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Re: GYN: Vaginal Stenosis after repairs From: Steve & Eryl Raymond (eryl@intekom.co.za) Thu Aug 14 15:48:10 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Steve & Eryl Raymond: "Re: ovarian reserve and PCOS" Previous message: Anna Meenan, MD: "Re: OBSERVATION VISITS" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: Vaginal Stenosis after repairs" Next in thread: Garry E. Siegel, M.D.: "Re: GYN: Vaginal Stenosis after repairs" Reply: Garry E. Siegel, M.D.: "Re: GYN: Vaginal Stenosis after repairs" Ah, the "registrar's ring" - so-called because the new operator didn't know that it is possible to make the posterior repair too tight. Dilators can be obtained from a surgical supply house, but the patient needs to be highly motivated to use them. However, surgical incision is also feasible - a "Ramstedt" type procedure, cut sagitally (not laterally) in the posterior wall, and suture coronally. How long ago was the procedure? Sometimes persistence with intercourse is a better option, especially if it was less than a few months ago. The penis is just as good a dilator as those glass things, except that the artificial dilators are under her control. Steve Garry E. Siegel, M.D. wrote: >35 YO P2002 who underwent an A and P repair, and urinary sling has a >posterior stenotic band around 4 cm in, such that intercourse is >difficult. I can get one finger through it, and a Pederson speculum >with difficulty, but can't open it too well without discomfort. > >Does anyone have any experience actually using/obtaining dilators, or >doing a lateral release surgically, or have any other suggestions? > >Thanks, > >Garry > -- S.H. Raymond FRCOG Principal Specialist Department of Obstetrics & Gynaecology Empangeni Hospital Private Bag X20005 Empangeni SOUTH AFRICA 3880 Phone: (+27)-35-9028560 Fax: (+27)-35-7922596 "The greatest derangement of the mind is to believe in something because one wishes it to be so". René Dubos 1876. Next message: Steve & Eryl Raymond: "Re: ovarian reserve and PCOS" Previous message: Anna Meenan, MD: "Re: OBSERVATION VISITS" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: Vaginal Stenosis after repairs" Next in thread: Garry E. Siegel, M.D.: "Re: GYN: Vaginal Stenosis after repairs" Reply: Garry E. Siegel, M.D.: "Re: GYN: Vaginal Stenosis after repairs"

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