There is a disconnect between what doctors say about weight loss surgery and what average people say. Doctors, especially those who study the subject, view metabolic surgery as a risk-reduction tool, something that makes life safer…

For most people, the problem of bladder and bowel accidents, or incontinence, stems from loss of one or both integral parts of the system that must work together to empty the bladder and the rectum normally and without leakage or accidents…

Urinary incontinence is a serious problem that affects tens of millions of people in the U.S. and hundreds of millions worldwide. It is defined as the involuntary loss of urine, which can range from a small leak to complete loss of bladder control…

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…