Search found 61 matches

Search found 61 matches
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: 1125

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: 1423

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: 1067

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: 912

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.
by Mr Chris Harding
Wed Jun 12, 2019 7:33 am
Forum: general
Topic: Burning
Replies: 2
Views: 972

Re: Burning

Sometimes making the urine less acid is good for this - you can buy over the counter preparations for this. Perhaps addressing the stress incontinence with physiotherapy or surgery if physio already tried should be considered.
by Mr Chris Harding
Wed Jun 12, 2019 7:31 am
Forum: general
Topic: IBS and bladder issue
Replies: 4
Views: 1119

Re: IBS and bladder issue

This sounds like stress urinary incontinence - if home exercises have not worked I would recommend referral for specialist supervised pelvic floor physiotherapy. If this is not successful you may need to see a urologist or urogynaecologist to discuss surgery.
by Mr Chris Harding
Wed Jun 12, 2019 7:29 am
Forum: general
Topic: Bladder emptying/leaking
Replies: 3
Views: 1420

Re: Bladder emptying/leaking

Have you seen a urologist - I would recommend you do. Sounds like you require some assessment of bladder function for these troublesome symptoms. The bladder can leak for many reasons and I would recommend further investigation to try and elucidate this in your case.
by Mr Chris Harding
Wed Jun 12, 2019 7:27 am
Forum: general
Topic: Is it my Fibroids which are effecting my bladder ?
Replies: 2
Views: 979

Re: Is it my Fibroids which are effecting my bladder ?

This can indeed be the case - in such cases I usually refer to a urogynaecologist for an opinion - sometimes find treating the fibroids helps with the bladder symptoms.
by Mr Chris Harding
Wed Jun 12, 2019 7:26 am
Forum: general
Topic: Small bladder problem
Replies: 2
Views: 937

Re: Small bladder problem

Sometimes adding in an anticholinergic tablet (Oxybutynin, Tolterodine, Solifenacin etc) to the Mirabegron can be useful. Failing that you could talk to your urologist about Botox?
by Mr Chris Harding
Wed Jun 12, 2019 7:25 am
Forum: general
Topic: Vaginal Mesh
Replies: 2
Views: 1025

Re: Vaginal Mesh

You could try an anticholinergic drug (Oxybutynin, Solifenacin, Tolterodine etc) or Mirabegron which works in a slightly different way. You may even try a combination of anticholinergic and Mirabegron - could be worth discussing with your GP.
Search found 61 matches