Re: Appreciate your advice

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Tue Dec 28 07:58:53 2004


LSH, TVT. Right up your alley, Glenn.

--
Richard Chudacoff, MD

_____

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ENDODOK@aol.com Sent: Monday, December 27, 2004 9:31 PM To: Multiple recipients of list OB-GYN-L Subject: Appreciate your advice

58 yr.old G2 P2, one year hx. menometrorrhagia. Endo Bx. simple hyperplasia, no atypia. UTZ uterus 5.7x 6.8x 10.9.cm. Cavity widened to 24 cm .Oblong inhomogeneous density 11mmx36mm (polyp?fibroid?carcinoma?). Endometrial lining posterior to this density 4-8 mm. Small fibroid anteriorly 7 mm.

Had been treated by NP at an HMO with E/P, then Depoprovera, no improvement. Hb.10/HCT 32. Pt diabetic (HbA1c 8.6 / hypertensive. Weight 240.) Also has SUI.

Was advised she needed a hysterectomy because of a premalignant lesion of the endometrium.

Am considering the least traumatic Rx, via endometrial resection/ablation and TVT for SUI.

Your thoughts??

J.Glenn Bradley MD





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