As reported to coloplast though not verified, patient's legal representative stated that on (b)(6) 2018, a dyspareunia with entry/deep penetration, bilateral inguinal/groin pain, [felt] "tight", recurrent uti symptoms, urinary frequency, q30mins-1h, urinary urgency, nocturia, dysuria, interstitial cystitis.No aris or exair erosion/exposure noted, chronic pelvic pain, bladder pain.On (b)(6) 2020: ed visit - uti with hematuria.On (b)(6) 2013: occasional bladder/bowel incontinence since aris/exair surgeries, fecal urgency, feels like prolapse has recurred, acute low back pain with intermittent right foot numbness, left sciatic pain, feels a knot on left back that is tender, lumbar spine x-ray - normal, lumbar spine ultrasound -normal, unable to do vaginal exam as claimant could not tolerate due to back pain.On (b)(6) 2017: increased dyspareunia, (+) bacterial vaginosis.On (b)(6) 2017: vaginal/bladder pressure, deep achiness in lower abdomen/vagina, intermittent sharp/shooting pain through vaginal canal, incomplete bladder emptying, urinary urgency/frequency/dysuria, fee urgency with occasional fecal incontinence, difficulty sleeping, dyspareunia that triggers bladder spasms, interstitial cystitis, fecal incontinence.From (b)(6) 2017, recurrent uti's, continued dyspareunia.On (b)(6) 2017: unable to exercise due to chronic pelvic pain.On (b)(6) 2017: uti with hematuria.From (b)(6) 2013- (b)(6) 2014: urinary frequency 12-14x/day, nocturia 2-3x/night, occasional sui, 4 uti¿s/year with (+) e.Coli with constant dysuria even after treatment, fecal incontinence everyday since (b)(6) 2011; does not wear pads/carries a change of clothes with her at all times, back pain worsens incontinence and urgency, has felt vaginal bulge for 1.5 years when wiping/worse with straining, occasionally has to splint for bowel movement, exair/coloplast palpable anteriorly, tender to palpation, no erosion noted, scar around perineum, possible sphincter involvement, tender to palpation along vaginal cuff scar, mui, fecal incontinence/smearing, myalgia, scar pain, deep dyspareunia, urodynamics, altered sensation.From (b)(6) 2014, difficult partial removal of anterior exair/coloplast, anal sphincteroplasty, vaginal mucosa trimming, perineoplasty, cystoscopy, intraoperative findings: exair/coloplast tightly banded along anterior vaginal wall with extensive fibrosis between exair/coloplast and the vaginal wall, interior and external anal sphincters with areas of fibrosis pathology: benign squamous mucosa, vaginal mucosa with mild chronic inflammation.On (b)(6) 2014, approximate 1 cm area of wound breakdown with necrosis at anal sphincteroplasty site, in-office wound culture pathology showed (+) e.Coli.On (b)(6) 2014, anal sphincteroplasty site unchanged.On (b)(6) 2014, an anal sphincteroplasty site still approximately 1 cm, now with fresh granulation tissue/healing, blue vicryl suture removed.On (b)(6) 2014, an anal sphincteroplasty site healing well, 1 mm area of peritoneum still needing to epithelialize.On (b)(6) 2017, dyspareunia.On (b)(6) 2017, a claimant requested gynecology referral for chronic dyspareunia/pelvic/perineal pain related to exair/coloplast, states urologist is not helping her.On (b)(6) 2017, a uti (+) staph coagulase.On (b)(6) 2017, an acute cystitis (+) staph epidermidis.
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