Questions posted in the The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.

Subject: Continually Failed Bladder Suspension
Forum: The Urology Forum

Topic Area: Incontinence

Posted by ]a href=}mailto:Trina2Ben@aol.com}{Trina]/a{ on April 14, 1999 at 14:08:49]P{My mom is 54 years old with a history of complete hysterectomy and rectoseal in 9/96. By 12/96 her bladder had given way and she had her first bladder suspension surgery using vaginal tissue. In 2/98 it was discovered that the surgery had not taken after she had an onset of previous symptoms (pain, incontinence, multiple bladder infections). At that time a bladder suspension was preformed with mesh and also a cystoseal. Still with above mentioned symptoms as well as a dark brown discharge with pus, in 11/98 she was told that there was an abcess at the site of the suspension stitch. After cauterizations failed in 3/99 she underwent her 3rd surgery to have a bladder irrigation and removal of abcessed tissue along with equal good tissue. She found out yesterday that once again she has a granduloma at the site of the suspension stitch and is having all the same symptoms again (brown discharge with ous, pain, incontinence..etc.) Her doctors are going to start cauterizations again with the hope of avoiding another surgery. Why would this condition continually come back? Is there a different form of treatment since her body seems to be rejecting the mesh and she's been told that the vaginal tissue is much to weak and shreds. She is very concerned that there is no alternative and she will have to be incontinent at such a young age. I would appreciate any feed back you could help me with.]p{Thanks,]br{Trina]P{]P{]HR WIDTH=}75%} SIZE=}4} COLOR=}#000090}{Posted by HFHS M.D.-JL on April 19, 1999 at 07:58:46]P{]br{Dear Trina,]p{Your moms problem with urinary incontinence is a complicated one. She has had several operations to return the pelvic contents to supported positions which would allow her to store urine. The mechanisms by which incontinence occurs may be due to anatomical abnormalities of the urethra (urethral hypermobility), the sphincter (intrinsic sphincter deficiency (ISD)) proPosted by vickie on May 03, 1999 at 13:40:20


Recommend that your mother go to the best urologists she can find (this is often the most difficult).Primary drs.former patients who have had successful results,nurses,etc.may be a source. Select 2 and hopefully you will get some answers!



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