Urologists
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May 2009
I am writing for my mom. She has had a really rough couple of
weeks after a surgery that was supposed to be routine. I need a
referral for a skilled urologist or urogynecologist. Here's what's
been going on:
She had a falling bladder (not sure medical term for this) and
went in for a lift - this involved a hysterectomy and then
insertion of a bladder sling. She spent the night in the hospital
and was then released. At home she had trouble urinating and was
getting up every ten minutes to pee but with minimal trickle.
After a couple of days of nausea, vomiting, not sleeping, hardly
peeing, we ended up taking her back to the ER and she was admitted
to the hospital for four days. She came home with a catheter for
another day. When the doctor removed it yesterday she seemed ok
but then was back in the ER last night to get another catheter
because the UTI was still there.
She's been on antibiotics since the surgery, and the UTI is
supposedly getting better (but it's not b/c she's still suffering)
and the doctor does not seem to be offering any advice on what to
do next (other than reinsert the catheter). She wants to see
another doctor. We need referrals and also would love to know if
anyone has experience with having a bladder sling surgery and
healing afterwards.
Thanks in advance.
Laura
I have been going to Dr. Peter Schneider in Orinda. He is the
most personable physician I ever had. He is suportive, caring,
patient, puts up with my various what-ifs and apologizes if he
is running late. His number is 925-253-1650
Anon
I hope you get some useful answers for this.I wanted to let you
know of an article i saw in the New york times not long ago
about this sling procedure, and problems people have had with
it.It's the May 5 issus of The Science
Times section (it was not in reference to the catheter
problem-but i had a relative who also had catheter issues after
the surgery for ten days.it was no picnic.)If you can't find the
article, post this again, and i will get it to you.
anon
I'm so sorry that the procedure had complications. You received two
replies in today's newsletter, one citing an article about the
dangers of bladder sling procedures and another recommending Dr.
Peter Schneider in Orinda 925-253-1650. Dr. Schneider was my
surgeon for a very successful, straightforward bladder sling that I
had done after 10 years of incontinence. I thought he'd moved
permanently back east, so I was so happy to hear he's in our area
again. I checked his photo at http://orindaurology.com/aboutus.aspx
and it's definitely my doctor! He's outstanding, and I'm sure he can
help you.
cured
Jan 2006
We are looking for a urologist recommendation for my husband who has kidney
stones. He has been under the care of his urologist Dr. Chi Lee since the first
episode occurred. He's had one surgical procedure to ''break up'' the stones so that
they would pass, which they did; but now there are more. Dr. Lee seems very nice,
capable and informed about surgical procedures, but we are more interested in
NON-surgical routes and potential causes. (I think that Dr. Lee mentioned for him
to drink more water during his first visit - definitely underemphasized in my
opinion, since my husband was training for a marathon at the time. There was no
mention about diet or anything else.) I understand that the exact cause of kidney
stones is pretty grey, somewhat hereditary, etc. So basically, we've got the ''what''
and want someone to help with the ''why'' so this incredibly painful, annoying and
expenensive cycle will end. Any doctor or other recommendations are appreciated.
Anon
I have seen Dr. Robert Kindrachuck at Norcal Urology. He sees
patients at his office in Oakland or Alameda. I did not see
him for Kidney stones. I found him to be a very patient doctor
who takes the time to listen to his patient. He really
followed my illness and called me at home to check on my
progress.
anon
Dr. Chi Lee is an excellent urologist. I would recommend going
back to see him with your concerns. The problem your child has
is painful and complicated. You are going to an outstanding
urologist.
I feel your pain. Well actually my husband feels your
husband's pain. I asked mine if he would recommend his and
here is his response:
Mine is Jon Floyd in Berkeley on regent- he is fine and
certainly does not seem eager to do surgery- in fact he spent
a lot of time on the why question with blood tests, 24 hour
urine screenings and metabolic tests- but I think most
competent urologists would.
We spend a week in the American Hospital in Paris on our
honeymoon 20 years ago. Not only were they shocked in France
that he was suffering from something they prescribe meds for,
as soon as they found our it was our honeymoon the moved him to
a private room and moved me in - ah, the French, so romantic.
Good Luck!
They say its worse than child birth
To the person whose husband is suffering from kidney stones- very few
kidney stones are hereditary. For maintenance, it is often best to see a
Nephrologist who can monitor kidney function and then see an Urologist
when stones are flaring. I think Dr. Robert Kahn in S.F. is the most
skilled urologist in the Bay Area. He has been treating me for 30 years.
Please contact me by email and I will share whatever I can. And yes,
they hurt as much or more than having a baby.
liza
Oct 2004
Looking for a really good urologist in this area for my brother
who lives in Fairbanks, Alaska but comes here often.
