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What Causes Urine Leakage Inspite Of Having TVT And Pelvic Floor Repair?

Posted on Mon, 12 May 2014

Question: Hi Dr XXXXXXX Lately ,I had a very bad urine control which make me fully wet if i about to go to the toilet..I also had very bad bowel constipation problem..It takes 2 weeks for me to pass motion..I drank alot of water ,eat vegetables and fruits but it still remain the same..Few times see Gp, medicines and Antibiotics given but still no improvements.. I already had my Tvt Incontinence and pevic floor repair done on 2006..My medical history cronic spine problem..fracture S1,S2,T11 ,L4 & L5.My spine on my right side started to get pain..Lying down is very difficult for me to get up.. Both my feet pain when i stepped on the floor.I really need your advice doctor..Thank you Regards XXXXXXX

Answered by Dr. Som Biswas (50 minutes later)

Brief Answer: You need to redo pelvic floor repair. Detailed Answer: Hi, Thank you for your query. I can understand your concerns. 1) If you are wetting yourself then your TVT and pelvic floor repair has failed. You need to redo it. 2) For the time being you can use adult diapers. Also get your urine tested for any infection as they sometimes cause you to wet. 3) The pain in your legs and difficulty lying down is due to your spine problem. Can you tell me what treatment have you taken for the spine problem ? Like spinal brace or surgery or physiotherapy etc ? 4) Constipation may or may not be related. If it is not related, you can try stool softener/laxatives briefly under your physician's guidance. Regards Dr. Som Biswas M.D. Mumbai

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Som Biswas (35 minutes later)

Hi Dr XXXXXXX Biswas,Thank you for answering all my questions.Im sorry for not introduce you my age.. My age is 45 years old..The doctor had my urine tested and result still the same infections lots of antibiotics taken its still the same until i was admitted in the hospital for high fever..To prevent high fever I took Anarex before go to bed due to my urine problem. For my spine I have done twice operations for my lumber spine year 1998 & 2004..I paralysed twice after the operation.Doctor did say that my tail bone had a problem too.They cant do any operation yet..Pysiotherapy twice a week..

Answered by Dr. Som Biswas (24 hours later)

Brief Answer: I will advice you to redo the operation. Detailed Answer: Dear XXXXXXX I feel really sorry for you. Your TVT and spinal operations have been far less than perfect. You can take a second opinion if the surgery can be done again. But if it is not possible then you have to wear adult diapers and spinal brace lifelong. As for your infection get a bladder post void residue sonography and let me know the reports. Regards, Dr. Som MD

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Above answer was peer-reviewed by : Dr. Prasad