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Re: vaginal suture From: ainsron@msn.com Wed Apr 5 12:09:14 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron@msn.com: "Re: patient choice c/s" Previous message: John Robertson MD: "Re: patient choice c/s" In reply to: Efrain Ramirez: "Re: To cerclage or not to cerclage that is the question" Next in thread: J. Hellriegel: "Re: St Johns Wort and oral contraceptives" I had a similar patient this week. She presented with the complaint that her husband was hitting something that hurt him when they had intercourse, over the past two weeks time. On exam, ~6cm of a prolene suture that had been used for a urethral suspension by a local urologist was found on the right paraurethral area. I opted to pull gently until the maximal amount of suture was in the vagina, then cut it. Nothing was visible when I was done. Interestingly, she had excellent relief of her SUI symptoms from the suspension, and that did not change with loss of the suture. >I saw a 64yo pt referred for post menopausal bleeding. her complaints are >vague...a yellowish discharge, some spotting noted post void. she had a >hyst for "precancerous cells" 15 yrs ago and some sort of bladder repair a >few years later. she is not on estrogen. on exam there is a nubbin of >mersilene tape type suture eroded through the vagina about 1/3 of the way up >from the introitus. no obvious bleeding from this site, just what would be >expected from an exam with a speculum/ digital exam in a non estrogenized >vagina. i'm uncertain what to do with this finding...my partner is for >leaving it alone. my inclination is to try and remove it, although i'm not >sure really what the point of that would be either. opinions appreciated. > >tami dairiki, m.d. >private practice, arizona -- Ronald E. Ainsworth, MD Next message: ainsron@msn.com: "Re: patient choice c/s" Previous message: John Robertson MD: "Re: patient choice c/s" In reply to: Efrain Ramirez: "Re: To cerclage or not to cerclage that is the question" Next in thread: J. Hellriegel: "Re: St Johns Wort and oral contraceptives"

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