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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Urinary Incontinence And Constipation Be Treated?

I had a bladder sling place around 10 years ago with a posterior repair. I have started having incontinence again and difficulty passing stool without some manual pressure below my vagina. Did my repair just get old and gravity took over or could there be a problem with mesh that was placed in that area it was a sling. It worked very well for awhile, after speaking to my Dr, who put the mesh said i need another is has just warn out.. I feel like I need an open procedure like a birch procedure would be better. any suggestions ? I am almost 61 a nurse and still active
Wed, 27 Feb 2019
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General & Family Physician 's  Response
Hello,

I understand your concern.

I too think you might need another mesh.
The surgical procedures depend on the main pathology involving bladder that has caused incontinence.

So, better get rechecked, re-examined by urologist to decide for best surgical intervention in your case.

Take care.
Dr.Albana Sejdini
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How Can Urinary Incontinence And Constipation Be Treated?

Hello, I understand your concern. I too think you might need another mesh. The surgical procedures depend on the main pathology involving bladder that has caused incontinence. So, better get rechecked, re-examined by urologist to decide for best surgical intervention in your case. Take care. Dr.Albana Sejdini