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I am 70. Had urethral sling done 15 years ago. Had worked…

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Hello Doctor, I am 70. Had...
Hello Doctor,
I am 70. Had urethral sling done 15 years ago. Had worked fine except when I'm gardening and squatting too much. But I have developed painful Lichens Sclerosis, also Alopecia Areata. I think it possible that I'm over sensitive to the implanted material and it is causing inflammation. How difficult is removal? Can I have AP repair at the same time? Rectal prolapse is making it so I have to push up through my vagina to evacuate bowl. How difficult is recovery from that at my age? I am retired CRNA, so you may use medical terms. Thanks
Submitted: 25 days ago.Category: OB GYN
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Answered in 20 minutes by:
3/28/2018
OB GYN Doctor: Dr David, Doctor replied 25 days ago
Dr David
Dr David, Doctor
Category: OB GYN
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This is Dr. David. I am reviewing your question now and will be with you momentarily.

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OB GYN Doctor: Dr David, Doctor replied 25 days ago

removing the urethral sling most likely will cause more problems than help

there is a lot of scar tissue there

you most likely will develop urinary incontinence after the sling removal

you may have infection and healing problems after that surgery.

are you able to do kegel exercises? that can help pelvic muscles strengthen

you may benefit from vaginal estrogen cream which can help strengthen pelvic muscles.

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Customer reply replied 25 days ago
kegel exercises... seriously.... that's your suggestion
OB GYN Doctor: Dr David, Doctor replied 25 days ago

I also suggested trying vaginal estrogen cream.

removing the urethral sling would be difficult to impossible.

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