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Re: SUI postpartum From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Tue Sep 19 02:10:58 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Surgical Prophylaxis for MVP" Previous message: S. H.: "Re: epidural and food" In reply to: Meenan, Anna: "Re: SUI postpartum" Next in thread: ainsron: "Re: SUI postpartum" Reply: ainsron: "Re: SUI postpartum" It is a frustrating dilemma. You know what the diagnosis is and that it leaves the patient with a hygiene problem if nothing else, but you also know that time MAY make things a bit better. The other confounding thing is what to do if someone isn't done with child bearing yet? Would you still operate or put it off indefinitely (all the time leaving them with this not so nice symptom) while waiting for them to have more children? Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of -- ________________________________ Meenan, Anna Sent: Saturday, September 16, 2006 6:20 AM To: Multiple recipients of list OB-GYN-L Subject: Re: SUI postpartum Aw, c'mon Joe, you don't remember the brachial plexus and upper extremity nerves from anatomy lab? Saturday night palsy--high radial nerve palsy caused by passing out drunk with arms hanging over the arms of the chair, resulting in bad wrist drop the next morning. After I had my 10-pounder, I felt like the entire contents of my pelvis would drop on the floor everytime I stood up, and I was sure I would never be able to hold my urine again. Several weeks of kegels fixed that, at least for the next 20 years (actually, still not too bad, but trampolines and jump ropes are no longer my friends). Anna Meenan, MD 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. Next message: Joanne Bulley, MD: "Surgical Prophylaxis for MVP" Previous message: S. H.: "Re: epidural and food" In reply to: Meenan, Anna: "Re: SUI postpartum" Next in thread: ainsron: "Re: SUI postpartum" Reply: ainsron: "Re: SUI postpartum"

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