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Urogynecology (Expert Forum)
Stress Incontinence Developed and Getting Worse Post-Hysterectomy
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine
Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.
Stress Incontinence Developed and Getting Worse Post-Hysterectomy
by keebler14, May 28, 2007 12:00AM
My 37 year old sister had a total hysterectomy (removal of uterus and both ovaries) 4 weeks ago. It was done to alleviate pelvic pain caused by endometriosis although the pathology report showed she had minimal endometrial tissue. She now states she is pain free and is glad she had the procedure. HOWEVER, she has now developed stress incontinence and it is getting worse. She had no continence issues before the surgery. During the first week of recovery, she experienced painful bladder spasms, was prescribed Detrol and the spasms decreased. At the end of week 2, she wet the bed but didn't realize it until she felt damp sheets. Since then, her incontinence has become worse: She was talking with a friend 4 days ago and when she got up, her friend noticed urine on the back of her jeans. She now wears Depends 24/7 but they aren't helping at night when she urinates so much, the urine saturates the diaper--enough to get through the mattress pad. She limits fluids, has no urge to urinate and no sensation it is happening. When she wakes up, despite her nighttime voiding, she urinates steadily for 2 minutes. Her doctor says "This is a normal after-effect" (from the hysterectomy) but the lack of sensation worries her. BTW, tests ruled out UTI. Would the problems described indicate a consult with a urogynecologist is in order--or is it too soon? Thank you for any help you may be able to provide.
Doctor's Answer
by Lennox Hoyte, M.D., Jun 02, 2007 12:00AM
, Jun 02, 2007 12:00AM
Yes. I would definitely have her evaluated by a trained urogynecologist, who should be able to make an accurate diagnosis, and offer an appropriate, successful therapy.
If you are in the US, go to www.augs.org, or sgsonline.org to look for one in your area.
In Europe see continet.org for details.
If you are in the US, go to www.augs.org, or sgsonline.org to look for one in your area.
In Europe see continet.org for details.
Dont give up and if i do receive help that works, i will post it on this site so you can read up and give it a try.
The thing i have learned is be very pushy!!!!! Everyone wants to cathetirise me but i have resisited mainly because i want the problem sorted before i do the symptons other wise, i am frightened that if the symptoms are masked, they wont bother finding out - which in my experience of my consultant, will be the case.
By way, i have tried to change but its getting ridiculous to get a second opinion quickly so keep going and be loud!!!!