Suggest Treatment For Urinary Incontinence And Back Pain

Posted on Tue, 15 Nov 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 15 Nov 2016 Answered on

Fri, 2 Dec 2016 Last reviewed on

Question : About a year or so ago I had a very rough pelvic exam by a new (to me) nurse practioner. She pushed the speculum as far as she could and told me to "push down" as hard as I could. It was very uncomfortable and she did it three times--don't think I could have taken a fourth! She then referred me to a urologist and two subsequent renal ultrasounds did not show anything. HOWEVER, I have been having increasing problems with incontinence ever since, in addition to worse back pain (scoliosis) than I've EVER had before. This dated from that rough exam, and I can't help but make a connection. It seems strange that before this exam--and she did things that I'd NEVER experienced before in all my pelvic exam history--I NEVER had an incontinence problem.

Answered by Dr. Soumya (16 minutes later)

Brief Answer:
Not related to rough examination

Detailed Answer:
Hi,

I understand your concerns about incontinence.

I don't think incontinence is due to rough pelvic examination. It is mainly due to weaknesses of pelvis, paraurethral tissue, sphincter muscles.

I don't see any reason to blame on the rough pelvic examination. This seems just coincidence.

Planet examined by your urologist to understand the cause and treatment.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar