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Re: HYSTERECTOMY: Hysterectomy and bladder repair
From: Deb (anonymous@obgyn.net)
Thu, 6 Mar 2008 19:32:03 -0600 (CST)
I've had the cystoscopy with a urethral dilation, but it did not help.
The cystoscopy showed no outlet obstruction. A urodynamics tested was
just completed which shows retention and spasms. The doctor can find
nothing wrong. He is sending me for another opinion with a
urogynecologist and wondering about a urethral lysis type procedure. Can
you explain what this is? Do you have any other recommendations? I would
like to know more of what to ask the urogynecologist. Thank you for
your help.
At Tue, 1 Jan 2008, Amy Rosenman, M.D. wrote:
>
>Message posted on Amy Rosenman, M.D. behalf by: Hope, Women’s Health
>Forum Moderator
>
>This requires a work up with urodynamics and cystoscopy. Sounds like
>the sling might be too tight and require revision. The sooner the
>better for this sling to be cut or loosened to allow for more normal
>bladder function.
>
>--
>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 Fri, 28 Dec 2007, Deb wrote:
>>I'm 8 weeks post hysterectomy and bladder sling. I had a suprapubic
>>catheter for 23 days. After removal, I was given Flomax for 2 weeks. I
>>had a weak urine stream. After the two weeks, the bladder and urethra
>>spasms began. I was given a regular catheter and leg bag to get the
>>bladder and urethra to calm down. After the removal of the catheter,
>>the spasms began immediately. Two days later I could not void but small
>>amounts at a time. I was given an intermittant catheter to be used in
>>the morning and before bedtime and Flomax. My urine output before
>>bedtime is voiding 150cc and draining 200cc. In the morning, I'm
>>voiding 150cc and draining 300-500cc. I get up at least 2 times during
>>the night to go to the bathroom. My urine steam is weak and I have to
>>void about every 1 1/2 hrs. I'm frustrated. The urologist said it
>>takes time. I was wondering if there is anything else that can be done
>>to get my bladder to work properly.
>
--
Deb
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