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Re: TAH and diminished libido From: Braun, R. Daniel (rbraun@iupui.edu) Wed Sep 1 14:35:34 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joe Cutchin: "Re: TAH and diminished libido" Previous message: Efrain Ramirez: "Re: TAH and diminished libido" Next in thread: Garry E. Siegel, M.D.: "Laparoelytrotomy" Reply: Garry E. Siegel, M.D.: "Laparoelytrotomy" OH!!! Never took it down that far? Have you never done a Laparoelytrotomy? (Making your incision so low in the cervix that you are below the cervix and in the vagina) Dan R. Daniel Braun, MD "If everyone likes you, you're doing something wrong." Kinky Friedman I believe a self-righteous liberal or conservative with a cause is more dangerous than a Hell's Angel with an attitude. Andy Rooney -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joe Cutchin Sent: Wednesday, September 01, 2004 10:41 AM To: Multiple recipients of list OB-GYN-L Subject: Re: TAH and diminished libido Good point.But I don't think we ever took the bladder down completely off the cervix at CS.And I agree with you that making bladder flap is not necessary. "Braun, R. Daniel" wrote: > > The change from routine Supra cervical to routine TAH started around > 1950 and came about with the safety of Blood Banking. The major > amount of blood loss with most abd. Hysts is during the removal of the > cervix. With Blood banking, it became safer to do. If elevating the > bladder for a hyst, causes sexual dysfunction, why doesn't elevating > it for a cesarean???? Which BTW, I don't do anymore. I quit routinely > making bladder flaps about 10 years ago. > > Dan > > R. Daniel Braun, MD > > "If everyone likes you, you're doing something wrong." > > Kinky Friedman > > I believe a self-righteous liberal or conservative with a cause is > more dangerous than a Hell's Angel with an attitude. > > Andy Rooney > > -----Original Message----- > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joe > Sent: Wednesday, September 01, 2004 8:13 AM > To: Multiple recipients of list OB-GYN-L > Subject: Re: TAH and diminished libido > > When I started training in 1960 alot of our specialty and most general > surgeons(who were doing majority of hysterectomies) were doing > supracervical hysts.Cervical cancer in the remaining stump caused a > change in the philosophy around that time and also a minor turf battle > occurred.So we moved to TAH gradually.In the last 15 years of my > career I did only supracervical hyst -supported by major improvement > in cytology screening.Just an observation:when you elevate the bladder > I think you disrupt sensory paths which come into play with sexual > satisfaction.A scar is also created.(I'm not speaking of those in my > practice who had stainless steel staples placed in cuff by others)I > certainlydo not have a series or data but in retrospect I'm glad I > moved back to what was originally being done early in my career. > > Efrain Ramirez wrote: > > > Will supracervical Hyst be the answer>?? > > > > At Tue, 31 Aug 2004, DoctorJoe@aol.com wrote: > > > > > >In a message dated 8/31/04 20:25:34, eramirezt@coqui.net writes: > > > > > >> How many of you - anecdotally - or not - has had the impression > > >> that TAH has had a negative impact on sexual behavior in females? > > >> > > >Both ways. And depending what OTHER mileage you can get out of a > > >TAH. > > > >. . . > > > > > >Joe P. > > > > -- > > "The opposite of a correct statement is a false statement. But the > > opposite of a profound truth may well be another profound truth." > > > > Niels Bohr (1885 - 1962) Next message: Joe Cutchin: "Re: TAH and diminished libido" Previous message: Efrain Ramirez: "Re: TAH and diminished libido" Next in thread: Garry E. Siegel, M.D.: "Laparoelytrotomy" Reply: Garry E. Siegel, M.D.: "Laparoelytrotomy"

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