I had a stroke 10 years ago and have had hemiparesis since. The muscles on one side of my vaginal canal are very weak and do not respond to kegal exercises because it is neurological. . About a year ago I started noticing that tampons were starting to shift in my body. When I sit down they are pushed so low they sometimes exit my vagina and my underwear becomes a bloody wick. Now I've become so weak I can no longer stop my urine flow when urinating. What are my treatment options, if any?
Hi! If you were my patient, I would advise you of two treatments that I am aware of---the first is the Genityte procedure which uses infra-red light to strengthen the tissues of the bladder, vagina and rectum. It is non-invasive and therefore can be adapted for almost any one (see http://genityte.com) The second option is a procedure known as InTone by Incontrol medical(http://incontrolmedical) which can be done at home with a few doctors' visits to calibrate the device. There are other surgical options which might include hysterectomy with sacrospinous ligament suspension. I would recommend against having your ovaries removed since you will not be a candidated for hormone replacement. A Urogynecologist is the type of doctor who would do this type of surgery for you. Hope this helps! Dr B
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