Metabolic surgery is both the same and different in many ways from other medical treatments or surgical interventions. While it is true that as a surgical intervention it cures disease and prolongs life, it is also quite true that the outcomes…

Some people describe sacral neuromodulation (SNM) as a “pelvic floor pacemaker.” It does have a lot of similarities to pace making, because it involves implanting a computerized chip under the skin to send a signal to a complex muscular…

There is a host of “solutions” to bladder incontinence. Medications cause certain muscle groups to relax. Surgery tries to elevate or suspend certain ligaments. Botox injections attempt to cause relaxation of the detrusor muscle to add bladder capacity…

“You don’t understand” is a statement I heard a lot in the last weeks in our office. It came from a range of individuals who were finally feeling free to explain what it was like to live with bladder or bowel incontinence…

At one point, weight-loss surgery was considered almost a cosmetic procedure despite its origins aiming to resolve or correct diabetes. For decades, health insurance plans wouldn’t cover weight-loss surgery, and few medical doctors…

Bladder leakage must rank as one of the most frustrating of problems. The gradual worsening and escalation from panty liners to pads to diapers feels like a most unwelcome sign of the body breaking down…

You are not alone; tens of millions of Americans experience leakage of urine from the bladder or the bowels. It’s a condition that causes frustration and embarrassment, and it can be both unhygienic and even dangerous…

It’s a terrible cycle – depression can lead to inactivity, loss of motivation, unhealthy eating habits, and weight gain, all of which can perpetuate feelings of depression. And while there is no doubt that pharmaceutical treatments for depression…

Incontinence, when there is loss of bladder or bowel control, severely diminishes a person’s quality of life. What’s more, the complexity of many different sub types of bladder and bowel dysfunction including urge incontinence, stress incontinence…

I’ve had so many patients, friends and colleagues ask me this simple question: “Why, with the obesity epidemic running wild, are we so unsuccessful at finding solutions for it, and preventing it or solving it? Can it really be that it’s just our fault as humans…