Optimal Treatment of Rectovaginal Endometriosis
From: Dr Ron Jewell (rjewell@medeserv.com.au)
Wed Feb 25 06:46:59 1998
I have a 44 year old lady who had a hysterectomy for endometriosis
related symptoms. Since the operation, she has developed rectovaginal
septum endometriosis with an upper vaginal nodule about 2 cms in
diameter which has biopsied as endometriosis and causes pain and
dyspareunia.
The rectal mucosa is not involved. She responded very well to gnrh
agonists for 6 months.
Should I now - do a bilateral laparoscopic oophorectomy and put her on
HRT?
Or - Resect the septum?
Or - Continue medical treatment?
--
Ron Jewell FRACOG
PO Box 507
Bunbury
Western Australia
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