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Dispaurenia after perineoplasty (follow up)From: Ricardo Savaris (savaris@orion.ufrgs.br)Tue Mar 30 09:41:56 1999
For those who do not remember the case. A patient was submitted to a perineoplasty for non specific reason in November 1998. Few months after the surgery, she had sexual intercourse and experienced dispareunia. A tender point was found during the physical exam. The list suggested to infiltrate some lidocaine into the tender point. I tried this, but, during the next exam, the spot wasn't so define. I injected few ml of lidocaine around the area, and the pain disappeared. Suggested to use lidocaine gel before sexual intercourse and use non-steroidal anti-inflammatory drugs (NSAID). She said that while she was using NSAID she was ok, the lidocaine gel did not work. She stopped the NSAID and the pain returned. Suggestions are welcome
-- Ricardo Savaris, MD,MSc, TEGO, Ph.D. Porto Alegre, RS Brazil 55 51 3211944
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