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Re: SUI postpartum From: Joanne Bulley, MD (islesannie@yahoo.com) Sat Sep 16 09:05:39 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: SUI postpartum" Previous message: RModugno@aol.com: "Re: Gyn:  How to approach a case**h" In reply to: DoctorJoe@aol.com: "Re: SUI postpartum" Next in thread: DoctorJoe@aol.com: "Re: SUI postpartum" Thanks Joe. I have been there- having operated "early" - and caring for the woman who was avoiding surgery even though I really thought it was indicated. The early operations had much more blood loss -- and I was totatlly amazed at how much resolution of symtpoms and some of the anatomic changes occurred with appropriate exercises and the old "tincture of time" over 12 moonths or so. Each one is an individual - and the work up and recommendations do have to be indivudualized. The question was asked about whether to wait and how long to wait - and I voiced what I had seen and experienced in my own practice. None of the interactions I had with the individual women so affected was ever paternalistic. So watch it with throwing around such jargon. Joanne At Sat, 16 Sep 2006, DoctorJoe@aol.com wrote: > >In a message dated 9/15/06 9:58:21 PM, ND84MD@aol.com writes: > >> the etiology of sui post partum is often multifactorial; the nerve >> conduction abnormalities realted to the latter weeks of pregnancy are often >> overlooked(think of a "saturday night palsy" going on for 5 weeks); the anatomic >> consequences are likely to be permanent; once the supporting fascial tissues are >> torn, they are not going to magically restore themselves. >> formal urodynamic testing will give you a much better idea of what is going >> on with your patient; there is no need to wait a year or more to offer >> treatment once the dx is made. >> >What the dickens is a "Saturday night palsy" and what does it have to do with >SUI after delivery??? > >I think Joanne has already given her insight as to how long it takes "normal" >involution/resolution/recontitution/regeneration/yada/yada/yada to take >place. > >So what are we suffering major angst about? MOTHER NATURE'S rules, dictates >and preferences??? > >Hey, go yell at the hurricane and maybe it will turn left to Florida and >spare your home! (NOT!) > >Joe P. -- Joanne Bulley, MD Keene, NH, USA Next message: DoctorJoe@aol.com: "Re: SUI postpartum" Previous message: RModugno@aol.com: "Re: Gyn:  How to approach a case**h" In reply to: DoctorJoe@aol.com: "Re: SUI postpartum" Next in thread: DoctorJoe@aol.com: "Re: SUI postpartum"

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