He had hydroseal and spermatic seal surgery 2 years ago and it
still has not healed perfectly. He often feels pain and pressure
when he is jarred in some way. When he went back to see the
urologist who did the surgery in FBX, the guy said ''I'm sorry
you didn't get the outcome you expected''...ie: tough..live with
it.
Any recs. on someone who is not only good, but also kind and
willing to communicate and hear his/her patients would be
appreciated.
Paul Turek
has patients from all over the world. He is extremely patient, very good bedside
manner and really excellent with pain issues and revisions of previous surgeries. He
is a male infertility specialist, so spends a lot of time working on revising the types
of work your brother has had. Another option is Max Meng who was
trained by Paul; younger, but, superb surgeon and great patient communication
skills. Best wishes to you and your family. pturek at urol.ucsf.edu
Tel is 415-353-3076
anon
March 2010
My 10 month old daughter was diagnosed at birth with a
possible imperforate hymen - basically there is some tissue
that appears to be blocking her vaginal opening. We have
seen the pediatric surgeon at Kaiser, who is recommending
that he can open it now with a simple surgery. From what I
can find online (the bane of doctors everywhere, I know) it
sounds like it might be better to do it when she's entering
puberty and has more estrogen present, which can apparently
help it heal better without scarring down too much (which
might mean having to re-do it). It also sounds like it's
possible it could be something more severe like a transverse
vaginal septum, in which case I'm not sure they would be
prepared to do that surgery at Kaiser. I'm also concerned
because this doctor is talking about just incising the
tissue open, whereas some articles discuss that it has to be
sutured to the vaginal wall to heal properly. I would love
it if he is right, and we could just do a simple procedure
and fix it, but I don't want to do it too early, and have it
not turn out well. On the other hand, I'm also worried that
the older she is, the more mentally/emotionally difficult it
will be for her, too.
Basically I would like a second opinion before we waltz
blithely into a surgery which could have a major effect on
my daughter's quality of life. My understanding is that this
surgeon is also the same surgeon we would see if we went to
Children's Hospital in Oakland. I was thinking there must be
someone at UCSF that specializes in this type of problem. If
anyone could recommend someone they've seen there (or
elsewhere) for a similar problem, I would really appreciate
it! If anyone has had a similar experience with their
child, and would be willing to share it, I would really
appreciate that as well.
Worried mom
Find a specialist. When I was a baby, I apparently had this
problem, and my pediatrician just ''gave me a little slice''
(says my mother) to correct it. No proof, but I believe
that that is one of the reasons I have never been able to
have an orgasm (due to nerves being cut). So do her a favor
and wait, plus find someone who really knows what they're doing!
Very anon
May 2008
Has anyone's son had a circumcision revision? If so would you recommend your
Surgeon or Urologist? Our son needs a revision and we've spoken with a
Urologist who we really liked but are uncomfortable that he does the surgery in
a Surgery Center not at Children's Hosp. We also spoke with a surgeon who can
do this at Children's Hosp but we were not very comfortable with him at all.
We are told the risks of the procedure are minimal but the anesthesia is the
biggest concern. Has anyone used the Surgery Center on Telegraph and 38th ish?
Would you recommend this for a pediatric procedure?
Unsure Mama
our son had to have a circ revision (and bilateral hernia repair)
when he turned two years old. we went to chi lee, md who is a
urologist who sees both adults and kids. he came to us on the
recommendation of our pediatrician, whom i trust implicitly. we
were offered the choice of children's or the surgery center and
went for the surgery center. we didn't want to be in the OR
waiting room with a lot of worried parents. we didn't want to
deal with the admissions process that we would have had at
childrens. and we had not doubt about the competency of any of
the people involved in dealing with our son-the anesthesiologist,
urologist, or any of the recovery team when it came to children.
our experience there was as good as it could have been. we were
the first case of the day (something i totally recommend). we had
a private room where the dr and anesthesiologist met with us
beforehand. they also gave our son his pre-sedation medication
there, so we could totally be with him as he got a little nutty. they carried him to the OR
themselves (no gurney!) and that was really good. i thought i'd
lose my mind if my son was upset or crying or reaching out to me
as he was led away to surgery. none of that happened and it was
smooth sailing. the were great with the pain management at home
too- gave him a walking epidural since the codeine made him barf.
my poor baby! i'd say go for the surgery center- a lot of these
drs operate at both and you avoid the whole hospital/sick kid
scene.
paige
I missed the original post, but had to chime in with my
experiences with pediatric urologists. My daughter had a
bladder reflux and our pediatrician sent us to Dr. Chi Li. He
was fine, although I was uncomfortable taking my baby girl to an
office that had viagra pamphlets in the waiting room. But, when
my daughter's condition didn't improve, he told me over the
phone that she needed to have surgery. I went to Dr. Lawrence
Baskin at Children's for a second opinion. Not only was I more
comfortable taking my baby to Children's, but Dr. Baskin seemed
to be up on the latest procedures. He said we should wait to do
anything, and if we needed to do anything, there was a somewhat
new, non-invasive procedure we should try first. My daughter
did eventually have to have the procedure, and our experience at
Children's was good - they are experts at dealing with nervous
parents and kids. About a year later, my son developed a
hernia, and we went back to Children's. Can't remembe!
r the name of the doctor, but he was in the same office as Dr
Baskin (Children's Surgical Associates maybe?) My son had to
have surgery, and again, overall, it was a positive experience.
