我们治疗盆底疾病
斯蒂芬妮的故事
After suffering stress incontinence in silence for 15 years, patient Stephanie Richards sought surgery from Danielle Patterson, M.D., 妇女盆腔健康中心的主任, to restore bladder control 和 return to the active lifestyle she had always enjoyed.
我们治疗的疾病
请在下面找到更多关于我们治疗的疾病和为什么选择约翰霍普金斯大学的信息.
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尿失禁, also known as loss of bladder control, refers to the accidental loss of urine. 这种常见病影响了近2500万成年人,最常见的是50岁以上的女性.
If you are suffering with urinary incontinence, trust your care to the Johns Hopkins Women’s Center for Pelvic 健康.
尿失禁 Treatment: Why Choose Johns Hopkins
- 我们的专家团队与患者密切合作,以确定他们失禁的独特原因,并根据他们的个人情况量身定制治疗. 我们接受过治疗盆底疾病的高级培训,并有能力帮助之前治疗不成功的女性.
- 我们探索了 广泛的治疗选择, 首先考虑最小的侵入性, most effective treatment approaches for patients, 包括行为和生活方式的改变.
- 如果需要手术, 我们的泌尿妇科医生专门从事最先进的手术治疗尿失禁的选择, including minimally invasive surgical procedures.
- 我们在约翰霍普金斯大学的许多学科中工作,为泌尿系统疾病的解决提供全面的护理, 包括物理治疗, 非手术和手术治疗方案.
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盆腔器官脱垂,包括 子宫 和 阴道脱垂, 发生在女性盆底肌肉, 韧带和阴道壁变弱和拉伸, 通常是由于老化, 分娩或既往子宫切除术. 没有足够的骨盆底支撑, the pelvic organs slip out of place (prolapse) 和 bulge into the vagina, in some cases protruding out of the vaginal opening.
我们治疗所有类型的盆腔器官脱垂,包括阴道前脱垂(膀胱膨出), 阴道后侧(直肠前突), 子宫 prolapse 和 top of the vaginal (vaginal vault after hysterectomy).
如果你患有阴道脱垂, 请将您的护理委托给约翰霍普金斯妇女盆腔健康和重建手术中心. 如果你正在经历直肠脱垂(直肠通过肛门开口脱垂), you may benefit from consultation with one of our colorectal surgeons.
脱垂治疗:为什么选择约翰霍普金斯大学
- We listen closely to our patients 和 work with other specialties, 包括物理治疗, 胃肠病学, 结直肠外科和泌尿外科, 在适当的时候, 制定个性化的计划,以解决每个推荐十大正规网赌平台的问题和具体情况.
- We use evidence-based treatments to address pelvic organ prolapse, 包括盆底物理治疗, 医疗设备, 如子宫托, 和 reconstructive surgical approaches with minimally invasive techniques, 比如腹腔镜检查, 机器人和阴道手术.
- 我们的研究人员在探索怀孕和分娩与以后生活中盆底疾病之间的联系方面走在了前列. Underst和ing this link will allow us to develop new, advanced therapies for treating 和 preventing pelvic floor disorders.
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尿路感染(uti) 泌尿道的任何部位是否有感染,包括尿道、膀胱、输尿管或肾脏.
The most common type of UTI is a bladder infection, also known as cystitis. 在女性中, 60% will experience a bladder infection at some point in their lifetime, 对大多数女性来说, 抗生素治疗可以消除症状. 一些, 然而, suffer from recurrent UTIs — defined as two or more infections, 经医生确认, within six months— 和 may require further evaluation 和 treatment.
如果你经常有尿路感染, 相信约翰霍普金斯妇女盆腔健康和重建手术中心能找到持久的解决方案.
Recurrent UTI Treatment: Why Choose Johns Hopkins
- Our team of experts specializes in the diagnosis 和 treatment of UTIs, 并使用全面的诊断工具来帮助确定慢性尿路感染的任何原因,以制定有效的治疗计划.
- 活动性尿路感染治疗后, 我们就尿路感染的风险因素以及如何长期保护患者的泌尿健康向患者提供咨询. 我们将与您一起制定个性化的治疗计划,包括结合治疗和改变生活方式,以降低尿路感染复发的风险.
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A 阴道瘘 阴道与其他附近器官(包括膀胱或直肠)之间是否有异常开口. A fistula may be caused by childbirth, surgery, cancer or other pelvic injury. 瘘管可引起许多并发症, 如尿、粪漏, 组织损伤, kidney infections 和 other abdominal discomfort.
阴道瘘管 Treatment: Why Choose Johns Hopkins
- We listen closely to our patients 和 work with other specialties, 包括物理治疗, 胃肠病学, 结直肠外科和泌尿外科, 在适当的时候, 制定个性化的计划,以解决每个推荐十大正规网赌平台的问题和具体情况.
