Re: Vaginal laceration

From: dahmd@gate.net
Thu Oct 26 12:02:55 1995


>Exam reveals superficial friable circular tear in posterior vault about
>2.5 cm. proximal to hymenel remnant. Have used lubricant, Valisone,
>Estrace and even cauterized w/AgNO3, but lesion continues to recur
>w/coitus.

>Suggestions?? Biopsy??

>Thanks ,

>Gordon M. Goldman, M.D., FACOG
>goldmang@medicine.wustl.edu

As they say: "when in doubt, take it out"!

It sounds like this woman does not fit the "classic" description of a post-menopausal patient with atrophy and a posterior fornix tear. Since this friable area keeps recurring, I would opt for excisional biopsy.

Good luck. Keep us posted.

D. Ashley Hill, M.D. dahmd@gate.net





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