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Re: GYN: Vaginal Stenosis after repairs From: Garry E. Siegel, M.D. (garrys@mindspring.com) Thu Aug 14 20:53:12 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Significant Others in exam room" Previous message: Garry E. Siegel, M.D.: "Re: OBSERVATION VISITS" In reply to: Steve & Eryl Raymond: "Re: GYN: Vaginal Stenosis after repairs" November, 2002. By sagitally, I assume (am I right) that you mean along the same line as the posterior repair, and then it at a 90 degree angle to the cut. I've read (somewhere)about relaxing incisions in the sidewall(s). Anyone heard of that? Garry At Thu, 14 Aug 2003, Steve & Eryl Raymond wrote: > >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. > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Joanne Bulley, MD: "Re: Significant Others in exam room" Previous message: Garry E. Siegel, M.D.: "Re: OBSERVATION VISITS" In reply to: Steve & Eryl Raymond: "Re: GYN: Vaginal Stenosis after repairs"

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