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Re: GYN: Pessary useage From: art fougner, md (evsono@pipeline.com) Thu Mar 1 06:48:33 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: jen: "birth control" Previous message: art fougner, md: "Re: Gel, Pit, & VBAC tragedy" Next in thread: Garry Siegel: "Re: GYN: Pessary useage" Reply: Garry Siegel: "Re: GYN: Pessary useage" Garry - agreed - w/u in order. but what is the downside of a trial of a pessary? art At Wed, 28 Feb 2001, Garry Siegel wrote: > >89 YO woman referred from a new, just out of training urologist due to >urinary retention. > >She has had multiple procedures--a couple of "bladder tacks", TAH, >etc--all per history, no records. Anyway, she just moved her, and had >performed intermittenet self cath BID for 4 years, with about 500 cc >residual each time. > >The urologist noted that she had a large cystocele/rectocele and >wondered if a pessary might help. > >Her exam is pretty much that--maybe an enterocele, but both are within >the introitus. > >I am not really aware that a pessary to reduce the cystocele/rectocele >will help in this situation. I don't belive this is a partially >obstructed urethra from the cystocele; in fact, she looks a bit worse >than average for someone at this age, and whose had a bunch of children. >PS she's on estrogen. > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: jen: "birth control" Previous message: art fougner, md: "Re: Gel, Pit, & VBAC tragedy" Next in thread: Garry Siegel: "Re: GYN: Pessary useage" Reply: Garry Siegel: "Re: GYN: Pessary useage"

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