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

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

From: Amy Rosenman, MD (anonymous@obgyn.net)
Tue, 27 Jan 2009 16:25:27 -0600 (CST)

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

Message posted on Amy Rosenman, M.D. behalf by: Hope Waltman, Women’s Health Forum Moderator

It sounds like you have some nerve damage in your back from the accidents. This goes along with the weakness and pain in your back and leg. The retention may be related to a neurogenic bladder which also causes overflow incontinence. The best short term answer is to learn intermittent self catheterization. It is not hard, actually it is easy to teach and to learn. The catheters are either reusable or disposable. You can be taught in the doctor's office to pass a small tube through your urethra to empty your bladder. Residual urines in the range you describe of 250 - 300 CC should be addressed sooner rather than later. I suggest looking for another urogynecologist or asking your primary care doctor (who referred you) to request urodynamic tests and teaching for self catheterization. You could develop reflux of uring backing up into the ureters or kidneys if you wait too long, so find someone now. Your primary care doctor should be able to secure an appropriate consult within the next 2 - 3 weeks. A urologist would be OK as well, maybe they could see you sooner if your doctor calls for you. Best of luck, your intuition is correct.

-- Amy Rosenman, M.D. Assistant Clinical Professor GYN Geffen School of Medicine at UCLA Santa Monica, California

http://www.obgyn.net/meet.asp?page=/all_advisors/A_Rosenman

Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

At Sat, 24 Jan 2009, distressed wrote: > >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 >-- >distressed in Houston

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Previous message: T. Lyons, MD: "Re: ADHESIONS: Hysterectomy"
In reply to: distressed: "UROGYNECOLOGY: trying to understand implications of condition and what kind of medical professional to go to for help?"

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