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Re: GYN: Vault prolapse From: Larry Glazerman (glazerman@enter.net) Sat Feb 27 08:14:01 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Chudacoff, Richard: "GEN:web site for slides" Previous message: Mario Colombo, MD: "R: Vault prolapse" In reply to: Garry E. Siegel, M.D.: "GYN: Vault prolapse" Garry: There's also a guy in my area who does this stuff through the scope, apparently with great results. Is it John Miklos in your area? If so, he's been here and operated with our guy (vince Lucente) and seems pretty impressive. Patients seem to do well, go home quickly, and have great results. Larry At 10:19 PM 2/26/99 -0600, you wrote: >Suggestions, please: > >56 YO P2002 who is 18 mos out from a TVH, A/P repair, McCalls for >cystocele/rectocele, done by yours truly, now has a vault prolapse where >the apex of the cuff is prolapsed beyond the introitus, but reduces. She >really doesn't have much of a cystocele/rectocele, and at the time of >her sugery, her small enterocele was handled (well, now subject to >debate)by internal and external culdoplasty stitches. > >She has been on estrogen, and has no urinary incontinence. > >She is a nonsmoker, thin and gives you the impression that she doesn't >have the sturdiest of tissue (I'm not sure why I feel that way, but I >do). > >I am most comfortable with a sacrospinous ligament repair, but kind of >lean towards an abdominal sacrocolpopexy with mesh. I would tend not to >do a urinary anti-incontinence procedure, either. Lastly, there is a >doc in my area who does the big cases like this through the scope, and >has done some kind of extra training, etc. > >Any thoughts? > >Garry > >-- >Garry E. Siegel, M.D., FACOG >Private Practice >Roswell, Ga. -- Larry R. Glazerman, MD Valley Ob-Gyn Associates glazerman@enter.net Next message: Chudacoff, Richard: "GEN:web site for slides" Previous message: Mario Colombo, MD: "R: Vault prolapse" In reply to: Garry E. Siegel, M.D.: "GYN: Vault prolapse"

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