Falany and Hulse Medical Clinic Review

call bob mcalister for updates 601 212 5433

2012-10-20T16:42:00.001-07:00

Michael Hulse md reviews

2012-05-17T08:18:00.000-07:00

Kristen ‎ - 4 months ago

I went to Falany and Hulse for regular OB appts for several years and then began prenatal care with them during my pregnancy. After growing tired of their rude and inconsiderate staff, I decided to try another doctor. At my first appt with the other doctor, they reviewed my records and found a major pregnancy complication that Falany and Hulse had completely overlooked. They said if they hadn't discovered that, my baby would almost certainly have not survived to term. Falany and Hulse could have cost me my child's life, but they were too busy rushing me through my appointments to care. If you value your baby's well-being and want decent care, go to another OB.

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Ellen ‎ - 4 months ago

A friend at work recommended F&H when I moved to Woodstock and needed a new OB, but my experience with them has been horrible. When I became pregnant with my first child I just wanted an OB that I could feel comfortable with and trust throughout the process, and they were the exact opposite. They rushed me through appointments, didn't take time to speak with me about my concerns, and showed an amazing lack of competence and compassion when I would call with problems or questions. They also lied to me about the costs associated with my pregnancy and how much I would have to pay out of pocket for certain tests and procedures, and I wound up paying more than 2 grand in bills that I wouldnt have ever received if I had gone to a different OB. Please don't give them the opportunity to take advantage of you. There are many other OB offices in the area with kind, compassionate staff and friendly doctors that will actually give you the support and info you need during your pregnancy.

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POP alternatives Falany and Hulse Canton Ga.

2012-03-22T09:01:00.000-07:00

Treatment Alternatives for POP

vaginal mesh complications ..click here for additional info

Noninvasive/minimally invasive

Behavioral Changes

In addition to weight loss and exercise there are some behavioral changes that can improve stress incontinence. First decrease the amount of liquid that you are ingesting, and avoid drinking caffeinated beverages because they irritate the bladder. Spicy foods, carbonated beverages, alcohol and citrus also irritate the bladder and should be avoided. Quitting smoking can also improve stress incontinence because smoking irritates the bladder and can make you cough (putting stress on the bladder).^[3]

Weight loss

Weight loss in overweight women reduced stress incontinence, in women with a Body Mass Index (BMI) over 25 and at least 10 episodes of urinary incontinence per week. With exercise and restricted diet they had a 70% or greater reduction in overall incontinence episodes.^[4]^[5]

Exercises

One of the most common treatment recommendations includes exercising the muscles of the pelvis. Kegel exercises to strengthen or retrain pelvic floor muscles and sphincter muscles can reduce stress leakage.^[6] Patients younger than 60 years old benefit the most.^[6] The patient should do at least 24 daily contractions for at least 6 weeks.^[6] It is possible to assess pelvic floor muscle strength using a Kegel perineometer.
Increasingly there is evidence of the effectiveness of pelvic floor muscle exercise (PFME) to improve bladder control. For example, urinary incontinence following childbirth can be improved by performing PFME.^[7]
Clinical trials^[8] of a Progressive Resistance Vaginal Exerciser concluded that the device was as effective as Supervised Pelvic Floor Muscle Training, the Gold Standard treatment of the UK NHS where patients are referred to a specialist continence advisor for one on one training over a three month period. The report also noted that the device can help overcome the fundamental weaknesses associated with Pelvic Floor Muscle Exercises (PFME) ie poor training, lack of patient confidence and poor compliance with the exercise recommendations.
Key points noted by the research are that:

the device gives “confidence to women that they were correctly contracting their pelvic floor, and this may be helpful encouragement when a woman is starting out on a regime of PFME.”
the biofeedback given by the device “may be particularly helpful to demonstrate to the woman that she is carrying out the PFME appropriately.”
the device is particularly relevant to those women “who do not consult their physician and wish to maintain confidentiality regarding their SUI symptom.”

A Progressive Resistance Vaginal Exerciser is the only form of pelvic toning device available on prescription in the UK to women presenting with symptoms of Urinary Stress Incontinence or pelvic floor weakness.

