-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Granulation tissue From: Braun, R. Daniel (rbraun@iupui.edu) Thu Sep 23 08:23:23 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: TIC - US OB's beware!" Previous message: Don Miller: "Re: Maternal mortality was shoulder dystocia" Maybe in reply to: Rafael Haciski: "Granulation tissue" Next in thread: RModugno@aol.com: "Re: Office ultrasound" Estrogen cream will cure both the granulation tissue and the atrophy and allow continued pessary use. I usually rec that the patient use a little estrogen cream on the pessary as lubrication for insertion. 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 Rafael Haciski Sent: Wednesday, September 22, 2004 3:12 PM To: Multiple recipients of list OB-GYN-L Subject: Granulation tissue Question for the listers: I have an elderly pt. with post hysterectomy (many years ago) vaginal prolapse, who until now was satisfied with ring pessary. Over the course of last year she has developed sporadic vaginal bleeding - granulation tissue by appearance and biopsy. Initially cauterized with silver nitrate, but today a much greater area is seen (on both sides of vaginal walls, an at top of vault). The question concerns both treating the granulation tissue and vaginal prolapse. .. it seems too great an area for silver nitrate cauterization (prob. ~6 square cm) .. my concern in this frail pt. in using cautery (or cryo) is collateral injury to adjacent organs (rectum, bowel) and indeed poor healing leading to fistula formation. .. due to atrophy, her introitus is getting too painful for pessary removal and cleaning (lacerates each time, and she is using Premarin cream on the introitus 2-3 times weekly) .. LeFort procedure may be acceptable to her - she is thinking about this Any thoughts? Rafael C. Haciski MD FACOG Bradenton FL Next message: art fougner, md: "Re: TIC - US OB's beware!" Previous message: Don Miller: "Re: Maternal mortality was shoulder dystocia" Maybe in reply to: Rafael Haciski: "Granulation tissue" Next in thread: RModugno@aol.com: "Re: Office ultrasound"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Fri May 2 04:38:52 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.