NY Urogynecology http://www.ny-urogynecology.com Michael D. Vardy, MD, FACOG Thu, 02 Sep 2010 06:05:00 +0000 http://wordpress.org/?v=2.5.1 en Leaking http://www.ny-urogynecology.com/leaking/ http://www.ny-urogynecology.com/leaking/#comments Sun, 10 Aug 2008 13:51:37 +0000 admin http://www.ny-urogynecology.com/?p=44 I am leaking urine!  What is going on? Is this going to be what my life is going to be like? I leak when I run, I leak when I sneeze.  I can’t make it to the bathroom in time.  Is this a natural part of getting older?

These are the most common questions asked by women when incontinence starts to happen.

Firts of all - no, this is not a normal part of aging and no,  you don’t have to live with this forever.  In fact the chances of fixing this problem is extremely good.  Simple visiting the office of a urogynecolgist give you a greater than 90% chance of curing or dramatically improving you situation.

]]> http://www.ny-urogynecology.com/leaking/feed/ Failed drug therapy http://www.ny-urogynecology.com/failed-drug-therapy/ http://www.ny-urogynecology.com/failed-drug-therapy/#comments Sat, 26 Jul 2008 03:04:25 +0000 admin http://www.ny-urogynecology.com/?p=35 Until fairly recently, if a female patient with urge incontinence did not respond to drug therapy there were not many good options.  Fortunately, that is no longer the case.  Often, if a patient does not respond to the standard anticholinergic therapies, there is a misdiagnosis.  First and foremost, if urodynamic testing and cystoscopy have not been done, they should.  If consultation with a urogynecologist has not been considered, that should also be the next step.  Urogynecologists have training which is specific to female anatomy.  Often the problem is not just a functional bladder problem, but an anatomic problem caused by the “dropped bladder” (cystocele).  As the bladder drops, the urethra can get kinked, resulting in bladder outlet obstruction.  When this is the primary problem, anticholinergic therapy (e.g. Detrol, Ditropan, Vesicare, Enablex, Sanctura, Oxytrol and many more) may actually make the problem worse.  Urogynecologist are uniquely qualified to evaluate and treat this problem, usually without surgery.

When the diagnosis is correct and appropriate for anticholinergic therapy, but the drugs just don’t work, there is a great new option.

 

]]> http://www.ny-urogynecology.com/failed-drug-therapy/feed/ TVT http://www.ny-urogynecology.com/tvt/ http://www.ny-urogynecology.com/tvt/#comments Mon, 07 Jul 2008 20:28:17 +0000 admin http://www.ny-urogynecology.com/?p=33 http://www.ny-urogynecology.com/tvt/feed/