Questions posted in the The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.

Question Title: Bladder Issues Caused by Endometriosis?

Forum: The Urology Forum
Topic: Incontinence


I have just recently started having Urinary Incontinence
symptoms and have seen a Urologist and determined I have
an "overactive bladder". I have also been diagnosed as
having endometriosis and am scheduled for a laparoscopy.
Since they have both become an issue about the same time,
is it possible they are related?

I was also prescribed the medication "detrol" and it does
help. Is this something I will need to take forever?
Are there any side affects? My follow up visit is tomorrow
and I intend to ask these same questions, although a second
opinion would be greatly appreciated.



Dear Sherry, thanks for your question. Yes it is possible to have relationship between your urinary frequency and diagnosis of pelvic endometriosis. Some times the process of endometriosis involves the bladder and can result in frequency, pain and some times hematuria (bleeding) coinciding with your periods. The evaluation includes a cystoscopy and biopsy to confirm the diagnosis and exclude other bladder pathologies. Management usually includes hormonal therapy for the endometriosis and anticholenergic medications for detrusor instability.

How ever you do need a urological consultation to exclude other more common causes of your condition.

Hope this information will be of some help to you.

This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. The Henry Ford Hospital Department of Urology has experience in the evaluation and treatments of problems such as you describe. We would be most interested in helping you. You can reach us through our toll-free number (1-800-653-6568).

We can also arrange local accommodations through this number if this is your need. Please bring any x-rays [and pathology slides] (not just the reports) as well as any physicians' notes and lab test results that you may be able to obtain. These will help us greatly.

Sincerely,
HFHS M.D.-A.T.
*keyword: Incontinence




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