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SEXUAL DYSFUNCTION AND WOMENPEERLESS PROGRAM SOLUTION BLOG

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Urinary Incontinence-You Don’t Have To Depend On Depends
Probably nothing is more depressing to a man or woman than losing control of their bladder. We tend to take for granted the act of urination and being able to urinate into a toilet when it is socially convenient. When any man or woman has to resort to pads, panty liners, or diapers, that is a very discouraging and often a depressing event in their lives. This can lead to the person restricting their social activities, becoming reclusive and even becoming depressed.


For a person who has lost control over her bladder life can be very difficult. It means he\she would lead a restricted life, think twice before stepping out of the house, and will be unable to undertake journeys. In short, he\she will lead a life that is far from normal.


It is a debilitating ailment that can make life immensely difficult. Urinary incontinence that results in sudden loss of bladder control is both embarrassing and distressing. A sudden, uncontrollable urge to urinate often leads to involuntary loss of urine in such people. However, lack of awareness and taboo associated with the problem often causes people to suffer in silence, when in fact, they should seek medical help.


Involuntary actions of the bladder muscles may be a result of damage to the nerves of the bladder, to the spinal cord and brain, or to the bladder muscles. Multiple sclerosis, Parkinson’s disease, Alzheimer’s disease, stroke, and injury can also harm bladder nerves or muscles. While factors like injury, stroke, diabetes, and multiple sclerosis are common to both men and women, what makes the disorder twice as common in women than in men is the fact that they deliver babies and suffer menopause.


During pregnancy, when babies push down the bladder and urethra (the tube from the bladder to the outside of the body that transports urine from the bladder to the toilet), this weakens muscles of the pelvic floor and the bladder. Labor can weaken pelvic floor muscles and damage nerves that control the bladder. After menopause too, women experience problems with bladder control.


Urinary incontinence is of different types and a large number of women suffer from some or the other form of this problem. In some people with urinary incontinence exercises can be helpful. Kegel exercises performed several times a day can strengthen the muscles in the pelvis and helpf with the control of urination. Botulinum Toxin can be helpful in treating the symptoms and can give relief for up to 10 months. In fact, FDA has recently given a go ahead for the use of Botulinum Toxin for treating symptoms of urinary incontinence in certain neurological cases.

2017/07/01 04:26 2017/07/01 04:26



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Questions I Am Frequently “Axed”
I often discuss common medical conditions with patients and questions come up on multiple occasions. I have recorded these questions and will answer them periodically on this blog site. If you have any questions you like me to answer, please let me hear from you, nbaum@neilbaum.com.

 

I am 31 years old and have just had a baby. When can I resume sexual intimacy with my husband?
Whether you give birth vaginally or by C-section, your body will need time to heal. Many health care providers recommend waiting four to six weeks before having sex. This allows time for the cervix to close, postpartum bleeding to stop, and any tears or repaired lacerations to heal.
The other important timeline is your own. Some women feel ready to resume sex within a few weeks of giving birth, while others need a few months >> or even longer. Factors such as fatigue, stress and fear of pain all can take a toll on your sex drive. If you have any questions contact your obstetrician.

 

I have loss of urine when I cough or sneeze or do any kind of exercise. My doctor said I have stress incontinence and he recommended a vaginal sling using mesh material. Is this safe?

 

Surgery to decrease or prevent urine leakage can be done through the vagina or abdomen. The urethra or bladder neck is supported with either stitches alone or with tissue surgically removed from other parts of the body such as the abdominal wall or leg (fascial sling), with tissue from another person (donor tissue) or with material such as surgical mesh (mesh sling).

 

Surgical mesh in the form of a “sling” (sometimes called “tape”) is permanently implanted to support the urethra or bladder neck in order to correct SUI. This is commonly referred to as a “sling procedure.”

 

The use of surgical mesh slings to treat SUI provides a less invasive approach than non-mesh repairs, which require a larger incision in the abdominal wall. The multi-incision sling procedure can be performed using three incisions, in two ways: with one vaginal incision and two lower abdominal incisions, called retropubic; or with one vaginal incision and two groin/thigh incisions, called transobturator. There is also a “mini-sling” procedure that utilizes a shorter piece of surgical mesh, which may be done with only one incision.

 

Complications of this type of procedure are rare but may occur. The most common complications include bleeding and infection, erosion or infection of the graft material (possibly requiring further surgery), injury to nearby structures, pain, inability to urinate (retention of urine), recurrent or worsening incontinence, new or worse vaginal prolapse, urgency or urge type-incontinence.

 

I am 65 years old man and had my prostate gland removed for prostate cancer three years ago. My PSA test is rising after several years being at an undetectable level. Is there anything else I can do?

 

First, I would get the test repeated. Although mistakes are rare, you need to confirm the results with a second test. Next a test has to be done to see if there has been any spread or recurrence of the cancer at the location of the surgical removal of the prostate gland. There are several tests that can be useful for this purpose including a bone scan to see if there has been any spread to the bones.

 

For men with less than five years life expectancy or with other medical conditions that may affect their longevity, then no treatment is needed and watchful waiting is an option.

 

For men with spread to other organs or to lymph nodes, hormone therapy is a consideration. This usually consists of medication to decrease the testosterone level which almost always results in loss of libido and erectile dysfunction.

 

Finally, if there is localized disease in the pelvis, radiation therapy is an option after surgery has failed to cure the disease.

 

The bottom line is that a rising PSA after surgery is usually treatable.

2017/06/30 04:26 2017/06/30 04:26