I pee my pants - what should I ask Dr

[Anonymous]

I learned a lot of helpful pelvic floor exercises from the Buff Muff founder! I subscribed to the most basic level of her app, but in hindsight I could have just watched most of her free content on her youtube channel and website

https://www.buffmuffapp.com/

[Anonymous]

Yes to pelvic floor therapy and you can start by looking up PFT yoga exercises.

[Anonymous]

Forget PT and get the surgery! Geesh.

[Anonymous]

Schedule a visit with a urologist who specializes in female urology. You don't have to live with Thai, you have medical, surgical, and therapeutic options.

[Anonymous]

Anonymous wrote:Okay OP here. A year later, nothing has improved. I have lost 20 lbs and no impact. I go for 2-4 mile walks frequently and soak an entire bladder leak long/heavy flow pad, and sometimes even that can't contain everything. I tried 3-4 PT but I truly saw no path for improvement with cat/cow and basic things she was recommending.

I want to talk to my dr about surgery, and considering taking short term disability / FMLA to do recovery right (unlike a c section where I picked my 1 year old up within 2 days, which is maybe part of the reason why Im here?).

Has anyone had surgery and is HAPPY with the experience? I've read lots of negative things about mesh and slings. Or can someone detail their daily life wit a pessiary? Would just love insight on moving beyond PT into surgery options.

Thanks all.

You probably have a prolapse. I have one and pee all the time.

Do not allow yourself to think anything you did (or didn't do) caused it (I.e. picking up your child after a c section).

There's lots of research that shows prolapses are genetically influenced and have to do with your connective tissue. Did your Mom have vaginal births and have a prolapse?

Don't do the mesh sling. Yes, there are doctors that will still do it but it has @ 15% failure rate and when it fails the consequences are dire and irreversible.

Bulkamid worked great for me. It's like a filler in your urethra. Dr. Shobha Sikka in Friendship Heights was honest with me about the options and reality of outcomes. It all sucks but you should be able to make it somewhat better. How much? That just depends on your body.

Also, don't let these other people or doctors send you around to invasive pelvic floor PT. With the severity of symptom you're experiening, it's not going to help.

I atleast can now run 4-4 miles (wearing black pants/shorts solo and outdoors) and do a 45-60 minute workout class without drenching myself. And I just leave immediately and shower after. I'm happy with the compromise.

[Anonymous]

Get a new doctor. Generally patients are referred to PT first and then discuss surgery options if that does not address the issue. But there are things to do...you may be referred directly to a surgeon. It does sound like prolapse.

[Anonymous]

The sling surgery was amazing for me. You won’t need FMLA. It’s a simple procedure and I was comfortable in a day or two. It’s a tiny, tiny slit inside your vagina…nothing like a c section.

[Anonymous]

Before you do anything permanent or chemical to your body, definitely book a few sessions with a pelvic floor physical therapist. There’s a great deal that can be done through exercises and PT

[Anonymous]

Anonymous wrote:Ask for a prescription to Trospium. It really helped me.

+1. There are many drugs available to help with stress incontinence. I started on one after DS was born. He's now 26

[Anonymous]

You need pelvic floor pt. You can do this at home.

[Anonymous]

Anonymous wrote:Okay OP here. A year later, nothing has improved. I have lost 20 lbs and no impact. I go for 2-4 mile walks frequently and soak an entire bladder leak long/heavy flow pad, and sometimes even that can't contain everything. I tried 3-4 PT but I truly saw no path for improvement with cat/cow and basic things she was recommending.

I want to talk to my dr about surgery, and considering taking short term disability / FMLA to do recovery right (unlike a c section where I picked my 1 year old up within 2 days, which is maybe part of the reason why Im here?).

Has anyone had surgery and is HAPPY with the experience? I've read lots of negative things about mesh and slings. Or can someone detail their daily life wit a pessiary? Would just love insight on moving beyond PT into surgery options.

Thanks all.

I tried PT, pessary neither work for me.

I was diagnosed with prolapse, which was related to the leaking, but I guess you can have leaking without the prolapse.

I had a hysterectomy, with additional procedure to fix the prolapse (laparoscopic colposuspension that uses mesh)... recovery was rougher than I expected, i think i got four weeks short term disability, which i had thought it was too much, but it was barely enough. Surgery gave me normal life activities back., no regrets!. Two years so far, feeling great.

Oh, only thing I can't run anymore, no high-impact activities. But my case sound much more severe than yours as the prolapse was severe, on top of the leaking.

[Anonymous]

Anonymous wrote:Okay OP here. A year later, nothing has improved. I have lost 20 lbs and no impact. I go for 2-4 mile walks frequently and soak an entire bladder leak long/heavy flow pad, and sometimes even that can't contain everything. I tried 3-4 PT but I truly saw no path for improvement with cat/cow and basic things she was recommending.

I want to talk to my dr about surgery, and considering taking short term disability / FMLA to do recovery right (unlike a c section where I picked my 1 year old up within 2 days, which is maybe part of the reason why Im here?).

Has anyone had surgery and is HAPPY with the experience? I've read lots of negative things about mesh and slings. Or can someone detail their daily life wit a pessiary? Would just love insight on moving beyond PT into surgery options.

Thanks all.

I can’t speak to surgery but I had severe injuries in childbirth. I used pilates on a reformer, PT, a video called HabIt and yoga. I still have prolapses. But I never leak.

[Anonymous]

I have prolapse. When I run my bladder empties itself.

I wanted to avoid surgery (for now anyway), so I got a pessary. It works great.

I’m single and not having sex (sad) so it doesn’t interfere with my life. I take it out once a week to clean it, but I’m not sure that’s really necessary.

[Anonymous]

Op I had a friend with this problem, and there is a surgery for it. With this level severity they will not recommend kegels.

[Anonymous]

You need a bladder sling, with PFPT pre and post surgery. Your leakage is pretty severe, and I’m in a lot of prolapse/prolapse surgery groups. You should get a POP-Q at the urogyn and ask about prolapse repairs too (although I think all of the DC doctors are much too quick to jump to hysterectomies as part of their prolapse repair surgeries in younger women).

Also — it wasn’t the c section recovery that did this to you. It was the vaginal deliveries. If you were leaking after a c section only, Pfpt probably would help, because the root cause would be some scar tissue and tight muscles. But this is from the muscles and fascia that got shredded in the vaginal deliveries. (Yes, we should be warned in advance.)