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Female Urology

Sling Surgery is More Effective than Burch for Bladder Control in Women

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In the largest and most rigorous U.S. trial comparing two traditional operations for stress urinary incontinence (SUI) in women, a team of urologists and urogynecologists supported by the National Institutes of Health (NIH) has found that a sling procedure helps more women achieve dryness than the Burch technique. The study is being released early by the New England Journal of Medicine (NEJM) to coincide with a presentation at the annual meeting of the American Urological Association on May 21, 2007. Results will appear in the May 24 print edition of NEJM.

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The Use of Physical Therapy in Treatment for Endometriosis

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?I have had severe endometriosis for many years and have had several surgeries. Also started having another type of pain, which was very severe. It felt to me like bladder spasms, and I was having frequency urination of every 20 minutes all day long. I finally went to an excellent urologist who was able to feel my pelvic floor muscles through an internal exam and found that my pelvic floor muscles were in spasm (or hypertonic). He prescribed Ativan for a very short term and physical therapy. . . "

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Why I Chose an Elective C-Section

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Dr, Jennifer Berman, Site Medical Director
A growing number of women are requesting delivery by elective cesarean section without an accepted "medical indication," and physicians were in the past either uncertain how to respond or unwilling to perform elective C-Sections.

The reason being that it was believed that the risk of surgery outweighed the benefit to the fetus and the mother. This trend is now changing due to the fact that cesarean delivery is much safer now than in the past and to the recognition that most studies looking at the risks of cesarean section were biased, due to fact that women in studies more likely to have been selected for an elective cesarean sections as well as non elective C-Sections.
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Female Incontinence Problems: How do you find the right doctor?

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Incontinence, simply defined, is the involuntary loss of urine. That means that a woman leaks urine into pads or underwear. It might just dampen the underwear or it might soak it. It is a persistent medical and social problem for millions of women of all ages. I have this embarrassing problem, am I stuck with it? The good news is that with proper treatment, the overwhelming majority of women who experience this problem can be cured or dramatically improved.

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Genital Herpes and Its Impact on Partners

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Half a million people in the U.S. are diagnosed with genital herpes each year, and for some, the diagnosis is fraught with emotional issues and concerns. ?What impact will herpes have on my sex life?? ?How do I tell my partner?? Charles Ebel is the senior director for program development of the American Social Health Association, addresses these issues and more. Mr. Ebel is co-author of the book Managing Herpes, with Anna Wald, MD, MPH, and he directs the work of the National Herpes Resource Center (hotline #877.411.4377).

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