Carolyn Langford

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Carolyn Langford
Specialists in Urology
4571 Colonial Blvd.
Fort Myers

Why do I keep getting urinary tract infections?

Urinary tract infections (UTIs) are quite common in women. These can be from multiple different bacteria, but most commonly are from e. coli. There are many predisposing factors increase the risk for recurrent UTIs. Intercourse, infected urinary calculi, previous pelvic surgery, urinary incontinence, retention of urine and fecal incontinence are common factors that increase exposure to bacteria causing an increased incidence of UTIs.  Decreased estrogen levels due to menopause, immune disorders, steroid use, and misuse of antibiotics all decrease the body’s natural defenses to prevent infection.  It is important to find your individual cause for infection to provide individualized effective treatment.

What if I lose control of my bowels with or without urinary incontinence?

Fecal incontinence (FI) is the unintentional loss of stool.  FI will often coexist in women or men that also have urinary incontinence.  Luckily there have been great breakthroughs in FI and sacral neurostimulation has been approved by the FDA to treat both forms of incontinence.  It is a “pacemaker” for the nerves that control the bladder and the bowel to improve continence. It is 83% effective in FI patients in reducing their symptoms by at least 50%. 41% of patients are completely continent at 1 year. In the hands of an experienced physician this can be a life changing procedure for incontinent patients.

Carolyn Langford
Carolyn Langford

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