Question: Are there any other procedures after two failed monarc and fast sling procedures?

Answer: It sounds like the indication for Monarc is to be questioned. If there is still true stress urinary incontinence type 2, then lifting the urethra by other available techniques are feasible. In order to reach any diagnostic conclusion a fleuro urodynamic study is recommended.

Ask an Expert: Ahmad Hamidinia MD, Incontinence View full article

Incontinence in a patient with Glaucoma

Question: What alternatives to Detrusitol etc. for incontinence are available to someone with Glaucoma?

Answer: There are many anticholinergics on the market for the treatment of over active bladder and urge incontinence, but these all must be used with caution in individuals with glaucoma. It is worth discussing the possibility of using any of these medicines with your opthamologist. Pelvic floor exercises a . . .

Ask an Expert: Donald Bodner MD, Incontinence View full article

Cannot Feel Any Sensation While Urinating

Question:

Hello...Following a bad car accident in 2008, I was catheterized in the hospital for more than 2 1/2 months; I was unable to get out of bed or even to move at all due to several spine fractures, so the catheter was a necessity. The fractures were complete to the T-6 and partial to the T-7 and one . . .

Answer: It is difficult to answer why there is not sensation when urinating from the information provided. After major trauma including TBI and back fracture, it is possible that nerves to the bladder can be affected. Urodynamic testing can be helpful in determining if sensation of bladder filling is normal . . .

Ask an Expert: Donald Bodner MD, Incontinence View full article

Bladder Sling Surgery-problem

Question: I am 58 years old. I had bladder sling surgery 2 years ago due to a prolapsed bladder. The surgery was a success but it didn`t help with my ongoing bladder control. My doctor presecribed detrol first and now I am on velacare. Lately, I have felt the familiar pressure that accompanied my prolapsed bl . . .

Answer: Sling procedure is designed for treatment of urinary incontinence. It is not the procedure to correct bladder prolapse. Voiding difficulties can occur if sling is placed and make the angle of the urethra against the back of bladder more sharp and hence, urinary retention could follow. You need to ta . . .

Ask an Expert: Ahmad Hamidinia MD, Incontinence View full article

Feeling Urethra/Sling

Question: I had a Monarc sling procedure 11 days ago. I feel fortunate that it appears to have worked and I`ve had virtually no pain or serious complications thus far. I am concerned though b/c I can feel a hard lump when I wipe myself that I suspect is my urethra. I haven`t "explored" because I was . . .

Answer: I am happy for you and the positive result following sling procedure. I am not familiar with what you are referring to as a lump. Urethra should not have that firm sensation nor does the normal vaginal mucosa. There are seldom inflammatory tissues which are developed due to reaction to suture materi . . .

Ask an Expert: Ahmad Hamidinia MD, Incontinence View full article