Female Pelvic Health and Reconstructive Surgery by Bruce I. Carlin, Fah Che Leong

By Bruce I. Carlin, Fah Che Leong

Information particular surgical ideas in addition to the efficacy and potency of every modality to revive general organ functionality, hinder secondary overall healthiness results, and increase sufferer caliber of existence. Emphasizes the significance of thorough workplace reviews to categorise indicators and plan acceptable healing interventions for urinary incontinence, pelvic flooring prolapse, urgency and nocturia, pelvic discomfort, and sexual disorder.

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Recurrent fevers or weakness may imply undiagnosed urinary tract infections secondary to abnormalities in the urinary tract. Shortness of breath or chest pain may uncover underlying medical conditions that can exacerbate urinary problems. Gastrointestinal complaints may suggest problems with chronic constipation or inflammatory bowel disease. Musculoskeletal problems such as arthritis or back pain may limit a patient’s ability to get to the bathroom, resulting in functional incontinence. Ultimately, a thorough review of systems must be completed.

Genital blood flow: Clitoral, labial, urethral, and vaginal peak systolic velocities and end diastolic velocities can be measured using duplex doppler ultrasound. 2. Vaginal lubrication: The pH increases with sexual stimulation above the acidic levels found in the normal vagina and reflects the degree of vaginal lubrication. 3. Vaginal compliance: Pressure-volume changes assess the ability of the vagina to relax and dilate with sexual stimulation. 4. Genital stimulation: Vibration perception thresholds can be measured and recorded pre- and poststimulation.

Excessive alcohol commonly produces a diuretic effect and may exacerbate urgency and frequency. Tobacco is a common cause of pulmonary disease and can lead to a chronic cough, resulting in worsening of stress-related incontinence. In addition, frequency and urgency symptoms with a history of tobacco use warrant cystoscopic evaluation for indolent urothelial cancer, especially when hematuria is present. Illicit stimulant drug use can also exacerbate symptoms of an overactive bladder. A patient’s work history may prove very revealing in evaluating the presenting complaint.

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