Also, patients should be counseled about the benefits and risks of both medical and non-surgical options for SUI . Treatment should be a collaborative effort between your surgeon and patient, considering both patient choices and the surgeon’s judgment and experience. The document updates the Association’s previous guideline, published in 1997. Additionally, the guideline addresses the medical correction of pelvic prolapse concurrent with SUI treatment. Diagnostic Evaluation Assessment of post-void residual urine quantity should be undertaken as part of fully evaluating the incontinent individual and assessing comorbitities – such as for example detrusor contractility and urinary retention – in order that surgical techniques can be tailored accordingly.Personally i think have and great shed 15 + pounds! July In, I was hiking gradual mountain trails in Alaska.6 miles of the 100. Next year I’ll again do 100! I am more powerful, healthier and more confident than ever! Telling my story is very important to me. I want you to know that you should hardly ever second-guess how you are feeling. I have returned to the er twice since my event because I just didn’t feel right and was not sure. I was great but everyone was pleased I emerged in. I am hoping my story can help save a life or help anyone make a small change or upgrade within their way of living. You are in control. Take care of yourself so that you can continue to take care of the ones you love!. Thomas J. Louie, M.D., Tag A. Miller, M.D., Kathleen M. Mullane, D.O., Karl Weiss, M.D., Arnold Lentnek, M.D., Yoav Golan, M.D., Sherwood Gorbach, M.D., Pamela Sears, Ph.D., and Youe-Kong Shue, Ph.D.