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Sarah Boyles

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Lots of women have bladder leaking and no one wants to talk about it. And then when you bring it up to your doctor, you're stuck waiting months to see a specialist. I'm Sarah Boyles, an experienced board-certified Urogynecologist and each week I'll combine medicine, science and my expertise to help you understand your bladder and your body and what you can do to get started!

22.09.2025

Stronger Starts, Better Recoveries: How to Improve Your Surgical Outcomes

No one ever wants surgery, but if you need it, you absolutely want the best possible outcome. In this episode of While You Wait… I share practical, science-backed steps you can take before and after surgery to support your recovery. From pre-op education and nutrition to exercise, stress management, and even when to sip clear liquids, I cover the details most patients don’t hear until the very last minute. I also opened up about my own breast cancer diagnosis and what preparing for surgery has taught me personally. Whether you’re facing urogynecologic surgery or any other procedure, these tips can help you feel prepared, confident, and supported through every step of the journey. Additional Resources: YourPelvicFloor.org (IUGA patient resources)Pelvic Organ Prolapse Support – peer support communityAAMC Article on Improving Surgical Results Timeline: 00:30 Introduction: Preparing for Surgery 01:32 Personal Story and Podcast Introduction 02:33 Importance of Preoperative Education 09:53 Physical Preparation: Exercise and Nutrition 12:11 Mental and Lifestyle Preparation 15:08 Day Before and Day of Surgery Tips 16:53 Post-operative Care and Final Thoughts

20 dk.
15.09.2025

Exploring the Overlap: Urogynecology and Colorectal Health

If you’ve ever wondered why hemorrhoids, constipation, or “smearing” show up with pelvic floor symptoms, or what actually happens in a colorectal exam, this episode makes it clear, calm, and doable. In this episode, I discuss the interconnected nature of urogynecology and colorectal health with Dr. Bethany Malone, a board-certified colon and rectal surgeon. The discussion covers how hormonal changes and colorectal issues like constipation, hemorrhoids, and IBS can impact urogynecologic and pelvic floor health. Bethany shares her journey in building patient trust, the nuances of colorectal surgery, and the importance of fiber in managing bowel health. We also explore the sensitive topics of fecal smearing, the significance of thorough examinations, and the role of pelvic floor physical therapy in maintaining overall health. Tune in to gain valuable insights into how these different areas of health are interlinked and the importance of a multidisciplinary approach in treating complex health issues. Looking for more information: Beth Malone: You can find her on IG, Twitter, and TikTok at BethanyMaloneMD, and her personal website is: http://www.bethanymalonemd.com Information on Fiber Timeline: 00:30 Introduction to Urogynecology and Related Medical Issues 02:02 Meet Dr. Beth Malone: Colorectal Surgeon 02:52 Rebuilding Trust in Healthcare 06:27 Understanding Colorectal Surgery 11:41 Common Colorectal Issues and Treatments 20:42 The Importance of Fiber and Probiotics 24:35 Pelvic Floor Issues: Weakness and Tension 31:01 Collaborative Care and Conclusion

33 dk.
08.09.2025

First-Line Treatments for Overactive Bladder

Overactive bladder (urgency urinary incontinence) can feel overwhelming, emotionally and physically. Many women silently cycle through denial, frustration, and finally, acceptance. But living with constant urgency or leaking before reaching the bathroom doesn’t have to be your “new normal.” In this episode, I break down first-line treatments for urgency incontinence, the practical, foundational steps every woman should try before turning to medications or procedures. You’ll learn: How to keep a bladder diary to identify your personal triggers (from sparkling water to coffee).Why pelvic floor strengthening is key—and the difference between doing Kegels on your own vs. with support.How to practice urge suppression—the 5 quick contractions + calming breath technique that really works.The power of bladder retraining to teach your body to hold more comfortably over time.These tools don’t just improve symptoms; they put you back in control, helping you feel less isolated and more hopeful. Additional resource, BLADDER DIARY. Take this first step toward confidence and freedom from urgency.

15 dk.
01.09.2025

Overcoming Stress Urinary Incontinence: Practical Steps and Solutions

Not sure where to start with bladder leaks? In this episode, I break down the first steps for tackling stress urinary incontinence, which is leaks that occur with coughing, sneezing, laughing, or exercise. You’ll learn why pelvic floor strengthening is the gold standard, how to make sure you’re doing Kegels correctly, and what over-the-counter options like vaginal weights, peri-trainers, urethral seals, and pessaries can do to help. Plus, I share the #1 technique that can stop leaks in their tracks. Free resources: Vagina Coach How to stay dry - MyPFM Timeline: 00:45 Introduction to Tackling Urinary Incontinence 01:24 Understanding Stress Urinary Incontinence 01:55 Pelvic Floor Strengthening Basics 03:49 Advanced Pelvic Floor Strengthening Techniques 05:56 Using Devices for Pelvic Floor Strengthening 13:38 Exploring Over-the-Counter Devices 15:49 Final Tips and Resources

