Re: Vaginal Cuff pain

From: Ngozi Wexler (NUZOGARA@POL.NET)
Thu Sep 29 08:21:52 2005


More info on the patient: She is a 38 y/o female and premenopausal. By history her pain almost sounds neuropathic yet I'm not completely sure it can't be from other etiologies. If her pain is from re-inervation of vaginal nerves after hysterectomy, isn't 10years a long interval for this to occur?

At Thu, 29 Sep 2005, Ngozi Wexler wrote: >
>I have a patient who had a TAH/LSO approx 10 years ago and has in been
>good health until the past 9months when she has noted progressively
>worsening deep thrust dyspareunia/burning at her cuff as well as chronic
>lower abd pain. Nl pelvic ultrasound with R ovary. Neg urinary w/u.
>Neg GI w/u. Physical exam shows very specific areas around her vaginal
>cuff that are extremely tender to touch with a q-tip. these areas are
>hyperemic as well. No granulation tissue was noted. I am planning on
>taking her to the OR for dx l'scope and biopsy of the cuff. Any other
>suggestions?
>
>Thanks.
>Ngozi Wexler





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