我们治疗盆底疾病
At the Johns Hopkins Women’s Center for Pelvic 健康 和 Reconstructive Surgery, our team of experienced specialists treat even the most complex pelvic floor disorders. Our compassionate urogynecologists have advanced training in a full range of conditions 和 use the most advanced treatment options to restore your quality of life.
斯蒂芬妮的故事
在默默忍受了15年的压力性失禁之后, 推荐十大正规网赌平台斯蒂芬妮·理查兹向丹妮尔·帕特森寻求手术, M.D., 妇女盆腔健康中心的主任, 恢复膀胱控制,回到她一直喜欢的积极生活方式.
我们治疗的疾病
Please find more information on the conditions we treat 和 why to choose Johns Hopkins for care below.
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尿失禁又称膀胱失控,是指意外失尿. This common condition affects nearly 25 million adults, most commonly, women over the age of 50.
如果你患有尿失禁, 请将您的护理委托给约翰霍普金斯妇女盆腔健康中心.
尿失禁治疗:为什么选择约翰霍普金斯大学
- Our expert team works closely with our patients to identify the unique causes of their incontinence 和 tailor treatments to their individual circumstances. We have received advanced training in treating pelvic floor disorders 和 are equipped to help women who have experienced unsuccessful prior treatments.
- 我们探索了 广泛的治疗选择, 首先考虑最小的侵入性, 对患者最有效的治疗方法, 包括行为和生活方式的改变.
- 如果需要手术, our urogynecologists specialize in the most advanced surgical treatment options for urinary incontinence, 包括微创外科手术.
- We work across many disciplines within Johns Hopkins to offer holistic care for the resolution of urinary conditions, 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, 盆腔器官滑出位置(脱垂)并凸出进入阴道, 在某些情况下,从阴道口伸出来.
We treat all types of pelvic organ prolapse, including prolapse of the anterior vagina (cystocele), 阴道后侧(直肠前突)子宫脱垂及阴道顶部(子宫切除术后阴道穹窿).
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中心 和 Reconstructive Surgery. If you are experiencing rectal prolapse (prolapse of the rectum through the anal opening), 你可能会从我们的结肠外科医生那里受益.
脱垂治疗:为什么选择约翰霍普金斯大学
- 我们密切倾听推荐十大正规网赌平台的意见,并与其他专业合作, 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, to develop individualized plans to address each patient’s concerns 和 specific condition.
- 我们使用循证治疗来解决盆腔器官脱垂, 包括盆底物理治疗, 医疗设备, 如子宫托, 用微创技术进行重建手术, 比如腹腔镜检查, 机器人和阴道手术.
- Our researchers are at the forefront of exploring the link between pregnancy 和 delivery 和 pelvic floor disorders later in life. 了解这种联系将使我们能够开发新的, 治疗和预防盆底疾病的先进疗法.
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尿路感染(uti) are infections of any part of the urinary tract, including the urethra, bladder, ureters or kidneys.
最常见的尿路感染是膀胱感染,也被称为膀胱炎. 在女性中, 60%的人在一生中的某个时候会经历膀胱感染, 对大多数女性来说, 抗生素治疗可以消除症状. 一些, 然而, 患有复发性尿路感染——定义为两次或两次以上感染, 经医生确认, 在六个月内-可能需要进一步的评估和治疗.
如果你经常有尿路感染, trust the Johns Hopkins Women’s Center for Pelvic 健康 和 Reconstructive Surgery to find a lasting solution.
复发性尿路感染治疗:为什么选择约翰霍普金斯大学
- 我们的专家团队擅长uti的诊断和治疗, 和 uses comprehensive diagnostic tools to help identify any cause of chronic UTIs to create an effective treatment plan.
- 活动性尿路感染治疗后, we counsel our patients on their risk factors for UTIs 和 how to protect their urinary health in the long term. We will work with you to develop personalized treatment plans that include a combination of therapies 和 lifestyles changes that reduce the risk of UTI recurrence.
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A 阴道瘘 is an abnormal opening between the vagina 和 other nearby organs, including the bladder or rectum. 瘘管可能是由分娩、手术、癌症或其他骨盆损伤引起的. 瘘管可引起许多并发症, 如尿、粪漏, 组织损伤, 肾脏感染和其他腹部不适.
阴道瘘治疗:为什么选择约翰霍普金斯大学
- 我们密切倾听推荐十大正规网赌平台的意见,并与其他专业合作, 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, to develop individualized plans to address each patient’s concerns 和 specific condition.
