Re: Appreciate your advice

From: art fougner, md (evsono@pipeline.com)
Tue Dec 28 06:29:51 2004


hysterectomy + BSO + therapy for SUI.

art

At Mon, 27 Dec 2004, ENDODOK@aol.com wrote: >
>58 yr.old G2 P2, one year hx. menometrorrhagia. Endo Bx. simple hyperplasia,
>no atypia. UTZ uterus 5.7x 6.8x 10.9.cm. Cavity widened to 24 cm .Oblong
>inhomogeneous density 11mmx36mm (polyp?fibroid?carcinoma?). Endometrial lining
>posterior to this density 4-8 mm. Small fibroid anteriorly 7 mm.
> Had been treated by NP at an HMO with E/P, then Depoprovera, no
>improvement. Hb.10/HCT 32. Pt diabetic (HbA1c 8.6 / hypertensive. Weight 240.) Also
>has SUI.
> Was advised she needed a hysterectomy because of a premalignant lesion
>of the endometrium.
>
>Am considering the least traumatic Rx, via endometrial resection/ablation
>and TVT for SUI.
>
>Your thoughts??
>
>J.Glenn Bradley MD

--
art fougner, md
May the Joy of this Holiday Season Be with You
and Yours throughout the New Year.




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Thu Oct 2 04:47:24 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.