You have undoubtedly heard of metabolic surgery, but it might be more familiar to you under another name: bariatric surgery or weight-loss surgery. All three refer to the surgical procedures that have evolved over the last 75 years…

The New York Times published an article recently about the causes of obesity. I must admit, I was reluctant to read the article, and I can safely say this is probably the first thing I’ve read in the mainstream media in some time that actually…

For many people, symptoms of incontinence come on gradually. The need to urinate becomes more frequent, a sense of urgency increases, and leakage becomes a regular occurrence. In many cases, people are already making…

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…