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Re: Optimal Treatment of Rectovaginal Endometriosis From: R. Daniel Braun, M.D. (rbraun@iunet.iupui.edu) Wed Feb 25 13:01:24 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun, M.D.: "Re: Fibroids and a Pelvic Kidney" Previous message: Malcolm Griffiths: "Re: Pelvic Outlet / Dr. Todd Gastaldo" Maybe in reply to: Dr Ron Jewell: "Optimal Treatment of Rectovaginal Endometriosis" Next in thread: Malcolm Griffiths: "Re: Optimal Treatment of Rectovaginal Endometriosis" Interesting. I have not seen that. And now you know why we have to read the literature and talk to one another. Clinical experience is great, but it isn't enough all by itself. 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 1:34 PM Subject: Re: Optimal Treatment of Rectovaginal Endometriosis > >-----Original Message----- >From: R. Daniel Braun, M.D. <rbraun@iunet.iupui.edu> >To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> >Date: Wednesday, February 25, 1998 11:00 AM >Subject: Re: Optimal Treatment of Rectovaginal Endometriosis > >>Take her ovaries out, put her on conjugated estrogens, and watch her nodule >>melt away. >>Dan > >Dan's approach might be worth a try, but in my experience, oopherectomy +ERT >does not make nodules of endometriosis "melt away". We've had to go back to >surgery with at least a handful of women who were operated on for stage >three or 4 disease but had significant (from op reports) disease left behind >in the culdesac when they had their original TAH BSO. These women reported >persistant dyspareunia and dyschezia and even withdrawing HRT did not >relieve their symptoms. They were not improved until the disease was >debulked. After that they did fine with ERT. >If you must take the woman to surgery, don't assume that removing her >ovaries will make the rectovaginal disease go away. > >Doug Krell MD FACOG > Next message: R. Daniel Braun, M.D.: "Re: Fibroids and a Pelvic Kidney" Previous message: Malcolm Griffiths: "Re: Pelvic Outlet / Dr. Todd Gastaldo" Maybe in reply to: Dr Ron Jewell: "Optimal Treatment of Rectovaginal Endometriosis" Next in thread: Malcolm Griffiths: "Re: Optimal Treatment of Rectovaginal Endometriosis"

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