cystocele

  I am a 36 year old woman who recently had 2 children.  After giving
  birth to the first, I began to notice a swelling in my vagina.  I
  have had problems with sensory urgency--feeling the need to urinate
  when standing or exercising.  I have no pain from the vaginal swelling,
  but wonder if this is the cause of my urgency?  I have seen a
  gyneocologist who did urodynamic testing and determined that I have
  sensory urgency and a cystocele, and recommended surgerical bladder repair
  and a hysterectomy.  I would
  like a second opinion, especially as to the need for a hysterectomy.
  Would a urologist, or a gyneocologist specializing in urinary
  problems be the best person to see?

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Dear Lisa,
This is an area where gynecology and urology both have involvement. My feeling (prejudice?) is that a urologist with a subspecialisation in female urology would be the proper individual to see for a second opinion. Most urology training programs have such individuals.
This information is provided for general medical information purposes only. Please consult  your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital  and its satellites (I-800-653-6568).
HFHS M.D.-SAL
*keyword: incontinence