WOMENS-HEALTH Messages for September, 2007: Re: UROGYNECOLOGY: Postop midurethral sling surgery for stress incontinence, changes in urination.

Re: UROGYNECOLOGY: Postop midurethral sling surgery for stress incontinence, changes in urination.

From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Thu, 13 Sep 2007 22:52:06 -0500 (CDT)

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In reply to: dumbunny: "UROGYNECOLOGY: Postop midurethral sling surgery for stress incontinence, changes in urination."

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

Over time the slow stream may improve. Using vaginal estrogen may help the tissues become maximally flexible and elastic which may improve the dribbling.

Other strategies: double voiding. Sit down, empty your bladder, stand up and sit 1 more time to empty any residual. This is probably better than cutting the sling as so doing may result in more incontinence. Empty slowly so as not to interrupt to stream, it is healthier to take your time as long as you do not need to contort yourself to empty. Make sure there is not a bladder infection with a urinalysis and culture.

Hope this helps. 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 Thu, 13 Sep 2007, dumbunny wrote: >
>I'm 3 months postop midurethral sling for stress incontinence. It was
>successful in that I have no SI so far. But I do note the urinary
>stream is slower than it used to be and dribbling at the end, which my
>Dr. knows about and I return to her in a month. She did say that slow
>stream and dribbling could be stopped with cutting the sling and
>suggested a medicine for the dribbling, both which I don't want. In
>addition now with urination if I strain as if to hurry up a bit, the
>urine flow stops, but relax those muscles and flow resumes. Then if I
>squeeze pelvic muscle to stop the flow, as I learned in doing kegel
>exercises, the flow continues with dribbling for awhile. Even if
>bladder seems emptied, when I go to stand up, more dribbling. Do these
>two incidents suggest a problem or would they just be a normal reaction
>from sling surgery, and something to learn to live with? Thank you very
>much.
>Dumbunny
>

Next message: Hope : "ARTICLE: Women Often Misdiagnose And Self-Treat Yeast Infection"
Previous message: Shannon: "CHRONICPAIN: Lower left pelvic pain/blood streaks in cervical mucous"
In reply to: dumbunny: "UROGYNECOLOGY: Postop midurethral sling surgery for stress incontinence, changes in urination."

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