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Re: ? Failed TVT From: Abdul Raman Lilla (arlilla@hotmail.com) Sun Jan 11 01:02:12 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Accuracy of TA versus TV ultrasounds" Previous message: Charlie Chambers: "Re: Saliva testing" Hi Can someone help me! I have done a tvt on a 34 year old woman who presented with a massive cystocele and easily demonstrable stress incontinance. In fact her main complain was the large cystocele. I did not do urodynamic studies on her as she appeared to have only SI without urgency. I did an anterior as well as a posterior colporrhaphy on her and decided to do a TVT as well, to my surprise she still has marked SI two days post-op, what might be the reason? Is her SI likely to improve with time as healing takes place? Thanks Abdul Rahman consultant WH, Doha, Qatar >From: "Braun, R. Daniel" <rbraun@iupui.edu> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: RE: I'm Baaaaack (with a question) >Date: Thu, 8 Jan 2004 08:16:20 -0600 > >Elko< NV. Isn't that the home of Waddie Mitchell? > >Dan > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Brian >W. Fox, MD, FACOG >Sent: Wednesday, January 07, 2004 6:21 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: I'm Baaaaack (with a question) > >Here in Elko, NV, we are not required to come in to see all labor >checks, UTI's etc. before discharge. Such a policy change would result >in a major mutiny among the OB's here. We have no house staff and rely >on our OB nurses to be our eyes and ears for many patients, both during >early labor and all those other visits for various complaints >-- >Brian W. Fox, MD, FACOG >1995 Errecart Blvd., Suite 103 >Elko, NV 89801 > Sun, 11 Jan 2004 23:57:54 GMT X-Originating-IP: [24.31.90.1] X-Originating-Email: [jmsmed58@hotmail.com] X-Sender: jmsmed58@hotmail.com From: "Anonymous" <anonymous@obgyn.net> To: ob-gyn-l@obgyn.net Subject: Re: Accuracy of TA versus TV ultrasounds Date: Sun, 11 Jan 2004 23:57:54 +0000 Mime-Version: 1.0 Content-Type: text/plain; format=flowed Message-ID: <Sea2-F9q1VoBvt4g3kV0002ea66@hotmail.com> X-OriginalArrivalTime: 11 Jan 2004 23:57:54.0704 (UTC) FILETIME=[BACE9900:01C3D89E] Dear Art Thank you very much for this study. It is clear in its conclusions and most helpful for this patient. I like what is said in the last line of the conclusion - good to have this as a baseline in studying pathological conditions. Problem is, I have never seen any of the Australian doctors I worked with ever order transvaginal ultrasounds. Perhaps they are changing now. >From personal experience I cannot tolerate transabdominal ultrasounds for visualisation of the uterus. While in Vienna, Austria I had the TV one done by a female OBGYN and although her English was somewhat interesting, it was by far an easier exam. She had very up to date equipment and I had a printout of the picture given to me as a record. Interestingly enough, it was an Australian Ultrasonographer on the Gold Coast in Queensland who found the 10cm fluid filled extra uterine cyst, and the follow up exam happened to be in Vienna. Having never had a TV ultrasound done I did wonder about the accuracy of it when she said the cyst had gone. She could see no sign of it. So, what is the accuracy of both these tests? Both 100% or one better than the other? Or does it depend on what you are looking for as the indications for each test? Interested to hear anyone's thoughts on this. Thanks again Regards Joanne. Next message: art fougner, md: "Re: Accuracy of TA versus TV ultrasounds" Previous message: Charlie Chambers: "Re: Saliva testing"

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