While you wait..‪.‬ Sarah Boyles

In this podcast, I answer frequently asked questions about urinary health, touching on the efficacy of D mannose for preventing urinary tract infections, the impact of vitamin D deficiency and supplementation on bladder health, the role of vaginal estrogen in treating urinary symptoms, and when to treat asymptomatic urinary tract infections. 
I'll also cover how to differentiate between urine leaks and sweat during exercise, the relationship between bladder issues and pelvic floor health, the benefits of pelvic floor physical therapy postpartum, and managing bladder symptoms in the third trimester of pregnancy. I address misconceptions about the pelvic floor's role in urinary health and offer practical advice for women experiencing these common issues.



00:00 Welcome to the Q&A Session!
00:55 Exploring D Mannose and UTI Prevention
04:03 Vitamin D Deficiency: Impacts and Solutions
05:59 The Role of Vaginal Estrogen in Urinary Health
06:45 Addressing Asymptomatic UTIs: To Treat or Not to Treat?
08:27 Distinguishing Between Urine Leaks and Sweat
09:44 Bladder Issues vs. Pelvic Floor Problems
11:52 Postpartum Physical Therapy: Is It Ever Too Late?
14:22 Managing Bladder Symptoms During Late Pregnancy
15:18 Closing Remarks and Invitation for More Questions

In this informative episode, I explore the profound impact of this condition on women's lives, emphasizing its prevalence and significance. Join me as we explore the four types of bladder leaking and underscore the importance of accurate diagnosis for effective treatment.
Explore 'Bladder 101', a revolutionary course designed to educate and empower women on bladder health. From understanding the intricacies of anatomy to navigating various treatment options, this comprehensive guide is a powerful tool that equips women with the knowledge and confidence to make informed decisions about their bladder health.
Join us for this enlightening discussion, which has the potential to transform your life and offer new perspectives and solutions to bladder leaking. 
For more information on Bladder101: https://thewomensbladderdoctor.com/bladder101/ 



00:28 Introduction to Bladder Leaking: Why It Matters
01:10 Understanding the Impact of Bladder Leaking
02:05 Types of Bladder Leaking and Why Diagnosis is Key
04:15 Navigating Treatment Options and Overcoming Barriers
06:23 Introducing Bladder 101: A Comprehensive Course
10:43 Deep Dive into Bladder 101 Course Modules
18:13 The Benefits of Addressing Bladder Leaking Early

In this episode of "while you wait...", I share invaluable insights on optimizing surgical outcomes. Diagnosed with breast cancer and facing a temporary departure from my clinical practice, I highlight the importance of utilizing this time to prepare for surgery. 

From preoperative education to physical conditioning, I discuss key strategies to enhance surgical recovery and overall well-being. Tune in as I guide my listeners through the essential steps to ensure a smoother surgical journey.
Take advantage of this empowering episode as I share invaluable tips to optimize your surgical journey!
For additional resources and community support, visit Pelvic Organ Prolapse Support and International Urogynecological Association.
For more personalized guidance or inquiries, feel free to reach out to me or my office.
Pallavi L et al AUGS-IUGA Joint Clinic Consensus statement on Enhanced Recovery with Urogynecology Surgery , Urogynecology 2022.




Introduction - 0:28I discuss my personal experience with breast cancer diagnosis.Preoperative Education - 1:41Emphasizes the significance of understanding surgical procedures and anesthesia options.Training for Surgery - 8:55Advises listeners on the benefits of physical conditioning and maintaining optimal nutrition before surgery.Diet and Nutrition - 10:18The importance of good nutrition and proper amount of protein before surgery for optimal healing.Stress Reduction and Well-being - 11:14The importance of managing stress, reducing alcohol consumption, and adopting healthy lifestyle practices.Pre-Surgery Preparation - :Practical tips for the day before surgery, including dietary guidelines, hygiene practices, and medication instructions.Post-Surgery Considerations - 14:24Advice on post-operative care, including pain management, bladder and bowel function, and contacting the surgical team if needed.Conclusion - 17:28Discussing the importance of trust in the surgical team and understanding the recovery process for optimal outcomes.

In this episode of "while you wait," I address the importance of taking proactive steps toward managing pelvic floor issues, even while facing delays in office visits. I discuss the challenges of increased wait times and my temporary absence due to medical leave. Despite these obstacles, I'll discuss the significance of initiating the journey toward pelvic health.
Despite challenges, progress is attainable on the path to pelvic health. By embracing vulnerability, documenting symptoms, and exploring treatment options, patients can take meaningful steps towards improving their well-being, setting the stage for informed discussions and personalized care upon their clinic visit. 


