Re: oldest patient you did a vag hyst on?; wasThank you letter for Vag hyst.

From: art fougner, md (evsono@pipeline.com)
Sat Mar 8 12:01:20 2008


Does she have a son named Bagrat Topagua?

Art

At Sat, 8 Mar 2008, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>At Sat, 8 Mar 2008, Gerald P. Rodriguez wrote:
>>
>>I agree with Raymond on this issue. I had long experience with older
>>Hispanic women in No. New Mexico. Total prolapses were in the late 60's to
>>mid-70's very common. My oldest vag hyst patient was in her mid 90's. The
>>LeForte procedure didn't work for me and failures done by other others were
>>common place as well. If there is a severe degree of prolapse, at least in
>>certain ethnic groups, the underlying fascial tissue simply won't hold up
>>over time. A vaginal hysterectomy in a case of an atrophic prolapsed uterus
>>should not take more than 15 or 20 minutes.
>>
>>Gerald P. Rodríguez, M.D. FACOG
>>Santa Fe
>>
>This Lady's uterus bladder and rectum where somewhere around her knees,
>she had urosepsis twice in the six months prior to my seeing her, she
>would have to disenpact herself when she was not having overflow
>diarrhea; and most importantly it prevented her from playing shuffle
>board, ice curling and just plain walking. I did not think I would help
>her stress incontinence and told her so, remarkably she thought her
>bladder was working not to bad at her post op visit.
>
>--
> Take care, John
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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