Urinary Incontinence Appointment

My wife has been dealing with bladder leakage issues since she has had the kids. When she coughs, sneezes, moves too fast, etc. She is tired of having wet panties for the wrong reasons, lol! She made an appointment with her OB/GYN. What will they do at her first appointment? I’m used to going with her to her Dr. appointments and she is going alone to this one.

Morning bud They are going to give her a test urodynamics test. I had mine done every years. Cool test with catheters in stirrups. Have fun watching 👀.

Morning bud They are going to give her a test urodynamics test. I had mine done every years. Cool test with catheters in stirrups . Have fun watching 👀.

Do you think they will do that test at the first appointment?

The urological difficulties of the elderly man should not be confused with the concerns of the woman.

In fact, the consultation with the gynecologist will first begin with an interview.

I don't know your wife's age or her number of pregnancies.

This will be one of the questions asked then, is she menopausal or pre-menopausal?

Then she will have to describe the triggers for her leaks and possibly if there are associated symptoms (digestive difficulties for example)

Then will come the exam:

It is recommended that the patient comes to the consultation with her bladder half full (not too full so as not to have iterative needs)

In the gynecological position, the practitioner will observe the state of her vulva and her mucous membranes then ask her to cough to see any possible effects.

The next step is to perform a vaginal examination with 2 fingers to assess muscular reactivity and the possible effects of internal pressure on leaks.

Finally, we can perform a rectal examination to examine the tone of the sphincters.

Depending on the results of the examination and particularly if the last birth was relatively recent, urogynecological rehabilitation may first be offered.

This treatment will be done either by a specialized physiotherapist or by your wife herself using a balloon probe or an electrical stimulation system using an endovaginal probe.

We generally have excellent results.

Will you tell us?

The urological difficulties of the elderly man should not be confused with the concerns of the woman.

In fact, the consultation with the gynecologist will first begin with an interview.

We generally have excellent results.

Will you tell us?

Yes, I will report back after the appointment. Will they give her a speculum exam? What type of rectal exam will she get?

Yes, as long as we provide a gynecological consultation, the placement of a speculum and the examination of the inside of the vagina is common.

In the case of your wife, it can help check the condition of the mucous membrane and any changes left by her childbirth.

Has she undergone one or more episiotomies?

But this speculum examination is no different than during a traditional follow-up visit and may not be offered.

For the rectal examination, nothing extraordinary, it involves inserting a gloved finger to check the tone of the sphincters.

Of course it may seem unpleasant but it is very fast.

The strange part is that she never told me about this future appointment. She always shares her schedule and appointments with me. I found out by looking at her plan book. Maybe she is embarrassed? I hope she tells me all about the appointment.

She has had 3 children and is 35 years old. She dribbles all the time.

The appointment may not have a rectal component. She’ll be evaluated without a speculum. She’ll be checked for tone, etc, and for prolapse.

It’s a personal thing for women. May be why she didn’t mention it.

They may do a cystoscopy on her

With her legs in stirrups. Then do the urodynamics while in stirrups One catheter to drain her completely

Then a bigger catheter one in her hole and one in her rectal. Then the fun begins .I got so horny telling you this .I love medical good luck .

Funny thing! My wife just started her period. She will still be on it when she goes on Wednesday. Will this be an issue? She wears tampons and has a very heavy flow.

@thomasgrady Most docs have seen it all and won’t mind. Have her call and just tell them so they can either prepare or have her reschedule.

Quick update: So, her gyno did a typical pap, pelvic, and breast exam. Not really sure why as she just had one 14 months prior. I think they recommend every 3 years now. He indicated that she was “getting stronger down there” and referred her to get pelvic floor therapy. Her first appointment is in 2 weeks. Does anyone know what this will consist of? There is very little information out there on this. The doctor said if this doesn’t work, he would do a “sling”.

@thomasgrady

Your wife's gynecologist prescribed exactly what I was telling you about 3 weeks ago.

In fact the objective is to strengthen your pelvic floor. In France, we call this urogynecological rehabilitation.

In practice, this can be done in several ways.

The most common is to insert a probe with a balloon that inflates into the vagina and ask the patient to contract her muscles. We see the result on a small screen and through training, she will increase her thrust and revitalize her sphincters so that they avoid urinary leaks.

This active gymnastics can be supplemented by electrical stimulation. In this case, the probe is equipped with small electrodes which are connected to a pulse generator which causes the walls to contract.

Generally we have excellent results, especially in young women like yours.

Keep us posted.

Another update. My wife has her first pelvic floor therapy appointment today. They were able to get her in a week early. When she got home, I asked her “how did things go”. Her face got red, like she was embarrassed”. Basically, the female therapist had her undress from the waist down, she even took her socks off….she always does this at her doctor appointments. After she laid down on the platform, the therapist looked at her vulva. Her inner and outer labia, clitoris , pee hole, and even her rectum. Then came the internal exam. No speculum. Just fingers in each hole. She said she was basically fingered for a few minutes and had to “bear down”.

I wish I could have been there to see it. I checked her panties after and there was a big gob of lube in there.

The next appointment is in a week.

So, over the weekend, my wife casually mentioned to her female friend that “I had my first girl on girl experience at my pelvic floor therapy appointment” and that “I got fingered by a girl”. Of course, I overheard this and it got me super horny.

A day later, I made her cum and then asked her to jerk me off and “tell me about your appointment and how you got fingered”. She, of course, protested. But eventually she told me that the therapist fingered her and then took her fingers out and put them back in. I came soooo hard!

I know she hates when I ask her to tell me about her doctor appointments, etc., but it makes me sooo hard and horny. Is what I am doing wrong?

...I know she hates when I ask her to tell me about her doctor appointments, etc., but it makes me sooo hard and horny. Is what I am doing wrong?

Oh, hell no! Just reading about it makes me hard and horny. Keep up the good work.

it makes me sooo hard and horny. Is what I am doing wrong?

I can't be a trustworthy judge, but if it works.....hmm