WOMENS-HEALTH Messages for August, 2008: Re: UROGYNECOLOGY: 26 yo with incontinence

Re: UROGYNECOLOGY: 26 yo with incontinence

From: Amy Rosenman,M.D. (anonymous@obgyn.net)
Sun, 17 Aug 2008 14:04:16 -0500 (CDT)

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

There is a lot that can be done. The simple placement of a pessary (a diaphram-like internal frame) will immediately keep the bulging tissue in place. To correct the stress incontinence surgery is your best bet. A uterine suspension to the uterosacral ligaments, a cystocele repair (bladder lift) and rectocele repair along with a tension free vaginal tape will solve these problems if you wish to retain your uterus for further pregnancies. A cesarean delivery in the future would be recommended. See a specialist, a urogynecologist would be ideal.

-- 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, 16 Aug 2008, Christy wrote: > >I am having a difficult time with stress incontinence to the point of >having to change a pad 5-10 times a day. I have hardly any control over >urinating. I have also noticed something bulging from my vagina, both >in the front and the back. I am having alot of pelvic fullness/pain, >and it feels like I don't empty my bladder enough, like I still have to >go. In order to complete bowel movements, I have to stick a finger >inside and push it out. I had a C-section with my son 2 years ago and >it has been going once since he was 4 months old. It's so embarrassing >that I don't even want to leave the house anymore. Is there anything >they can do for me?

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