Indications for Complex Testing

Many women with mild to moderate incontinence and/or prolapse can be satisfactorily treated following the evaluation techniques described above. The impact of the patient's symptoms on her lifestyle can often be ameliorated with low-risk interventions such as medications, physical therapy, and behavioral changes. If, however, the patient does not acceptably improve with conservative therapy, surgery is being considered, or the diagnosis is uncertain, referral to a center that has the capability of performing multichannel urodynamics and other complex lower urinary tract evaluation testing is warranted. Other indications for multichannel urodynamics include the following:

• Previous failed surgery

• Exteriorized prolapse

• Complex urinary incontinence symptoms

• Intrinsic sphincter deficiency suspected (severe SUI)

• Urinary retention/abnormal voiding

• Complex medical problems

• Pelvic reconstructive surgery planned

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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