Re: OB: Prior infundibulation

From: Abdul Raman Lilla (arlilla@hotmail.com)
Wed Aug 4 00:50:14 2004


Wait form delivery, do incision of the labia, and if indicated a mediolateral episiotomy

Abdul Rahman Lilla FRCOG Sen. Consultant ObGyn Woman's Hospital

>From: garrys@mindspring.com (Garry E. Siegel, M.D.)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: OB: Prior infundibulation
>Date: Tue, 3 Aug 2004 16:28:42 -0500
>
>24 YO P0 at 8 weeks presents with prior infundibulation. Her clitoris
>and clitoral hoods are gone, and the labia overlying them are fused and
>cover the urethral opening. The vagina is patent to one finger, and I
>can get that finger under the fused labia (i.e. like where one would
>separate them).
>
>The correction for this is easy, I belive; I've done it before.
>
>Should I correct this under epidural at 13 weeks, or await delivery and
>repair the damage after delivery. BTW, she had planned to correct this
>a few months ago but didn't do so due to logistics, etc.
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA

>From el@ac.lisse.na Wed Aug 4 01:48:11 2004
Received: from ruby3.oasys.com.na (ruby3.oasys.com.na [196.31.233.40]) by dns.obgyn.net (8.11.6/8.11.6/dsb-1.1) with ESMTP id i746lw124083 for <ob-gyn-l@dns.obgyn.net>; Wed, 4 Aug 2004 01:48:01 -0500 Received: from ac.lisse.na (ac.lisse.na [196.31.233.51]) by ruby3.oasys.com.na (8.12.2/8.12.2/SuSE Linux 0.6) with ESMTP id i746lrE7026621; Wed, 4 Aug 2004 07:47:54 +0100 Received: from ac.lisse.na (localhost [127.0.0.1]) by ac.lisse.na (Postfix) with ESMTP id 019A74CF01; Wed, 4 Aug 2004 07:47:53 +0100 (WAT) To: ob-gyn-l@obgyn.net Cc: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>, el@ac.lisse.na Subject: Re: OB: Prior infundibulation In-Reply-To: Your message of "Wed, 04 Aug 2004 00:50:31 EST." <BAY17-F328MS2erbvM5000cff98@hotmail.com> X-Mailer: exmh 2.6.1 on SUSE 8.2 X-face: 4/$83U}~dPclG58D@9ZT@f%R;U+U_|zEGWiJ;_O+Fp?qX}$i00hWYpU9iV-HlNx+E.|pZ|9|uk^*8rlfpj)B!=b`~{&$=0>;;.Qwj^M5n4E6ImH!5#gz.[;}4n8ZV%i.m!Z[T Reply-To: el@lisse.NA Date: Wed, 04 Aug 2004 07:47:53 +0100 From: Dr Eberhard W Lisse <el@ac.lisse.na> Message-Id: <20040804064754.019A74CF01@ac.lisse.na>

Do C/S at 38 weeks.

Then repair after 3 months.

el

--
Dr. Eberhard W. Lisse  \        /   Obstetrician & Gynaecologist
doc@lisse.NA           /   *   |       Telephone: +264 61 236403
PO Box 8421             \     /   Please send DNS/NA-NiC related
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In message <BAY17-F328MS2erbvM5000cff98@hotmail.com>, "Abdul Raman Lilla" write s: > Wait form delivery, do incision of the labia, and if indicated a > mediolateral episiotomy > > Abdul Rahman Lilla FRCOG > Sen. Consultant ObGyn > Woman's Hospital > > >From: garrys@mindspring.com (Garry E. Siegel, M.D.) > >Reply-To: ob-gyn-l@obgyn.net > >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > >Subject: OB: Prior infundibulation > >Date: Tue, 3 Aug 2004 16:28:42 -0500 > > > >24 YO P0 at 8 weeks presents with prior infundibulation. Her clitoris > >and clitoral hoods are gone, and the labia overlying them are fused and > >cover the urethral opening. The vagina is patent to one finger, and I > >can get that finger under the fused labia (i.e. like where one would > >separate them). > > > >The correction for this is easy, I belive; I've done it before. > > > >Should I correct this under epidural at 13 weeks, or await delivery and > >repair the damage after delivery. BTW, she had planned to correct this > >a few months ago but didn't do so due to logistics, etc. > > > >Garry > > > >-- > >Garry E. Siegel, M.D. > >Private Practice > >Roswell, GA >

>From bcrist@club-internet.fr Wed Aug 4 10:30:40 2004 Received: from relay-6v.club-internet.fr (relay-6v.club-internet.fr [194.158.96.111]) by dns.obgyn.net (8.11.6/8.11.6/dsb-1.1) with ESMTP id i74FUa107422 for <ob-gyn-l@obgyn.net>; Wed, 4 Aug 2004 10:30:37 -0500 Received: from [213.44.11.9] (lcbv4-1-9.n.club-internet.fr [213.44.11.9]) by relay-6v.club-internet.fr (Postfix) with ESMTP id 9D4F025617 for <ob-gyn-l@obgyn.net>; Wed, 4 Aug 2004 17:30:29 +0200 (CEST) User-Agent: Microsoft-Outlook-Express-Macintosh-Edition/5.02.2106 Date: Wed, 04 Aug 2004 17:30:22 +0200 Subject: Re: OB: Prior infundibulation From: Bernard Cristalli <bcrist@club-internet.fr> To: <ob-gyn-l@obgyn.net> Message-ID: <BD363DE6.25948%bcrist@club-internet.fr> In-Reply-To: <200408032127.i73LRgE13770@dns.obgyn.net> Mime-version: 1.0 Content-type: text/plain; charset="ISO-8859-1" Content-Transfer-Encoding: 8bit X-MIME-Autoconverted: from quoted-printable to 8bit by dns.obgyn.net id i74FUa107422

Correct now. I can't imagine what will be the vulva after a VD if the vagina is only patent to one finger now.

--
Bernard Cristalli MD AMACOG
AIHP - ACCA
Paris France
http://www.CliniquedelEssonne.fr
http://www.obgyn.net/corresp/cristalli.htm
http://www.gyneweb.fr
'64 Mk2 3.8

> De : garrys@mindspring.com (Garry E. Siegel, M.D.)

> > 24 YO P0 at 8 weeks presents with prior infundibulation. Her clitoris > and clitoral hoods are gone, and the labia overlying them are fused and > cover the urethral opening. The vagina is patent to one finger, and I > can get that finger under the fused labia (i.e. like where one would > separate them). ... > Should I correct this under epidural at 13 weeks, or await delivery and > repair the damage after delivery. BTW, she had planned to correct this > a few months ago but didn't do so due to logistics, etc. > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA >





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