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Re: Worse pain after laparoscopy than beforeFrom: AnneHL (anonymous@obgyn.net)Tue Sep 9 18:19:01 2003
At Tue, 9 Sep 2003, Michele wrote: > >I am 11 weeks post-op and the pelvic pain is worse and more constant >than in all the years previous to the surgery. I called the surgeon who >did the lap today and he actualy said the reason I am in pain was >because I have endometriosis adn that causes pain. Like he needed to >tell me that. He told me just to keep taking pain medicine everyday. So >helpful. I have an appointment with a new doctor later in the week. I >am hoping he can give me some info. Lots of endo was removed on the >left side and that is where the pain is. I was just surprised that >there is more pain than there was before. > >What are some possible causes of this? > >Michele Michele: I continued to have pain after a 3 hr excision laparoscopy for Stage III/IV bladder endo with significant adhesions despite Lupron therapy. I had horrid bladder spasms prior to surgery and they became much worse post surgery - such that I was working with a pain mgmt doc that does visceral mobilization in addition to medication, all to try and treat the pain. At my six week appt they told me I was still healing - it was post op pain. At the pain doc's recommendation, when I went for my 12 week appt, I was eval'd for IC. According to my endo doc, who is the regional "endo magician", 87% of women that have Stage III/IV endo go on to develop IC after a surgical procedure [Note - I have no stats or article to back this statement up, this is simply what he told me at my appt, and he does hundreds of endo surgeries a year....] I had underwent a quick work (in office) up for IC and was put on Elmiron. I go in to be "rescued" where they put a cath in and place the Elmiron directly into the bladder and this provides tremendous relief. I can go in as often as 1-2 times a week if the pain is really bad - and at first I was going twice a week. I'm six weeks into the Elmiron therapy. I've reduced my need for pain meds, I'm only going in to get rescued once a week or so, and the pain guy tells me that my bladder spasms/pelvic musculature has significantly improved in terms of spasms and returning to normal mobility. My pain was pretty centrally located, and I had obvious bladder spasms. The pain guy would be working on my back (he does cranial sacral therapy) and could feel my bladder spasming all the way to my back! Not sure if IC pain could be strictly left sided, but if you recently had a scope and you had advanced endo, according to the guy I see, you have great odds of developing IC. Hope this helps.
-- AnneHL
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