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Re: Gyn: elongated cervix From: Andrew Folley (agfolley@hotmail.com) Sat Nov 5 17:02:28 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman .: "Re: Gyn: elongated cervix" Previous message: Charlie Chambers: "Re: obstetric externship" In reply to: Garry E. Siegel, M.D.: "Gyn: elongated cervix" Garry I have been trying to be proactive in the OR in terms of preventing vault prolapse 10 years down the road in someone young like your patient. Here are some thoughts to consider. Tie the uterosacrals into the cuff, use polypropylene mesh on the posterior repair with permanent sutrues to secure the graft laterally and consider something similar for the anterior repair. TVOT is becoming popular in gynecolgy as it is safer and does not require cystoscopy. Watch the urologist do one and you are ready. Andy Toledo >From: garrys@mindspring.com (Garry E. Siegel, M.D.) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Gyn: elongated cervix >Date: Fri, 4 Nov 2005 13:24:31 -0600 > >41 YO P3003 with menorrhagia and an elongated cervix present just inside >the introitus, and also has SUI, a small cystocele and a small >rectocele. I believe that her cuff is supported, and I'm planning a >TVH/A and P repair, and a TVT or TOT per the urologist. > >Any thoughts on prevention of future vaginal prolapse? I don't think she >needs a sacrospinous ligament fixation, for instance. > >Would love to chat about or email privately. > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA Next message: Dean Huffman .: "Re: Gyn: elongated cervix" Previous message: Charlie Chambers: "Re: obstetric externship" In reply to: Garry E. Siegel, M.D.: "Gyn: elongated cervix"

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