Re: Optimal Treatment of Rectovaginal Endometriosis

From: Joe Cutchin (forcep@shore.intercom.net)
Wed Feb 25 14:41:33 1998


Oophorectomy by whatever means.

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?
>
> --
> Ron Jewell FRACOG
> PO Box 507
> Bunbury
> Western Australia

--
Joseph H. Cutchin MD FACOG http:www.penobgyn.com
314 West Carroll Street    410 546 3125
Salisbury,MarylAND 21801




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