Search found 57 matches

Search found 57 matches
by Mr Chris Harding
Tue Jun 02, 2020 12:43 pm
Forum: urinary incontinence (urge and stress)
Topic: I think that I have mixed incontinence that is stress and urge
Replies: 1
Views: 333

Re: I think that I have mixed incontinence that is stress and urge

I would advise a consultation with a Urologist or Urogynaecologist as the history is very suggestive of mixed incontinence and you may need bladder pressure tests (urodynamics) in order to demonstrate the predominant component prior to treatment planning.
by Mr Chris Harding
Tue Jun 02, 2020 12:41 pm
Forum: urinary incontinence (urge and stress)
Topic: Mild stress incontinence getting a little worse
Replies: 1
Views: 326

Re: Mild stress incontinence getting a little worse

I would advise seeking an appointment with a urologist or urogynaecologist for a full discussion of second-line treatments for stress incontinence. There are many options available so I'm sure there will be something to suit you.
by Mr Chris Harding
Tue Jun 02, 2020 12:39 pm
Forum: urinary incontinence (urge and stress)
Topic: Urge incontinence
Replies: 1
Views: 338

Re: Urge incontinence

Thanks for the question. If you have failed the simple measures described then it is probably time to see your GP and discuss tablet treatments for what sound very much like Overactive Bladder Syndrome.
by Mr Chris Harding
Tue Jun 02, 2020 12:38 pm
Forum: urinary incontinence (urge and stress)
Topic: Tamoxifen and bladder issues
Replies: 1
Views: 320

Re: Tamoxifen and bladder issues

Oestrogen is very important for vaginal tissues and hence Tamoxifen worsening your symptoms makes sense. I would advise assessment by a continence specialist as you may benefit from pelvic floor muscle training and possibly urge suppression techniques.
by Mr Chris Harding
Tue Jun 02, 2020 12:36 pm
Forum: urinary incontinence (urge and stress)
Topic: Stress inconvenience after childbirth
Replies: 1
Views: 332

Re: Stress inconvenience after childbirth

Thanks for the question. I would advise that you seek an assessment from a pelvic floor physiotherapist or continence advisor. If appropriate you may be referred to a urologist or urogynaecologist.
by Mr Chris Harding
Wed Jun 12, 2019 7:41 am
Forum: urinary incontinence (urge and stress)
Topic: Incontinence
Replies: 2
Views: 562

Re: Incontinence

I sometimes see patients with urgency symptoms after bladder outlet surgery (such as TVT) - my first line investigation is often urodynamics to see what the cause of the incontinence is and treatment can be directed from there.
by Mr Chris Harding
Wed Jun 12, 2019 7:40 am
Forum: urinary incontinence (urge and stress)
Topic: Is there anything else I can try?
Replies: 2
Views: 653

Re: Is there anything else I can try?

Failure of conservative measures such as you describe should prompt referral to a urologist or urogynaecologist for further investigation. You may need to have a urodynamic study to define the cause of your incontinence. I would not recommend empirically trying any further treatments at this point.
by Mr Chris Harding
Wed Jun 12, 2019 7:38 am
Forum: urinary incontinence (urge and stress)
Topic: Incontinence and hormones
Replies: 2
Views: 898

Re: Incontinence and hormones

Unfortunately the menopause sometimes make things worse. Have you tried vaginal oestrogen cream - this can be beneficial in such cases.
by Mr Chris Harding
Wed Jun 12, 2019 7:36 am
Forum: general
Topic: Some nights I have to get out of bed four times to urinate
Replies: 3
Views: 602

Re: Some nights I have to get out of bed four times to urina

The first step (if you haven't done it already) would be to complete a bladder diary - some patients make more urine at night than during the day - a condition known as nocturnal polyuria - this would be the first thing I would want to rule out.
by Mr Chris Harding
Wed Jun 12, 2019 7:35 am
Forum: general
Topic: Nephrogenic Adenoma
Replies: 1
Views: 506

Re: Nephrogenic Adenoma

This is indeed an uncommon problem. I have had a couple of patients that have responded to resection of the adenoma (I assume its in the bladder). May be worth discussing the relative merits of this with your urologist.
Search found 57 matches