Search found 61 matches

Search found 61 matches
by Mr Chris Harding
Tue Jun 02, 2020 12:51 pm
Forum: overactive bladder syndrome
Topic: Should we try botox injections again?
Replies: 1
Views: 618

Re: Should we try botox injections again?

In a word "yes". Botox is an excellent treatment for overactive bladder symptoms secondary to neurological disease like a stroke - it may be that the original dose could be increased?
by Mr Chris Harding
Tue Jun 02, 2020 12:50 pm
Forum: overactive bladder syndrome
Topic: overactive bladder
Replies: 1
Views: 666

Re: overactive bladder

If you have had bladder outlet obstruction diagnosed (presuming this because you are on Tamsulosin) then this can be a cause of the symptoms you describe. Saw palmetto is a natural product that may shrink the prostate and reduce your symptoms but the evidence to support its use is patchy. In about 2...
by Mr Chris Harding
Tue Jun 02, 2020 12:46 pm
Forum: overactive bladder syndrome
Topic: have to pee urgently and frequently
Replies: 1
Views: 643

Re: have to pee urgently and frequently

Perhaps you should talk to a urologist about sacral neuromodulation if you are not keen on Botox. Just to clarify Botox is not associated with impotence.
by Mr Chris Harding
Tue Jun 02, 2020 12:44 pm
Forum: urinary incontinence (urge and stress)
Topic: Incontinence
Replies: 2
Views: 1040

Re: Incontinence

Sometimes urge incontinence can develop after prolapse surgery and your history is suggestive. A continence advisor would be the logical first step for you and can be accessed via your GP.
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: 650

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: 631

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: 631

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: 623

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: 636

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: 874

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.
Search found 61 matches