WOMENS-HEALTH Messages for January, 2009: UROGYNECOLOGY: trying to understand implications of condition and what kind of medical professional to go to for help?

UROGYNECOLOGY: trying to understand implications of condition and what kind of medical professional to go to for help?

From: distressed (anonymous@obgyn.net)
Sat, 24 Jan 2009 16:29:58 -0600 (CST)

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Reply: Amy Rosenman, MD: "Re: UROGYNECOLOGY: trying to understand implications of condition and what kind of medical professional to go to for help?"

in 3 car accidents in year. Two in the last six weeks within 3 weeks of each other -situatiions where I was badly rear ended at stoplights. Since second accident Jan 7 having serious bladder problems I never had before along with sprained back, neck, and radiculopathy . am 46 and perimenopausal. Went to urogynecologist on rec from primary care doctor and psiatrist both of want to know if I have a neurogenic bladder since the accident.

new symptoms are overactive bladder, overflow incontinence, and elevated postvoid urinary retention ( evaluated through catheterization twice by 2 different doctors). all started later in day following the last accident and still ongoing. I don't quite understand implications of symptoms. Having back pain too and weakened right leg, with mixture of less feeling though not completely numb, shooting and burning pain. Sharp saccral pain sitting, pain in saccral area walking,unable to turn torso without pain. urogynecologist wouldn't explain terms to me though is writing letters to my doctors. seems to be washing her hands of me and wants me to see a specialist in urology who deals with nerves but he's not taking on new patients until after march. or even having any urology tests done like urodynamics etc which is what my doctors hoped she would order to see where to contiue and diagnose if a neurogenic bladder -if so , temporary or permanenet, how to treat

What I am most worried about is who do I try to see next. Is there any danger of kidney damage or further problems if I wait two more months before being seen, tested or treated with elevated postvoid urinary retention ( 250 cc's and 300 cc's) or do I need to find someone else to see sooner? If so, what kind of doctor should I be trying to see - another urogynecolgist or a urologist and any particular kind? She asked me if I was self -cathignn but I dont' know what she was talking about and she wouldn't really explain or answer any of my questions so I don't really know if that is something that is an issue related to any of this or what it means either. Do I need to be seen and treated before another two or three months is up for the elevated postvoid urinary retention- can that be serious? if I do need to be seen sooner? how much sooner and what kinds specialist do I need to see?

--
distressed in Houston

Next message: anonymous@obgyn.net: "VAGINALBLEEDING: Vaginal bleeding"
Previous message: LeAnne: "MISCELLANEOUS: High Testosterone"
Next in thread: Amy Rosenman, MD: "Re: UROGYNECOLOGY: trying to understand implications of condition and what kind of medical professional to go to for help?"
Reply: Amy Rosenman, MD: "Re: UROGYNECOLOGY: trying to understand implications of condition and what kind of medical professional to go to for help?"

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