Electrical stimulation

Brief doses of electrical stimulation can strengthen muscles in the lower pelvis in a way similar to exercising the muscles. Electrodes are temporarily placed in the vagina or rectum to stimulate nearby muscles. This can stabilize overactive muscles and stimulate contraction of urethral muscles.
Clinical research published in the British Medical Journal^[9] compared pelvic floor exercises, vaginal weights and electro-stimulation in a randomised trial. The research recommended that pelvic floor exercise should be the first choice of treatment for genuine stress incontinence because simple exercises proved to be far more effective than electro-stimulation or vaginal cones.
This situation was confirmed in a comprehensive review of the treatment of stress incontinence published in the British Journal of Urology International in 2010.^[8] The report author noted that electrical stimulation devices and weighted vaginal cones are not recommended by the UK National Institute for Clinical Excellence (NICE) and "are not universally advocated by clinicians as they have yet to produce sufficient evidence of efficacy".

Biofeedback

Biofeedback uses measuring devices to help the patient become aware of his or her body's functioning. By using electronic devices or diaries to track when the bladder and urethral muscles contract, the patient can gain control over these muscles.

Pessaries

A pessary is a medical device that is inserted into the vagina. The most common kind is ring shaped, and is typically recommended to correct vaginal prolapse. The pessary compresses the urethra against the symphysis pubis and elevates the bladder neck. For some women this may reduce stress leakage If a pessary is used, vaginal and urinary tract infections may occur and regular monitoring by a doctor is recommended.

] Vaginal cones

A vaginal cone is a medical device specifically designed and shaped to exercise pelvic floor muscles and help restore proper bladder functions in women with urinary stress incontinence.

Transvaginal Mesh patch ..vaginal mesh problems

2012-02-22T03:41:00.000-08:00

DR. Michael Hulse , Falany and Hulse Canton Ga. 30188

ok.....this is what the transvaginal mesh is supposed to look like when completed with your womb. Kinda scary to me , yet it seems to be the solution proposed by Dr. Michael Hulse of Falany and Hulse of Canton Ga 30188.
easy link to FDA info
click here
and
click here for more

Q: What is transvaginal mesh?

A: In women, a vaginal mesh support may be used to repair a common type of pelvic organ prolapse, which occurs when pelvic organs fall out of place, by stitching the connective tissue in the vaginal wall muscle back together.

Q: How can transvaginal mesh hurt me?

A: Transvaginal mesh has been linked to a number of dangerous problems, including reports of infection, pain, urinary problems and bowel, bladder or blood-vessel perforations. Some women have also reported recurrences of the prolapse, as well as erosion, creating the need for additional surgery to attempt to remove surgical mesh which eroded into the vagina.

Q: I heard the FDA has issued a warning against synthetic transvaginal mesh. I’m not sure if that was used in my pelvic organ prolapse procedure. What should I do?

A: Transvaginal mesh complications can include mesh erosion, pain, infection, bleeding, painful sexual intercourse, organ perforation, and urinary problems. For patients who have had vaginal mesh surgery for pelvic organ prolapse and are pleased with their surgery and are not having complications or symptoms, there is no need to take any action other than regular check-ups and follow-up visits to the surgeon.

Pelvic Prolapse Repair? transvaginal mesh Canton, Georgia

2012-02-19T13:24:00.002-08:00

SUNDAY, FEBRUARY 19, 2012

Dr.Michael Hulse Falany and Hulse Canton Georgia avoid

here are some additional sites to investigate. feel free to call me or email. Good luck if you decide to let this happen to you and your partner. You will need it.

http://vaginalmeshcomplication.blogspot.com/

http://transvaginalmeshcomplications.blogspot.com/

http://vaginalmeshreview.blogspot.com/

http://meshsurgery.blogspot.com/

additional information here ...

this is latest update from FDA. Any doctor who recommends using this mesh in your body should be crossed off your list of reputable doctors, in my opinion. My fianc'ee had this surgery done by Dr. Michael Hulse in May of 2011 and has been suffering from complications ever since.

Feel free to contact me at bobmcalister at g mail for personal talk.