- 具有广泛的循证治疗和外科技术经验, 包括微创手术, 我们的专家团队对瘘管修复有很高的成功率.
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大便失禁也被称为肠失禁,是无法控制排便. 大便失禁影响了多达1200万成年人, 更常影响女性和老年人. 症状可能包括肠急症和意外失便.
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中心 和 Reconstructive Surgery.
大便失禁治疗:为什么选择约翰霍普金斯大学
- 我们的专家团队了解不受控制的肠漏的敏感性, 和 we strive to provide compassionate care that alleviates your pain 和 discomfort 和 restores your quality of life.
- We work closely with our patients to identify the unique causes of their incontinence 和 create tailored treatment plans. Our experts have advanced training in the treatment of pelvic floor disorders 和 offer a 广泛的治疗选择, including muscle training, 神经刺激, minimally invasive surgeries 和 reconstruction.
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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A complete evaluation will allow your doctor to offer you the right solution for your care. 您可以期望诊断过程包括:
- 一份完整的病史和体检报告, 其中可能包括一个简短的神经学检查来评估是否有神经损伤. If you have had treatment or surgery in the past, your doctor may also review your medical records.
- 尿样,用于检测感染或其他可能导致尿失禁的病理.
- 尿动力学测试或尿压力测试, 你的医生会在哪里评估尿量与压力, 比如锻炼, 打喷嚏, 咳嗽或大笑, 可能会被推荐.
根据你的评估, we will review treatment options with you to develop a care plan that best meets your needs. 非手术治疗, 比如给膀胱过度活跃的女性注射肉毒杆菌, 可以在我们的任何医疗办公室进行吗.
If you choose surgery, our team will recommend procedures that best treat your symptoms. 一个常见的选择是插入膀胱吊带, a minimally invasive procedure in which a small strip of mesh is implanted to support the bladder opening to prevent leakage.
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A complete evaluation will allow your doctor to offer you the right solution for your specific condition.
初次就诊时, 你的医生会回顾你的病史和手术史,并完成体格检查. If you’ve had treatment or surgery in the past, your doctor may also review your medical records. 其他测试可能包括:
- 影像学研究,如超声、CT扫描或核磁共振
- 诊断程序,如尿动力学,以评估膀胱功能
在你最初的咨询之后, 我们会和你一起检查结果,共同制定治疗方案. Treatment will depend on the severity of the condition 和 can range from pelvic floor exercises for mild cases to vaginal pessaries (vaginal support devices) or minimally invasive surgery for moderate to severe cases.
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在初次会诊期间,临床医生将讨论您的病史. 请携带相关医疗记录, 比如化验结果和你接受治疗的记录, 这样你的医生就可以和你一起检查了.
约翰霍普金斯大学的诊断测试可能包括:
- 尿液培养(确定引起感染的细菌)
- 用膀胱镜(特殊的照相机)检查膀胱内部
- 超声或CT扫描来评估你的肾脏解剖
完成诊断测试后, we will review the results with you 和 create a long-term management plan that protects you from future UTIs. 这将包括治疗和生活方式的改变. 我们将定期与您会面,评估您的进度,并根据需要调整计划.
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您的治疗路径将根据瘘管的位置和类型而有所不同.
初次就诊时, your doctor will review your medical 和 surgical history 和 will perform a complete physical exam. 如果你能带来相关的医疗记录,那将会很有帮助, 包括过去的手术记录和检查结果. 在某些情况下,可能会建议进行额外的咨询或检查.
其他测试可能包括:
- 影像学研究,如超声、CT扫描或MRI
- Colonoscopy (using a camera to look into the colon) to screen for other potential causes, 包括炎症性肠病
- Cystourethroscopy (using a camera to look into the bladder or urethra) to identify the location of your fistula
你的医生会和你一起检查这些结果来制定你的护理计划.
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A complete evaluation will allow your doctor to offer you the right solution for your care. 诊断程序包括:
- 一份完整的病史和体检报告, including a review of medications 和 prior surgeries. If you have had treatment for this condition in the past, review of your records will be helpful.
- 放射学检查或测量以评估潜在的神经损伤, 阻塞和肌肉功能可能会被推荐.
- 诊断程序, 比如结肠镜或乙状结肠镜来观察结肠, 可能会被推荐.
根据你的评估, we will review treatment options with you to develop a care plan that best meets your needs. 非侵入性技术, 比如肌肉康复, 神经刺激, 注射和其他疗法, 能否成功解决许多肠失禁的病例. 在更严重的情况下,可能建议进行手术修复和重建.