Post-Hyster. Urinary Flood

[p1g1w]

I had a partial hyster. 8 weeks ago...prior to this there was a small amount of controlled leakage...after hyster. the 'flood gates have opened'...must wear Depends...change approx. 10/day...bowel movement regular...afraid to drink liquids...met w/Urologist...tests done: VCUG, urinary analysis, cystoscopy and tomorrow, ultrasound...all tests are clear...doctor says he does not understand why this is happening...almost 50years old...3 children by natural birth...can you shed any light on what & why?

[Keith Downing, MD]

see below

[Keith Downing, MD]

Hello,

I probably can't tell  you more than what your urologic work up has revealed.  The two major things to be concerned about are new onset urge incontinence and a vesico- or uretero-vaginal fistula (a connection that has formed between the vagina and the bladder or vagina and the ureter--the ureter is the tube that carries urine from the kidney to the bladder).  Perhaps a dye test could be helpful (ie, back fill the bladder with blue dye and place a tampon in the vagina.  If the tampon turns blue a fistula is present.)  If not, a urodynamic study may be helpful.

Best of luck,

Dr. Downing