17 dk.
25.08.2025

From Anxiety to Empowerment: The Truth About Pelvic Floor Therapy

Pelvic floor physical therapy can feel intimidating, especially when you don’t know what to expect. In this episode, I sit down with MJ Strauhal, one of Portland’s most experienced pelvic floor PTs, to walk through what really happens at that first appointment. You’ll hear: - Why pelvic floor PT isn’t like any other therapy you’ve had - What the intake process looks like (yes, we ask about pooping, peeing, AND sex!) - Why comfort, privacy, and patient choice are central to PT - How PT can help with leaking, prolapse, pain, and more If pelvic floor PT has ever made you nervous, this conversation will give you the clarity and reassurance you need. Additional information: PT finder https://www.aptapelvichealth.org/ptlocator https://www.voicesforpfd.org/find-a-health-care-professional/ Timeline: 00:30 Introduction to Pelvic Floor Physical Therapy 01:54 Understanding the First PT Appointment 02:81 Scheduling and Preparing for Your Visit 03:45 The Importance of the Intake Form 05:33 Patient Comfort and Initial Assessments 07:37 The Role of Anatomy and Education 08:56 Exploring Treatment Options and Techniques 15:25 Virtual Visits and Online Classes 17:39 Addressing Common Concerns and Misconceptions 23:16 Conclusion and Final Thoughts

28 dk.
18.08.2025

Empowering Patients: Navigating Healthcare and Communication Strategies

In this episode, we dive into the challenges and strategies of discussing intimate and potentially embarrassing health issues like bladder leaking with healthcare providers. I revisit an insightful conversation with Dr. Kara Wada, a board-certified allergist and immunologist, who emphasizes the importance of patient empowerment and effective communication in the healthcare system. Dr. Wada, a certified life coach and autoimmune patient, shares valuable tips on how to take ownership of your health story, prepare for appointments, and establish clear communication with your doctor. The discussion also explores the complexities of electronic medical records, the benefits of virtual visits, and the shared humanity between patients and physicians. This episode is packed with practical advice to help patients feel more confident and in control during their medical appointments. Timeline: 00:30 Introduction 01:39 Meet Dr. Kara Wada: Background and Expertise 04:29 Navigating the Healthcare System: Challenges and Tips 06:02 The Importance of Owning Your Health Story 09:39 Effective Communication with Your Physician 16:06 Virtual Visits: A New Norm 25:42 Conclusion and Final Tips

26 dk.
11.08.2025

Pessaries: A Modern Tool for Treating Prolapse and Incontinence

Pessaries have come a long way from their ancient origins. Today, they're sleek, medical-grade silicone devices that can help with prolapse and stress incontinence, no surgery required. In this episode, I break down the different types of pessaries, how they work, and why they're not just for "frail grandmothers" anymore. We'll cover: • How pessaries support prolapse & stress incontinence • Over-the-counter options like Poise Impressa, Uresta, Revive • Custom-fitted pessaries & innovative 3D-printed options from Cosm • When pessaries are a bridge to surgery (and when they're the long-term fix) What is Yōni.Fit? - Yōni.Fit Bladder Support for Women | Uresta FemTherapeutics - Pessary for prolapse support Personalized Pessaries for Pelvic Floor Disorders | Cosm Medical Revive Reusable Bladder Support for Women – Leak Protection & Comfort Timeline: 00:30 Introduction to Pessaries 00:51 History and Evolution of Pessaries 01:51 Modern Pessaries: Materials and Misconceptions 02:29 Benefits and Flexibility of Pessary Use 02:55 Pessaries as a Temporary or Permanent Solution 04:28 Candidates for Pessary Use 06:02 Pessaries for Prolapse 08:22 Pessaries for Incontinence 11:35 Potential Risks and Side Effects 12:19 How to Get a Pessary 12:45 Conclusion and Encouragement

14 dk.
04.08.2025

Understanding Hormones and Bladder Health

Hormones play a bigger role in bladder health than most women realize. In this week's episode of "while you wait…" podcast, I break down how estrogen shifts during perimenopause, menopause, postpartum, and even certain birth control methods can affect urgency, leaking, and pelvic floor function. I also explain why vaginal estrogen may be part of the solution, common risk factors for incontinence, and how lifestyle factors like weight, sleep, and stress can make symptoms better or worse. Timeline: 00:30 Introduction and Overview 01:04 Hormonal Changes and Bladder Health 04:50 Genetic and Risk Factors for Incontinence 07:31 Non-Hormonal Factors Affecting Incontinence 09:28 Communicating Symptoms with Doctors 12:40 Hormone Therapy and Bladder Symptoms 15:15 Conclusion and Final Thoughts

19 dk.

Tümünü Görün (111)

Lots of women have bladder leaking and no one wants to talk about it. And then when you bring it up to your doctor, you're stuck waiting months to see a specialist. I'm Sarah Boyles, an experienced board-certified Urogynecologist and each week I'll combine medicine, science and my expertise to help you understand your bladder and your body and what you can do to get started!

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Sarah Boyles
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2023 - 2025
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111
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Uygun
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