Urogynecology Expert Forum
Past HX. includes tacking of bladder and vagina
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. 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.

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Past HX. includes tacking of bladder and vagina

Hi. I am 48 years old and having complications with several areas to be mentioned. In the past, I had a total hysterectomy and several other surgeries to include: removal of adhesions, ovaries, etc. My Internal Medicine physician is aware of my problem, due to my physical exam in 2007. I contacted her several weeks ago in hopes of getting a referral, only to find out TODAY that she cannot find a UROGYNECOLOGIST in this area. Do you happen to know of any Urogynecologist in the Nashville, TN area? In a past surgery for removal of uterus, the physician also "tacked" my bladder and vagina, stating they had fallen or dropped. I am currently having symptoms of uncomfort and the inability to hold my urine (to an extent) when I cough or sneeze. Also, intercourse in out of the question, as my vagina feels as if it is trying to fall out the opening of that area. I have a family history of the same. My mother and my mother's sister have both recently had rectocele surgery with repairs to both the areas of which I am speaking. Your expertise and advice will be greatly appreciated. I will await your response. Thank you so much for your help in this important matter.
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It sounds like you have stress urinary incontinence, and perhaps a recurrence of your prolapse. Go to the website of the society of gynecologic surgeons (www dot sgsonline dot org ), go to the for patients section and enter your zip code. You will be given a list of pelvic surgeons in your area who can help with your specific problem set. Be sure to locate one that is fellowship trained in urogynecology or pelvic reconstructive surgery.  Formal fellowship training should be anywhere from 1 to 3 years.  They will need to do urodynamic (bladder) testing to establish the exact type of urinary incontinence, and will also evaluate your vagina in detail for prolapse. BOth problems are usually fixable, either with pessaries, or surgery, depending on the severity, and your wishes.

Dr. hoyte
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J. Kyle Mathews, MD, DVMBlank
Plano Urogynecology Associates
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