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Re: Not exactly a pain in the butt From: robertsonj (jgmr@unixg.ubc.ca) Mon Sep 30 09:42:08 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Harrison Sheld: "Re: Pap smears: frustrating for everyone" Previous message: AultK@obgyn-po.obgyn.uiowa.edu: "Re[2]: Pap smears: frustrating for everyone" Maybe in reply to: David Zimmerman: "Not exactly a pain in the butt" ---------- > From: David Zimmerman <fastedy@aloha.net> > To: Multiple recipients of list <ob-gyn-l@listserv.bcm.tmc.edu> > Subject: Not exactly a pain in the butt > Date: Sunday, September 29, 1996 12:09 AM > > I am hoping for some brilliant suggestions by my cyberspace compatriots on > the following case. > On exam, there is tenderness immediately outside the > introitus, corresponding to the prior op site. The area is totally > re-epithelialized but the "new" epithelium is very slightly raised, > although there is no mass or underlying induration. > > I was contemplating a laser ablation of the affected area. She understands > there can be no guarantee of a perfect outcome. > > Any comments or suggestions will be appreciated. Mahalo. > > Terri Rosenbaum, M.D. > private practice > Lihue, HI > > "Our heads are round so our thinking can change direction" > Oliver Wendall Holmes So far I have seen only one suggestion that included steroids, and that was to inject them (along with lidocane) in the area of the pudendal nerve. How about a local injection (in the area of the pain) of a combination of steroid (eg depo medrol) and lidocane? Secondly does she have any evidence of a stitch abscess? I have removed a few of these from old episiotomy sites with good results. In some of these cases the patient presented years after the fact. Usually there is a small nodular area palpable . John John G. M. Robertson MD, 109 9181 Main Street Chilliwack, B.C., Canada, V2P 4M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894) Next message: Harrison Sheld: "Re: Pap smears: frustrating for everyone" Previous message: AultK@obgyn-po.obgyn.uiowa.edu: "Re[2]: Pap smears: frustrating for everyone" Maybe in reply to: David Zimmerman: "Not exactly a pain in the butt"

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