Tag Archives: Dr. David Lamb

Ask the Clinician: Common Urology Problems in Women

David H. Lamb, MD, FACS, is a urologist at Lexington Urology, a Lexington Medical Center physician practice that provides comprehensive urologic care and advanced treatment for urologic conditions.

Q: What are the most common problems you see in female patients?
A: I see two urologic problems on a daily basis. The first is recurrent urinary tract infections. They occur when bacteria is not cleared from the bladder regularly. Any activity with the potential to introduce bacteria into the bladder is a risk factor, including sex. Treatments include antibiotics or preventative therapy. UTIs that recur often may require low-dose nightly or post-intercourse antibiotics if they infections are associated with sex. And, cranberry juice can decrease adherence of bacteria inside the bladder.

Dr. David Lamb

The second problem is overactive bladder, which is an urgent and frequent need to urinate and frequent urination. I think of it as the bladder in control of the person instead of the person in control of the bladder. It can be debilitating, but it’s treatable. Urologists look for infections, introduce behavioral and physical therapy to improve bladder control, use bladder relaxation medicine and even a Botox® injection to decrease unwanted muscle activity.

We have effective strategies to treat these problems, and there is no need to suffer in silence.

Understanding Kidney Stones

Passing a kidney stone is often called one of the most painful things a person can experience.

Sometimes, people say it’s even more painful than childbirth.

Kidney stones are small pebbles of salt and minerals in the urine.

They can be the result of a chronic medical condition, or of what you eat and drink.

In this WLTX interview, Dr. David Lamb of Lexington Urology explains what kidney stones are, where they come from and some things you can do to prevent them.

They often cause:
~Severe pain in the back, belly or groin
~Frequent or painful urination
~Blood in the urine
~Nausea and vomiting

Urologists can treat them in a variety of ways. One is high-energy shock wave therapy that can break the stone into little pieces, allowing them to move through the urinary tract more easily.

Sometimes, eating a lot of animal protein, sodium, chocolate or dark green vegetables can boost the risk for kidney stones. Other risk factors include drinking certain sweetened beverages, putting on weight and taking certain medications.

To reduce your risk, drink a lot of water. Hydration is key for prevention.