Re: Uterine Suspension

From: art fougner, md (evsono@pipeline.com)
Sat Jun 10 12:27:26 2000


there are lapscope techniques as well. but before trying this, try to see if a smith pessary will alter sx.

art

At Sat, 10 Jun 2000, Joanne Bulley, MD wrote: >
>I have a young woman (late 20's) - completed her child bearing - with an
>RV uterus and dyspareunia. This is completely reproducible by palpation
>of the fundus on pelvic exam. No uterosacral pain etc. I plan on doing
>a uterin suspension. As we do these infrequently - I have usually done
>a Gilliam (?) - pull a knuckle of round ligament through the rectus
>fascia and sew it to the fascia - bilaterally. The few others I have
>done on very selected pateints have worked quite well.
>
>I'd love to know what others are doing and whether there is a better -
>non laparotomy way I can incorporate into my armamentarium...
>
>Of note - she had no dyspareunia with her first partner - before
>marriage, and has always had this with her current partner - her
>husband. It is somewhat worse since having the 2 babies - and he
>definitely has a longer erect penis than her first partner. They
>considered measuring his erect length before she saw me in case that
>helped my evaluation.
>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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