Category Archive: Urinary Incontinence

Urinary incontinence may be due to overactive bladder (can't hold it), stress incontinence (poor urethral closure), or combined urge and stress incontinence.

Jul 13

Pregnancy, Prolapse and Cesarean on Demand

Cesarean on Demand More women than ever before are showing up at the hospital in labor and asking for a cesarean section. According to the National Institutes of Health, the rate of c-section delivery has increased 40% since the mid-90s, a trend reflected in these NIH summary statements: Between 1996 and 2007, the C-section rate …

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Jul 07

Vitamin D and Women’s Health

The Center for Disease Control attests that at least 77% of American adults don’t get enough Vitamin D. And while that’s bad news for everyone, it’s often WOMEN who suffer most. Vitamin D is involved in regulating up to 2,000 different genes in the human body. Considering that this amounts to 10% of our makeup, …

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Jun 13

Prolene mesh and your prolapse surgery – erosions, sex, and the latest data

Prolene Mesh and Pelvic Organ Prolapse Cystocele, rectocele, erosions, sex, mesh shrinkage, folding and thickening     You can’t make this stuff up. Prolene mesh is the product name for a permanent plastic mesh with many implantation applications in reconstructive surgery. Prolene mesh is used to fix large and small abdominal hernias, inguinal hernias, hernias …

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May 31

Kegel Exercise: The Facts

KEGEL EXERCISE: THE FACTS If you have a vagina and you’re old enough to vote, then Kegel Exercise belongs in your feminine fitness daily routine. Before you dive into pelvic fitness, it’s important to know what Kegel muscles actually DO. Kegels—or the levator ani muscles—wrap around a woman’s most important parts: her bladder, vagina, and rectum. …

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May 17

Dropped Bladder: Cystocele Facts

DROPPED BLADDER: CYSTOCELE FACTS At birth, a female’s bladder rests in front of her vagina and just behind the pubic bone. The bladder and vagina are separated by connective tissue called the vesicovaginal fascia. This fascia is anchored to each hip bone by tendons known as the arcus tendineus fascia pelvis. Vesicovaginal connective tissue is NOT particularly …

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Mar 23

Diapers Putting a Damper on Your Mojo?

(c) 2011 L. Romanzi It’s not sexy to wet your pants, unless, of course, that’s your thing. Good news – Kegel exercise (make sure your doctor, midwife, PA or nurse practitioner give you a  bit of coaching here) and a little common sense (aka behavior modification) may be just what you need to get out …

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Nov 29

Kidogo Kidogo, fixing uterine prolapse in an incubator of extremis called the DRC

It’s not easy being a girl. I’m  here in DRC (Democratic Republic of Congo) where I and my American colleagues usually help the Panzi Hospital gyn and fistula surgeons fix fistulas and figure out ways to deal with less than perfect fistula repair results or how best to care for the “unfixables” – women with …

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Nov 25

The Step-Sisters of Fistula – Minimally Invasive Uterine Resuspension- Hysteropexy C’est Arrive au DR Congo.

NOV 23, 2010 (c) L Romanzi 2010 The Step-Sisters of Fistula – Minimally Invasive Uterine Resuspension- Hysteropexy C’est Arrive au DR Congo. It is difficult to express how impressed I am during each and every Harvard Humanitarian Initiative mission (www.hhi.harvard.edu) by the  skilled, motivated, and wise  pelvic floor – fistula surgeons at Panzi Hospital in Bukavu, …

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Jul 19

ivillage asks Dr R – what’s the deal with “sneeze and pee?”

ivillage.com asked Dr. R to help out on a piece about urinary incontinence and many other embarrassing topics of the feminine persuasion – here’s a direct link to Dr R’s portion: ivillage asks Dr R about exert and squirt urinary incontinence Scroll through all the other topics as well. This review has something for everyone, …

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Jul 16

Ask Dr R: Overactive bladder and Enablex

Hi Dr. Romanzi, I have been on Enablix 7.5 for almost 3 weeks now.  It had taken all my bladder symptoms away.  Now today they are creeping up again.  Can a medication just stop working like that?  I am afraid to go up to the 15mg for bad side effects. Thanks, Lori Hello Lori, Bladder …

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