Re: Post uterine suspension pain
From: Andrew Folley (agfolley@hotmail.com)
Fri Sep 30 13:12:27 2005
I have had similar problems. Try 5cc sylociane with epi and 100mg
solumedorl. Mix together and uinject half in each side at insertion site
down to peritoneum. If pain persists it may be intrapment of ilioinguinal
nerve running into the groin??. Next step inject and incise or posp the
sutures in the office. andy
>From: Henry Gregor <henrygregor@yahoo.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: Post uterine suspension pain
>Date: Fri, 30 Sep 2005 12:25:53 -0500
>
>Listers,
>
>I have a patient who underwent an Uplift uterine suspension procedure. It
>was very successful in relieving her deep implulse dyspareunia and her
>menstrual low back pain. She is now approximately nine months postop and
>has had persistent bilateral pain at the needle insertion sites, radiating
>into her hips, without other radiating pathways.
> On pe there are no palpable masses or nodularities at the insertion
>sites, nor any inguinal adenopathey. She has had no fevers, dietary
>intolerance, bowel or bladder dysfunction and her white counts have been
>normal. Bimanual exam is well tolerated and without palpable abnormalities.
>I have thought she might benefit from injection with lidocaine and steroids
>at the insertion sites....any thoughts re mix ratios and volume, or other
>suggestions for eval and mgt?
>
>Thanks,
>
>Hank
>"Myer S. Bornstein" <mborn@massmed.org> wrote:
>v\:* {behavior:url(#default#VML);}o\:* {behavior:url(#default#VML);}w\:*
>{behavior:url(#default#VML);}.shape
>{behavior:url(#default#VML);}st1\:*{behavior:url(#default#ieooui) }
>Likewise I have all my scores back.. It also my be my last time if I get
>the position as VPMA.. Yes I did it voluntarily, great way to keep up
>
>Myer
>
>Myer S. Bornstein, MD, MMM, FACOG, FACPE
>
>---------------------------------
>
>---------------------------------
>
>---------------------------------
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel
>Braun
>Sent: Thursday, September 29, 2005 4:30 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: ABC
>
>I already got my score back.
>
>This will be the last time also, since I am retiring next June 30th.
>
>Dan
>
>On 9/29/05, dean@thehuffpeople.net <dean@thehuffpeople.net> wrote:
>
>.
>
>For those of you doing annual board certification (ABC exam), the test is
>due in
>the ABOG offices by the end of business tomorrow. That means that, if not
>already submitted, it must be send "next day delivery" today. ("Same day
>delivery" is available from some locations, but is very expensive.)
>
>Good luck.
>
>Dean Huffman
>
>--
>R. Daniel Braun
> Kinky for Governor
>
> Click here to donate to the Hurricane Katrina relief effort.
|
|
