Retention after Pereyra procedure
From: Mario Colombo, MD (emmecol@fastwebnet.it)
Fri Feb 28 12:10:33 2003
> From: "Michael J. Wolpmann, MD" <elvisdoc@comcast.net>
> I would wonder if both your sutures are truly cut. I would also vote
> for giving this more time before reoperation. A suprapubic catheter
> will help you get her to go along with this, then would wait 8-12 weeks
> before takedown.
Michael,
I have not only personally cut the two Pereyra sutures, I have also entirely
removed them. Suture material was a monofilament (Prolene), and it was not a
problem to remove them. I have even given the two stitches to the woman!
In your experience, have you ever seen a patient who really started a
spontaneous voiding after so much time postoperatively? I would wait another
8-12 weeks with no problem if the patient voided at least a little bit of
urine spontaneously...
Thank you very much.
--
Mario Colombo, MD
Monza
Italy
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