The patient A routine ultrasound at 20 weeks’ and four days’ gestation showed cervical insufficiency. A pelvic exam by the patient’s primary obstetrician revealed her cervix was 3 centimeters dilated, with a bulging bag of water beyond her cervix. The patient was admitted to Norton Women’s & Children’s Hospital, and a referral was sent to…
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…
The patient A 7-year-old male riding on a tractor with his father suffered a a crush injury to his left ring finger. The two were starting to ascend a hill when the boy’s finger became caught between the tractor and the trailing bushhog. The challenge All parts of the finger had been crushed, including the…
Adrian R. O’Hagan, M.D. Pediatric Pulmonology Ashley Louis, PA-C Pediatric Emergency Medicine Kimberly Hall, DNP, APRN Pediatric Physical Medicine and Rehabilitation Jordan Merryman, APRN Neonatology Brandi Neely, APRN Pediatric Neurology
George Gad, M.D. Hospital Medicine Jason P. McCubbin, M.D. Hospital Medicine Uchenna L. Ozor, M.D. Hospital Medicine Samantha Mitchell, PA-C Spine Surgery Jaime M. Bradley-Miller, DNP, APRN Medical Oncology Autumn N. Saez Chavez, APRN Urgent Care Kristyn Clark, APRN Urgent Care Virginia C. Evans, APRN Family Medicine Austin T. McGhee, APRN Pulmonology Lauren M. Poole,…
Accurate imaging is a crucial component of prostate cancer management for a number of reasons, including tumor localization, disease staging and detecting recurrence. Prostate-specific membrane antigen positron emission tomography (PSMA PET) scans offer an imaging approach that has the ability to detect recurrence earlier and enable clinicians to implement tailored treatment sooner. “PSMA imaging offers…
Pediatric epileptologists are specialized pediatric neurologists who help to confirm the diagnosis of epilepsy, discover what is causing a child’s seizures and work to find an individualized management strategy considering concomitant medical issues. Referral to a pediatric epileptologist is recommended: To confirm the diagnosis of epilepsy For patients with multiple other medical conditions along with…
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…
Reviewed by Amber L. Pendleton, M.D. Implementing the principles of trauma-informed care across a primary care team and community resources provides an opportunity to focus on adverse childhood experiences and social-care needs, with the potential to improve lifelong health. Norton Children’s Medical Group, affiliated with the UofL School of Medicine, embarked on a program to…