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Cystoscopy with urethral dilation with sedation

I have frequent urinating problem, I went to see Urologist and she has done some test like urodynamics, etc and she said that I have bladder drop and the urethra opening is very small. So she suggested me to get 2 surgeries done. The first one is "Cystoscopy with urethral dilation with sedation" and the second one ‘sling’ or removal of uterus. As such I have no leakage problem while coughing or sneezing but I need to bathroom atleast every 30 min or the maximum I could wait was 2 hrs. Right now I am not worried about my bladder drop issue and I am more concerned about the first surgery because by getting this done will it solve my problem? How many days does it take to recover?  Will the pain be bad? I heard there will be some bleeding after the surgery?  Also they say it hurts while urinating. Is that true? I read on the internet that some patients that have had urethral dilation in the past and keep coming back, what does this mean? Will I have to go back and get the surgery done?
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1212320 tn?1273790879
Hello.  Sorry to hear about your problem.  A couple of comments.  First the "sling" procedure is really designed to stop leakage of urine associated with physical activity such as coughing sneezing laughing.  Sometimes this problem can be hidden if there is a great deal of bladder prolapse (drop); i.e. a bulge beyond the vaginal opening.  Generally, however, if you are not leaking the sling is not indicated.  

Frequent urination is a very common complaint and there are  many reasons for it.  Urethral dilatation may not be the best first line treatment for frequent urination.  You might want to consider a second opinion on this matter.  

Dietay factors may be at play.  Coffee, tea, soda, alcohol, NutraSweet, may all irritate the bladder and contribute to the problem  Some people have an overly sensitive bladder and this may be helped with medications taken by mouth or placed directly into the bladder.  In addition, physical therapy, and a newer technique known as "neuromodulation" may be of benefit.  Two forms of neuromodulation currently available in the US are InterStim Therapy, and Percutaneous Tibial Nerve Stimulation (PTNS).  

Good Luck

Bruce Crawford MD
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Thank you for your respone. It really helps to make a decision.
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