Re: Cervical stenosis in the office
From: art fougner, md (evsono@pipeline.com)
Tue Nov 2 06:49:53 2004
Charlie
often, though, either the pinhole os does not admit the catheter or, as
it inflates, the balloon simply slips out.
art
At Mon, 1 Nov 2004, Charlie Chambers wrote:
>
>--Apple-Mail-5-807958116
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>In order to get a better idea of the uterine lining, you could try a
>sonohysterography. Use the type that you get inflate a ballon and just
>get it inserted into the cervix. Can give you some good information.
>I've had a number of patients that I couldn't dilate, but I could
>insert the catheter.
>
>************************************************************************
>**
>
>--
>************************************************************************
>Charlie Chambers
>Hood River, OR USA
>cchamber@alumni. rice. edu
>
>"I'm a goin fishin.
>Yeah, I'm goin fishin
>And my baby's goin fishin too!"
> Taj Mahal
>
>************************************************************************
>On Nov 1, 2004, at 6:41 PM, Dr. John Provatopoulos B.Sc. M.D.C.M.
>************************************************************************
>F.R.S.C. wrote:
>
>> I usually use lacrimal probes. I have done several hundred of these in
>> postmenapause and have only seen 2 cases of endometrial cancer in those
>> that did not have classic post-menapausal bleeding most of thses
>> patients have no symptoms or some light spotting from vaginal atrophy.
>> We will get a run of pathology reports insisting they see endometrial
>> cells in post menapuase almost all of these will have no endomterium or
>> atrophic pattern on D&C. The use of hysteroscopy in a tiny
>> postmenapausal uterus is of dubious value imho. One of the biggest
>> culprits for unnecessarry intervemtions in these patients is the
>> liberal
>> use of vag prob U/S some months it seems every postmenapausal women I
>> see has an endometrial thickness > 7mm and I never get any endometrium.
>> Classic post-menapausal bleeding is a great screening test in it self
>> ,I
>> see cancer in at least 5-10% when I get a classic history of
>> post-menpausal bleding.
>>
>> --
>> Take care, John
>>
>--Apple-Mail-5-807958116
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><fontfamily><param>Lucida Grande</param>In order to get a better idea
>of the uterine lining, you could try a sonohysterography. Use the type
>that you get inflate a ballon and just get it inserted into the
>cervix. Can give you some good information. I've had a number of
>patients that I couldn't dilate, but I could insert the catheter.
>
></fontfamily>
>
><fontfamily><param>Helvetica</param>**************************************************************************
>
><fontfamily><param>Helvetica</param>**************************************************************************
>Charlie Chambers
>
>Hood River, OR USA
>
>cchamber@alumni. rice. edu
>
>"I'm a goin fishin.
>
>Yeah, I'm goin fishin
>
>And my baby's goin fishin too!"
>
> Taj Mahal
>
>************************************************************************</fontfamily>
>
>************************************************************************</fontfamily>
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>--
>
><fontfamily><param>Lucida Grande</param>Take</fontfamily>
><fontfamily><param>Lucida Grande</param>care</fontfamily>,
><fontfamily><param>Lucida Grande</param>John
>
></fontfamily></excerpt>
>--Apple-Mail-5-807958116--
>
--
art fougner, md
ich bin ein New Yorker