Per the Food and Drug Administration:

=== === === FDA NEWS RELEASE === === ===
For Release at 12 p.m. on July 13, 2011
From: Karen Riley
FDA: Surgical placement of mesh to repair pelvic organ prolapse poses risks.
Agency says other options may expose women to less risk than transvaginal procedure.

The U.S. Food and Drug Administration today issued an updated safety communication warning health care providers and patients that surgical placement of mesh through the vagina to repair pelvic organ prolapse may expose patients to greater risk than other surgical options.
The safety communication also says that with the exposure to greater risk comes no evidence of greater clinical benefit such as improved quality of life.
Pelvic Organ Prolapse (POP) occurs when the internal structures that support the pelvic organs such as the bladder, uterus and bowel, become so weak or stretched that the organs drop from their normal position and bulge or prolapse into the vagina. While not a life-threatening condition, women withPOP often experience pelvic discomfort, disruption of their sexual, urinary, and defecatory functions, and an overall reduction in their quality of life.
Surgery to repair POP can be performed through the abdomen or transvaginally, through the vagina, using stitches, or with the addition of surgical mesh to reinforce the repair and correct the anatomy.

“There are clear risks associated with the transvaginal placement of mesh to treat POP,” said William Maisel, M.D., M.P.H., deputy director and chief scientist at the FDA’s Center for Devices and Radiological Health. “The FDA is asking surgeons to carefully consider all other treatment options and to make sure that their patients are fully informed of potential complications from surgical mesh. Mesh is a permanent implant — complete removal may not be possible and may not result in complete resolution of complications.”

In 2010, there were at least 100,000 POP repairs that used surgical mesh. About 75,000 of these were transvaginal procedures.

The FDA issued a safety communication in 2008 due to increasing concerns about adverse events associated with the transvaginal placement of mesh. Since then, the number of adverse events has continued to climb. From 2008 to 2010, the FDA received 1,503 adverse event reports associated with mesh used for POP repair, five times as many as the agency received from 2005 to 2007. The reports don’t always differentiate between transvaginal and abdominal procedures.
The most frequently reported complications from surgical mesh used to repair POP include mesh becoming exposed or protruding out of the vaginal tissue (erosion), pain, infection, bleeding, pain during sexual intercourse, organ perforation from surgical tools used in the mesh placement procedure, and urinary problems. Some reports cited the need for additional surgeries or hospitalization to treat complications or to remove the mesh.

The FDA also conducted a review of scientific literature published between 1996 and 2010 comparing mesh surgeries to non-mesh surgeries. The agency review suggests that many patients who undergo transvaginal POP repair with mesh are exposed to additional risks, compared to patients who undergo POP repair with stitches alone. While mesh often corrected anatomy, there was no evidence that mesh provided any greater clinical benefit than non-mesh surgeries.

FDA recommends that health care providers:

Recognize that in most cases, POP can be treated successfully without mesh.

Know that surgical mesh is a permanent implant that can make any future surgical repairs more challenging and can put the patient at risk for additional complications and surgeries.

Consider that mesh placed abdominally for POP repair may result in lower rates of mesh complications compared to transvaginal POP surgery with mesh.

Be sure that patients are aware of the risks and benefits of transvaginal POP repair with mesh, and inform patients if mesh is being used.

The FDA recommends that patients:

Ask the surgeon before surgery about all POP treatment options, including those that do not involve mesh: understand why the surgeon may be recommending treatment of POP with mesh.

Continue with routine check-ups and follow-up care after surgery. Notify the surgeon if complications develop (persistent vaginal bleeding or discharge, pelvic or groin pain during sex).

Those who have had POP surgery but don’t know if the surgeon used mesh should find out during their next scheduled visit with their health care provider.

The FDA also announced that an outside panel of experts in obstetrics and gynecology will meet on Sept. 8-9, 2011, to discuss the safety and effectiveness of surgical mesh used to treat POP and stress urinary incontinence (SUI), a leakage of urine during physical activity. The panel will discuss the risk of transvaginal POP repair, clinical studies that may be necessary to address risks and benefits of this type of surgery, and FDA’s interim recommendations for health care professionals and patients.

http://en.wikipedia.org/wiki/Stress_incontinence