Re: Optimal Treatment of Rectovaginal Endometriosis

From: Carlos Alberto Porta (caporta@interactive.com.ar)
Thu Feb 26 06:56:15 1998


At 07:48 25/02/98 -0600, you 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
>
--

Carlos Alberto Porta Doctor en Medicina caporta@interactive.com.ar http://members.tripod.com/~gineco/index.html http://members.tripod.com/~medmoron/index.html

************************************************** "El amor desinteresado es el mejor motor para una "buena comunicacion!! **************************************************





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