Send us a text with a question or thought on this episode ( We cannot replay from this link)
Dr. Yaniv Larish, a board-certified urologist, joins us to explore the complicated relationship between endometriosis and bladder symptoms. We uncover how urinary issues like urgency, frequency, and nocturia can be important indicators of endometriosis involvement in the urinary tract.
• Common bladder symptoms include urgency, frequency, nocturia, and feelings of incomplete emptying
• Patients often deny urinary or fecal incontinence but admit to wearing pads daily or difficulty cleaning after bowel movements
• No definitive test exists for endometriosis other than surgery, making proper questioning essential
• Many patients have been dismissed by doctors, making it harder to get accurate symptom reporting
• Surgical interventions may involve trade-offs between pain relief and preserving bladder function
• Post-surgical issues can occur if nerves governing bladder function are affected during treatment
• Cases requiring second or third opinions often involve complex reconstruction after previous surgeries
Do you have more questions? Send them in by using the link in the top of the description of this podcast episode or by emailing contact@endobattery.com or visiting the endobattery.com contact page.
Website endobattery.com
Quick Connect Introduction
Speaker 1
0:00
Life
moves
fast
and
so
should
the
answers
to
your
biggest
questions
.
Welcome
to
Endo
Battery's
Quick
Connect
,
your
direct
line
to
expert
insights
.
Short
,
powerful
and
right
to
the
point
.
You
send
in
the
questions
,
I
bring
in
the
experts
and
in
just
five
minutes
you
get
the
knowledge
you
need
.
No
long
episodes
,
no
extra
time
needed
,
and
just
remember
expert
opinions
shared
here
are
for
general
information
and
not
for
personalized
medical
advice
.
Always
consult
your
provider
for
your
case-specific
guidance
.
Got
a
question
?
Send
it
in
and
let's
quickly
get
you
the
answers
.
I'm
your
host
,
alana
,
and
it's
time
to
connect
.
Speaker 1
0:51
Welcome
back
to
Endo
Battery
Quick
Connect
,
where
we
keep
it
real
,
recharged
and
ready
to
dive
deep
into
the
realities
of
living
with
endometriosis
.
Today
I
am
thrilled
to
welcome
a
guest
whose
expertise
sheds
light
on
an
often
overlooked
part
of
the
endo
journey
the
bladder
.
That's
right
,
those
frequent
trips
to
the
bathroom
,
the
urgency
,
the
burning
,
the
pressure
.
It's
not
just
in
your
head
and
it's
not
just
your
uterus
.
Joining
us
today
is
Dr
Yaniv
Larish
,
a
board-certified
urologist
,
who
brings
both
compassion
and
clarity
to
the
table
.
He's
here
to
help
us
untangle
the
complicated
relationship
between
endometriosis
and
bladder
symptoms
.
Let's
get
started
.
What
are
some
of
the
things
that
you
notice
for
those
that
when
you're
going
into
surgery
and
you
know
that
you're
going
to
have
an
involvement
in
that
surgery
,
what
are
some
things
that
maybe
the
patient
describes
that
cues
you
guys
into
?
Speaker 2
1:37
Yes
.
So
I
typically
get
involved
whenever
the
patient
complains
of
urgency
,
that
when
they
got
to
go
they
got
to
go
.
Frequency
,
meaning
they're
going
more
often
than
their
peers
.
Nocturia
,
meaning
they're
waking
up
in
the
middle
of
the
night
.
Feelings
of
incomplete
emptying
of
the
bladder
.
Whether
that's
perceived
or
simply
fact
is
irrelevant
.
If
they
feel
like
they're
not
emptying
the
bladder
,
that's
a
problem
.
Speaker 2
1:59
Urinary
incontinence
,
fecal
incontinence
and
you
know
it's
funny
if
you
ask
anybody
with
endometriosis
if
they
have
urinary
incontinence
or
fecal
incontinence
,
the
answer
is
always
no
,
no
,
no
,
I
don't
have
.
But
if
you
ask
,
you
know
,
do
you
wear
a
pad
every
day
?
Is
the
pad
wet
at
the
end
of
the
day
?
No
,
but
that's
just
discharge
.
