-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: bladder neck? From: art fougner, md (evsono@pipeline.com) Thu Feb 3 11:28:13 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: james connerth: "Re: bladder neck?" Previous message: Gerald P. Rodriguez: "Re: bladder neck?" In reply to: Robert J Woolley: "bladder neck?" Next in thread: james connerth: "Re: bladder neck?" OK - refer for a consult with a uro-gynecologist if your usual w/u is inconclusive. rogers' theorem - know when to hold em, know when to fold em. Art At Thu, 3 Feb 2000, Robert J Woolley wrote: > >I have a generally healthy (but highly anxious) young woman (age 24) with >urinary urgency and frequency for about 10 days, no dysuria, no hematuria, >no vaginal symptoms, not pregnant. Urinalysis completely normal, urine >culture negative. She saw one of my partners first and was treated with >Bactrim and Pyridium, in spite of the negative UA; no change in symptoms >with these two meds for 3 days, no change upon discontinuing them, >either. She can hold her urine as long as she needs to (no incontinence), >but it requires constant voluntary effort, starting roughly 10 minutes >after last urination. Urine volume is proportionate to the duration she >waits. No problem at night. > >The best that I could reason from this was that she was having weakness at >the bladder neck, akin to stress incontinence, but constant instead of >only with stress, but with sufficient reserve in the pelvic floor muscles >(she has never been pregnant) to prevent actual loss of urine. > >Does this sound plausible? If so, is there a name for it? > >I tried treating her with pseudoephedrine as an alph agonist, no >response. Today I told her to try phenylpropanolamine, for the same >reason. If this fails, what would you do next (besides send her to a >urologist)? -- art fougner, md and what am i gonna do with all this food, bottled water, and gasoline now that armageddon was called off for lack of interest? Next message: james connerth: "Re: bladder neck?" Previous message: Gerald P. Rodriguez: "Re: bladder neck?" In reply to: Robert J Woolley: "bladder neck?" Next in thread: james connerth: "Re: bladder neck?"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:43:42 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.