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Re: "No" helpFrom: Terrence.Jones@ncal.kaiperm.orgWed Feb 18 22:34:18 1998
Ayudarme, por favor. Anyone with experience on 'best approaches' to endometri- otic bladder lesions dx'd on cysto biopsy, with otherwise nml adnexae on imaging studies, and sx's related to bladder irritability, alone? Wonder re: preop lupron fx on extablished planes Vs reduced morbidity? Have read the Nezhat (& related) AAGL/ISGL papers on uretero-neo-laser guided-fiber optic stented-cystoplastic-expi-al-approaches... Jus' wonderin', for the brethren of lesser gods, any words of wisdom for approaching a 2-3 cm lesion in the dome, remote from the trigone? Urologist plans to attend surgery. For now, am considering wide local excision and (oh JOY) laparoscopic single layer suture closure. Anyone done combined cysto/lapsky to help define excisional margins on the mucosal side? This might help lower the dose of nitro- prusside needed to control the Urologist's bp while sitting, otherwise, idly by contemplating my future prostate problems... BTW, the lesion has NO mucinous derivative(s) nor specialized stroma. Desperately "seek {-ing} neither awe nor ire..." tj. :) P.S. -- Gracias, Jefe Klein!
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