Congenital conditions of the penis can be identified in a wide range of age groups but most often are diagnosed in infants or children. These conditions affect male genitalia and typically involve abnormal foreskin formation or internal anatomical differences. The differences usually prevent a successful newborn circumcision or put a boy at risk for circumcision…
Many of our patients at Norton Urogynecology Center are middle-aged with female anatomy, who present with symptoms affecting their quality of life. They may have issues related to incontinence, pelvic organ prolapse, pelvic pain, urinary tract infections or painful sex. Fortunately, these conditions can be managed successfully. We see many patients with urinary function issues…
[vc_row][vc_column][vc_column_text]Up to 50% of patients with female urinary organs have some issue with bladder control, which can begin as early as their 20s. Those who have had multiple pregnancies or are overweight are at higher risk. Overactive bladder consists of at least two of the following: an urgent need to urinate right away; urinating at…
Medications are the second-line therapy for overactive bladder, after physical therapy and lifestyle changes. Overactive bladder causes bothersome sudden urges and often is accompanied by urinary incontinence. This can really be disruptive to a patient’s quality of life. Anticholinergics such as oxybutynin are the oldest of these medications and the most studied. These drugs are…
For patients who want to be completely rid of stress incontinence, midurethral sling surgery remains our mainstay treatment. The data show a high success rate, great durability and a low risk profile. With this procedure, a sling is placed underneath the urethra so when the patient coughs or strains in a way that normally results…
In addition to Botox, patients with overactive bladder and urge incontinence who have failed to improve on medication can choose from two procedures that work by modulating nerve activity: sacral neuromodulation and percutaneous nerve stimulation. Both treat overactive bladder and urinary urgency, with or without incontinence. Patients can pick the treatment that best fits their…
Kendra N. Evans, APRN, practices with Norton Children’s Urology, affiliated with the UofL School of Medicine. As a family nurse practitioner, Kendra cares for children with urological conditions. She enjoys working with pediatric patients and caring for them as if they were family. Kendra graduated from Indiana Wesleyan University with a Master of Science degree…
Pelvic health physical therapy can alleviate pain and improve the strength and function of pelvic floor muscles — enhancing quality of life, hygiene, safety and independence. Sometimes therapy is all that’s needed to address pelvic-health-related conditions such as bladder or bowel control, stool or urine leakage, pelvic pain or pain during intercourse. Physical therapy can…
Symptoms of urinary tract infections (UTIs) are more common than an actual clinical diagnoses. As a result, patients will tell me they have recurrent UTIs, but they are basing this on their symptoms rather than positive cultures. The clinical definition of recurrent UTI is more than three culture-positive infections within a year. UTIs are most…
Elisha N. McAlmont, APRN, a nurse practitioner for nine years, has joined Norton Children’s Urology, affiliated with the UofL School of Medicine. Elisha most recently worked in pediatric emergency medicine and had been a registered nurse at Norton Children’s Hospital since 2005. She received her Master of Science in nursing from Spalding University in 2013…
Andrew D. Doering, M.D., has joined Norton Urogynecology Center, caring for patients with a variety of urinary and pelvic conditions including: Bladder pain Pelvic floor disorders Pelvic organ prolapse Urinary incontinence Dr. Doering earned his medical degree from the University of Kentucky College of Medicine in Lexington. He completed his OB/GYN residency at The Ohio…
Cadmium, a natural element used for rechargeable batteries and other industrial applications, can induce a novel type of testicular cell death in mice after low-dose exposure, according to a groundbreaking study. Cadmium is known to bioaccumulate and is linked to many health disorders, including male infertility. The study discovered low-dose cadmium exposure induces damage in…