WOMENS-HEALTH Messages for February, 2000: Re: pelvic and bladder pain after hysterecomy 3 years ago

Re: pelvic and bladder pain after hysterecomy 3 years ago

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 28 Feb 2000 19:20:05 -0600 (CST)

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In reply to: stevie: "Re: pelvic and bladder pain after hysterecomy 3 years ago"

At Mon, 28 Feb 2000, stevie wrote: >
>At Sun, 27 Feb 2000, Harvey S. Marchbein, M.D. wrote:
>>
>>At Sat, 26 Feb 2000, stevie wrote:
>>>
>>>I had a complete hysterectomy 3 years ago and 3 weeks into healing I
>>>developed a pain in my bladder area deep behind the incisional scar
>>>which hurt when pushed on and also on vaginal palpation. 6 months I had
>>>a laparoscopy and the doctor removed the omentum from the vaginal cuff
>>>and some adhesions but didnt help the pain. i have been through every
>>>test available which included 2 cystoscopes that showed nothing. I even
>>>had dmso heperin and steroid put into the bladder which only made me
>>>worse. my question is could this be the ligaments that were sutured
>>>into the top of the vaginal cuff? i have a pulling pain when I bear
>>>down. the doctors tell me this isnt typical of adhesions but I have
>>>always felt like the bladder was adhered to something. any input you
>>>could give me would be great. thank you
>>
>>Sounds like you've had the appropriate therapies and diagnotstic testing
>>and I'm stumped as well. The ligaments sutured into the top of the
>>vagina, usually the round ligaments, are loose and give minimal, if any
>>support. Some may also suture the uterosacral ligaments which run
>>behind the vagina, into the top of the surgical incision of the vagina.
>>This would not give "bladder" pain in that it is behind the vagina and
>>the bladder is in front.
>>
>>--
>>Harvey S. Marchbein, M.D. FACOG, FACS
>>Great Neck, New York

>>
>I have another short question, could adhesions cause this kind of pain ?

Possible.

>and could they have been missed during the laparoscopy I had done?

Not likely.

>If it
>is adhesions will they improve with time?

Unfortuntely, they don't although some people learn how to "deal" with pain better than others.

>thank you for your help stevie

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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