I didn't see the original post, but we had a circ revision with
Dr. James Betts at Children's Hospital, and I wanted to put in a
good word. Although the atmosphere at Children's is busy and
not as intimate as a clinic, we had a lot of confidence in the
expertise of the people working with our son. Dr. Betts did an
amazing job, and our son has no unpleasant memories of the
experience (he was 18 months at the time, but he had another
surgery at Children's at age 3.5, and he still likes it there).
The nursing staff was great.
If anyone reading this is wondering why a circumcision would
need to be revised, I'd like to share our story: the OB who
performed the original circ wanted to do a ''conservative'' job
(i.e., take off only a little), which sounded at the time like
she was being really reasonable and not ''old fashioned'' and
severe. As it turned out, this resulted in a weird appearance
and recurrent adhesions that required uncomfortable treatment
(and ultimately, a fairly involved surgery). Needless to say,
all this was incredibly upsetting. So, if your doctor
recommends anything that sounds like a ''conservative''
circumcision, ask a lot of questions about what that means . . .
Anon
June 2004
Our son will need surgery to repair a block in one of his
ureters so his kidney drains properly - he has a grade IV
hydronephrosis. The surgery is currently scheduled for
September. He will be 7.5 mnths old. I am looking to get
advice and share experiences and apprehensions with other
parents who have had any of the following similar experiences:
with their baby, with our surgeon, Dr. Baskin or at Children's
Hospital, Oakland.
While I don't have experience with infant surgery per se, I do
have experience with Dr. Baskin. He is considered to be one of
the best pediatric urologists in the Bay Area. You can also be
assured that Dr. Baskin would not recommend surgery unless it
was the ONLY option. My daughter was diagnosed with a bladder
reflux when she was about 3 months old. At that time she
started seeing Dr. Lee. Around 18 months he said her condition
was not going to clear up and she should have surgery. We got a
second opinion with Dr. Baskin who said that there was a good
chance her condition would clear up on it's own, if it didn't
there were other less-invasive procedures to try before surgery,
and why do surgery when she wasn't experiencing any
complications from the condition? And, he was right. At 2.5
she's showing no signs of a bladder reflux!
FYI, my daughter was hospitalized at Children's when she was an
infant. I was allowed to sleep overnight with my child and the
staff were very kind. (although some nurses were better than
others...)
Good luck with the surgery.
July 2002
I'm looking for recommendations for pediatric urologists. Our
pediatrician has referred us to Dr. Chi Lee, but I have been unable to find
much
information about him. My 5-month old daughter has a condition which may
require
surgery, so I want to be sure we have the best doctor!
Maggie's mom
I actually met with Dr.Lee today as our son needs
surgery at age one to correct something. I feel very
comfortable with Dr. Lee after meeting with him. He
came highly recommended from our pediatrician and does
seem to know his stuff. (A very nice personable guy to
boot). I think you need to book an appointment about
2 months in advance so you should call ASAP.
ruemedi
We were also referred to Dr. Chi Lee by our pediatrician,
and we've been very happy with him. (He saw our infant
son several times in his office, then operated on him
at Children's Hospital when he was 1.) He was friendly,
straightforward, patient, and great at explaining what
was going on. And his office staff was wonderful--they
always plied my son with stickers and cookies and made
him feel special. Good luck!
Anonymous
My 2-1/2 year old son is having hernia repair surgery
in early March. Dr. Joel Piser (in Berkeley) is doing
the surgery. He sees both adults and kids. I've only
seen him once, but I've heard good things about him.
I liked him well enough and he has a good ''bedside
manner.'' Obviously the whole experience of having
to watch your kid go through surgery is unnerving, but
I feel confident that Piser will do a good job. Good
luck!
cathy
I highly recommend Dr. Sumner Marshall in Berkeley. I
had to go a couple of times to follow up after my son's
Brit (circumcision), and he was very highly recommended
to me by my pediatrician and others. It was a very
traumatic experience for me (if not for my son!), but
he was a very gentle, kind older man, and he made the
very best of an difficult situation -- and my son is
fine now! I felt very confident that my baby was getting
the best care, and I would certainly use him again if I
had the need.
Sign me
anonymous
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