Dr. Martha Boone's May 2014 Newsletter
We Salute our Veterans!
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Neurogenic Bladder

The symptoms of Neurogenic Bladder can be different from person to person. Some people are unable to hold their urine and other people are unable to empty. Some patients will have a combination of the two. These symptoms occur commonly with major pelvic surgery, Polio, MS, diabetes, parkinsonism, and strokes, herniated disc, spinal cord trauma, brain tumors, and pelvic trauma.
If you have any of these medical conditions and have bladder problems, Dr. Boone would analyze you with a Bladder Diary and test your bladder nerves using a Urodynamic study.
If you have MS, a good tool is:

There will be 8 questions on this tool that could possibly help you.  
Treatment options will depend upon your overall health, the degree of nerve damage, the severity of your symptoms, and our tolerance for medications and procedures.
Dr. Boone is fellowshipped trained in Neurourology and is especially willing and able to help patients with neurogenic bladder.

Trying to figure out the best diet for you?

US News and World Report did a poll of US dietitians and asked them to list the top 20 diets as best overall diet plans.
This recommendation does not apply to all kidney stone patients.
#1 best voted diet was the DASH diet.
#2 TLC diet
#3 Mediterranean diet
#4 Mayo Clinic diet
#5 Weight Watchers
#6 Flexitarian
#7 Jenny Craig
#8 Biggest Loser
#9 Dr. Ornish’s Diet
#10 Traditional Asian Diet
Listed in the top 20 were also the anti-inflammatory diet, Nutri-System, South Beach, Glycemic Index, and Paleo Diet.
For Heart Health, diabetes, and long term weight loss, the DASH diet won out in all categories!
The DASH diet happens to be the best diet for calcium oxalate stone formers, too!

Are You Interested in Reducing Deaths Caused by Heart Disease?
Dr. Boone recommends that you consider looking at this website: (Dr. Duncan Matters)
The factors contributing to heart disease are many. Changing all of them at once can be overwhelming. But, there are many tools at your disposal.
Take a moment to look at this lovely website and see if there are any factors you can begin to reduce today!
The ICA launched its Free Patient Self-Management module (ICHOPE)
It is a computer tailored intervention for patients experiencing IC pain. It focuses on self-management. It is an attempt to help IC patients to regain control of their lives with self-care strategies.
IC reading list:
Get the facts:
Update on Botox to the Bladder

Overactive bladder effect’s about 15% of Americans. It can significantly impact the quality of life.

Dr. Boone has been doing Botox for quite a while. She uses 200 units in people who have neurologic conditions and uses 100 units in people who have frequency, urgency, and urge incontinence but no neurologic condition.
In the past, studies have shown a 16% incidence of urinary retention requiring catheterization after the procedure. In our practice, we have not had that problem. A recent study demonstrates that in people without a neurogenic bladder (Multiple Sclerosis, Diabetes Mellitus, spinal cord injury, Parkinsonism, stroke) only 100 units are necessary. When only 100 units are used, the incidents of urinary retention is no more than 5%.

So, there is increasing encouraging data that Botox is safe, effective, and has a low side effect profile. Dr. Boone employees every possible treatment for overactive bladder. She prescribes medication, utilizes physical therapy, does peripheral neuromodulation with Uroplasty, and does central neuromodulation with InterStim therapy.
Whatever the cause of your frequency, urgency, urge incontinence, or nocturia, Dr. Boone has the latest treatment!
Our mailing address is:
3400-A Old Milton Pkwy.
Suite 560
Alpharetta, GA 30005

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