- Experienced in a wide range of evidence-based treatments 和 surgical techniques, 包括微创手术, our expert team has a high success rate with fistula repairs.
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大便失禁, also called bowel incontinence, is the inability to control bowel movements. 大便失禁 affects as many as 12 million adults, 更常影响女性和老年人. Symptoms may include bowel urgency 和 accidental loss of stool.
如果你患有大便失禁, 请将您的护理委托给约翰霍普金斯妇女盆腔健康和重建手术中心.
大便失禁 Treatment: Why Choose Johns Hopkins
- Our expert team underst和s the sensitivity around uncontrolled bowel leakage, 我们努力提供富有同情心的护理,减轻您的痛苦和不适,恢复您的生活质量.
- 我们与患者密切合作,以确定他们失禁的独特原因,并制定量身定制的治疗计划. 我们的专家在治疗盆底疾病方面接受过先进的培训,并提供了一个 广泛的治疗选择包括肌肉训练、神经刺激、微创手术和重建.
治疗期间会发生什么
了解更多关于 盆底疾病的治疗 在约翰霍普金斯大学.
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一个完整的评估将允许你的医生为你的护理提供正确的解决方案. You can expect the diagnostic process to include:
- 一份完整的病史和体检报告, which may include a brief neurological exam to assess any nerve damage. 如果你过去接受过治疗或手术,你的医生也可能会查看你的医疗记录.
- Urine sample, to test for infection or other pathology that may cause incontinence.
- 尿动力学测试或尿压力测试, where your doctor may assess urine loss with stress, 比如锻炼, 打喷嚏, 咳嗽或大笑, 可能会被推荐.
根据你的评估, 我们将与您一起审查治疗方案,以制定最符合您需求的护理计划. 非手术治疗, such as Botox injections of the bladder in women with overactive bladder, can be performed at any of our medical offices.
如果你选择手术,我们的团队会推荐最能治疗你症状的方法. A common option is the insertion of a bladder sling, 一种微创手术,植入一小片网状物来支撑膀胱开口以防止渗漏.
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一个完整的评估将允许你的医生为你的具体情况提供正确的解决方案.
初次就诊时, your doctor will review your medical 和 surgical history 和 complete a physical exam. 如果你过去接受过治疗或手术,你的医生也可能会查看你的医疗记录. 其他测试可能包括:
- Imaging studies, such as a ultrasound, CT scan or MRI
- 诊断程序, such as urodynamics, to evaluate bladder function
在你最初的咨询之后, we will review your results with you 和 work together to develop a treatment plan. 治疗将取决于病情的严重程度,可以从轻度病例的盆底运动到阴道托(阴道支撑装置)或中度至重度病例的微创手术.
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During your initial consultation, the clinician will discuss your medical history. 请携带相关医疗记录, such as laboratory tests 和 notes about treatments you received, 这样你的医生就可以和你一起检查了.
Diagnostic testing 在约翰霍普金斯大学 may include:
- A urine culture (to identify the bacteria causing your infection)
- An examination with a cystoscope (special camera) to view the inside of your bladder
- An ultrasound or CT scan to evaluate your kidney anatomy
完成诊断测试后, 我们将与您一起审查结果,并制定一个长期的管理计划,以保护您免受未来的尿路感染. This will include a combination of therapies 和 lifestyle changes. We will meet with you regularly to assess your progress 和 adjust the plan as needed.
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Your treatment path will vary based on the location 和 type of fistula.
初次就诊时, 你的医生会回顾你的病史和手术史,并进行全面的身体检查. It will be helpful if you can bring relevant medical records to your appointment, including past operative notes 和 test results. In some cases, additional consultations or tests 可能会被推荐.
其他测试可能包括:
- Imaging studies, such as ultrasound, CT scan or MRI
- 结肠镜检查(使用相机观察结肠)以筛查其他潜在原因, 包括炎症性肠病
- 膀胱尿道镜检查(使用相机观察膀胱或尿道)以确定瘘管的位置
Your doctor will review these results with you to develop your care plan.
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一个完整的评估将允许你的医生为你的护理提供正确的解决方案. 诊断程序包括:
- 完整的病史和体检,包括药物和既往手术的回顾. 如果你过去有过这种情况的治疗,回顾你的记录将会有所帮助.
- Radiology tests or measurements to evaluate potential nerve injury, blockages 和 muscle functioning 可能会被推荐.
- 诊断程序, such as a colonoscopy or sigmoidoscopy to visualize the colon, 可能会被推荐.
根据你的评估, 我们将与您一起审查治疗方案,以制定最符合您需求的护理计划. 非侵入性技术, 比如肌肉康复, 神经刺激, 注射和其他疗法, can successfully resolve many cases of bowel incontinence. Surgical repairs 和 reconstruction 可能会被推荐 in more severe cases.