Re: GYN: Vaginal Stenosis after repairs

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Wed Aug 13 19:50:43 2003


At Wed, 13 Aug 2003, Garry E. Siegel, M.D. wrote: >
>35 YO P2002 who underwent an A and P repair, and urinary sling has a
>posterior stenotic band around 4 cm in, such that intercourse is
>difficult. I can get one finger through it, and a Pederson speculum
>with difficulty, but can't open it too well without discomfort.
>
>Does anyone have any experience actually using/obtaining dilators, or
>doing a lateral release surgically, or have any other suggestions?
>
>Thanks,
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

Estrogen cream or pill,pressure and time lots of time. If that doesn't work, EUA and release of stenotic band, followed by estrogen, pressure and time lots of time.

--
                                 Take care, John




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