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Dr. Brett Michael Giblin, MD is an urologist in Fort Myers, FL specializing in urology (urinary tract disease). Dr. Brett Michael Giblin, MD is affiliated with Lee Health.
12651 Whitehall Drive
Fort Myers, FL 33907
3227 Lee Boulevard Suite F
Lehigh Acres, FL 33971
3501 Health Center Boulevard Suite 1700
Bonita Springs, FL 34135
Hydrocele
A hydrocele is a collection of fluid around the testicle that causes swelling in the scrotum. Hydroceles are common in newborns; they develop when the fluid in the sac surrounding each testicle does not get absorbed before birth. Hydroceles in newborns often disappear on their own during the first year of life. They are rare in adults, but when they occur, they are usually caused by injury, infection, or swelling in the scrotum, testicle, or epididymis, which is a coiled tube behind each testicle.
Hydroceles are typically painless, and surgical repair or removal, called hydrocelectomy, is only necessary if they continue to grow. In a hydrocelectomy, the surgeon makes an incision in or near the scrotum and uses suction to drain the fluid. The sac that contained the fluid may be cut and removed as well, or it may be stitched onto the back of the testis and epididymis, before the incision is closed.
This procedure may be done at an outpatient facility, so a hospital stay is usually not required. Normal activities can be resumed a few days following surgery, but exercise and other strenuous activities should be avoided for about two to four weeks.
Kidney Stones
Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.
Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.
The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:
People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.
Stress Urinary Incontinence
Stress urinary incontinence is a disorder in which the bladder leaks urine during activities that require exertion, such as lifting, laughing, coughing, and sneezing. Leakage occurs because the muscles responsible for holding urine have become weak. This type of incontinence will affect about one in three women at some point in their lives. It is particularly prevalent in women who have given birth vaginally, have been pregnant, are extremely overweight, or are in menopause. Although more women than men suffer from stress incontinence, men who have had prostate surgery are also at risk of developing this condition.
Treatments vary based on the severity of the incontinence. Mild to moderate leakage may be controlled by doing pelvic floor exercises, avoiding foods that can irritate the bladder, or taking medication. For severe incontinence, however, surgery may be necessary. The most common procedures for stress urinary incontinence are bladder suspension, artificial urinary sphincter surgery, and sling surgery.
Each of these procedures takes about an hour to an hour and a half. Patients will likely wake up with a catheter, a tube that drains urine, as swelling after surgery makes it difficult to urinate. Taking slow, short walks to keep the blood flow moving is usually encouraged within hours of the surgery. Although patients may return to work within seven to ten days after certain procedures, strenuous activities such as running and working out are not recommended for at least four to six weeks. In addition, patients should avoid lifting objects over 15 pounds for three months after any of these operations.
He has a state license in Florida.
Licensed In: Florida
Dr. Brett Michael Giblin, MD is associated with these hospitals and organizations:
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Dr. Brett Giblin, who practices in Fort Myers, FL, Lehigh Acres, FL, and Bonita Springs, FL, is a medical specialist in urology (urinary tract disease). Areas of expertise for Dr. Giblin include urge incontinence (overactive bladder), neurogenic bladder, and kidney stones. He is professionally affiliated with Lee Health.