Hi 16:25 here. I saw Dr. Horbach. She was outstanding and carefully reviewed my concerns with me, including the safety concerns mentioned by the PP. TVT surgery uses a different material than the sling surgery, if I recall correctly. She provided more detail to reassure me but it’s been a while. I’ve experienced 0 side effects, my symptoms have resolved and highly recommend Dr. Horbach: https://www.inova.org/doctors/nicolette-s-horbach-md.

Anonymous wrote:Re sling surgery….. wasn’t there some horrible lawsuit about those surgeries in the mesh they use? It’s something done differently now?

There was a lawsuit, they were outlawed in fact but somehow they are still doing them. My mother had one and was in agony thereafter - once it is in there it cannot be removed.

Re sling surgery….. wasn’t there some horrible lawsuit about those surgeries in the mesh they use? It’s something done differently now?

Anonymous wrote:A good urogynecologist will review your symptoms and have you undergo testing before advising a certain treatment. I don’t think you’ll be shunted off to do kegels and if you are seek a second opinion!). I suffered from stress incontinence after two vaginal deliveries. Had a TVT sling surgery about four years ago and it is has addressed the issue. I sneeze, work out and laugh without concern. Highly recommend the procedure. The only bad part was when I had to jump up and down in an exam room with no pants on to measure how much pee came out. Humiliating but led to a solution. Good luck!

Did you have it done in the DMV? Rec’s for Dr?

A good urogynecologist will review your symptoms and have you undergo testing before advising a certain treatment. I don’t think you’ll be shunted off to do kegels and if you are seek a second opinion!). I suffered from stress incontinence after two vaginal deliveries. Had a TVT sling surgery about four years ago and it is has addressed the issue. I sneeze, work out and laugh without concern. Highly recommend the procedure. The only bad part was when I had to jump up and down in an exam room with no pants on to measure how much pee came out. Humiliating but led to a solution. Good luck!

Ask for a prescription to Trospium. It really helped me.

OP I am the same pee wise, but I've been diagnosed with fibroids and an enlarged uterus. One of the fibroids is sitting on my bladder. I have been recommended for a hysterectomy.

Self-refer

Agree with pelvic floor PT. You might be able to self-refe, depending on your insurance.

Pelvic floor PT would probably be worth trying.

Bulkamid injections changed my life. Ask about that!

You can get treated for this OP, that's no way to live. Look into lasers.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9028572/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9843031/#:~:text=The%20last%20study%20in%20this,of%20episodes%20of%20urinary%20incontinence.

You should ask about physical therapy. Ask for a referral.

Pelvic floor PT

I've had three children and am 40 - vaginal, c section, vaginal.

After my first I would pee when I sneeze, which felt somewhat normal. After my second I noticed urine leaking if I walked a longer period of time and I stared to think maybe this isn't normal. After my third - and I'm one year post partem - I literally pee my pants almost in full when I walk a few blocks. I cant workout in a group class without worrying how much lll pee and I wear a pad. It's affecting my life. The pee smell is awful. It doesn't feel normal.

I finally made an appt with a uro gynecologist in a few weeks. My fear is that they will just say to do kegals. I want to be prepared to ask the right questions so I get the right work-up, diagnosis and treatment plan.

Can anyone help me be an informed patient on this? What questions should I ask?