No
,
no
,
it's
not
.
You
know
,
there's
something
else
going
on
there
.
Or
fecal
incontinence
,
you
know
.
Do
you
have
a
hard
time
getting
clean
after
you
finish
pooping
?
Do
you
have
to
wipe
a
thousand
times
to
get
clean
,
you
know
?
Speaker 2
2:30
And
so
we
have
sort
of
a
set
number
of
questions
that
we
ask
to
sort
of
figure
out
who
needs
to
be
involved
in
a
case
if
it's
particularly
challenging
,
and
obviously
that's
part
of
the
battery
of
testing
,
of
questioning
that
we
do
,
you
know
.
Speaker 2
2:44
As
you
know
,
the
problem
with
endometriosis
is
among
many
problems
with
endometriosis
.
One
of
the
biggest
challenges
with
endometriosis
is
there's
no
test
short
of
the
surgical
intervention
,
right
,
there's
no
gold
standard
test
,
and
so
if
you
don't
ask
the
right
questions
,
it's
very
hard
to
get
a
good
intuition
or
sense
that
the
patient
may
have
it
.
And
the
questions
are
,
you
know
,
they're
difficult
to
sort
of
get
to
the
bottom
of
,
especially
if
the
patient's
been
poo-pooed
by
a
doctor
a
thousand
times
or
by
a
thousand
doctors
a
thousand
times
.
So
it's
challenging
,
but
I
will
say
that
that's
typically
how
I
get
involved
is
if
we
feel
that
there's
a
problem
functionally
,
or
,
of
course
,
if
we
have
imaging
that
demonstrates
,
you
know
,
obstruction
or
frank
involvement
of
the
urinary
tract
,
whether
it's
in
the
ureters
or
in
the
bladder
,
then
of
course
,
you
know
,
my
involvement
is
reconstructive
in
nature
.
Speaker 1
3:35
What
do
you
see
,
though
,
after
?
So
you
get
in
there
,
you
do
all
the
work
.
Are
there
issues
that
some
of
these
patients
have
after
that
reconstruction
?
Speaker 2
3:44
Look
,
you
know
every
surgery
.
There's
no
such
thing
as
a
free
lunch
,
right
,
right
.
So
you
know
.
To
think
that
we
can
do
surgery
without
having
some
trade-off
is
intellectually
dishonest
.
Speaker 1
3:58
Right
.
Speaker 2
3:59
So
you
can
have
somebody
who
has
horrific
10
out
of
10
pain
,
29
out
of
30
days
a
month
,
and
fix
that
,
but
that
might
come
at
a
cost
of
,
you
know
,
not
emptying
your
bladder
.
Well
,
right
,
If
the
nerves
are
involved
and
you
have
to
remove
the
nerves
that
govern
bladder
function
in
order
to
get
relief
of
pain
,
you're
going
to
sometimes
see
that
and
that's
something
that
needs
to
be
dealt
with
.
You
know
,
same
thing
with
defecatory
dysfunction
.
It's
a
similar
sort
of
problem
.
You
know
,
obviously
,
the
way
that
we
do
surgery
.
We
preserve
nerves
and
we
do
a
really
,
really
nice
job
of
sort
of
limiting
the
negative
sequelae
of
surgery
.
Speaker 2
4:39
Right
,
right
but
we
also
oftentimes
see
cases
that
are
second
opinion
,
third
opinion
They've
already
had
two
or
three
surgeries
.
You
know
,
sometimes
the
damage
is
already
done
and
now
the
job
is
to
sort
of
undo
the
effects
of
a
hurricane
after
it's
gone
through
.
Speaker 1
4:53
That's
a
wrap
for
this
Quick
Connect
.
I
hope
today's
insights
helped
you
move
forward
with
more
clarity
and
confidence
.
Do
you
have
more
questions
?
Keep
them
coming
,
send
them
in
and
I'll
bring
you
the
expert
answers
.
You
can
send
them
in
by
using
the
link
in
the
top
of
the
description
of
this
podcast
episode
or
by
emailing
contact
at
endobatterycom
or
visiting
the
endobatterycom
contact
page
.
Until
next
time
,
keep
feeling
empowered
through
knowledge
.