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Re: Dispareunia after perineoplastyFrom: John Robertson M.D. (john.robertson@obgyn.net)Sun Feb 28 18:05:54 1999
At Sat, 27 Feb 1999, Ricardo Savaris wrote: > >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) > >What to do? > >-- >Ricardo Savaris, MD,MSc, TEGO (my super is almost glad about my Ph.D.) >Porto Alegre, RS >Brazil >55 51 3211944 > Would suggest injection with combination xylocaine/steroid (eg depomedrol with lidocaine - methylprednisolone acetate with lidocaine). This might have both short and long term effects without repeat surgery which may well create another scar (in effect chasing your own tail). John
-- J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9, Canada (604) 793-9988 e-mail john.robertson@obgyn.net Who is wise and understanding among you? Let him show it by his good life, by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV
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