Shortage of Contrast for Imaging Services

Because of a global shortage of iodinated contrast material (Omnipaque) caused by temporary overseas manufacturing disruptions, ChristianaCare is taking steps to preserve supply so that it remains available for the most time-sensitive and urgent patient needs. (Learn more in our frequently asked questions.)

Omnipaque contrast is the most widely used contrast material for CT scans and radiographic examinations at ChristianaCare facilities. It is also used for cardiac imaging and interventions, and in the GI lab, Surgicenter and other settings.

The shortage is expected to last several weeks, and likely into the summer months.

Hospitals and health care organizations worldwide are managing the effects of the shortage and the impact to patient care.

ChristianaCare is making every effort to meet the needs of patients who need this product in their procedures. We are working individually with physicians to prioritize those patients with the most urgent needs.

Wherever possible, we are using alternative contrast material and limiting its use to ensure adequate supplies for time sensitive and emergent exams. It is possible that some elective procedures that use this product will need to be delayed.

ChristianaCare will continue to look for options to minimize disruptions created by the shortage, as we serve our community as expert, caring partners in health.

Learn more in our frequently asked questions (FAQs).

COVID-19: Click here for what to expect at ChristianaCare during COVID-19

ChristianaCare

Shortage of Contrast for Imaging Services

Because of a global shortage of iodinated contrast material (Omnipaque) caused by temporary overseas manufacturing disruptions, ChristianaCare is taking steps to preserve supply so that it remains available for the most time-sensitive and urgent patient needs. (Learn more in our frequently asked questions.)

Omnipaque contrast is the most widely used contrast material for CT scans and radiographic examinations at ChristianaCare facilities. It is also used for cardiac imaging and interventions, and in the GI lab, Surgicenter and other settings.

The shortage is expected to last several weeks, and likely into the summer months.

Hospitals and health care organizations worldwide are managing the effects of the shortage and the impact to patient care.

ChristianaCare is making every effort to meet the needs of patients who need this product in their procedures. We are working individually with physicians to prioritize those patients with the most urgent needs.

Wherever possible, we are using alternative contrast material and limiting its use to ensure adequate supplies for time sensitive and emergent exams. It is possible that some elective procedures that use this product will need to be delayed.

ChristianaCare will continue to look for options to minimize disruptions created by the shortage, as we serve our community as expert, caring partners in health.

Learn more in our frequently asked questions (FAQs).

COVID-19: Click here for what to expect at ChristianaCare during COVID-19

Urogynecology

Prolapse

Prolapse is the stretching of an organ down into or out of the vagina. Organs that can drop from their normal position include the bladder, uterus and rectum. The top of the vagina itself also can collapse into the lower part.

Prolapse is exceptionally common. A large population study published in the medical journal Obstetrics and Gynecology estimated 64 percent of women experience some degree of this condition. However, only about 11 percent typically undergo at least one surgery to correct it, according to another study in the same journal.

What causes prolapse?

Prolapse occurs when the muscles and ligaments that usually hold these organs in place are stretched, torn or fractured. This can happen during pregnancy or childbirth. Repetitive heavy lifting, chronic coughing or constipation can contribute. Women may be more likely to experience the condition if other family members have it.

What are the symptoms of prolapse?

  • A sensation of falling or dropping in the bladder, rectum, uterus or vagina.
  • A feeling of fullness or pressure in the pelvis or vagina.
  • A sensation of sitting on something that is not supposed to be there.
  • A protrusion through the vaginal opening.
  • Difficulty emptying the bladder or bowels.
  • Pain in the lower back or abdomen.
  • An increase in vaginal discharge.
  • Sexual dysfunction, including painful or difficult intercourse.
  • Development of other pelvic floor disorders, including urinary or bowel incontinence, overactive bladder and recurrent bladder infection.

Prolapse can be worse at some times than others. For instance, symptoms are usually more pronounced after strenuous activity or straining for constipation. Gravity and pressure also tend to make prolapse worse at the end of the day. Laying down or resting usually make symptoms less noticeable.

How is prolapse diagnosed?

A physician performs a physical examination with special attention to the pelvis and vagina. Patients will strain, cough or bear down throughout this exam so the doctor can see the prolapse. Patients also might stand and bear down, because prolapse is sometimes visible only in the upright position. In rare circumstances, X-rays may be used.

How is prolapse treated?

There are generally four options:

  • Do nothing. Prolapse is not a surgical emergency. Life-threatening complications are rare. Patients can make their own treatment decisions based on the severity of their condition.
  • Strengthen the pelvic-floor muscles. We can teach patients exercises to strengthen these muscles. In mild cases, this can prevent vaginal prolapse from getting worse. Learning the correct techniques can help maximize results.
  • Insert a pessary. A pessary is a plastic brace that holds a prolapsed vagina in place, improving symptoms. A physician can insert it into the vagina during an office visit. This is a long-term, non-surgical treatment. It also can be a short-term solution to alleviate symptoms until a patient can schedule surgery.
  • Surgery. This option can correct the prolapse. The surgical approach, however, will depend on many factors. Patients are actively involved in helping the doctor decide how to operate. Options include making an abdominal incision, using laparoscopic instruments to reduce the size of an abdominal incision or operating through the vagina. Surgery also can involve reconstructing the patient’s own tissue or using graft material to strengthen the repair.

ChristianaCare Center for Urogynecology and Pelvic Surgery

Christiana Hospital
Medical Arts Pavilion 2
4735 Ogletown-Stanton Road, Suite 1208, Newark, DE 19713 directions
302-623-4055
fax 302-623-4056

ChristianaCare Concord Health Center
161 Wilmington-West Chester Pike, Chadds Ford, PA 19317 directions
610-361-1030, option 9

Smyrna Health & Wellness Center
100 S. Main Street, Suite 215
Smyrna, DE 19977 directions
302-623-4055

Wilmington Hospital
501 West 14th Street
Gateway Building, 2nd Floor
Wilmington, DE 19801
302-623-4055