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Re: TVT and voiding dysfunction From: Joanne Bulley, MD (jbulley@cheshire.net) Sat Jul 29 06:46:38 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Endo ca and BCP" Previous message: Bernard Cristalli: "Re: Ureaplasma" In reply to: J. Hellriegel: "Re: Endo ca and BCP" Next in thread: Jim Connerth: "Re: Endo ca and BCP" Yes, the psychological overlay is as important as you say, Steve. It has been a while and I never researched it, but one urologist I worked with commented on this exact problem. He mentioned that it was often associated with sexual dysfunction and/or prior abuse. As I thought about it, this made a lot of sense to me. We have known for some time that pelvic pain often is the result of these issues and it is logical (to me) that other pelvic floor dysfunctions - such as urinary retention - would be related as well. Always investigate fully - even when it "seems obvious" and the patient wants something done "right now"... Joanne At Fri, 28 Jul 2000, Steve & Eryl Raymond wrote: > >That is such a significant factor - "the psychological overlay". It is >very important not to be hasty with these cases. The reason I am >so sure of this is that I was involved in trying to help restore >continence in a young woman - a competitive swimmer - who had >had urinary retention after a shoulder operation. > >Give it time, time, and more time. Eventually the disadvantages of >remaining retentive will outweigh the advantages and she'll come >right. > >Dr. Steve Raymond -- Joanne Bulley, MD Keene, NH, USA Next message: Joanne Bulley, MD: "Re: Endo ca and BCP" Previous message: Bernard Cristalli: "Re: Ureaplasma" In reply to: J. Hellriegel: "Re: Endo ca and BCP" Next in thread: Jim Connerth: "Re: Endo ca and BCP"

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