Re: Optimal Treatment of Rectovaginal Endometriosis

From: R. Daniel Braun, M.D. (rbraun@iunet.iupui.edu)
Wed Feb 25 10:21:28 1998


Oophorectomy and ERT works just as well, with fewer risks of fistulae etc. Endometriosis seems to be related to the ovulatory state. ERT does not seem to make it grow, but ovulation does. Dan -----Original Message----- From: douglas krell <douglas.krell@nsionline.com> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Wednesday, February 25, 1998 11:05 AM Subject: Re: Optimal Treatment of Rectovaginal Endometriosis

>
>-----Original Message-----
>From: Dr Ron Jewell <rjewell@medeserv.com.au>
>To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
>Date: Wednesday, February 25, 1998 7:11 AM
>Subject: Optimal Treatment of Rectovaginal Endometriosis
>
>>I have a 44 year old lady who had a hysterectomy for endometriosis
>>related symptoms.
>
>I would not remove her ovaries unless they were involved with
>endometriosis.
>I would resect the disease in the rectovaginal septum and any other disease
>in the culdesac.
>You may want to do this with the help of a general surgeon since on a
number >of occasions we have discovered rectal or sigmoid lesions that required
>resection.
>
>Douglas Krell MD FACOG
>





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