Re: "No" help

From: Gail Waldby, MD (gwaldby@main.basec.net)
Thu Feb 19 06:14:10 1998


Your approach sounds reasonable. Usually lesions (of any kind) on the dome of the bladder are easily excised and the excision site is easily repaired (and heals well). Gail Waldby, MD Huron Clinic SD

Terrence.Jones@ncal.kaiperm.org wrote:

> 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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