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Re: tention after Pereyra procedure From: Michael J. Wolpmann, MD (elvisdoc@comcast.net) Fri Feb 28 15:16:53 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gerald P. Rodriguez: "Re: Retention after Pereyra procedure" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Endometriosis and the TMN scale" I have seen overcorrections that started to void spontaneously only after 2-3 months of continuous catheterization...not mine, thankfully, or luckily, but a local urologist's patients I had done concommittant A/P repairs on. I thought a takedown would be unavoidable but lo and behold, they started voiding after a substantial amount of time which in a couple of cases was about 3 months. Of course, they now have to pee standing up while using a man's urinal......just kidding, they recovered normal voiding function. I would vote for patience and local estrogen but urethrolysis is certainly an option as well. I would bet that uroflowmetry would show outlet obstruction, so what you do with that is the question. The body may fix it for you if you wait. Let us know. good luck, Michael At Fri, 28 Feb 2003, Mario Colombo, MD wrote: > >> 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 > -- Michael J. Wolpmann, MD, FACOG, FACS The Women's Centre at Bayside Gynecology Venice, Florida Next message: Gerald P. Rodriguez: "Re: Retention after Pereyra procedure" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Endometriosis and the TMN scale"

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