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Re: R: Vault prolapseFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Sat Feb 27 14:19:28 1999
>Garry, > >Your patient is young (and presumably sexually active) and now she has a >grade 3 vault prolapse. I would certainly perform an abdominal sacroperxy. >Moreover, although you told that she doesn't have much of a cystocele, I >would add an abdominal paravaginal defect repair if you could diagnose a >lateral defect (as frequently occurs after a failed anterior colporrhaphy, >which correct only a midline defect). > >You told us that the patient has no urinary incontinence: have you performed >a stress test with the prolapse repositioned? This could show a potential >stress incontinence. If this would be the case, the paravaginal repair >should be enough to avoid the possibility of developing postoperative >clinical stress incontinence. No, but it is on my mind.
> Thanks for the advice and the reference. Garry
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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