Recommended Doctor
Robert Eric GUTMAN MD
Obstetrics & Gynecology - Maryland Baltimore

After many years of leaking urine and at far too young of an age to live with for the rest of my life, I ended up in Dr. Gutman's office. After many tests, he recommended and performed a suburethral sling. He is the best!! His procedure changed my life. I would recommend this procedure and this doctor to anyone thinking they have to put up with this great inconvenience and life-stifling condition. Don't wait!! Do it today!!

I was originally operated upon in Delaware, having had hysterectomy in August, 2005. While in the recovery room I noted that my catheter was not draining the same amounts as the other postop patients, was transferred to the floor, but still stunned from the anesthesia. I awoke at 4:00 a.m. the next morning to hearing a pop and then proceeded to flood the bed. I was told by the nursing staff that the Foley catheter leaked and it was removed. I continued to vaginally leak large amounts of fluid which was clear to slightly pink. The staff including my physician told me that drainage was normal after the hysterectomy. However, there was a difference, I would pee very small amounts and leak everything else. I could feel it coming out, namely with positoin change. I was discharged and continued to leak. I presented to my surgeon 2 days after discharge, 5 days postop. He examined me which was very painful secondary to an open procedure. He said everything looked normal, but sent me for a CT scan. Had a cursory CT with no delayed imaging. Nothing was found. I continued to leak. I was then sent for a bladder something or other where they fill the bladder looking for a fistula in the lower area. Again, things looked normal. At my 2 week follow up i was still leaking and my surgeon told me that I was "incontinent". You do not tell someone who is 41 that they are incontinent and that they have to deal with it.

I took it upon myself to call a tertiary center, JOhns Hopkins University. Dr. Gutman spoke to me within hours of initial telephone call, I was seen within 3 days. At my appointment he spoke to me and most of all listened. A few office tests were performed including Blue methylene testing and a tampon test. Something that simple proved that there was a problem. A STAT ct was ordered, and performed, the addition of a 5 minute delayed image showed that my ureter had been compromised and fluid was leaking into my abdomen and ultimately due to having a new hyserectomy (now 3 months ago), my body continued to leak out over the vaginal cuff ultimately allowing an exit (avoided peritonitis and I was able to keep my kidney). I was then stented in the hope of allowing healing. However it did not work and I ultimately underwent ureteral re-implantation.

Dr. Gutman provided a very calm manner. He listened and acted upon the infomation immediately, even before I met him. He contacted my orginal surgeon (who has yet to contact me acknowledging the fact that he damaged my ureter and then could not find the problem). There was telephone contact with me as I live 3 hours away from Dr. Gutman. I ended up in the emergency room after the first Stent and he spoke to he ER physicians there. He provided me his direct telephone/beeper even though he was not on Call. He contacted the best physicians in all areas where I needed assistance including RAdiology, Uroloogy, Urogynecology (His Boss, Dr. Cundiff) and did everything.

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