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Re: Vaginal Cuff pain From: Andrew Folley (agfolley@hotmail.com) Thu Sep 29 13:29:36 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Roberts Confirmed As Chief Justice" Previous message: Richard Chudacoff, MD: "Re: Interesting case" In reply to: Ngozi Wexler: "Re: Vaginal Cuff pain" Other ideas: Endometriosis, ovarian remnant syndrome, entrapped right ovary. Consider inecting cuff with xylocaine and steroid combination such as solumedrol. Look for relief. >From: NUZOGARA@POL.NET (Ngozi Wexler) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: Vaginal Cuff pain >Date: Thu, 29 Sep 2005 08:23:03 -0500 > >More info on the patient: She is a 38 y/o female and premenopausal. By >history her pain almost sounds neuropathic yet I'm not completely sure >it can't be from other etiologies. If her pain is from re-inervation of >vaginal nerves after hysterectomy, isn't 10years a long interval for >this to occur? > >At Thu, 29 Sep 2005, Ngozi Wexler wrote: > > > >I have a patient who had a TAH/LSO approx 10 years ago and has in been > >good health until the past 9months when she has noted progressively > >worsening deep thrust dyspareunia/burning at her cuff as well as chronic > >lower abd pain. Nl pelvic ultrasound with R ovary. Neg urinary w/u. > >Neg GI w/u. Physical exam shows very specific areas around her vaginal > >cuff that are extremely tender to touch with a q-tip. these areas are > >hyperemic as well. No granulation tissue was noted. I am planning on > >taking her to the OR for dx l'scope and biopsy of the cuff. Any other > >suggestions? > > > >Thanks. > >Ngozi Wexler > Next message: R. Daniel Braun: "Re: Roberts Confirmed As Chief Justice" Previous message: Richard Chudacoff, MD: "Re: Interesting case" In reply to: Ngozi Wexler: "Re: Vaginal Cuff pain"

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