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Re: Optimal Treatment of Rectovaginal Endometriosis From: Bernard Cristalli (bcrist@club-internet.fr) Wed Feb 25 13:25:05 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "High BP + Liver - follow-up" Previous message: Bernard Cristalli: "Re: Abnormal triple scree" Maybe in reply to: Dr Ron Jewell: "Optimal Treatment of Rectovaginal Endometriosis" Next in thread: Myer S. Bornstein: "Re: Optimal Treatment of Rectovaginal Endometriosis" Dr Ron Jewell wrote: > > 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? > -- Medical treatment (GnRH analog) for at least 3 months before resection of the septum. At 44 YO I would delay the oophorectomy for a while. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "High BP + Liver - follow-up" Previous message: Bernard Cristalli: "Re: Abnormal triple scree" Maybe in reply to: Dr Ron Jewell: "Optimal Treatment of Rectovaginal Endometriosis" Next in thread: Myer S. Bornstein: "Re: Optimal Treatment of Rectovaginal Endometriosis"

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