Re: Dispareunia after perineoplasty

From: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk)
Sun Feb 28 17:35:07 1999


In message <001201be629c$da8ac3e0$da01368f@savaris>, Ricardo Savaris <savaris@orion.ufrgs.br> writes >Need advise from this case.
>
>A 32 yold patient had complains of low pain, dismenorrhea and urine lost.
>Her MD decided to perform a perineoplasty (Kelly et al)
>It was done in November.
>Since than she is having dispareunia.
>I examined her and found that she has pain on the scar, a little nodule
>under the vaginal mucosa, (suture, maybe)
>

Am I missing something? What was the logic of this original procedure? Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Tuffnell [1997])





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