterium causing the prostate infection. To treat a prostate infection that doesn't get better with antibiotics or keeps coming back, you might need to: Try a different antibiotic. , Take a longer course of an antibiotic. , Use medications to help relieve bothersome symptoms. . If you're taking antibiotics, take them exactly as instructed, even if you begin to feel better. Not taking the full course of antibiotics or missing doses can interfere with the antibiotic's ability to completely kill the bacteria. If you have recurring prostate infections that don't improve with treatment, see a doctor who specializes in men's urinary and reproductive health (urologist). You might need to have fluid taken from your prostate to determine the bacterium causing the problem and the antibiotic that is likely to work best. You might need a CT scan or a cystoscopy, a procedure used to see inside your urinary bladder and urethra. A urologist can also look for any underlying problems that would make you more vulnerable to infection or prevent treatment from being effective. ...Read more
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 moreSee 2 more doctor answers
What is the best treatment for endometriosis? What is the recommended treatment for endometriosis? Are there options other than surgery?
Hello. : Hello. I can't say what treatment would be best for you. In additional to surgery, other options include birth control via patch, pill or ring. This can help to decrease the amount of endometrial tissue and decrease pain. If you are not allergic to non-steroidal anti- inflammatory medications consider Motrin or a similar medication. There are stronger hormone therapies if the first steps are not sufficient. ...Read moreSee 1 more doctor answer
A rare disease group: Dominant in pedatric age, cluster in genitourinary locations and head and neck, adjacent to meninges. Surgery to remove is best; chemotherapy is used when indicated, and radiotherapy only when benefit outstrips adverse effects to growing bones and muscles, so very age dependent. ...Read more
Depends: There are many ovarian cysts that do not need to be treated as they are normal or physiologic. Most of these will resolve spontaneously. Using hormones to try to facilitate resolution is totally unnecessary and is not helpful. Nonphysiologic cysts may need to be removed surgically. It depends on appearance, size, and symptoms. ...Read more
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