Introduction: This section addresses the challenges of increased wait times for clinic visits and my temporary absence due to medical leave.Navigating Wait Times: Despite delays, progress can still be made in managing pelvic floor concerns, emphasizing the importance of proactive steps. Empowering Patients: With the support of nurse practitioners and physician assistants, patients can initiate the evaluation process and receive guidance on treatment options, even without direct physician consultation. Embracing Vulnerability: Share a powerful interview with a woman who bravely underwent a urethral bulking procedure. Her story illuminates the transformative power of vulnerability in addressing bladder leakage.Taking Action: Emphasizing the importance of listeners documenting their symptoms, triggers, and treatment preferences. This proactive step empowers them to actively participate in their healthcare journey. Understanding Treatment Options: From pelvic floor strengthening exercises to medications and surgical procedures, I provide valuable insights into the diverse approaches available for managing pelvic floor disorders.Preparation and Research: Prior to clinic visits, patients are advised to journal symptoms, explore pelvic floor physical therapy options, and familiarize themselves with potential treatment modalities, ensuring informed decision-making and effective collaboration with healthcare providers. Conclusion: Reiterating the importance of proactive steps in achieving pelvic health, promising more empowering insights and practical guidance on future episodes of "while you wait."

Join us for an insightful conversation with Jane as she shares her personal journey with stress incontinence, a condition affecting many women of all ages. From childhood to adulthood, Jane struggled with symptoms that impacted her daily life. She discusses the challenges of dealing with stress incontinence at a young age and the stigma surrounding it.


 Jane's openness and honesty shed light on the importance of breaking taboos and seeking support for women's health issues. Learn about her decision to undergo the urethral bulking procedure and the life-changing results she experienced. Discover how Jane's journey toward healing has empowered her and inspired others to seek solutions for their own health challenges.


Feeling inspired by Jane's journey? If you're experiencing similar challenges, don't hesitate to reach out for support and explore treatment options. Take the first step towards improving your health and reclaiming your confidence today! 




0:27 - Introduction: Introducing Jane and discussing the topic of stress incontinence.1:12 - Symptoms and Early Experiences: Jane shares her early experiences with stress incontinence, which began in childhood and affected her daily activities.3:42 - Seeking Help and Support: Jane discusses the challenges of seeking help for her condition and the lack of awareness among peers.5:57 - Treatment Approaches: Jane explores her journey through various treatment options, including pelvic floor therapy, before deciding on the urethral bulking procedure.8:47 - Procedure Experience: Jane describes her experience undergoing the urethral bulking procedure, including preparation, anesthesia, and post-procedure discomfort.12:27 - Recovery and Results: Jane reflects on her recovery process and the significant improvement in her symptoms following the procedure.15:12- Impact on Daily Life: Jane discusses how the procedure has positively impacted her confidence, activity levels, and overall quality of life.17:57 - Follow-Up and Future Plans: Jane shares her plans for follow-up appointments and discusses the importance of ongoing care and maintenance.20:27 - Closing Thoughts: Emphasize the importance of raising awareness about women's health issues and encouraging others to seek support and treatment.

Embark on an inspiring journey with clinical specialist Jane, who shares her personal triumph over incontinence on a special episode of the "while you wait..." podcast. Jane opens up about her life-changing experience with Sacral Nerve Stimulation, a revolutionary therapy provided by Axonics. Through her honest storytelling, listeners gain deep insights into her challenges and the profound impact of this neurostimulation technology.
Join Jane as she dives into the nitty-gritty of life with a neurostimulator, offering practical tips and heartfelt advice along the way. Her resilience and determination shine through, making her story a beacon of hope and empowerment. Don't miss out on this captivating episode, where science meets personal resilience in an exploration of boundless possibilities.


 - Introduction: Welcome to a special episode where we dive into the world of Sacral Nerve Stimulation with our guest, Jane. - Jane's Journey Begins: Jane's lifelong struggle with incontinence, from childhood bedwetting to managing the challenges of motherhood. - Exploring Treatment Options: Learn about the different therapies Jane explored before discovering Sacral Nerve Stimulation and her initial encounters with healthcare professionals. - Understanding Sacral Nerve Stimulation: Dive into the details of this third-line therapy for incontinence and its profound impact on Jane's life.—Choosing Axonics: Explore the factors that led Jane to select the Axonics neurostimulator, including its innovative features and compatibility. - The Implantation Process: Jane's experience during the implantation procedure and its immediate effects on her symptoms. - Living with the Device: Incorporating a neurostimulator into daily life, from charging routines to airport security. - Managing Expectations: Hear Jane's perspective on the outcomes of Sacral Nerve Stimulation and the ongoing journey towards improved quality of life.—Addressing Common Concerns: Jane addresses common questions and misconceptions about neurostimulators and offers valuable insights into their functionality and limitations.—Empowering Others: Learn about Jane's role as an advocate and educator as she helps individuals navigate their paths to healing and empowerment. - Conclusion: Join us in celebrating Jane's resilience, courage, and commitment to raising awareness about Sacral Nerve Stimulation.