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Re: Optimal Treatment of Rectovaginal Endometriosis From: Robert Radnich (rradnich@dca.net) Wed Feb 25 16:00:27 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "Re: FRI:SAVANAR way off OB/GYN" Previous message: Gary Kleinman: "List Dynamics" Maybe in reply to: Dr Ron Jewell: "Optimal Treatment of Rectovaginal Endometriosis" Next in thread: jay kulkin: "Re: Optimal Treatment of Rectovaginal Endometriosis" Ron, I have had good success in alleviating dyspareunia and other symptoms by resecting the lesion vaginally and primary closure. Would also recommend post op suppression with Depo-Provera or Lupron. Bob -----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 9:05 AM Subject: Optimal Treatment of Rectovaginal Endometriosis >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 > Next message: Malcolm Griffiths: "Re: FRI:SAVANAR way off OB/GYN" Previous message: Gary Kleinman: "List Dynamics" Maybe in reply to: Dr Ron Jewell: "Optimal Treatment of Rectovaginal Endometriosis" Next in thread: jay kulkin: "Re: Optimal Treatment of Rectovaginal Endometriosis"

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