Womens Health

Incontinence after hysterectomy

I had a hysterectomy with bladder repair following which I had some incontinence. It occurs when I bend over or sit down (whenever I put pressure on my bladder) and still a little with coughing, etc.

It appears to be getting worse rather than better. I had the stress incontinence with coughing prior to surgery but not the leakage just from bending or sitting. What is going on? I will be going back to work soon and need to do something about this.

You may be having urge incontinence or even overflow incontinence rather than recurrence of stress incontinence. You need to see your doctor about this and probably have urodynamic studies done.

Incontinence after hysterectomy and cystocele repair

I am 52 yrs old. Five weeks ago I had a total hysterectomy with uterine prolapse and cystocele repairs. A benign grape sized cyst was found under and entwined around the urethra and was removed.

Since the surgery I have had virtually no control of my bladder. I spill urine excessively and must go to the bathroom every 20 minutes or so to keep urine from running down my leg.

I have limited, if any sensation that I am releasing urine and I cannot hold anything. My doctor has had me on Detrol 2MG twice daily 4 weeks ago and says this will restart the bladder's nervous system but I have had no improvement to date.

I cannot return to work in this condition and am becoming depressed. My doctor suggests that an additional surgery may be required. What is causing this and what can be done?

If the cystocoele repair work has resulted in a stress incontinence, further surgery may be needed but at this time, it is very important to diagnose correctly what is going on.

Since you had some sort of cyst near the urethra removed, there may be some weakness of the urethra or even a fistula in the urethra or bladder. Those are the serious problems that need to be ruled out. Your doctor may want to do urodynamic studies and even put dye in the bladder to see if there is any injury or poor healing where the cyst was removed.

From your side, you need to ask for complete explanations so you understand all the possibilities and what needs to be done to get you over this.

There is no way to tell the success of what treatment needs to be done until it is clear what that treatment is. In general, this sounds like something that can be fixed. Keep us posted as you find out more about what is going on exactly.

Table of Contents
1. Post-Surgery
2. You leaking?
3. Incontinence after hysterectomy
4. Collagen injections
5. Endoscopic collagen
6. No urge sensation
7. Voiding dificulties
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